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Psychological crisis and general practitioners.
D Bhattacharya1, J R Chowdhury, D Mondal
1D. Shattacharya DPM, MD, Assistant Professor, Department of Psychiatry, Institute of Post Graduate Medical Education and Research, Calcutta - 700 020.
Indian Journal of Psychiatry
|July 12, 2011
Summary
General Practitioners (GPs) frequently encounter patients in psychological crisis, often triggered by academic failure or relationship issues. Most GPs reported dissatisfaction with their management skills and desired further psychiatric training.
Area of Science:
- Psychiatry
- General Practice
- Mental Health
Background:
- Psychological crises are common patient presentations in primary care.
- General Practitioners (GPs) play a crucial role in initial patient management.
- Effective crisis intervention requires adequate training and resources.
Purpose of the Study:
- To investigate the frequency of psychological crisis encounters by GPs.
- To identify common triggers for psychological crises in patients.
- To understand the management strategies employed by GPs and their satisfaction levels.
Main Methods:
- A questionnaire-based study was conducted.
- 47 GPs attending a drug de-addiction orientation program participated.
- Data on crisis encounters, triggers, and management techniques were collected.
Main Results:
- Common crisis triggers included exam failure (22.9%), relationship breakups (16.8%), and bereavement (14.9%).
- GPs most frequently used reassurance, tranquilizers, and psychiatric referrals.
- A significant majority of GPs (68.1%) were unsatisfied with their treatment, and 78.9% desired more psychiatric training.
Conclusions:
- GPs face frequent psychological crises with diverse triggers.
- Current management strategies are perceived as inadequate by many GPs.
- Enhanced psychiatric training for GPs is essential to improve patient care and outcomes.
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