4b0e6ef97c77c7169e00bed9d7f234fa healthcare-10-01729.pdf 4a9b80ed176ca83b320f9c6e7ccba33c61ba00ad healthcare-10-01729.pdf 4a1c326555cac6600896d29608d27cd95942c1acac811491102ff38434a5e252 healthcare-10-01729.pdf Title: Collaboration between Psychiatrists and Other Allied Medical Specialists for the Treatment of Delusional Disorders Subject: Background: There is increasing evidence that individuals with psychosis are at increased risk for cardiovascular disease, diabetes, metabolic syndrome, and several other medical comorbidities. In delusional disorder (DD), this is particularly so because of the relatively late onset age. Aims: The aim of this narrative review is to synthesize the literature on the necessity for medical collaboration between psychiatrists and other specialists. Methods: A non-systematic narrative review was carried out of papers addressing referrals and cooperation among specialists in the care of DD patients. Results: Psychiatrists, the primary care providers for DD patients, depend on neurology to assess cognitive defects and rule out organic sources of delusions. Neurologists rely on psychiatry to help with patient adherence to treatment and the management of psychotropic drug side effects. Psychiatrists require ophthalmology/otolaryngology to treat sensory deficits that often precede delusions; reciprocally, psychiatric consults can help in instances of functional sensory impairment. Close collaboration with dermatologists is essential for treating delusional parasitosis and dysmorphophobia to ensure timely referrals to psychiatry. Conclusions: This review offers many other examples from the literature of the extent of overlap among medical specialties in the evaluation and effective treatment of DD. Optimal patient care requires close collaboration among specialties. Keywords: delusional disorder; psychosis; paranoia; collaboration; specialties Author: Alexandre González-Rodríguez, José Antonio Monreal, Mentxu Natividad and Mary V. Seeman Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Sep 9 10:45:35 2022 CEST ModDate: Fri Sep 9 13:31:00 2022 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 17 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 474314 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IYDCBB+VnURWPalladioL Type 1 Custom yes yes no 10 0 VAIDVV+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 QCHABD+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 VTSILZ+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 IOJCNK+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 XAOEUN+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 OLHBGA+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 76 0 OLHBJB+PalatinoLinotype TrueType WinAnsi yes yes no 79 0 OLHBJD+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 82 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-07-09 02:42:18 CEST RepresentationInformation: healthcare-10-01729.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-07-08 12:10:03 CEST Size: 474314 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 439 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Methods Destination: section.2 Item: Title: Collaboration with Neurologists Destination: section.3 Children: Item: Title: Delusional Disorder Can Precede a Diagnosis of Dementia Destination: subsection.3.1 Item: Title: Cognitive Decline Predicts Poor Response to Psychotropic Medications Destination: subsection.3.2 Item: Title: Collaboration with Ophthalmology and Otolaryngology Destination: section.4 Item: Title: Collaboration with Dermatologists Destination: section.5 Item: Title: Collaboration with Pain Specialists Destination: section.6 Item: Title: Collaboration with Gastroenterologists Destination: section.7 Item: Title: Collaboration with Sleep Specialists Destination: section.8 Item: Title: Collaboration with Cardiologists Destination: section.9 Item: Title: Collaboration with Pharmacologists Destination: section.10 Item: Title: Discussion Destination: section.11 Item: Title: Conclusions Destination: section.12 Item: Title: References Destination: section.12 Info: Title: Collaboration between Psychiatrists and Other Allied Medical Specialists for the Treatment of Delusional Disorders Author: Alexandre González-Rodríguez, José Antonio Monreal, Mentxu Natividad and Mary V. Seeman Subject: Background: There is increasing evidence that individuals with psychosis are at increased risk for cardiovascular disease, diabetes, metabolic syndrome, and several other medical comorbidities. In delusional disorder (DD), this is particularly so because of the relatively late onset age. Aims: The aim of this narrative review is to synthesize the literature on the necessity for medical collaboration between psychiatrists and other specialists. Methods: A non-systematic narrative review was carried out of papers addressing referrals and cooperation among specialists in the care of DD patients. Results: Psychiatrists, the primary care providers for DD patients, depend on neurology to assess cognitive defects and rule out organic sources of delusions. Neurologists rely on psychiatry to help with patient adherence to treatment and the management of psychotropic drug side effects. Psychiatrists require ophthalmology/otolaryngology to treat sensory deficits that often precede delusions; reciprocally, psychiatric consults can help in instances of functional sensory impairment. Close collaboration with dermatologists is essential for treating delusional parasitosis and dysmorphophobia to ensure timely referrals to psychiatry. Conclusions: This review offers many other examples from the literature of the extent of overlap among medical specialties in the evaluation and effective treatment of DD. Optimal patient care requires close collaboration among specialties. 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