General Adult Psychiatry

General Adult Psychiatry covers the day-to-day practice that most patients experience—assessment, diagnosis, shared decisions, and stepped care for mood, anxiety, psychotic, personality, and substance conditions. This page turns guidelines into clinic choreography: brief but thorough assessments, safety and sleep first, and clear algorithms that sequence psychotherapy and medications without polypharmacy. If you’re comparing a psychiatry conference, you’ll find templates for visit flow, measurement-based care, and team roles that keep access high and outcomes transparent. We include equity, language access, and cost navigation so care is possible, not just ideal.

Implementation is about consistency and follow-through. We outline registries that track function, sleep, and quality of life; scripts for motivational interviewing and difficult conversations; and deprescribing strategies that avoid withdrawal or relapse. For complex presentations, we emphasize consultation, collaborative care with primary care, and rapid escalation when risk rises. Digital tools extend monitoring and skills practice; peers and family can be powerful allies when invited with consent. For integrated medical-psychiatric care and hospital linkages, see Consultation-Liaison and SUD.

Foundations, Sequencing, and Safety

Structured assessment and formulation

  • Map symptoms, function, sleep, and risks into a clear plan.
  • Share the formulation with patients to align goals.

Stepped and shared care

  • Start low-intensity therapy first when safe; combine for severity.
  • Set thresholds to augment, switch, or escalate.

Medication principles

  • Choose by evidence, side-effect fit, and patient goals.
  • Review interactions; avoid sedative stacking.

Safety and crisis plans

  • Means safety, contacts, and rapid access during flare-ups.
  • Update plans after transitions or new stressors.

Teams, Equity, and Quality

Collaborative care models
Psychiatry consults with primary care using registries and caseload review.

Digital supports
Apps for skills and symptom tracking with privacy safeguards.

Equity and access
Language services, evening hours, and transport help.

Work and family
Accommodation letters and caregiver coaching.

Sleep and physical health
Circadian repair, exercise plans, and metabolic monitoring.

Deprescribing and review
Simplify regimens; taper safely with education.

Measurement and QI
Dashboards for function, PROMs, and safety events.

Learning system
PDSA cycles to refine pathways based on data.

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