Psychiatry in Primary Care

True or false: Males attempt suicide more than females.

False.

True or false: 75% of the population with affective disorders commit suicide.

False. 15% commit suicide.

Percent of adult population in US with mental illness

26.2% or 1 in 4, totalling 57 million people. 6% are considered to have "serious mental illness".

Percent of diagnosed mental illness that receive treatment

40%

Which of the following is not a medical co-morbidity of mental illness : Alcoholism -Obesity -Cancer -Cardio-vascular Health -Pulmonary Health -Endocrine Health -Infectious Diseases -Interpersonal Violence and Trauma

Cancer is not a medical co-morbidity of mental illness.

Which is more a more common diagnosis in primary care? Depression or hypertension?

Depression

True or false: The cost of treating mental illness is less than the cost of treating all cancers.

False

True or false: Patients with untreated mental health illnesses tend to avoid from primary care systems.

False. Actually, these patients tend to over use the system. Patients with undiagnosed depression present 6 or more times with somatic complaints compared to general public.

True or false: About 6-17% of all patients present with depression. Of those diagnosed, only 50% of them receive treatment.

False. Only 17% receive adequate treatment.

True or false: Anxiety is as commonly diagnosed as depression.

False. Prevalence of anxiety disorder is 11-25%, which is more than the prevalence of depression (6-17%). 33% of patients diagnosed with anxiety receive treatment.

True or false: Depressed patients have the same health care cost as other patients.

False. Their costs are doubled.

True or false: The only obstacle to a patient seeking mental health care is themselves.

False. There are difficulties in dealing with insurance companies, access to care, availability of providers, societal and cultural impacts, and patient understanding.

True or false: Depression is under treated but diagnosed accurately

False. This mental illness is both under treated and misdiagnosed.

True or false: Depressed patients are often non-compliant with prescribed treatment.

True

True or false: Medication alone is a not an adequate treatment for depression

True

True or false: Mental illness is the leading cause of disability in North America for ages 15-44

True

True or false: 50% of those who commit suicide sought treatment in primary care < 1month before dying.

True.

True or false: Under treatment or misdiagnosis of psychiatric illness leads to these patients being the top 2/3 of "high users" of the health care system.

True.

True or false: Anxiety is the most common co-morbid psychiatric disorder with medical illness.

True. 25%-50% co-morbidity rate.

True or false: Females are "less" successful in completing suicide compared to males.

True. Statistically, females have a 75% greater chance of surviving a suicide attempt than males.

True or false: 90% of people who commit suicide have a diagnosable mental illness.

True. Usually depression or substance abuse.