Psychiatric Occupational Therapy (OT)
Treatment
- Depression
- Atypical depression
- Dissociative disorder
- Conversion reaction
- Adjustment disorder
- Atypical psychosis
- Schizophrenia
- Early onset dementia
- Borderline personality disorder
- Obsessive compulsive disorder
- Panic disorder/anxiety
Treatment is usually provided at the patient's bedside, an assigned hospital room or in a group therapy setting. If the patient is able to leave his or her hospital room Psychiatric OT may be offered in the OT treatment room (Cleveland Clinic Main Campus - P7). The patient would be brought to the P building by Patient Transportation.
Psychiatric Occupational Therapy Treatment Team
Psychiatric OT works closely with Nursing to maintain excellent and prompt communication related to patient care. A coordination of care is assured by involving Social Services, Nutrition Therapy and Pastoral Care. The MD Consult Team from Psychiatry also refers patients to Psychiatric OT. Likewise, if a patient is identified as having either a psychiatric history, or a new onset of symptoms, Psychiatric OT will encourage the attending physician to refer the patient to the Psychiatric Consult MD Team for diagnostic evaluation, counseling and psychopharmacological treatment.
When to refer a patient to Psychiatric OT:
Patients should be referred whose daily living skills are impaired, due to:
- Treatment non-compliance or resistance
- Severe lack of motivation or investment
- Depressive symptoms: anhedonia, apathy, isolation, social avoidance, indifference, vegetative state, crying
- Adjustment reaction: depression, ruminating, reaction out of character for patient or out of proportion to physical insult, anger, hostility, blaming, treatment refusal
- Anxiety prohibiting function
- Cognitive impairment due to psychosis
- Chronic pain/behavioral maladaptation
- Medical diagnoses with potential for psychological sequelae
- Leukemia, Carcinoma
- COPD
- Transplant
- Colorectal dysfunction
- Amputation
- Cardiac disorders
- AIDS
- Inflammatory disorders
- Post-concussion syndrome
- ESRD
How to Make a Referral to Psychiatric OT
A physician referral is necessary for Psychiatric OT (Doctor's order needed: "Psychiatric OT: Evaluation and Treatment"). Physician referrals may be called in to 216.444.5607.
