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The majority of psychiatric conditions initially present in a primary care setting; the challenge for practitioners is to accurately recognise and diagnose mental illness so that appropriate treatment or referrals can be implemented. Psychiatry in Primary Care is a practical, accessible volume that supplies the key information general practitioners require to achieve this. This significantly revised and updated fourth edition includes 75% new material. Combining the expertise of a general practitioner and a practising psychiatrist, new chapters focus on the considerations of special populations and the use of psychotherapies, including cognitive therapy, problem solving and solution-focussed therapies. An audio CD-ROM gives examples of these therapies in operation to aid the practical application of the theory presented. Evidence based, user friendly and clinical, this is essential reading for general practitioners and primary care mental health workers, as well as trainees in general practice and psychiatry. Features • Covers recent developments in the provision of mental health care for people with long-term mental illness • Real case examples illustrate the diagnostic and therapeutic difficulties that can occur in the clinical setting • Suggested reading and useful addresses for patients are provided to enable GPs to encourage self-help and psycho-education 'Casey's work stands out because of her simple and concise style, her repeated reference to general practice issues and her keen attention to detail … Her practical approach to some of the commoner psychiatric problems seen in primary care will be wholeheartedly welcomed by all those involved in the care of the mentally ill in these settings.' British Journal of Psychiatry Table of Contents Preface Foreword Chris Dowrick 1. Scope and extent of mental health problems in primary care 2. The central position of primary care in the detection and treatment of psychiatric disorder 3. The consultation in primary care 4. How psychiatric disorders are described and classified 5. Adjustment to stress 6. Anxiety disorders 7. Mood disorders 8. Psychosis 9. Personality disorder 10. Substance misuse 11. Suicidal and self harming behaviour 12. Problems of the mind and body 13. Child mental health care Aaron K. Vallance and M. Elena Girralda 14. Adolescent mental health care R. Shivram and Panos Vostanis 15. Mental health care for older adults James Warner and Daniel Hacking 16. Psychological therapies Graeme Webster, Neill Richardson, Breda McLeavey, Mary Kerrisk, Nigel Smith and Patricia Casey 17. Systemic family therapy Nigel Smith 18. Sexual disorders Gerard Butcher 19. Care for people with enduring and complex common mental health problems 20. Primary health care team and mental health care 21. Mental health services and how they relate to primary care 22. Providing primary care for people from diverse backgrounds Chukumeka Maxwell and Maja Lelandais 23. Capacity, compulsory admission and treatment Cornelis de Wet and James De Pury Appendix. Alternative and complementary therapies Index AUDIOTAPES: 1. Problem solving Breda McLeavey and Mary Kerrisk 2. Solution focussed therapy Nigel Smith 3. Cognitive therapy Graeme Webster and Neill Richardson.