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The use of
complementary alternative medicine (CAM) for mental health problems
is well documented. In psychiatric patients, estimates of the
prevalence of CAM use range from 8% to 57%. Such treatments are
either used alternatively (instead of) or complementarily (in
addition) to conventional medicine.
Patients may choose a CAM approach for a
variety of reasons, and the range of CAMs is huge. However, the
evidence base for the effectiveness of CAMs remains limited, and
for many CAMs, effectiveness has not been demonstrated at
all. Some treatments may even put patients’ physical or mental
health at risk.
Discussing this with patients who may have put
high hopes into CAMs can be difficult, and physicians may feel
feel ill-equipped to deal with their patients´ queries. From a
medico-legal point of view, uncritical encouragement of the
potentially harmful use of CAMs is as undesirable as overcautious
discouragement.
The goal of this module is to acquaint
psychiatrists with the most common CAM medicines routinely
encountered in clinical practice and to enable them to deal
confidently with clinical queries in this area.
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