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CHAPTER 9
PSYCHIATRIC INJURIES Professor R Mayou INDEX 68 Introduction Severity of suffering; reliability of psychiatric assessment; outcome, a comprehensive view; individual variation. 69 International Classification of mental disorder 70 Psychiatric consequences of major physical illness Psychiatric complications: adjustment disorder; depression; bipolar illness; anxiety; specific phobia; somatoform disorders; cognitive impairment; post-concussional syndrome; hysteria; other psychiatric disorders. 71 Other psychologically determined consequences Symptom perception; quality of life; consultation and compliance; medically unexplained physical symptoms. 72 Determinants of psychological symptoms 73 Formulation: differential diagnosis and aetiology Formulation; diagnosis; aetiology. 74 Road Traffic Accidents Specific factors of road traffic accidents; acute stress disorder; post traumatic stress disorder; prevalence; travel anxiety; special problems; rehabilitation: disproportionate disability and pain. 75 Psychiatric consequences and compensation 76 Summary of consequences 77 Treatment Assessment; treatment plan; debriefing; depression; phobic travel anxiety; PTSD. 78 Prognosis 79 Medico-legal examination The history; another informant; specialised testing. 80 The report 81 Areas of dispute Malingering; exaggeration; conscious and unconscious processes; Unexplained |
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