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Psychiatric Bulletin (2001) 25: 21-24. doi: 10.1192/pb.25.1.21
© 2001 The Royal College of Psychiatrists
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Psychiatric Bulletin (2001) 25: 21-24
© 2001 The Royal College of Psychiatrists

Questions patients ask psychiatrists

Sian Llewellyn-Jones, Senior House Officer in Psychiatry, Gill Jones, General Practitioner and Peter Donnelly, Consultant in Community Psychiatry

Cefn Coed Hospital, Waunarlwydd Road, Cockett, Swansea SA2 OGH

AIMS AND METHOD

To identify the questions patients most commonly ask their psychiatrist. For 200 consecutive psychiatric patient consultations, answers to the invitation, "Do you have any questions you wish to ask me?" were recorded along with diagnosis. The most frequently asked questions were noted and compared across patient groups.

RESULTS

Most patients wanted to know when medication could be reduced or stopped. Some patients asked for more medication. Concerns about side-effects and fitness to drive were also common. A high proportion of patients (21-57%) asked no questions.

CLINICAL IMPLICATIONS

Psychiatrists must be prepared to answer questions effectively on the necessity and benefits of long term medication. These may be useful facts to include in a patient information leaflet. Side-effects of medication should also be taken seriously. Many patients lead impoverished social lives, with low levels of interpersonal interaction. This may be a barrier to participation in the clinical interview, and diminish the likelihood of posing questions.




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British Journal of Psychiatry Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 2001 The Royal College of Psychiatrists.