Healing Body and Mind: A Critical Issue for Health Care Reform
Greenwood Publishing Group, Jan 1, 2007 - Health & Fitness - 190 pages
It doesn't make sense to treat Dan's bleeding ulcer without attention to the depression that spurs him to drink alcohol excessively each night, which is what created the bleeding ulcer. Neither is it best to give Mary medication for hypertension without treating her mental state, as she is a classic Type A personality and that helps fuel her hypertension. The connections seem obvious--to get and stay healthy we need to treat mind and body. But today the treatments are separated in medical settings and across health plans. Dr. Kathol, a veteran internist and psychiatrist, shows the physical, emotional, social, economic and legal effects of what he calls "headless health care." He illustrates with patient stories the profound impact psychological and behavioral disorders have on physical health and, conversely, the impact medical illness has on mental health. This book begins with stories of real patients suffering with concurrent behavioral and physical disorders who are forced to navigate a health care system that fosters what Kathol calls inferior care, escalating the costs and perpetuating personal impairment. He calls for widespread action to make behavioral health an integral part of general medicine--integrated health care. The text includs attention to: BLExplanations of the interaction between physical and mental health BLIllnesses associated with anxiety, depression and other psychiatric conditions BLInsights into how ineffective systems can be changed
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