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Psychiatric problems and rehabilitation 

Psychiatric problems and rehabilitation
Chapter:
Psychiatric problems and rehabilitation
Author(s):

Anthony B. Ward

, Michael P. Barnes

, Sandra C. Stark

, and Sarah Ryan

DOI:
10.1093/med/9780199550524.003.0014
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date: 18 October 2019

Background 200

Depression 202

Treatment of depression 204

Anxiety 206

Post-traumatic stress disorder (PTSD) 208

Emotionalism 210

People with physical disabilities are not immune to psychiatric problems and people with psychiatric problems are not immune to acquiring phy-sical disability as a result of trauma or disease. People with some specific psychiatric problems such as personality disorders, substance abuse, and alcoholism are particularly prone to acquiring physical disability, secondary to risk-taking or risk-attracting behaviour. In addition, brain injury itself can be associated with specific psychiatric problems. There is still much debate about whether such difficulties as depression, anxiety, or more profound problems such as psychosis are secondary to intrinsic brain damage or simply a secondary result of a reaction to such damage. In the end the causation is of little consequence as individuals will still need appropriate psychiatric assistance. There is no evidence that a person, for example, with depression in the context of physical disability is any more or less likely to respond to appropriate treatment than someone with an endogenous or reactive depression....

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