Challenges in Management of Mental

Health Disorder in Primary Care

Co-created by Dr. T. Ashok Rao

Senior Consultant Physician & Diabetologist
Pavithra Nursing Home, Rahmath Nagar, Yousufguda, Hyderabad
Email : drtashok.rao@gmail.com

PHYSICIAN-PATIENT INTERACTION

A moderating effect is observed on both the patient and physician factors when physician and patient
factors emerged in relationship to each other within the context of the clinical setting (Figure 2).1

Figure 2: Physician-patient interaction conceptual model

Clinical Context
Physician Domain • Mental health resources Patient Domain
• Knowledge • Communication wih specialists • Mental illness symptoms
• Clincial experience • Clinic procedures Patient care
• Communication skills
• Communication skills • Larger healthcare systems
• Professionalism

Adapted from: Loeb DF, et al. J Gen Intern Med. 2012.

Reference: 1. Loeb DF, Bayliss EA, Binswanger IA, Candrian C, deGruy FV. Primary care physician perceptions on caring for complex
patients with medical and mental illness. J Gen Intern Med. 2012;27(8):945-952. 2. Abed Faghri NM, Boisvert CM, Faghri S.
Understanding the expanding role of primary care physicians (PCPs) to primary psychiatric care physicians (PPCPs): enhancing the
assessment and treatment of psychiatric conditions. Ment Health Fam Med. 2010;7(1):17-25.

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