- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- 5.1 Mind–body dualism, psychiatry, and medicine
- 5.2 Somatoform disorders and other causes of medically unexplained symptoms
- 5.3 Medical and surgical conditions and treatments associated with psychiatric disorders
- 5.3.1 Adjustment to illness and handicap
- 5.3.2 Psychiatric aspects of neurological disease
- 5.3.3 Epilepsy
- 5.3.4 Medical conditions associated with psychiatric disorder
- 5.3.5 Psychiatric aspects of infections
- 5.3.6 Psychiatric aspects of surgery (including transplantation)
- 5.3.7 Psychiatric aspects of cancer
- 5.3.8 Psychiatric aspects of accidents, burns, and other physical trauma
- 5.4 Obstetric and gynaecological conditions associated with psychiatric disorder
- 5.5 Management of psychiatric disorders in medically ill patients, including emergencies
- 5.6 Health psychology
- 5.7 The organization of psychiatric services for general hospital departments
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
Medical conditions associated with psychiatric disorder
- Chapter:
- Medical conditions associated with psychiatric disorder
- Author(s):
James R. Rundell
- DOI:
- 10.1093/med/9780199696758.003.0140
Seven out of 10 office visits to a primary care practitioner are related to a chronic illness. There are high levels of association of many of these chronic conditions with psychiatric disorders. Comorbid medical and psychiatric conditions increase use of medical resources and costs, as well as amplify functional impairment. For example, depression is associated with an approximately 50 per cent increase in medical costs of chronic medical illness, even after controlling for severity of physical illness. Dementia is associated with hospital costs up to 75 per cent higher than for non-demented patients. As important as a comprehensive knowledge of psychiatric diagnosis and psychosocial formulation is to a consulting psychiatrist, it is also vital to understand the pathophysiology and clinical characteristics of the medical and surgical conditions that frequently coexist with psychiatric disorders. It is also important to know the behavioural and psychiatric side effects of medications and substances. Lacking this data permits only a partial and inadequate approach to diagnosis and treatment. This section describes general medical disorders associated with psychiatric syndromes. The pathophysiology and clinical characteristics of the medical disorder are described first, followed by psychiatric syndromes often seen with that diagnosis.
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- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- 5.1 Mind–body dualism, psychiatry, and medicine
- 5.2 Somatoform disorders and other causes of medically unexplained symptoms
- 5.3 Medical and surgical conditions and treatments associated with psychiatric disorders
- 5.3.1 Adjustment to illness and handicap
- 5.3.2 Psychiatric aspects of neurological disease
- 5.3.3 Epilepsy
- 5.3.4 Medical conditions associated with psychiatric disorder
- 5.3.5 Psychiatric aspects of infections
- 5.3.6 Psychiatric aspects of surgery (including transplantation)
- 5.3.7 Psychiatric aspects of cancer
- 5.3.8 Psychiatric aspects of accidents, burns, and other physical trauma
- 5.4 Obstetric and gynaecological conditions associated with psychiatric disorder
- 5.5 Management of psychiatric disorders in medically ill patients, including emergencies
- 5.6 Health psychology
- 5.7 The organization of psychiatric services for general hospital departments
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry