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Liaison Psychiatry and Somatoform Disorders - Coggle Diagram
Liaison Psychiatry and Somatoform Disorders
Consultation Liaisons Pychiatry
Service
Tertiary referral from teams in hosital
Assess and treat psychological and psyciatric conditions which are
Pre-existing and
interacting
with medical issue
Directly
caused
by effects of medical intervention
Secondary
to effects of a medical issue
Primary
driver of medical presentation
Risk Assessment
Risk Factors
Static / Dynamic
Modifiable / non-modifiable
Tools
Litte evidence base
Pokorny's complaint
Manage risk
Modify
Definitions
Disease
Pathological process affecting the body
May be symptomatic or silent
Illness
A person's experience of being unwell, manifest by a constellation of symtoms
May be related to underlying demonstrable disease or not
Symptoms
Subjective individual features experienced
Signs
Objective and demonstrable feaatures of disease
Medically Unexplained Symtoms
Condundrum of disease, illness and symptoms
Understand the issue and have language to frame it
Physical symptoms with no identifiable underlying pathology
Disorders
Somatic Symptoms Disorder (somatisation)
Illness Anxiety Disorder (hypochondriasis)
Functional neurological disorder (conversion)
Factitious disorder (munchausen's , malingering)
Other - Pseudocyesis, brief soma
Physiology of Signs & Symptoms
Symptom Origin
Centrally
Perception Affected by
Stimulus strength
Threshold for perception
Interpretation and beliefs
Emotion
Felt - intergration of brain activity
Experience of Symptoms