Psychiatrists consult online

Answer 1

Psychiatrists 'online consultation provided patients with convenient medical services.

During the consultation process, the doctor would still pay attention to some key information. First, there was information about the symptoms, including when the symptoms appeared, when they started to appear, whether they were persistent or intermittent, etc. The types of symptoms included psychological aspects (such as emotional state, changes in thinking, etc.) and physical aspects (such as headaches, stomach pains, etc.), the severity of the symptoms, and how long they lasted.

Doctors would also look for the cause of existing symptoms, such as whether the patient had recently experienced a traumatic event, such as a broken marriage, the death of a loved one, or the loss of a job; whether there was a trauma in childhood, such as emotional neglect or abuse, because these factors had an important impact on the patient's personality and coping style, and helped to understand the cause of the disease.

Past treatments were also important, such as whether the patient had similar symptoms or other mental illnesses before, whether there was a history of manic episodes or depression (this was helpful in determining whether it was a depression episode of manic disorder), what treatment had been received before, what drugs had been used (some patients may use diet therapy, tobacco, and alcohol to cope with depression, which may affect the judgment of symptoms), and the effect of treatment.

In terms of family history, the doctor would ask the patient's grandparents, maternal grandparents, parents 'siblings, and their own siblings if they had a history of mental illness. Although mental illness was affected by many factors, and it was not certain that a patient in the family would get sick, family history was still useful for diagnosis.

In addition, a mental examination would be performed to understand the patient's emotional state (whether he was depressed most of the time, or whether there was a "smiling depression "), whether his interest had decreased, whether he was easily tired, whether his thinking was slow (such as speaking less and speaking slower), whether he had suicidal thoughts or attempts, etc. At the same time, he would pay attention to whether there were any discomfort symptoms such as headache, low back pain, stomach pain, short of breath, chest tightness, nausea, etc., because these may be manifestations of depression and may lead to misdiagnosis.

Although it was an online consultation, in order to confirm depression and rule out the possibility of physical diseases (such as Alzheimer's disease, tumors, and goiter disease) causing similar mental symptoms, the patient may also be required to undergo a general examination, a nervous system examination, and auxiliary examinations (such as blood routine, urine routine, B-ultrasound, infectious disease screening, etc.).

In the evaluation stage, doctors would use authoritative diagnosis standards to evaluate according to different diagnosis systems (such as the dsm-5 and icd-10). For the assessment of the severity of depression, he often used other assessments (such as the Hamilton depression scale) and self-assessments (such as the Self-Rating depression scale, the 9-item patient health survey, etc.).

A platform like Doctor Zhao Yang provided the possibility of online consultation in the psychiatric department. There were many professional doctors who worked long hours and worked in shifts. The length of treatment varied according to the situation. They could receive patients and track service. They could also provide services such as voice or video guidance, appointments, etc. Behind the platform was a complete medical business chain, including medical service teams and drug supply chains.