Expired CME Article

Integrated Diagnostic and Treatment Approach for the Medical Patient Who Has Had Psychologic Trauma

Authors: JOEL OSLER BRENDE MD, JAMES E. DILL MD, BOBBIE DILL RN, BSN, GARY A. SIBCY MA, LPC

Abstract

ABSTRACT Background.Physicians often treat patients with physical illnesses that have a functional component. Investigators have discovered that many of these patients have unresolved emotional problems associated with histories of trauma and abuse. Methods.Abused and traumatized patients with medical complaints often seek medical help. Empathic nonpsychiatrist physicians play an important role in the care of these patients. The physician's efforts can be augmented by a trained RN to provide supportive stress training and nutrition education and by a mental health professional to provide psychotherapy when needed. Results.In the case presented, the patient had symptomatic improvement when her physician empathically provided medical treatment, involved the staff and a trained RN in the healing effort, and made an appropriate referral to a mental health professional. Conclusion.This unified diagnostic and treatment approach for traumatized patients with medical problems can be rewarding, efficacious, and cost effective.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References