Read e-book online Psych ER: Psychiatric Patients Come to the Emergency Room PDF

By Rene J. Muller

Drawing at the adventure of comparing over 2000 emergency room sufferers, René Muller explores the $64000 position of psychiatry in emergency room medication. He discusses a few of his so much difficult situations, displaying how psychiatry involves the help of medication in coping with the crises - genuine, imagined, and contrived - which are the standard fare of clinicians who paintings within the ER. we're brought to an international during which lies are uncovered, manipulations published, diagnoses made, drugs adjusted, or even very short psychotherapy tried.

Muller starts off with sufferer narratives rooted within the psychological issues most typically encountered within the ER: melancholy, panic ailment, drug dependence, bipolar melancholy, bipolar mania, schizophrenia, and Alzheimer's dementia. those tales pave the way in which for extra confusing ER situations, which Muller gathers into sections of "Veiled and weird tales" and "Stories with a scientific Component." He introduces us to the meanings of ER malingering and provides hard-won insights into coping with "dumps" (when sufferers are dumped into the ER by means of households, police, medical professionals) and "stumbles" (when sufferers' weird and wonderful habit lands them within the ER).

The tales sufferers inform - and the questions those tales increase - force Muller's textual content. a tender guy has heavily overdosed, yet with what? Why has a effectively medicated schizophrenic abruptly started listening to voices again?  And what are we to make of a sufferer who's prepared to hazard dying trying to "drown" his hiccups by way of ingesting as much as 12 liters of fluid an afternoon? For those and both attention-grabbing questions, Muller is a sure-handed consultant, operating his means via one ER problem after one other with psychiatric acumen and a balanced appreciation of the clinical, custodial, socioeconomic, and felony dimensions of ER paintings. An exciting account of the competing agendas that input into the dealing with of emergencies, Psych ER can be a compilation of evocative sufferer tales in regards to the subjective event of being ill.

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Psych ER: Psychiatric Patients Come to the Emergency Room by Rene J. Muller

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