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Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness

Hughes, D; Yardley, S; Greenfield, P; Rolph, M; (2022) Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness. BJPsych Bulletin 10.1192/bjb.2021.124. (In press). Green open access

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Abstract

The concurrent assessment and treatment of mental health disorders and palliative illnesses is complex. Affective disorders are more prevalent in people who need palliative care. Identifying the most suitable place of care and multi-professional multidisciplinary teams to provide support can be challenging and bewildering for professionals and patients. Mental health clinicians may be left with a sense of therapeutic nihilism, while palliative care teams can feel limited by the mental health resources available for treating those living with significant physical and mental health needs. We discuss the fictional case of a gentleman with metastatic bowel cancer who has developed symptoms of depressive disorder and identify how taking a pragmatic patient-centred approach can offer a route through potential dilemmas when seeking to provide individualised care based on needs. We used lay person experience alongside our own experiences of novel mechanisms for cross-specialty working in order to direct psychiatric trainees' approaches to such cases.

Type: Article
Title: Delivering mental healthcare to patients with a depressive disorder alongside a life-limiting illness
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjb.2021.124
Publisher version: https://doi.org/110.1192/bjb.2021.124
Language: English
Additional information: This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Depressive disorders, antidepressants, anxiety disorders, education and training, service users
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Marie Curie Palliative Care
URI: https://discovery.ucl.ac.uk/id/eprint/10142086
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