[The role of the psychiatrist in rehabilitating the patient with ischemic cardiopathy].
Psychosocial aspects are considered nowadays to fill a very important function in the rehabilitation of severe somatic illness. The high prevalence of coronary artery disease (CAD) makes it representative in this field. Mainly acute in the beginning, with a strong probability of becoming chronic latter on, CAD constitutes a threaten to the individual. Anxiety and depression when to strong or to prolonged in time may become maladaptive and contribute to a delay in recovery. In this case a specialized approach is needed that must be individually adapted. This approach includes counselling, focalized psychotherapeutic intervention, exploration of fears and fantasies related to the illness and use of psychotropic drugs. On the other hand, family dynamics and interpersonal relationships are frequently related to the maintenance of maladjusted roles that can delay the return to active life. Professional problems and conflicts are sometimes obstacles to professional and social reintegration. All the described aspects recommend nowadays the organization of multidisciplinary rehabilitation teams as the only way of providing differentiated and multifocal approaches. The inclusion of mental health professionals in rehabilitation teams allows a better adequacy of their programs to patients and families emotional needs.
Cardoso
G
G
Serviço de Psiquiatria, Hospital Universitário de Santa Maria, Lisboa.
D003327:Coronary Disease / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000523:psychology / Q000534:rehabilitation*; D010348:Patient Care Team; D011593:Psychology, Social; D011613:Psychotherapy
Papel do psiquiatra na reabilitação do doente com cardiopatia isquémica.