Where There Is No Psychiatrist

Where There Is No Psychiatrist : A mental health care manual

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Even though mental illnesses are common and cause great suffering in every part of the world, many health workers have a limited understanding about mental health and are less comfortable dealing with mental illness. This book is a practical manual for mental health care for the community health worker, the primary care nurse, the social worker and the primary care doctor, particularly in developing countries. After giving the reader a basic understanding of mental illness, the book goes on to describe more than 30 clinical problems associated with mental illness and uses a problem-solving approach to guide the reader through their assessment and management. Mental health issues as they arise in specific health care contexts are described, for example in a refugee camp, a school health programme or with people suffering from AIDS, as well as in mental health promotion. The final section combines quick reference information for common problems and it also includes chapters for the reader to personalise the manual for a particular location, for example, by entering local information on voluntary agencies, the names and costs of medicines and words in the local language for emotional symptoms.

A problem-solving approach to diagnosis and management.
Sections on clinical management of common problems associated with mental illnesses.
Relevant mental health issues in different contexts of work.
Over 150 illustrations and case studies.
A section for the reader to personalise it for his or her area of work.
A practical guide to the use of psychiatric medicines and simple psychological treatments.
Extensive cross-referencing in the book and a glossary of all technical words.
Simple expanations and descriptions, without jargon.
Flow-charts on common clinical problems for quick reference.
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Product details

  • Paperback | 266 pages
  • 186 x 246 x 14mm | 580.61g
  • Gaskell
  • London, United Kingdom
  • English
  • 1901242757
  • 9781901242751
  • 276,221

Table of contents

Summary of Contents
List of boxes and tables



How to use this manual

Part I. An overview of
mental illness

1. An introduction to mental illness

2. Assessing someone with a mental illness

3. The treatment of mental illness

Part II. Clinical

4. Behaviours which cause concern

5. Symptoms which are medically unexplained

6. Habits which cause problems

7. Problems arising from loss and violence

8. Problems in childhood and adolescence

Part III. Integrating mental

9. Mental health in other contexts

10. Mental health promotion and advocacy

Part IV. Localising this
manual for your area

11. Medicines for mental illness

12. Resources in your area
Appendix. Flowcharts for clinical


Glossary of terms for mental illnesses and their symptoms

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Review quote

"In a flat 20 minutes the reader would be equipped to assess someone with mental illness. The book is simple and has an appeal at various levels from an average lay reader to a medical practitioner. This great enduring effort from Vikram Patel is timely and a godsend for all." - One India One People journal

"This is no ordinary text. It is designed to be used in the large tracts of the developing world where there is no easy access to skilled medical help. It is a very considerable undertaking, which succeeds with ingenuity and flair. The range of psychiatric problems covered is impressive. It is impossible to gauge the benefits to sufferers from mental disorder that this remarkable book will bring." - W. A. Lishman (Emeritus Professor of Neuropsychiatry, Institute of Psychiatry, London)

"The general practitioner (health worker or doctor) tends to know a lot about physical illnesses but too little about mental health. Until now, a huge gap has remained in the provision of primary health care in the field of mental health. Now, at last, that need has been magnificently filled, with Dr Vikam Patel's very comprehensive yet remarkably user-friendly book Where There Is No Psychiatrist. How I wish had had this book years before!" - David Werner (Author of 'Where There Is No Doctor')
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About Vikram Patel

Vikram Patel - Senior
Lecturer at the London School of Hygiene
& Tropical Medicine. He has spent over ten years working in
Zimbabwe and India and is currently at the Sangath Centre in Goa.
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Rating details

23 ratings
4.04 out of 5 stars
5 43% (10)
4 22% (5)
3 30% (7)
2 4% (1)
1 0% (0)
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