Raman Vijaya
Department of Psychiatry, St. John's Medical College Hospital, Sarjapur Road, Bangalore, 560034, India.
Indian J Pediatr. 2016 Jul;83(7):670-4. doi: 10.1007/s12098-015-1976-z. Epub 2016 Jan 28.
Primary care pediatricians are often faced with children and families who need more than just a consultation. Pediatricians are also the first point of contact for many children and families in distress. Hence, the decision of whether to reassure and follow them up or refer them for an evaluation and management to a mental health professional is something all pediatricians find difficult to make. In order to serve their clients well, it is necessary that pediatricians are trained to identify and manage common child psychological/psychiatric problems. They may also be called upon to break bad news, motivate families to seek treatment and motivate children to accept offered treatment. Most training courses in Pediatrics do not offer skills training in counseling, making the transition to real life practice a difficult proposition. This paper focuses on what is counseling, what situations make it necessary for pediatricians to offer counseling, the methods that can be useful and some tips to improve communication, with an emphasis on unique issues in the Indian context. Some techniques that are simple, brief and can be used by pediatricians are discussed in this paper.
基层医疗儿科医生常常面对那些不仅仅需要咨询的儿童和家庭。儿科医生也是许多处于困境中的儿童和家庭的第一接触点。因此，决定是安抚并随访他们，还是将他们转介给心理健康专业人员进行评估和管理，这是所有儿科医生都难以做出的决定。为了更好地服务他们的客户，儿科医生有必要接受培训，以识别和管理常见的儿童心理/精神问题。他们可能还需要传达坏消息，激励家庭寻求治疗，并激励儿童接受所提供的治疗。大多数儿科培训课程都不提供咨询技能培训，这使得向实际临床实践的过渡成为一个难题。本文重点关注什么是咨询、哪些情况使得儿科医生有必要提供咨询、可能有用的方法以及一些改善沟通的技巧，尤其强调印度背景下的独特问题。本文讨论了一些简单、简短且儿科医生可以使用的技巧。
