Modifying Patients Surroundings

Difficult patients will often show fewer symptoms and a dramatic improvement in their acute emotional, physical, and behavioral functioning when the physician recruits additional support from the environment. This may mean bringing in a helpful spouse, friend, or other personal support into the patient's medical care. Other approaches to improving the patient's external environment may include allowing the nurse or office staff to spend more time with the patient and adding social services, self-help support groups, or psychiatric care. In extreme situations, using the psychiatric or medical emergency services can be helpful interventions. Some patients with personality disorders need to be managed with the help of the police.

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