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Psychiatric Emergencies in Family Practice

  • John D. Pollitt

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Kurt Schapira
    Pages 1-10
  3. Kenneth Davison
    Pages 11-18
  4. Robin Donald
    Pages 19-27
  5. Eric D. West
    Pages 28-37
  6. Robert Romanis
    Pages 38-48
  7. Alan Poole
    Pages 49-54
  8. Joan Gomez
    Pages 55-71
  9. Maurice Lipsedge
    Pages 72-86
  10. Gillian C. Mezey
    Pages 87-95
  11. David Will
    Pages 109-121
  12. Colin Murray Parkes
    Pages 122-130
  13. Dora Black
    Pages 131-138
  14. John S. Munro
    Pages 139-153
  15. T. G. Tennent
    Pages 154-163
  16. Cyril Josephs
    Pages 164-175
  17. Robina Thexton
    Pages 176-180
  18. Ian F. Brockington
    Pages 181-187
  19. John B. Loudon
    Pages 204-210
  20. Michael Swash
    Pages 211-219
  21. John D. Pollitt
    Pages 220-228
  22. Back Matter
    Pages 229-234

About this book

Introduction

Crises are not a feature of depressive illness; but this illness needs to be considered in the diagnoses of three acute emergencies: the agitated patient, the withdrawn patient and the suicidal patient. A. The agitated patient. Restless, anguished, phrenetic and impor­ tunate behaviour. Differential diagnoses include hypomania, acute anxiety and grief, hysteria, drug intoxication, thyrotoxicosis, cerebrovascular accident or cerebral tumour. Agitated depression carries a relatively high risk of suicide. Management usually requires admission and use of adequate doses of antidepressant and neuroleptic drugs, and often ECT. B. The withdrawn patient who avoids social contacts and obligations and is often slowed up in mind and body. Differential diagnoses in­ clude schizophrenia, CVA or tumour, hysteria and semi-coma includ­ ing drug intoxication. Withdrawn and retarded patients with depres­ sive illness are at risk of failing to eat or care for themselves. C. The suicidal patient. May present as unexpected, inexplicable coma; a badly cut patient may be confused by the doctor with acci­ dent or assault. The immediate emergency is medical or surgical: treatment is for coma, bleeding or asphyxia, and requires immediate admission to casualty. The first presentation of depression is always a minor emergency as it may be the only attempt the patient makes to see a doctor. Diagnosis must be positive, based on the recognition of depres­ sive features, not negative, based on the exclusion of other dis­ eases. The cardinal symptoms of depressive illness: 1. Disturbed sleep pattern. 2. Change in appetite for food.

Keywords

Anorexia nervosa Parkinson Syndrom alcoholism anxiety disorder brain depression diagnosis epilepsy mood disorder pharmacology schizophrenia stress suicide treatment

Editors and affiliations

  • John D. Pollitt
    • 1
    • 2
    • 3
  1. 1.Hayes Grove Priory HospitalUK
  2. 2.Department of Psychological MedicineSt Thomas’ HospitalUK
  3. 3.British Postgraduate Medical FederationUniversity of LondonUK

Bibliographic information

  • DOI https://doi.org/10.1007/978-94-009-3191-6
  • Copyright Information Springer Science+Business Media B.V. 1987
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-7931-0
  • Online ISBN 978-94-009-3191-6
  • Buy this book on publisher's site
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