Dynamic Consultations with Psychiatrists

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Jason Maratos. Dynamic Consultations with Psychiatrists

Table of Contents

Guide

Pages

Dynamic Consultations with Psychiatrists. Understanding Severely Troubled Patients

Introduction

1 Depression. Ms. A. Introduction

History of Present Illness

Family History

Personal History

Past Medical History

Premorbid Personality

Mental State Examination

Impression

Management

Progress

Consultation

Mrs. Z. Introduction

History of Present Illness

Personal History

Past Psychiatric History

Past Medical History

Mental State Examination

Diagnosis

Consultation

Ms. B

Presenting Condition

History of Present Complaint

Family History

Personal History

Past Psychiatric History

Present Treatment and Management of Case

Consultation

References

Mrs. A

Presenting Condition

History of Present Complaint

Family History

Personal History

Personal History

Past Psychiatric History

Present Treatment and Management of Case

Consultation

References

Bob. Presenting Condition

History of Presenting Complaint

Family History

Personal History

Past Psychiatric History

Present Treatment

Consultation

References on Autism and Pedophilia

References

Mrs. C

Presenting Condition

History of Present Illness

Personal History

Premorbid Personality

Past Psychiatric and Medical History

Present Treatment and Management of Case

Consultation

References

2 Postnatal Depression. Margaret. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

References

3 Bipolar Affective Disorder. Miss C. Introduction

History of present illness

Personal history

Past psychiatric history

Premorbid personality

Mental state examination

Treatment progress

Psychodynamic observations

Consultation

References

4 Suicidal. Iris

Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

References

Mrs. Mak. Presenting condition

History of present complaint

Family history of mental illness

Personal history

Past psychiatric history

Treatment and management

Consultation

Ms. Amy. Presenting condition

History of present complaint

Past psychiatric history

Personal history

Present treatment

Consultation

References

Dorothy

Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

Mr. Y. Presenting condition

History of presenting illness

Family history

Personal history

Present treatment

Consultation

Reference

Mrs. CB. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of the case

Consultation

Reference

Mr. CK. Presenting complaint

History of the present condition

Family history

Personal history

Past medical and psychiatric history

Management and progress

Consultation

Reference

David. Presenting complaint

History of the present condition

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

Jenny. Presenting complaint

History of present condition

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

Amy. Presenting complaint

History of presenting condition

Family history

Personal history

Past medical and psychiatric history

Present management

Consultation

References

Mr. Man. Presenting complaint

History of present condition

Family history

Personal history

Past medical and psychiatric history

Management and progress

Consultation

References

Mr. Lo. Presenting complaint

History of the present condition

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

5 Low Mood: Suicidal Attempt. Ms. Y. Presenting condition

History of present complaint

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

Miss MA. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Treatment and progress

Consultation

References

Mary. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

References

Ms. WB. Presenting condition

History of present complaint

Personal history

Past psychiatric history

Present treatment

Consultation

References

Claire. Presenting complaint

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

References

Ms. Wendy. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

Reference

Ms. M. Presenting complaint

History of present condition

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

References

Mrs. W. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

Ms. D. Presenting condition

History of presenting illness

Family history

Personal history

Past psychiatric history

Management of the case

Consultation

Reference

6 Anxiety. Ms. G. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

Reference

Sally. Presenting complaint

History of the present condition

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

7 Agoraphobia. Ms. E. Presenting complaint

History of the present condition

Personal history

Past psychiatric history

Family history

Present treatment and management

Consultation

Points of Interest. Diagnosis

Cultural dimension

Interaction between cultural and personal pathology

Interaction between physical and psychological parameters

How does the analysis inform the therapeutic intervention?

8 Obsessive‐Compulsive Disorders. Mr. A

Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Past medical history

Present treatment and management of case

Consultation

References

Miss F. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment/progress

Consultation

Reference

9 Emotional Dysregulation. June

Presenting condition

Personal history

Educational and vocational history

Medical History

Relationship history

Past psychiatric history

Consultation

Summary

References

Marie. Presenting complaint

History of present condition

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

References

Cindy

Presenting condition

History of present illness

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

Mr. K

Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

References

10 Adjustment Disorder. Jo

Historyv of present complaint

Family history

Personal history

Past psychiatric history

Present management

Consultation

References

11 Bulimia. Catherine

History of presenting complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

References

12 Deliberate Self‐Harm; Self‐Neglect. Jane. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

References

13 Alcoholism. Peter

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

References

14 Cocaine Addiction. Ms. T. Presenting condition

History of presenting illness

Family history

Personal history

Past psychiatric history

Treatment

Consultation

Reference

15 Fatigue. Paul. Presenting complaint

History of present illness

Family history

Personal history

Past psychiatric history

Present treatment and management

Consultation

References

16 Sleeping Disorders. Wendy. Presenting complaint

History of the present condition

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

Ben

Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

References

Dorothy. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment and management of case

Consultation

Margaret. Presenting complaint

History of the present condition

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

References

17 Ideas of Persecution. Connie. Presenting complaint

History of presenting illness

Family history

Personal history

Past medical and psychiatric history

Present treatment and management

Consultation

Reference

18 Ideas of Reference; Hallucinations. Susan. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present treatment

Consultation

Reference

19 Forensic: Shoplifting. Antonia. Presenting condition

History of present complaint

Family history

Personal history

Past psychiatric history

Present Management of Case

Consultation

References

Index

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Jason Maratos

The consultation sessions were often referred to as “supervision sessions,” but this was a misnomer. JM was not in a position to supervise the work of any doctor working in a different setting and, more so, in a different country. JM had no wish to intervene in the hierarchy that has to exist in a well‐functioning hospital with the inevitable lines of accountability and responsibility. Furthermore, supervision would be against the ethos of arriving at a new insight via collaboration of professionals of varying experiences in different fields. For example, the doctors in training were more aware of the culture of their patients and often taught consultant (JM) quite bit but who was also not ignorant of their culture and history. The consultations were meant to be and were, indeed, a two‐way process. JM feels that he benefited from the process at least as much as the consultees.

.....

The doctor pointed out that Ms. B does not like herself at present and that she does not see herself as loveable. This is made worse by her awareness that she has negative emotions. The doctor added that Ms. B does not like herself for her feelings or for her actions in the recent past. JM then pointed out that it seemed that Ms. B only defines herself on her negative characteristics and that she attends only to the negative responses that she receives from other people. JM pointed out that Ms. B may well be ignoring any positive feedback that may come her way. In search for positives, the doctor pointed out that Ms. B was happy when she was working as an assistant basketball referee. The doctor pointed out that Ms. B remembered that there was little challenge to her decisions as an assistant referee and that when she was refereeing there was little argument in the game.

The doctor was finding it difficult to define further positive aspects of Ms. B's personality. JM then clarified that he was not asking the doctor as a teacher who knows what the right answer is but as a consultant raising issues with him that he could then explore together with his patient. In this way Ms. B would begin to look for the positive and realistically positive aspects of herself, so that Ms. B will develop a more balanced and realistic view of herself. This view will replace the damaged and almost totally negative view of herself that was based on her early traumatic life experiences. The doctor then added that there were times when Ms. B was attractive and charming. JM then concluded that a good professional relationship with the therapist would enable her to be more conscious of the positive attributes of her personality and, as a result, develop a more balanced view of herself.

.....