Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness

BJ Psych Bulletin

article

Daniel Hughes¹  Sarah Yardley²  Philippa Greenfield¹  Martin Rolph³ 

[1] Camden and Islington NHS Foundation Trust;University College London;Cardiff

关键词: Depressive disorders;    anxiety disorders;    antidepressants;    education and training;    service users;   

DOI  :  10.1192/bjb.2021.124

学科分类：工程和技术（综合）

来源: Cambridge University Press

【 摘 要 】

The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees’ approaches to such cases.

【 授权许可】

CC BY