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Required skills for the evaluation and treatment of patients with psychiatric disorders in the general medical setting 1.Ability to take a medical-psychiatric history 2.Ability to recognize and categorize symptoms 3.Ability to assess neurological dysfunction 4.Ability to assess the risk of ________ 5.Ability to assess medication effects and drug–drug interactions 6.Ability to know when to order and how to interpret psychological testing 7.Ability to assess interpersonal and family issues 8.Ability to recognize and manage hospital stressors 9.Ability to place the course of hospitalization and treatment in perspective 10.Ability to formulate multiaxial diagnoses 11.Ability to perform psychotherapy 12.Ability to prescribe and manage psychopharmacological agents 13.Ability to assess and manage agitation 14.Ability to assess and manage pain 15.Ability to administer drug detoxification protocols 16.Ability to make medicolegal determinations 17.Ability to apply ethical decisions 18.Ability to apply systems theory and resolve conflicts 19.Ability to initiate transfers to a psychiatry service 20.Ability to assist with disposition planning |
A
Acute stress reactions (Acute stress disorder) Adjustment disorder Adolescent antisocial behavior Adult antisocial behavior Adverse effects of medication-not otherwise specified Aggression or impulsivity Agitation Age-related cognitive decline Agoraphobia Alcohol abuse Alcohol and drug abuse Anxiety or panic Alcohol dependence Alcohol withdrawal Alcoholic hallucinosis Alzheimer's disease Amnestic disorder Amphetamine dependence Amphetamine withdrawal psychosis Anorexia nervosa Anterograde amnesia Antisocial personality disorder Anxiety disorder Anxiolytic-related disorders Asperger syndrome Attention deficit disorder Attention deficit hyperactivity disorder Autism Autophagia Avoidant personality disorder B Barbiturate dependence Benzodiazepine dependence Benzodiazepine misuse Benzodiazepine withdrawal Bereavement Bibliomania Binge eating disorder Bipolar disorder Bipolar I disorder Bipolar II disorder Body dysmorphic disorder Borderline intellectual functioning Borderline personality disorder Brief psychotic disorder Bulimia nervosa C Caffeine-related disorder Caffeine-induced sleep disorder Cannabis dependence Claustrophobia Catatonic disorder Catatonic schizophrenia Childhood amnesia Childhood antisocial behavior Circadian rhythm sleep disorder Cocaine dependence Cocaine intoxication Cognitive disorder Communication disorder Conduct disorder Cotard delusion Burn sequelae Change of mental status Child abuse Coping with illness Cyclothymia D Death, dying, and bereavement Delirium Dementia Depression Determination of capacity and other forensic issues Delirium tremens Depersonalization disorder Depressive disorder Derealization disorder Desynchronosis Developmental coordination disorder Diogenes Syndrome Dispareunia Dissociative identity disorder (multiple personality disorder) Dyslexia Dysthymia E Eating disorders Ethical issues EDNOS Encopresis Ekbom's Syndrome (Delusional Parasitosis) Enuresis (not due to a general medical condition) Erotomania Exhibitionism F Factitious disorder Family problems Fregoli delusion Frotteurism Fugue State G Ganser syndrome (due to a mental disorder) Generalized anxiety disorder Geriatric abuse General adaptation syndrome Grandiose delusions H Hallucinogen-related disorder Hallucinogen persisting perception disorder Histrionic personality disorder Huntington's disease Hypomanic episode Hypnosis Hypochondriasis I Impulse control disorder Impulse-control disorder not elsewhere classified Inhalant abuse Insomnia due to a general medical condition Intellectual disability Intermittent explosive disorder K Kleptomania Korsakoff's syndrome L Lacunar amnesia M Major depressive disorder Major depressive episode Malingering Male erectile disorder Malingering Manic episode Mathematics disorder Medication-related disorder Melancholia Minor depressive disorder Minor depressive episode Misophonia Mixed episode Mood disorder Mood episode Morbid jealousy Munchausen's syndrome Munchausen's syndrome by proxy N Narcissistic personality disorder Neglect of child Neuroleptic-related disorder Nicotine withdrawal Night eating syndrome Nightmare disorder O Obsessive-compulsive disorder (OCD) Obsessive-compulsive personality disorder (OCPD) Oneirophrenia Opioid dependence Opioid-related disorder Oppositional defiant disorder (ODD) P Pain Pain disorder Paranoid personality disorder Parasomnia Parkinson's Disease Pathological gambling Pediatric psychiatric illness Personality disorders Perfectionism Persecutory delusion Personality change due to a general medical condition Personality disorder Pervasive developmental disorder (PDD) Phencyclidine (or phencyclidine-like)-related disorder Phobic disorder Phonological disorder Physical abuse Pica Polysubstance-related disorder Post-traumatic embitterment disorder (PTED) Posttraumatic stress disorder (PTSD) Pregnancy-related care Premature ejaculation Primary hypersomnia Primary insomnia Psychogenic amnesia Psychological factor affecting medical condition Psychotic disorder Psychiatric care in the intensive care unit Psychiatric manifestations of medical and neurological illness Psychological factors affecting medical illness Psychological and neuropsychological testing Psycho-oncology Psychopharmacology of the medically ill Psychosis Pyromania R Reactive attachment disorder of infancy or early childhood Reading disorder Recurrent brief depression Relational disorder Relational Problems Restraints Residual schizophrenia Retrograde amnesia Rett's disorder Rumination syndrome S Sadomasochism Schizoaffective disorder Schizoid personality disorder Schizophrenia Schizophreniform disorder Schizotypal personality disorder Seasonal affective disorder Sedative-, hypnotic-, or anxiolytic-related disorder Sexual abuse Selective mutism Separation anxiety disorder Severe mental retardation Shared psychotic disorder Sleep disorder Sleep terror disorder Sleepwalking disorder Sleep disorders Social anxiety disorder Social phobia Somatization disorder Somatoform disorder Specific phobia Stendhal syndrome Stereotypic movement disorder Stuttering Substance-related disorder T Tardive dyskinesia Terminal illness Tourette syndrome Transient global amnesia Trichotillomania |
If you're not sure what the problem might be, review the common symptoms to see if any of them sound like you or your loved one.
•Attention Deficit Hyperactivity Disorder (ADHD) •Obsessive Compulsive Disorder (OCD) •Post-Traumatic Stress Disorder (PTSD) •Postpartum Depression Common symptoms of adult behavioral health problems If you aren't sure what the problem might be, review this list of typical symptoms to see if any of them seem familiar. This is not an accurate diagnostic tool, but can provide a rough indication of where you should see a behavioral health care professional. You might have Attention Deficit Disorder (ADD, also known as ADHD for Attention Deficit Hyperactivity Disorder) if you: •Are easily distracted by sights and sounds •Don't pay attention to detail •Don't seem to listen when spoken to •Make careless mistakes •Don't follow through on instructions or tasks •Avoid or dislike activities that require longer periods of mental effort •Lose or forget items necessary for tasks •Forgetful in day-to-day activities •Restless, fidget and squirm •Talk excessively •Interrupt others Try our online screening tool | Providers who can help Your may have an anxiety disorder if you experience: •Worry or dread •Obsessive or intrusive thoughts •Sense of imminent danger or catastrophe •Fear or panic •Restlessness •Irritability •Impatience •Ambivalence •Trouble concentrating •Rapid or irregular heartbeat •Sweating, especially the palms •Dry mouth •Flushing or blushing •Muscle tension •Shortness of breath •Lightheadedness or faintness •Difficulty sleeping •Shaking •Choking sensation •Frequent urination •Nausea or vomiting •Diarrhea •Constipation •Feeling of "butterflies" in the stomach •Tingling sensations •Nail biting or other habitual behavior Bipolar Disorder often includes: •Dramatic mood swings ranging from elated excitability to hopeless despondency •Extreme changes in energy and behavior •Periods of highs that include: •Persistent and inexplicable elevation in mood •Increased energy and effort toward goal-directed activities •Restlessness and agitation •Racing thoughts, jumping from one idea to another •Rapid speech or pressure to keep talking •Trouble concentrating •Decreased need for sleep •Overconfidence or inflated self-esteem •Poor judgment, often involving spending sprees and sexual indiscretions •Periods of lows that include: •Prolonged sad, hopeless, or empty mood •Feelings of guilt, worthlessness, or helplessness •Loss of interest or pleasure in activities once enjoyed •Decreased energy or fatigue •Trouble concentrating, remembering, making decisions •Restlessness or diminished movements, agitation •Sleeping too much or too little •Unintended weight loss or gain •Thoughts of death or suicide with or without suicide attempts These same symptoms might be a sign of depression. Symptoms of depression include: Symptoms can change over time and may include: •Persistent feelings of sadness, anxiety, or emptiness •Hopelessness •Feeling guilty, worthless, or helpless •Loss of interest in hobbies and activities •Loss of interest in sex •Feeling tired •Trouble concentrating, remembering, or making decisions •Trouble sleeping, waking up too early, or oversleeping •Eating more or less than usual •Weight gain or weight loss •Thoughts of death or suicide with or without suicide attempts •Restlessness or irritability •Physical symptoms that defy standard diagnosis and do not respond well to medical treatments Symptoms of Obsessive Compulsive Disorder (OCD) are: •Obsessions – unwanted, repetitive and intrusive ideas, impulses or images •Compulsions – repetitive behaviors or mental acts usually performed to reduce the distress associated with obsessions Common obsessions include: •Persistent fears that harm may come to self or a loved one •Unreasonable concern with being contaminated •Unacceptable religious, violent, or sexual thoughts •Excessive need to do things correctly or perfectly Common compulsions include: •Excessive checking of door locks, stoves, water faucets, light switches, etc. •Repeatedly making lists, counting, arranging, or aligning things •Collecting and hoarding useless objects •Repeating routine actions a certain number of times until it feels just right •Unnecessary re-reading and re-writing •Mentally repeating phrases Those with Oppositional Defiant Disorder (ODD) show negative, angry, and defiant behaviors much more often than most people of the same age. The cause of ODD is unknown. Like other psychiatric disorders, ODD results from a combination of genetic, family, and social factors. Children with ODD may inherit chemical imbalances in the brain that predispose them to the disorder. Risk factors include: •Sex: Male •Age: Childhood and teen years •A parent with a mood, conduct, attention deficit, or substance abuse disorder •Marital conflict •Child abuse •Inconsistent parental attention •Low socioeconomic status View more information on ODD If you have experienced some kind of trauma, you might experience Post-Traumatic Stress Disorder (PTSD). Symptoms fall into three categories: •Re-experiencing of the event •Dreams/nightmares •Flashbacks •Anxious reactions to reminders of the event •Hallucinations •Avoidance •Avoiding close emotional contact with family and friends •Avoiding people or places that are reminders of the event •Loss of memory about the event •Feelings of detachment, numbness •Arousal •Difficulty falling or staying asleep •Anger and irritability •Difficulty concentrating •Being easily startled Physical symptoms may also occur such as: •Stomach and digestive problems •Chest pain •Headaches •Dizziness People with PTSD may also abuse alcohol or drugs. Beware of Postpartum Depression: Symptoms usually occur within 6 months after childbirth, and may last from a few weeks to a few months. Symptoms range from mild depression to severe psychosis. Postpartum depression is different than "baby blues", which is a mild form of depression that occurs within a few days after childbirth, and lasts up to a week. Symptoms may include: •Loss of interest or pleasure in life •Loss of appetite •Rapid mood swings •Episodes of crying or tearfulness •Poor concentration, memory loss, difficulty making decisions •Difficulty falling or staying asleep •Feelings of irritability, anxiety, or panic •Restlessness •Fear of hurting or killing oneself or one's child •Feelings of hopelessness or guilt •Obsessive thoughts, especially unreasonable, repetitive fears about your child's health and welfare •Lack of energy or motivation •Unexplained weight loss or gain More serious symptoms associated with postpartum depression that may require immediate medical attention include: •Lack of interest in your infant •Suicidal or homicidal thoughts •Hallucinations or delusions •Loss of contact with reality Schizophrenia could be the problem if: Symptoms usually start in adolescence or early adulthood. They often appear slowly and become more disturbing and bizarre over time. Symptoms include: •Hallucinations – seeing or hearing things/voices that are not there •Delusions – strong but false personal beliefs that are not based in reality •Disorganized thinking •Disorganized speech – lack of ability to speak in a way that makes sense or carry on a conversation •Catatonic behavior – slow movement, repeating rhythmic gestures, pacing, walking in circles •Emotional flatness – flat speech, lack of facial expression, and general disinterest and withdrawal •Inappropriate laughter •Poor hygiene and self-care Associated conditions include: •Obsessive-compulsive disorder •Substance abuse |
Emotional/Behavioral Disorders (Children) |
Psychiatry, law and justice |