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Psychiatric treatments



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Psychiatric treatments are traditionally divided into physical and psychological. Physical treatments now most often refer to medication, but also include some other infrequently used modalities, such as electroconvulsive therapy, light box treatment and even psychosurgery. Psychological treatments cover a wide range of interventions, including anxiety management techniques, cognitive behavioural therapies and psychoanalytic therapies. It should also be noted that the treatment of psychiatric conditions often involves social interventions, such as attention to housing, occupational or educational interventions and arranging appropriate access to benefits or resources. The synthesis of the three approaches is often termed the bio-psycho-social approach. Clearly, the specialist dermatologist who is presented with a psychiatric case in the dermatology clinic would not be expected to have knowledge of or access to a full range of specialist interventions. However, if a diagnosis can be made in dermatological clinic, and there is a working therapeutic rapport with the dermatologist, there is clearly an opportunity for both the initialization of appropriate prescribing, and also recommendation and referral for further treatments if indicated. Useful guidance to this is found in the NICE recommendations so far published for psychiatric interventions that cover primary care and secondary ... log in or subscribe to read full text

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