Abstract

Almost all psychiatric syndromes may occur in surgical patients at one time or another. The rate of occurrence varies considerably, but in one large municipal hospital study 22 per cent were found to have gross psychiatric complications. The most common psychiatric complications of surgery are (1) the anxiety reaction, (2) depression, (3) denial of illness and (4) acute brain syndrome. Therapy of all psychiatric complications is based on the institution of on-the-spot psychotherapy plus adjunctive drug therapy. When the acute brain syndrome develops, it is secondary to the disturbed physiology of the primary surgical condition and improves as the primary condition improves.

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