In these sessions we will use contrasting case studies of patients who have disturbed or challenging behaviours to explore how the medical interview, physical examination and investigations are used to determine a diagnosis (or differential diagnosis). An emphasis will be placed on performing a mental status examination in addition to the general examination. A compassionate approach and establishing rapport will be discussed.
Toxicology issues relating to deliberate self harm are covered in the toxicology topic.
- To recognise the need to perform a mental state examination to comprehensively assess a patient presenting with disturbed behaviour;
- To recognize there are many organic causes of “psychiatric” presentations
Recomemded pre reading
- Hughes T & Cruickshank J. Adult emergency Medinine at a glance. Chichester, West Sussue, UK: John Wiley & Sons, 2011. Chapter 24 Toxicology gerneral principles. Chapter 25 Toxicology: specific posions. Chapter 26 Psychiatry. Self harm and capacity. Chapter 27 Psychiatry: the disturbed patient.
- The Use of RESTRAINT (part 6-MHA 2014) in a Designated Mental Health Service
- Mental Health Act 2014 Designated Mental Health Service
- Mental state examination and pshychiatric certification.
- The Mental Health Act 2014 (presentation)
- Behavioural emergencies from Life in the Fastlane
Other learning resourses
- Managing aggressive and violent patients. Fulde et al Australian Prescriber 118 | Volume 34 | NUMBER 4 | AUGUST 2011 Articles
- Safe prescribing of opioids for persistent non cancer pain. Michael McDonough Australian Prescriber Vol35 : No. 1 : February 2012