Psychiatric Bulletin (2008) 32: 461-463. doi: 10.1192/pb.bp.107.018358
© 2008 The Royal College of Psychiatrists
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Liaison psychiatrist in a specialist diabetes centre

Madhusudan Dalvi, Specialist Registrar in Psychiatry and Honorary Research Fellow

South Kensington and Chelsea Mental Health Centre, and Division of Neurosciences, Imperial College London, 1 Nightingale Place, London SW10 9NG, email: madhusudan.dalvi{at}imperial.ac.uk

Michael Feher, Consultant Physician in Diabetes

Clinical Pharmacology and Internal Medicine and Honorary Senior Lecturer, Chelsea and Westminster Hospital, and Imperial College London

Esra Caglar, Senior House Officer in Liaison Psychiatry

South Kensington and Chelsea Mental Health Centre

Jose Catalan, Consultant Liaison Psychiatrist

South Kensington and Chelsea Mental Health Centre, London

Declaration of interest

None.

AIMS AND METHOD

To identify psychiatric conditions that may require psychiatric treatment in individuals referred from a diabetes centre to a liaison psychiatry diabetes clinic and to examine the referral pattern and reasons for referral. The study was a prospective case-note survey over a 12-month period.

RESULTS

The most common reason for referral was low mood (37.5%) and the most common psychiatric diagnosis was adjustment disorder (28.6%). Most individuals were referred by diabetes specialist nurses (53.1%). The majority (85.7%) were seen by a clinical psychologist after an initial assessment by a psychiatrist.

CLINICAL IMPLICATIONS

Common mental disorders occur frequently in individuals referred to a liaison diabetes clinic, hence the importance of early diagnosis. The involvement of psychiatrists in specialist diabetes clinics is very limited and better involvement is desirable.




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