Titlebook: Emergency Psychiatry for the House Officer; William R. Dubin,Robert Stolberg Book 1981 Spectrum Publications, Inc. 1981 Syndrom.brain.deme

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The Suicidal Patient, there are times when no psychiatrist is immediately available, and some decision must be made as to the potential suicide risk of the patient. Generally, there are three types of patients that will present to the emergency room as suicide risks:

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Other Common Psychiatric Emergencies,ements are usually extrapyramidal syndromes and are believed to result from the blockade of dopamine receptors in the basal ganglia. By eliciting a history of neuroleptic treatment, the physician can rapidly treat the patient and usually bring about immediate relief. Extrapyramidal symptoms fall into several discrete categories.

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Introduction,th violence, confusion, suicidal attempts and bizarre behavior and thoughts, non-psychiatric physicians often react with various degrees of discomfort and avoidance. However, it is often important to make a decision whether the presenting symptoms are due to functional or organic illness since serio

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,Organic Brain Syndromes—Delirium and Dementia,cognized cases, Because patients with delirium frequently exhibit predominantly confused, bizarre activity or act in a belligerent, agitated manner, they are often misdiagnosed as having a functional illness and are referred to a psychiatrist after a cursory physical examination. Four factors which

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Psychosis,lly abusive and physically threatening. Because they are often threatening physicians will avoid psychotic patients or react in such a way as to inadvertently aggravate the patient’s psychotic behavior. However, an understanding of psychosis can help the physician to develop a rational, meaningful t

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Non-psychotic Disturbances,r physical symptoms. Though the patient is not psychotic, he is in distress. Usually he has little if any insight into the psychological dynamics of his discomfort and comes to the emergency department seeking relief from his symptoms. The patients with anxiety disorders and grief reactions fall int

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The Violent Patient,thermore, the patients are non-compliant and are generally brought in by family and police for treatment against their will. Mismanagement of the violent patient can result in physical harm to emergency room staff and destruction of property. The most effective management for the violent patient is