Conclusions

There is increasing recognition that patients with medical disorders frequently have coexisting primary psychiatric disorders, neuropsychiatric manifestations of medical illness, medication/substance-induced disorders, and/or maladaptive personality styles or disorders. Psychiatric disorders in patients with other medical illnesses increase mortality, morbidity, health-care costs, and decrease compliance with medical therapies. Appropriate and cost-effective management must integrate knowledge from psychiatry and primary care to assure maximal therapeutic gains for the patient.

Psychiatrists involved in consultation to primary care providers must understand both the basic pathophysiology and clinical characteristics of the medical disorders, as well as possess the psychiatric knowledge necessary to ensure that the patient with medical illness is adequately managed.

5 Secrets to Lasting Longer In The Bedroom

5 Secrets to Lasting Longer In The Bedroom

How to increase your staying power to extend your pleasure-and hers. There are many techniques, exercises and even devices, aids, and drugs to help you last longer in the bedroom. However, in most cases, the main reason most guys don't last long is due to what's going on in their minds, not their bodies.

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