In this book, Johns Hopkins psychiatrist Phillip R. Slavney,
M.D., offers a concise guide that will help primary-care physicians
evaluate and treat patients who are delirious, demoralized,
thinking of suicide, or refusing to follow medical advice.
Although these patients exhibit emotional distress, cognitive
disturbance, or maladaptive behavior, the cause of the problem is
often their medical illness and treatment. For that reason, many
such patients can receive excellent care from their own
physicians--physicians who, given the resistance of managed care
companies to specialist referrals, must now bear that
responsibility in any event. After an introductory chapter on
clinical assessment, Slavney discusses each of these common
problems as it occurs in the clinical setting, with illustrative
cases and specific advice about evaluation and treatment.
"Dr. Slavney has written lucidly and carefully about these very
important issues, clarifying his exposition through a series of
case examples. This book should be enormously useful not only to
students and house staff but also to practicing physicians and
faculty, especially those making the rounds on clinical services.
One wishes, in fact, that it were possible to have Dr. Slavney
along on rounds; this volume is a useful move in that
direction."--Jeremiah A. Barondess, M.D., from the foreword
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