Book contents
- Clinical Reasoning and Decision-Making in Psychiatry
- Reviews
- Clinical Reasoning and Decision-Making in Psychiatry
- Copyright page
- Contents
- Foreword
- Preface
- 1 Making Sense of the Senseless: How to Gather and Organize Pertinent Information
- 2 The Approach to Diagnostic Ambiguity
- 3 What the Patient Isn’t Telling You: When Seeing Is Not Believing
- 4 Shared Decision-Making
- 5 Deciding on Appropriate Treatment Modalities: Medication, Psychotherapy, Hospitalization, and Other Levels of Care
- 6 Measurement-Based Care and Applying Statistical Concepts to the Individual Patient
- 7 Hypothesis-Testing and Crafting Patient-Specific Decision Trees
- 8 Decision Points in Iterative Pharmacotherapy
- 9 Hierarchical and Complex Pharmacotherapy Decision-Making
- 10 Prioritizing the Components of Any Decision-Making Model
- Index
- References
9 - Hierarchical and Complex Pharmacotherapy Decision-Making
Published online by Cambridge University Press: 25 March 2024
- Clinical Reasoning and Decision-Making in Psychiatry
- Reviews
- Clinical Reasoning and Decision-Making in Psychiatry
- Copyright page
- Contents
- Foreword
- Preface
- 1 Making Sense of the Senseless: How to Gather and Organize Pertinent Information
- 2 The Approach to Diagnostic Ambiguity
- 3 What the Patient Isn’t Telling You: When Seeing Is Not Believing
- 4 Shared Decision-Making
- 5 Deciding on Appropriate Treatment Modalities: Medication, Psychotherapy, Hospitalization, and Other Levels of Care
- 6 Measurement-Based Care and Applying Statistical Concepts to the Individual Patient
- 7 Hypothesis-Testing and Crafting Patient-Specific Decision Trees
- 8 Decision Points in Iterative Pharmacotherapy
- 9 Hierarchical and Complex Pharmacotherapy Decision-Making
- 10 Prioritizing the Components of Any Decision-Making Model
- Index
- References
Summary
In preceding chapters, we have focused mainly on how to think through clinical problems that are often ambiguous or have multiple viable solutions, each with their respective pros and cons. We have deliberately refrained from offering specific recommendations about “what to do” in a given situation when no single best answer may exist. When that happens, the clinician’s task involves framing testable hypotheses and applying a reasoning process to arrive at a sensible individualized treatment regimen (ITR) for a given patient based on their unique clinical profile. Our goal has been to steer readers away from one-size-fit-all protocol-driven care and replace that approach with a more decision-analytic patient-specific iterative strategy, where nodes along a decision tree are determined by the personalized characteristics of a given individual.
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- Chapter
- Information
- Clinical Reasoning and Decision-Making in Psychiatry , pp. 242 - 275Publisher: Cambridge University PressPrint publication year: 2024