title: Psychiatric issues in chronic pain.
abstract: Chronic pain requires comprehensive care. While interdisciplinary approaches are recommended, the role of psychiatrists is often misunderstood. Psychiatrists should be involved with the care of patients with chronic pain as early as possible to maximize outcome. Psychiatrists offer an expertise that specifically addresses important deficiencies in the care of patients with chronic pain: 1) the lack of a detailed formulation, 2) the lumping of all psychopathology, and 3) the failure to effectively use psychopharmacologic treatments. This review provides a framework for formulating the diagnoses and treatments of patients with chronic pain.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, The Johns Hopkins Medical Institutions, Osler 320, 600 North Wolfe Street, Baltimore, MD 21287-5371, USA. mclark9@jhmi.edu
authors.forename: Michael R
authors.initials: MR
authors.lastname: Clark
mesh_terms: D000223:Adaptation, Psychological; D002908:Chronic Disease; D015897:Comorbidity; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D010146:Pain / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D010348:Patient Care Team; D011570:Psychiatry; D011619:Psychotropic Drugs / Q000627:therapeutic use
chemical_list: D011619:Psychotropic Drugs