Mental Health in Primary Care: A new approach

Paperback | October 1, 2002

EditorAndrew ElderbyJeremy Holmes

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Mental Health has finally come home to primary care, where 90% of all patients with psychological difficulties are diagnosed and treated, and where Governments increasingly see the bulk of mental health commissioning and practice as belonging. This book, whose contributors uniquely includeleading figures from the world of both primary care and psychiatry, brings together the best of contemporary psychiatry with a deep understanding of the realities, challenges and opportunities of general practice. The book is divided into four parts. The reader is taken from the first-hand experience of the encounter with the psychiatric patient in the GP consulting room, through the stresses and strains of such work, to the wider primary care mental health team of counselling, family therapy and groupdynamics, and finally to specific disorders such as psychosis, eating disorders, depression, suicide, and trauma as they present in the primary care setting. The book ends with practical guidance in the use of psychotropic drugs and psychological treatments in primary care. The tone throughout is influenced by the editors' background , one a GP, the other a psychiatrist, in psychotherapy and 'Balint' groups, which places the doctor's own feelings and aspirations centre stage, no less than those of the patient. The book offers new ideas in two ways. First, in thatit looks at how cutting edge psychiatry can be applied and practised in the primary care setting, away from psychiatric institutions, and adapted to the realities of primary care, where distress does not easily fit into predetermined categories derived from secondary care. Second, because theeditors, possibly unfashionably, believe that, faced with an ever-expanding, protocol-driven, standardised medical culture, the concepts and ideas of group dynamics and counter-transference need to be rediscovered if primary care is to be effective. In sum, this book is an essential vade-mecum for all primary care mental health workers, whether GPs, psychologists, nurses, psychiatrists, psychotherapists or counsellors. It contains practical guidance and holds onto the vision that GP, patient, family and practice team must worktogether.

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Mental Health has finally come home to primary care, where 90% of all patients with psychological difficulties are diagnosed and treated, and where Governments increasingly see the bulk of mental health commissioning and practice as belonging. This book, whose contributors uniquely includeleading figures from the world of both primary...

Andrew Elder is a Consultant in General Practice and Primary Care, The Tavistock and Portman NHS Trust, London. Jeremy Holmes is a Consultant Psychotherapist and Senior Lecturer in Psychotherapy, University of Exeter.

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Format:PaperbackDimensions:304 pages, 9.21 × 6.14 × 0.69 inPublished:October 1, 2002Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198508948

ISBN - 13:9780198508946

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Table of Contents

Andrew Elder and Jeremy Holmes: Introduction: The need for a new approachPart 1 - In the Consulting Room1. Sam Smith: In the consulting room2. Richard Westcott: Body and mind3. Brian Hurwitz: Biological and narrative time in clinical practice4. Iona Heath: Mental illness, general practice, and societyPart 2 - Reflective Practice5. Eia Asen: The difficult patient6. Jane Milton: Stress, strain, and burnout: Support and supervision7. Paul Sackin: Training for GPsPart 3 - Mental Health Thinking in the Surgery8. John Launer: The practice as an organisation9. Hilary Graham and Robert Mayer: Systemic family practice in primary care10. Mary Burd and Jan Wiener: Counsellors and therapists in primary carePart 4 - Perspectives from Secondary Care11. Maret Dymond, Lynne Murray and Peter Cooper: Post-natal depression12. Ulrike Schmidt: Eating disorders13. Christine Wright and Tom Burns: Management of serious mental illness14. Jonathan Evans: Suicide, deliberate self-harm and severe depressive illness15. Ilana Crome and Ed Day: Substance misuse16. Adrian Feeney and David Nutt: Psychopharmacology17. Gwen Adshead: Trauma and post-traumatic stress disorder18. Glenys Parry and John Cape: Psychological therapies