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| Trigger points for a GP referral to a psychologist- New or recent diagnosis and indications of difficulty adjusting to diagnosis (including no change in behaviour or mood)
- Poor adherence to self-management strategies
- Low mood, elevated levels of anxiety and/or previous history of mental health condition
- Changes in social or occupational functioning
- Poor stress management
- Difficulty in accepting and integrating changes in self-concept or body image
Trigger points for a psychologist referral to a GP- Ongoing poor chronic condition self-management
- Deteriorations in physical health and functioning
- Extended time between medical reviews
- Increasing symptom severity
Potential treatment by a psychologist- Biopsychosocial assessment to precede intervention
- Education to ensure accurate knowledge and understanding of osteoarthritis symptoms and short/long term consequences
- Facilitation of behaviour changes in diet, exercise, adherence to prescribed medication to minimise or slow the rate of symptom deterioration
- Cognitive and behavioural stress management strategies including relaxation strategies
- Evidence-based treatment for psychological disorders such as mood, anxiety and eating disorders
- Assertiveness and problem solving training
- Enhancing social support and relationship counselling
- Psychosocial support for partners and carers
- Assist patient with pain management strategies
- Assist patient to adjust to declining mobility and overall functioning
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