Psych Talk for Primary Care Providers TNT Primary Care Fellowships

Do you have a difficult patient in your practice? It can be frustrating and time-consuming to manage them. However, understanding why a difficult encounter may occur can help you better manage the situation. This video explores two historical risk factors that can lead to a difficult encounter between a patient and provider: a history of psychiatric illness and an extensive problem list. It then dives into the “IRS” acronym, which stands for interruptions, repetition, and stereotyped responses. Lastly, the video shows how the “breathe out technique” can help prevent difficult encounters and improve patient interactions. With these tips and strategies, you can work towards a better doctor-patient relationship.

Post-traumatic stress disorder (PTSD) is a mental health condition that can be caused by exposure to a traumatic event. Symptoms of PTSD can include flashbacks, avoidance of reminders of the event, difficulty concentrating or sleeping, depression, panic disorder, and substance abuse. PTSD can be treated with a combination of therapy and medication, such as trauma-focused therapy and cognitive processing therapy, as well as medications. Treatment should be tailored to the individual and address both the traumatic event and the PTSD symptoms.

MI is a person-centered approach that originated in the world of substance use, but it has a much wider range of applications. Rather than the physician trying to change the patient, with motivation interviewing the patient is the one who decides whether or not to make a change. This approach can help reduce the burnout that can occur during a change process. Motivation interviewing is a great way to support patients in making a change and provides a safe and supportive environment.

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As a fellow in our PC-TEAM (Primary Care Training and Education in Addiction Medicine) program, you'll learn about how to treat your patients with Alcohol Abuse Disorder best and much more.