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Communicating effectively when addressing psychiatric and psychological problems in everyday practice can be difficult. This book provides a clear and concise guide on how to run consultations, using the Calgary-Cambridge Model. The model is applied to an extensive variety of mental health conditions, ranging from taking a good psychiatric history to specialist scenarios such as working with families and young people or breaking bad news in mental health. There are also practical and comprehensive chapters on anxiety, depression, psychosis, risk to self, mental capacity, dealing with emotions and mental health consultations in primary care. An accompanying DVD enhances knowledge and promotes greater understanding through a series of simulated consultations which explore and answer the OSCE questions posed in the text. The practical, accessible and comprehensive approach helps clinicians increase their confidence in mental health consultations. It is also of great benefit to students wishing to improve their clinical skills and ultimately to pass their exams.
Table of Contents
Foreword. Preface. About this book. About the editors. List of contributors. Acknowledgements. List of figures and tables. 1 Introduction. Why is teaching and learning communication skills in mental health important? Communication skills training for mental health professionals. The way forward. References. 2 Taking a good psychiatric history. Learning outcomes. The purpose of the psychiatric history. The psychiatric history compared with a medical history. Gathering a psychiatric history. Eliciting a psychiatric history. The mental state examination. The domains of the mental state examination. References. 3 Mental health assessment of anxiety and depression. Learning outcomes. Introduction. Depression. Anxiety disorders. The overlap between symptoms of depression and anxiety. Scenario. Skills for you to apply. Top tips. Further reading. 4 Assessing risk to self: suicide and self-harm. Learning outcomes. Introduction. Skills for you to apply. Assessment of self-harm. Scenario 1: Assessment of self-harm. Scenario 2: Assessment of suicide. Skills for you to apply. Further reading. 5 Information gathering in psychosis. Learning outcomes. Introduction. Skills for you to apply. How to do it. References. 6 Information giving and shared decision making in psychosis. Learning outcomes. Introduction. Skills for you to apply. 7 Working with families and young people. Learning outcomes. Introduction. Skills for you to apply. Scenario. How to do it. References. Further reading. 8 Assessment of mental capacity. Learning outcomes. Introduction. Skills for you to apply. Scenario. How to do it. References. Further reading. 9 Dealing with emotions. Learning outcomes. Introduction. Dealing with emotions: general principles. Skills for you to apply. Scenario 1: Anger. Scenario 2: Distress. Dealing with extremes of emotion. Dealing with our own emotions. References. Further reading. 10 Breaking bad news in mental health. Learning outcomes. Introduction. Skills for you to apply. Scenario. How to do it. References. Further reading. 11 Mental health consultations in primary care: managing the 'heartsink patient'. Learning outcomes. Introduction. Why is it important to understand communication skills for dealing with the 'heartsink patient'? Who is the 'heartsink patient'? So why does the clinician's heart sink when these patients' names appear on the list for the day's consultations? Special considerations for this topic. Skills for you to apply. Scenario. Key tasks. References. Further reading. Appendix 1: Calgary-Cambridge Guides. Appendix 2: The psychiatric history. Appendix 3: The HEEAADSSS + ICE protocol. Appendix 4: Family tree (pedigree diagram for Kevin's family history). Appendix 5: How to pass communication skills OSCEs in mental health. Appendix 6: Example of OSCE mark sheets in mental health. Appendix 7: OSCE model answers. Index.
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