In addition to people who come to emergency facilities with non-emergency problems, there are two other common categories of overutilizers: (1) people buy cheap levitra online who request medical care but have no detectable ailment, (2) people with chronic psychiatric problems. Falling into both categories at once are people with factitious disorders (p.556) who are sometimes “addicted to the patient role” and skilled at simulating genuine illnesses.
Overutilizers respond well to brief psychological consultations. They are easily detected in the triage process, used in most Emergency Rooms, whereby incoming patients are screened to determine who really needs emergency care. Research indicates that, for people coming to a clinic with imagined disorders, even a single session with a psychiatrist or a psychotherapist reduces the number of later hospital visits.
An example of successful rehabilitation psychology is group therapy for open-heart surgery patients. Radical changes in diet and exercise programs may help prolong the life of individuals with heart problems. This requires a degree of behavioral change that is unlikely to take place without concentrated support. Sometimes a weekly group meeting is effective for promoting the needed changes.