Psychiatry Algorithms for Primary Care

GAUTAM GULATI is Adjunct Associate Clinical Professor, School of Medicine, University of Limerick, Ireland. He is a Fellow of the Royal College of Psychiatrists and the Royal College of Physicians of Ireland, and current Chair of the Faculty of Forensic Psychiatry at the College of Psychiatrists of Ireland. WALTER CULLEN is Professor of Urban General Practice, School of Medicine, University College Dublin, Ireland. He is a member of the Royal College of General Practitioners and Irish College of General Practitioners. BRENDAN KELLY is Professor of Psychiatry, Trinity College Dublin, Consultant Psychiatrist, Tallaght University Hospital, Dublin, and Visiting Full Professor at University College Dublin. He is a Fellow of the Royal College of Psychiatrists, the Royal College of Physicians of Ireland, and Trinity College Dublin.

• Foreword ixAcknowledgements xiAuthor Profiles xiiPart 1 Introduction 11 How to Use This book 32 History Taking in General Practice 53 The Rapid Mental State Examination 8Part 2 Common Psychiatric Disorders 134 Generalised Anxiety Disorder (GAD) 155 Panic Disorder 196 Obsessive Compulsive Disorder (OCD) 227 Social Phobia 258 Post-Traumatic Stress Disorder (PTSD) 289 Depression 3110 Bipolar Affective Disorder (BPAD) 3511 Psychosis 3912 Eating Disorders 4313 Personality Disorders 4614 Alcohol Use Disorder 5015 Substance Use Disorder 5416 Opiate Use Disorder 5717 Adult Attention Deficit Hyperactivity Disorder (ADHD) 6018 Autism Spectrum Disorder (ASD) 6319 Delirium 6520 Dementia 68Part 3 Common Presentations in Primary Care 7121 Fatigue 7322 Insomnia 7623 Medically Unexplained Symptoms 79Part 4 Complex Scenarios 8324 Suicide and Self Harm 8525 Aggression 8926 Referrals for Involuntary Care 91Part 5 Special Considerations in Prescribing 9527 Special Considerations: Older Adults 9728 Special Considerations in Prescribing: Children and Adolescents 10029 Special Considerations in Prescribing: People with Intellectual Disabilities 10330 Special Considerations in Prescribing: Pregnancy and Breastfeeding 105Part 6 Appendices 10731 Commonly Prescribed Drugs 10932 Physical Health in Patients with Severe Mental Illness 119Part 7 Self-Assessment 12333 Self-Assessment Cases 12534 Self-Assessment Answers 138Index 140

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