Problem Focused or Symptom Oriented Treatment

Once the physician has formulated the case using the timeline and eco-map and developed a wheel-and-spoke treatment plan, the problem-focused or symptom-oriented crisis treatment can begin. A family practitioner may use educational, psychotherapeutic, or supportive approaches with or without medications. The cornerstone approaches to crisis treatment are fostering coping skills and adaptive problem

Figure 45-4 Wheel-and-spoke crisis formulation and treatment plan: Case Study 3.

solving, using a crisis resolution strategy. Medications may be necessary for symptom relief or as part of the treatment approach to a major psychiatric illness. In IPV cases, safety planning is of paramount importance (see Box 45-3).

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