Sentences with phrase «negative clinical situation»

These are important findings which can help to understand how to reduce these effects of Parkinson's that exacerbate an already negative clinical situation.

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(iii) If a negative test result is required and the medical explanation concerns a situation in which the employee has a permanent or long - term medical condition that precludes him or her from providing a valid specimen, as the MRO, you must follow the procedures outlined at § 40.160 for determining if there is clinical evidence that the individual is an illicit drug user.

According to a stepped care approach (based on the patient's Edinburgh Postnatal Depression Scale (EPDS) score), facilitated self - help with the coach or individual cognitive behavioural therapy sessions with the clinical psychologist will be offered.135 Common elements are: (1) challenge most unhelpful negative cognitions, (2) schedule at least one pleasurable activity per day, (3) increase social contacts, (4) improve sleep routine, (5) identify most stressful situations and apply cognitive behavioural strategies to improve their management.135 136 Patients who require a psychiatric evaluation will be referred to a psychiatry liaison service.

Several researchers have postulated that SIB is a mechanism used to compensate for inadequate affect regulation in situations perceived as stressful.7, 8 Although primarily derived from clinical populations, the affect - regulation theory helps to explain SIB in community populations as well, since many report it as a method of coping with unwanted negative emotion.9, 10 If so, individuals vulnerable to SIB may also be at heightened risk of suicidality when trauma or psychological distress overwhelms their capacity to cope effectively.