Effective communication is the core skill in mental health care in primary care settings. Communicating effectively includes gaining the patient's trust, organizing the visit so that the patient's feelings are elicited and heard, being aware of indirect cues to emotional distress, and using empathy. Inquiring about family and social issues, actively asking about topics that are difficult to discuss such as sexuality and interpersonal violence, and recognizing and adjusting to cultural differences provides the physician with more information to better understand and care for the patient. Physician self-awareness and ability to collaborate with other health care providers are also skills that will facilitate accurate inquiry into the patient's true concerns and the context in which they occur.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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