Mental Health Issues in Primary Care: A Practical Guide by Elizabeth Armstrong

By Elizabeth Armstrong

This booklet units out to demystify basic psychological future health care. It appears to be like on the significant psychological illnesses encountered through medical professionals and group nurses regularly perform, healthiness centres and different fundamental care settings. It presents a down-to-earth advisor for successfully assembly the desires of sufferers and consumers and relies on either present learn and sensible adventure. Written for fundamental care nurses this publication can also be important for wellbeing and fitness advertising officials, facilitators, FHSA advisers, GPs and somebody wishing to enhance the first care contribution to assembly the overall healthiness of the state psychological affliction goals.

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25 Even if the results fall short of expectations, something will have been gained. This should be recognised. But as achievement is applauded, complacency should be avoided. It is only by maintaining an atmosphere of reflective practice that beneficial changes can occur and go on occuring. The model does not include a specific point at which change should be implemented. Rather, as new skills are learned and new resources acquired they should be used. In this way change happens naturally, without threat and in a way which causes the least disruption to the dayto-day work of the practice.

37 In moderate depression there will usually be much more difficulty in continuing normal social, work and domestic responsibilities, and some symptoms may be marked. The severely depressed patient will usually show considerable distress. Prominent among symptoms will be loss of self-e steem and feelings of guilt and uselessness. The full range of symptoms are normally present and the patient is unable to continue with his/her usual activities. Problems in recognition Use of tools already described may help to enhance detection skills, but lack of knowledge about depression is not only the reason for widespread non-recognition.

Many centres will offer initial assessments within two or three weeks but it may take several months before a full course of treatment can be arranged. This is unacceptable to depressed people and their GPs. Some patients arrive in therapy via psychiatric outpatients. Unnecessary appointments and time-wasting might be avoided if better communication existedbetween the various therapies and local GP practices enabling more appropriate referralsto be made from the beginning. Some counsellors may offercognitive therapy.

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