ABSTRACT

Chapter 9 deals with organizing one’s thinking in diagnostically differentiating patients according to their symptoms. Some patients present with intuitive presentations, that is, with physical symptoms representing a medical condition, or psychological symptoms representing a psychiatric disturbance. Some patients’ presentations are counterintuitive, such as a patient with a psychiatric disturbance presenting with physical symptoms, or a patient with a medical condition presenting with psychological symptoms. One also needs to consider the interaction between psychological factors and medical conditions and conditions presenting with disturbing or destructive behavior rather than symptoms.