Thompson T L, Petersen J L
Postgrad Med. 1985 Dec;78(8):155-9, 162. doi: 10.1080/00325481.1985.11699227.
Primary care physicians can increase their recognition of psychiatric disorders in several ways. The first and most important is to maintain a high index of suspicion for these disorders, which are prevalent in primary care patients, and to know the frequent symptom presentations, both overt and covert, of the most common disorders. A variety of psychiatric screening questionnaires can be useful and may be given routinely or when a psychiatric disorder is suspected. Alternatively, psychiatric screening questions can be incorporated into the usual patient interview. Establishment of a good working relationship with a psychiatrist knowledgeable in current psychiatric diagnosis and therapy, including psychopharmacology, is advisable. Psychiatric consultation may be sought when diagnostic questions arise, and referral to a psychiatrist or coordinated treatment is often useful for patients with severe or persistent symptoms.
初级保健医生可以通过多种方式提高对精神障碍的识别能力。首先也是最重要的一点是，对这些在初级保健患者中普遍存在的疾病保持高度的怀疑指数，并了解最常见疾病的常见症状表现，包括显性和隐性症状。各种精神科筛查问卷可能会有所帮助，可以常规发放，也可以在怀疑患有精神障碍时发放。另外，精神科筛查问题可以纳入常规的患者问诊中。建议与一位精通当前精神科诊断和治疗（包括精神药理学）的精神科医生建立良好的工作关系。当出现诊断问题时，可以寻求精神科会诊，对于有严重或持续症状的患者，转介给精神科医生或进行协调治疗通常会很有帮助。
