Written by Terry Bardagjy on September 18, 2020
Clinical Vignette Patrick1 is a single, 45-year-old male who presents with widespread chronic pain that has become intolerable. His GP cannot find any physical reason for the current exacerbation of his pain and consequent disability—and made the referral for an assessment. His pain started in his 20s when he experienced a number of sports injuries […]
Written by Terry Bardagjy on September 11, 2020
Clinical Vignette Kayla, a 13-year-old girl with type 1 diabetes (T1D), was referred for outpatient psychological services because of concerns about depressed mood and lack of engagement in diabetes self-care. In your interview with her, she stated that she “doesn’t care” about her health, and expressed frustration and anger about her parent’s “nagging” about diabetes. […]
Written by Terry Bardagjy on September 9, 2020
Clinical Vignette Jenny is a 2-year, 1-month-old toddler whose parents report continuing concerns about her development. Her pediatrician has responded with a request for a detailed developmental assessment. Language is a major area of worry, although motor skills are delayed, and Jenny is described as “clumsy.” Jenny was born at 25 weeks gestational age. She […]
Written by Terry Bardagjy on June 16, 2020
Clinical Vignette Natalie is a 42-year-old woman experiencing panic attacks after an industrial accident in which she lost four fingers on one hand. While working on a hot plastic molding press, the machine malfunctioned—closing on her left hand and amputating her four fingers but sparing her thumb. She sustained both a crushing amputation and a […]
Written by Terry Bardagjy on March 15, 2017
Dr. Ryee discusses the assessment and management of celiac disease and other gluten-related conditions.
Written by Terry Bardagjy on October 13, 2016
Dr. Hoover discusses various presentations of acute and chronic pain in the integrated care environment and presents assessment and management techniques using pharmacological and non-pharmacological approaches.
Written by Terry Bardagjy on October 13, 2016
Dr. Reiter covers various manifestations of stress in the integrated care environment and presents treatment options appropriate for the brief primary care consult.
Written by Terry Bardagjy on October 13, 2016
Dr. Reiter discusses the problem of cognitive impairment in primary care, reviews the USPSTF guidelines regarding screening for cognitive impairment, and suggests strategies for intervening with cognitive impairment.
Written by Terry Bardagjy on October 13, 2016
Dr. Goodie discusses assessment and psychological management of overweight and obesity conditions. Assessment instruments and principles of psychological treatment in the integrated setting are covered.
Written by Terry Bardagjy on October 13, 2016
Dr. Hoover outlines pharmacological interventions and psychological management of osteo and rheumatoid arthritis in the integrated care setting, including supportive psychological approaches and drugs used to manage the disorders