Collaborating consulting and referring

The success of mental health care often depends on communication between the referring primary care physician and the psychiatric consultant. (5 ,53) Care may be shared between the primary physician and the mental health professional according to one of several models.

A one-time psychiatric consultation with expected follow-up with the family physician might be useful to confirm a diagnosis or suggest pharmacotherapy when first-line treatments have failed. In more complex cases, the psychiatrist might assume temporary responsibility for the patient's mental health care until the patient has improved sufficiently. Long-term collaboration is necessary for patients with concurrent chronic psychiatric and medical illnesses. Shared visits with the family physician, the patient, and, sometimes, family members, can help to avoid miscommunications, and favour accurate diagnosis, appropriate treatment, and adherence. Transfer of total responsibility to a psychiatrist might be appropriate for patients with complex psychiatric illness who have no other chronic illnesses. Suggestions for effective psychiatrist-primary physician collaboration are shown in Table-

Funny Wiring Autism

Funny Wiring Autism

Autism is a developmental disorder that manifests itself in early childhood and affects the functioning of the brain, primarily in the areas of social interaction and communication. Children with autism look like other children but do not play or behave like other children. They must struggle daily to cope and connect with the world around them.

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