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Remote consultations in psychiatry and psychotherapy are carried out in order to obtain a second opinion on the established or presumptive diagnosis of mental (feelings, thinking, behavioral) or psychosomatic disorders, interpretation of the prior results of clinical, laboratory, radiological examination, to receive recommendations for further treatment and diagnostic tactics. The main range of problems when this form of medical consultation is advisable and technically feasible, covers the following diseases: psychosomatic syndromes with and without organic disorders, behavioral syndromes associated with physiological disorders, mood disorders, some types of addictive disorders.
A psychiatrist or psychotherapist, involved in giving a second opinion, makes a conclusion about his agreement with the previous diagnosis, or questions its correctness on the basis of incomplete examination or different interpretation of its results. In the latter case are to be given the proposals for further diagnostic measures. An important aspect of the remote second opinion procedure is the assessment of therapeutic options and suggestions for the further treatment and observation tactics. The consulting doctor gives an opinion on the symptomatic or long-term therapy advisability. He can also, by the presence of a complete diagnostic picture, recommend a scheme of drug treatment, as well as online psychotherapy sessions. It could be also given recommendations about lifestyle, habits and behavior.
The possibilities of getting a second opinion may be limited by the patients with acute phase schizophrenia, acute drug addiction forms, mental retardation. Second opinion after the end of acute phase could be helpful in risk and residual symptomatology assessment, exclusion of relapses and prescribing an optimal drug therapy.
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Specialists in Psychiatry and psychotherapy
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