On discharge, however, her weight quickly plummeted. Last year, Mrs Mukherjee approached a private therapist who advised two hours of psychoanalytic therapy twice weekly, and warned that no-one should weigh Mena until certain subconscious issues had been worked through. Practice guideline for eating disorders. If so, what that answer is. What you should do about it.
Physical examination shows no abnormalities except a mild tachycardia.
At a preliminary psychiatric interview it is clear that J has both generalised anxiety disorder and major depression, although she denies both. If only I could get rid of this pain, I'd be able to get on with my life. After assessing JV, you feel exhausted and wonder whether further psychiatric intervention in her case would be futile. However, you also feel that without the input of a mental health professional, the patient will continue to receive expensive and invasive investigations, and needless admissions to hospital. If so, what that answer is.