Update on consultation-liaison psychiatry (psychosomatic medicine)

Research output: Contribution to journalReview articlepeer-review

Abstract

PURPOSE OF REVIEW: Current issues in consultation-liaison psychiatry, which is now labeled psychosomatic medicine as a formal subspecialty by the American Board of Psychiatry and Neurology, are discussed. RECENT FINDINGS: There is continued interest in how to best manage depression and anxiety in a primary-care setting. Collaborative care that utilizes a psychiatrist within the treatment center, as well as case management by a nurse, have been reviewed and meta-analyses suggest it is an efficient and effective approach. The diagnostic issues within psychosomatic medicine are also an area of concern as the Diagnostic and Statistical Manual of Mental Disorders, 5 edition, is in the planning stages. How to improve both the reliability and validity of somatoform disorders will be a major challenge. Organ transplantation is a clinical challenge for patients, donors and healthcare providers. Issues in assessment and management continue to evolve. Ethical questions also arise due to the shortage of available organs. SUMMARY: Psychosomatic medicine continues to manage patients in medical settings that cut across a continuum from primary-care to complex medical and surgical centers. The clinical problems containing a medical-psychiatric interface offer a clinical challenge but also an area for new knowledge and better interventions.

Original languageEnglish (US)
Pages (from-to)196-200
Number of pages5
JournalCurrent opinion in psychiatry
Volume21
Issue number2
DOIs
StatePublished - Mar 1 2008

Keywords

  • Medical ethics
  • Organ transplantation
  • Psychosomatic medicine
  • Somatoform disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health

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