Treatment FAQ

what role does a primary care physician typically play in the treatment of mental illness?

by Kavon Eichmann Published 3 years ago Updated 2 years ago

Results PCPs identify approximately one‐third of their patients as mental health patients. They are treating a wide range of psychiatric conditions and prescribing a variety of psychiatric medications. The vast majority are using traditional clinical interviewing as their primary method of psychiatric assessment.

Full Answer

What is the role of primary care in mental health?

The role of primary care clinicians in treating patients with mental health disorders has evolved such that primary care is a major source of mental health treatment.1Although many patients with bipolar disorder are treated in primary care settings, delay in recognition of the disorder is common.

Should primary care doctors integrate mental health services into their practice?

Many primary care doctors are integrating mental health services into their practice care team. This approach has proven effective for both children and adults. In these integrated clinics, patients have access to medication and counseling in the same location. Innovative policies should support these interdisciplinary teams.

Can a primary care doctor refer a patient to a psychiatrist?

Many primary care doctors are not able to refer their patients to outpatient mental health services. Psychiatrists are much less likely to accept insurance, including Medicaid and Medicare. Most rural communities do not have a psychiatrist within reasonable distance to provide care.

Can a primary care doctor prescribe medication for mental health issues?

“A primary care doctor can prescribe medications for many common mental health issues,” says Dr. Hoffman. He or she may also act as the point person for additional care, such as referring you to a therapist.

What can a primary care provider do for you?

What is a behavioral health manager?

What kind of doctor treats grief?

Can a family physician be a mental health provider?

Can you bring up mental health issues with your primary care provider?

Can a social worker be part of a primary care team?

Can you prescribe antidepressants to a primary care provider?

See more

About this website

Can a physician treat mental illness?

The good news is that mental health conditions are treatable. If your doctor identifies a mental health condition, he or she may provide brief counseling in the office, prescribe medication or refer you to a specialist. Your doctor may also suggest individual or group therapy.

What is a primary reason for providing mental health services in the primary care setting?

The key advantages of delivering mental health care through primary care are that it is accessible, affordable and acceptable to people with mental health problems and their families addressing health inequities and ensuring continuity of care for this population.

How do doctors treat people with mental illness?

Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional. Psychotherapy explores thoughts, feelings, and behaviors, and seeks to improve an individual's well-being. Psychotherapy paired with medication is the most effective way to promote recovery.

Who is the doctor needed for a person with mental disorder?

Psychiatrists. These professionals are medical doctors who specialize in the treatment of mental, emotional, or behavioral problems. A psychiatrist can prescribe medications. They may hold therapy sessions or work with non-medical therapists to treat you.

Why should primary care providers integrate mental health services into primary care?

The benefits of integrating mental health into primary healthcare are significant. On the one hand, integration ensures that the population as a whole has access to the mental healthcare that they need early in the course of disorders and without disruption.

What are the advantages of integrating mental health care into primary care settings?

The advantages of integrating mental health services into PHC include, among others: reduced stigma for people with mental disorders and their families, improved access to care, human rights protection, reduced chronicity and improved social integration, as well as improvement in the human resource capacity for mental ...

What role does the mental health professional play?

They can evaluate a person's mental health and use therapeutic techniques to promote emotional wellness. They usually work with people who have complex needs. For example, a social worker may work at a psychiatric hospital to provide psychotherapy or help people reintegrate back into the community after discharge.

Can a family doctor diagnose mental illness?

Family doctors can diagnose mental illnesses, prescribe medication and refer you to specialized services. Nurse practitioners (NPs) can do much of what family doctors can do and often work alongside one in a family practice. Psychiatrists are also medical doctors who specialize in mental health.

What three general methods are used to treat mental disorders?

They include:Psychotherapy or counseling. This also is called talk therapy. ... Prescription medicine. ... Support groups. ... Other therapies. ... ECT or other brain stimulation therapy. ... Eye Movement Desensitization and Reprocessing (EMDR) therapy. ... Hospital or residential treatment program.

Who prescribes mental health medication?

Unlike other mental health professionals, such as psychologists and counsellors, psychiatrists must be medically qualified doctors who have chosen to specialise in psychiatry. This means they can prescribe medication as well as recommend other forms of treatment.

What kind of mental health practitioner who diagnose and treat patients who have mental illness?

Psychiatrist – A medical doctor with special training in the diagnosis and treatment of mental and emotional illnesses. A psychiatrist can prescribe medication, but they often do not counsel patients.

How does a doctor diagnose mental illness?

A physical examination, lab tests, and psychological questionnaires may be included, often to rule out other illnesses. As all of this information is obtained and integrated, the professional will begin to determine if the person's symptoms match up with one or more official diagnoses.

What can a primary care provider do for you?

Your Primary Care Provider Can Help Treat Your Mental Health, Too. When you think of receiving mental health services, you might think this means an appointment with a counselor, clinical psychologist or psychiatrist. But did you know that primary care providers, such as family doctors and internists, can play an important role in providing mental ...

What is a behavioral health manager?

The social worker or behavioral health manager can meet with you in a phone call or in a video chat between appointments with your primary care provider. As part of your primary care team, a social worker or behavioral health manager will discuss your symptoms, history and treatment and work with you to address your mental health needs, ...

What kind of doctor treats grief?

Primary care providers most commonly treat depression, anxiety and emotional distress related to grief. People with conditions that are more difficult to treat, such as bipolar disorder or schizophrenia, will typically need to see a psychiatrist.

Can a family physician be a mental health provider?

They can and they do: Family physicians are one of the primary sources for mental health care in the United States, says the American Academy of Family Physicians (AAFP). Primary care physicians are the primary managers of psychiatric disorders in one-third of their patients, the AAFP reports. And two-thirds of patients with depression receive ...

Can you bring up mental health issues with your primary care provider?

You can bring up any concerns about your mental or emotional health with your primary care provider. This has become even more important in the COVID-19 pandemic era, as many lives have been upended due to working from home, remote classes, joblessness, grief and isolation.

Can a social worker be part of a primary care team?

Many primary care offices have begun to embed a social worker or behavioral health manager as part of the care team. In this way, mental health care can be conveniently managed at the primary care office. The social worker or behavioral health manager can meet with you in a phone call or in a video chat between appointments with your primary care ...

Can you prescribe antidepressants to a primary care provider?

For many patients, a prescription for antidepressants and follow-up visits may be all they will need. A primary care provider can choose from several antidepressants to safely prescribe to their patients; follow up visits with a primary care provider tend to be much shorter than a therapy session with a psychiatrist.

What percentage of patients receive mental health services?

Dr. Neutze estimates that at her practice, as many as 20 percent of adult patients receive mental health services.

How common is mental health in the US?

Mental Health, Primary Care. Mental health disorders are so common that 1 in 5 adults in the U.S. experienced mental illness in 2018. But only 43 percent of adults with mental illness received treatment. Why is that?

Why are people reluctant to seek help?

There are several possible reasons. Though attitudes are improving, there is still a stigma associated with mental illness, and for that reason some people are reluctant to seek help. But often the problem is supply not meeting demand: Many communities, especially in rural areas, have few mental health care providers—or none. ...

What does a PHQ2 score mean?

It asks how often, over the last two weeks, a person (1) has had little interest or pleasure in doing things, or (2) was feeling down, depressed or hopeless. The PHQ-2 results in a score that ranges from 0 to 6. If a person’s score on the PHQ-2 is 3 or higher, that indicates depression is likely, and then he or she is given a longer, ...

Can a primary care provider help with a psychotherapist?

It’s important to know that primary care visits tend to be much shorter than a therapy session and most general physicians won’t have training in psychotherapies such as cognitive behavioral therapy. If it’s determined that a patient needs to see a psychotherapist, the primary care provider can help with finding a provider, though a referral usually isn’t needed.

Should I talk to my primary care provider about my mental health?

Neutze says. “I really want people to know,” she says, “that it’s OK for you to talk with your primary care provider if you are feeling depressed, anxious or have any other concerns about your mental health.

Who can prescribe medication for mental health?

According to Raymond Hoffman, MD, medical director of the Division of Mental Health and Substance Use, your first call for mental health concerns can be to your primary care provider. “A primary care doctor can prescribe medications for many common mental health issues,” says Dr. Hoffman. He or she may also act as the point person ...

What is the best way to treat mental health issues?

Unless you’re dealing with a severe mental health issue, a good place to start is your primary care doctor.

What does a medical assistant do?

In many primary care offices, a medical assistant screens patients for depression as part of the yearly well visit using a standardized screening tool.

Is mental illness common?

MYTH: Mental health conditions are uncommon. FACT: Mental illness is more common than most think. According to the National Alliance on Mental Illness, one in five Americans will experience mental illness in their lifetime, and one in 25 will experience a serious mental illness that interferes with their life.

What is the role of a family physician in mental health?

Family physicians play an important role in the provision of mental health care services in the U.S. and are well trained to provide many types of mental health care services.

Why should a family physician work with mental health professionals?

Family physicians should work with behavioral and mental health professionals whenever possible to ensure the best care for their patients.

What is collaborative care?

Collaborative care is team-driven, led by a primary care clinician with support from a “care manager” and consultation from a psychiatrist who provides treatment recommendations for patients who are not achieving clinical goals. Other mental health professionals can contribute to the Collaborative Care Model.

What is the role of a family psychiatric physician?

While psychiatric and other mental health professionals can play an important role in the provision of high-quality mental health care services, primary care physicians are the main providers for the majority of patients.

What is telemedicine in medical field?

Telemedicine is the process of providing health care from a distance using technology. Telepsychiatry, a subset of telemedicine, can involve either direct or indirect interaction between a psychiatrist and the patient, where a psychiatrist supports a primary care physician and other health care providers.

What can a primary care provider do for you?

Your Primary Care Provider Can Help Treat Your Mental Health, Too. When you think of receiving mental health services, you might think this means an appointment with a counselor, clinical psychologist or psychiatrist. But did you know that primary care providers, such as family doctors and internists, can play an important role in providing mental ...

What is a behavioral health manager?

The social worker or behavioral health manager can meet with you in a phone call or in a video chat between appointments with your primary care provider. As part of your primary care team, a social worker or behavioral health manager will discuss your symptoms, history and treatment and work with you to address your mental health needs, ...

What kind of doctor treats grief?

Primary care providers most commonly treat depression, anxiety and emotional distress related to grief. People with conditions that are more difficult to treat, such as bipolar disorder or schizophrenia, will typically need to see a psychiatrist.

Can a family physician be a mental health provider?

They can and they do: Family physicians are one of the primary sources for mental health care in the United States, says the American Academy of Family Physicians (AAFP). Primary care physicians are the primary managers of psychiatric disorders in one-third of their patients, the AAFP reports. And two-thirds of patients with depression receive ...

Can you bring up mental health issues with your primary care provider?

You can bring up any concerns about your mental or emotional health with your primary care provider. This has become even more important in the COVID-19 pandemic era, as many lives have been upended due to working from home, remote classes, joblessness, grief and isolation.

Can a social worker be part of a primary care team?

Many primary care offices have begun to embed a social worker or behavioral health manager as part of the care team. In this way, mental health care can be conveniently managed at the primary care office. The social worker or behavioral health manager can meet with you in a phone call or in a video chat between appointments with your primary care ...

Can you prescribe antidepressants to a primary care provider?

For many patients, a prescription for antidepressants and follow-up visits may be all they will need. A primary care provider can choose from several antidepressants to safely prescribe to their patients; follow up visits with a primary care provider tend to be much shorter than a therapy session with a psychiatrist.

Mental Health Issues on The Rise

Image
In a national survey[pdf] of primary care patients from June 2020, 33% reported having trouble with feelings of isolation/loneliness. Thirty percent reported anxiety or depression, and 13% reported an addiction related to the pandemic. Nearly 75% of patients reported the killing of George Floyd and related events contributed to t…
See more on themedicalcareblog.com

Primary Care and Mental Health

  • Unfortunately, many people are not aware of the role their primary care doctor can play in supporting their mental health. Some media outlets and celebrities have contributed to the lack of knowledge, even as they advocate for de-stigmatizing mental health issues. For example, Lady Gaga has spoken widely about, and driven more attention to, mental health. But, when giving an i…
See more on themedicalcareblog.com

Integrating Mental Health Into Primary Care

  • People who feel stigmatized by mental illness may be more comfortable being cared for in a primary care clinicrather than a specialty mental health clinic. Many primary care doctors are integrating mental health services into their practice care team. This approach has proven effective for both children and adults. In these integrated clinics, patients have access to medic…
See more on themedicalcareblog.com

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9