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An accompanying editorial by Derrick Silove argued that we should not just focus on PTSD in post-conflict situations, saying that focussing on PTSD distracted attention from other common mental disorders such as depression, anxiety, prolonged grief, substance misuse, somatoform disorders and head injuries with psychiatric symptoms. He feels that post-conflict the opportunity can be used to set up better mental health infrastructure, and that this should be done with ‘family-focussed community mental health services’.
Has anyone had experiences working post-conflict in psychiatry – either in situ, or in seeing patients who have then fled to a different country?
The paper is available at: http://bjp.rcpsych.org/content/201/4/268.abstract Reference: Kohrt BA, Hruschka DJ, Worthman CM, Kunz RD, Baldwin JL, Upadhaya N et al. Political violence and mental health in Nepal: prospective study. BJPsych 2012; 201:268–75
The editorial is available at: http://bjp.rcpsych.org/content/201/4/255.abstract Reference: Silove D. Do conflict-affected societies need psychiatrists? BJPsych 2012; 201:255-257