Update on consultation-liaison psychiatry (psychosomatic medicine).

Abstract:

PURPOSE OF REVIEW:Current issues in consultation-liaison psychiatry, which is now labeled psychosomatic medicine as a formal subspecialty by the American Board of Psychiatry and Neurology, are discussed. RECENT FINDINGS:There is continued interest in how to best manage depression and anxiety in a primary-care setting. Collaborative care that utilizes a psychiatrist within the treatment center, as well as case management by a nurse, have been reviewed and meta-analyses suggest it is an efficient and effective approach. The diagnostic issues within psychosomatic medicine are also an area of concern as the Diagnostic and Statistical Manual of Mental Disorders, 5 edition, is in the planning stages. How to improve both the reliability and validity of somatoform disorders will be a major challenge. Organ transplantation is a clinical challenge for patients, donors and healthcare providers. Issues in assessment and management continue to evolve. Ethical questions also arise due to the shortage of available organs. SUMMARY:Psychosomatic medicine continues to manage patients in medical settings that cut across a continuum from primary-care to complex medical and surgical centers. The clinical problems containing a medical-psychiatric interface offer a clinical challenge but also an area for new knowledge and better interventions.

journal_name

Curr Opin Psychiatry

authors

Wise TN

doi

10.1097/YCO.0b013e3282f393ae

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

196-200

issue

2

eissn

0951-7367

issn

1473-6578

pii

00001504-200803000-00020

journal_volume

21

pub_type

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