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Short course
1.1

 

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Psychiatric assessment in community practice

Doctors may be called on to make a psychiatric assessment at any time or place, including emergencies.
 Success depends on engaging with the patient's major concerns first, winning trust and laying the foundation for more formal assessment of diagnosis and treatment later.
 The basic questions are: is the person physically unwell, under the influence of mind-altering substances, psychiatrically unwell, or suffering from a personality disorder? These diagnoses may coexist.
Assessments in the community can be stressful or dangerous; clinicians should take steps to look after themselves.

On to section 1.2 . . .