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Emergency Psychiatry

Kim A. Keeley, MD
JAMA. 1984;252(2):281. doi:10.1001/jama.1984.03350020069031.
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This volume will be useful for experienced practitioners as well as beginning students. While its focus is on psychiatric problems likely to be seen in emergency rooms, it takes little imagination to conceive of these "emergencies" occurring on hospital wards, in outpatient clinics or private offices, and at work and school locations, wherever medical personnel find themselves.

There are 21 chapters, nine of which deal with specific disease categories such as organic mental disorders, psychoses, substance abuse disorders, affective disorders, and even personality disorders. Six chapters relate to special aspects of emergency treatment, such as suicidal ideation, the violent patient, the patient who refuses treatment, and the patient with multiple repeat visits to the emergency room. The authors give valuable details about how an interviewer can respond in a variety of ways to a troubled patient. Two chapters summarize the principal psychiatric treatment modalities of psychotherapy, medication, and electroshock.



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