• ADHD books published by NorthEast Books & Publishing, by Association for Youth, Children and Natural Psychology
  • ADHD books published by NorthEast Books & Publishing, by Association for Youth, Children and Natural Psychology




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Ethical Issues In Modern Medicine: Contemporary Readings in Bioethics, by Bonnie Steinbock, Alex John London, John Arras

This comprehensive anthology represents the key issues and problems in the field of biomedical ethics through the most up-to-date readings and case studies available. Each of the book's seven parts is prefaced with helpful introductions that raise important questions and skillfully contextualize the positions and main points of the articles that follow.

This seventh edition updates and expands parts throughout the text, including the discussions of conflicting roles and responsibilities for medical professionals and justice in health care. A new Part Seven entitled "Emerging Technologies and Perennial Issues," which explores the issues of behavioral genetics and human enhancements. (from the publisher)


Overcoming ADHD Without Medication: A Parent and Educator's Guidebook , by the Association for Youth Children and Natural Psychology

5.0 out of 5 stars An excellent read that should very much be considered by concerned parents.

By Midwest Book Review - "Attention deficit hyperactivity disorder almost comes at an epidemic level. "Overcoming ADHD without Medication" is a guide for parents who want to pursue treating this condition for their children without resorting to drugs such as Ritalin, which carry some side effects. With a lot of thought and understanding of concern, "Overcoming ADHD without Medication" is an excellent read that should very much be considered by concerned parents."


Beyond the Disease Model of Mental Disorders by Donald Kiesler

Kiesler relevant scientific evidence that provides proof that the monocausal approach to diagnosing mental health disorders is invalid and inaccurate and that only a multicausal approach is harmonious with the facts, logic, and in the opinion of this site, common sense. Biological, psychological, and sociocultural causal factors work together. The invalid monocausal biomedical (disease) model of mental disorder must be abandoned.


Warning: Psychiatry Can Be Hazardous to Your Mental Health, by William Glasser

How psychopharmacology has usurped the role of psychotherapy in our society, to the great detriment of the patients involved. Millions of patients are now routinely being given prescriptions for a wide range of drugs including Ritalin, Prosac, Zoloft and related drugs which can be harmful to the brain [and body]. A previous generation of patients would have had a course of psychotherapy without brain–damaging chemicals. Glasser explains the wide implications of this radical change in treatment and what can be done to counter it. (from the publisher)


Page updated: December 8, 2012

Understanding Physicians and their role in mental health

 

There are a wide range of medical professionals who might be involved with the treatment of the mental health of an adult or child.  Psychiatrists, psychologists, pediatricians, general practicioners, family doctors, may all be involved in mental health issues. Which is best? Who is qualified?

Physicians and surgeons diagnose illnesses and prescribe and administer treatment for people suffering from injury or disease. Physicians examine patients, obtain medical histories, and order, perform, and interpret diagnostic tests. They counsel patients on diet, hygiene, and preventive health care.

There are two types of physicians: M.D. "Doctor of Medicine" and D.O. "Doctor of Osteopathic Medicine". M.D.s also are known as allopathic physicians. While both M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery, D.O.s place special emphasis on the body's musculoskeletal system, preventive medicine, and holistic patient care. D.O.s are most likely to be primary care specialists although they can be found in all specialties. About half of D.O.s practice general or family medicine, general internal medicine, or general pediatrics.


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Physicians work in one or more of several specialties, including, but not limited to, anesthesiology, family and general medicine, general internal medicine, general pediatrics, obstetrics and gynecology, psychiatry, and surgery.

Family and general practitioners often provide the first point of contact for people seeking health care, by acting as the traditional family doctor. They assess and treat a wide range of conditions, from sinus and respiratory infections to broken bones. Family and general practitioners typically have a base of regular, long-term patients. These doctors refer patients with more serious conditions to specialists or other health care facilities for more intensive care.

General internists diagnose and provide nonsurgical treatment for a wide range of problems that affect internal organ systems, such as the stomach, kidneys, liver, and digestive tract. Internists use a variety of diagnostic techniques to treat patients through medication or hospitalization. Like general practitioners, general internists commonly act as primary care specialists. They treat patients referred from other specialists, and, in turn they refer patients to other specialists when more complex care is required.



General pediatricians care for the health of infants, children, teenagers, and young adults. They specialize in the diagnosis and treatment of a variety of ailments specific to young people and track patients' growth to adulthood. Like most physicians, pediatricians work with different health care workers, such as nurses and other physicians, to assess and treat children with various ailments.

Most of the work of pediatricians involves treating day-to-day illnesses, minor injuries, infectious diseases, and immunizations-that are common to children, much as a general practitioner treats adults. Some pediatricians specialize in pediatric surgery or serious medical conditions, such as autoimmune disorders or serious chronic ailments.



Psychiatrists are the primary caregivers in the area of mental health. They assess and treat mental illnesses through a combination of psychotherapy, psychoanalysis, hospitalization, and medication. Psychotherapy involves regular discussions with patients in the case of Interpersonal Therapy. Cognitive Behavioral Therapy (CBT) endeavors to help a client develop more positive thought patterns, change thinking, or develop new lifestyles, in an effort to overcome psychological disorders.

The psychologist might help a client find solutions through changes in their behavioral patterns, the exploration of their past experiences, or group and family therapy sessions. Psychoanalysis involves long-term psychotherapy and counseling for patients. In many cases, medications are administered by psychiatrists (not psychologists) to correct chemical imbalances that cause emotional problems. Psychiatrists also may administer electroconvulsive therapy (ECT) to those of their patients who do not respond to, or who cannot take, medications.



Work environment. Many physicians' primarily general and family practitioners, general internists, pediatricians, OB/GYNs, and psychiatrists - work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel.

Increasingly, physicians are practicing in groups or health care organizations that provide backup coverage and allow for more time off. Physicians in a group practice or health care organization often work as part of a team that coordinates care for a number of patients; they are less independent than the solo practitioners of the past.

Surgeons and anesthesiologists usually work in well-lighted, sterile environments while performing surgery and often stand for long periods. Most work in hospitals or in surgical outpatient centers.

Many physicians and surgeons work long, irregular hours. Over one-third of full-time physicians and surgeons worked 60 hours or more a week in 2006.
http://www.bls.gov/oco/ocos074.htm

Of the 633,000 physicians in the United States,

  • 40.4% are primary care
  • 12.3% of all doctors are family medicine and general practice.
  • 7.5% are pediatricians
  • 5.1% are psychiatrists
  • http://www.bls.gov/oco/ocos074.htm



    Primary Care Physician:
    A primary care physician, or PCP, is a physician/medical doctor who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis.

    A PCP generally does not specialize in any medical specialty, such as neurology, cardiology, or pulmonology, nor perform surgery. The term "PCP" is most commonly used in the United States where it can be used to refer to two different types of health care providers. The acronym may be used to refer to either a primary care physician, who must hold a medical degree, or a primary care provider, who may be either a nurse practitioner or physician assistant, or an alternative medicine practitioner with no formal medical training. A primary care physician can be described by medical training, skill and scope of practice, role in the health care system, and the usual setting in which care is delivered. Primary care physicians are declining in numbers in many developed countries.

    All physicians first complete medical school (MD, MBBS, or DO). To become primary care physicians, medical school graduates then undertake postgraduate training in primary care programs, such as family practice, general practice, pediatrics or internal medicine. Some HMOs consider gynecologists as PCPs for the care of women, and have allowed certain subspecialists to assume PCP responsibilities for selected patient types, such as allergists caring for people with asthma and nephrologists acting as PCPs for patients on kidney dialysis.

    Scope of practice
    A set of skills and scope of practice may define a primary care physician, generally including basic diagnosis and non-surgical treatment of common illnesses and medical conditions. [1] Diagnostic techniques include interviewing the patient to collect information on the present symptoms, prior medical history and other health details, followed by a physical examination.

    Many PCPs are trained in basic medical testing, such as interpreting results of blood or other patient samples, electrocardiograms, or x-rays. More complex and time-intensive diagnostic procedures are usually obtained by referral to specialists, due to either special training with a technology, or increased experience and patient volume that renders a risky procedure safer for the patient. [2] After collecting data, the PCP arrives at a differential diagnosis and, with the participation of the patient, formulates a plan including (if appropriate) components of further testing, specialist referral, medication, therapy, diet or life-style changes, patient education, and follow up results of treatment. Primary care physicians also counsel and educate patients on safe health behaviors, self-care skills and treatment options, and provide screening tests and immunizations.

    Role in the health care system
    A primary care physician is usually the first medical practitioner contacted by a patient, due to factors such as ease of communication, accessible location, familiarity, and increasingly issues of cost and managed care requirements. In some countries, for example Norway, residents are registered as patients of a (local) doctor, and must contact that doctor for referral to any other. Also many health maintenance organizations position PCPs as "gatekeepers", who regulate access to more costly procedures or specialists.

    Ideally, the primary care physician acts on behalf of the patient to collaborate with referral specialists, coordinate the care given by varied organizations such as hospitals or rehabilitation clinics, act as a comprehensive repository for the patients records, and provide long-term management of chronic conditions. Continuous care is particularly important for patients with medical conditions that encompass multiple organ systems and require prolonged treatment and monitoring, such as diabetes and hypertension.

    Health care setting
    PCPs provide the majority of services at the primary level of care, an entry point to a system that includes secondary care (by community hospitals) and tertiary care (by medical centers and teaching hospitals), also referred to an ambulatory care setting versus inpatient care. Many primary care physicians follow their patients in a variety of health care settings, such as offices, hospitals, critical care units, long-term facilities, and at home. A primary care physician may supervise a non-physician health professional (which may be a primary care provider), such as a nurse practitioner or physician assistant.


    Physicians role in mental health treatment Source:
    U.S. Department of Labor Statistics


    Pages Related to Mental Health Professionals


    Psychoanalysis

    Psychiatric Labeling

    Cognitive Behavioral Therapy (CBT)

    Cognitive Behavioral Therapy Types

    Psychologists

    Mental Health Professionals

    Appeal to Mental Health Professionals for access to professional mental health treatment facilities with the option of non-pharmaceutical treatment


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