[The role of the psychiatrist in rehabilitating the XXXX with ischemic cardiopathy].

@entity1 @entity308 @entity148 @entity453 @entity221
Psychosocial aspects are considered nowadays to fill a very important function in the rehabilitation of severe @entity221 . The high prevalence of @entity453 ( @entity453 ) makes it representative in this field. Mainly acute in the beginning, with a strong probability of becoming chronic latter on, @entity453 constitutes a threaten to the individual. @entity148 and @entity308 when to strong or to prolonged in time may become maladaptive and contribute to a delay in recovery. In this case a specialized approach is needed that must be individually adapted. This approach includes counselling, focalized psychotherapeutic intervention, exploration of fears and fantasies related to the illness and use of psychotropic drugs. On the other hand, family dynamics and interpersonal relationships are frequently related to the maintenance of maladjusted roles that can delay the return to active life. Professional problems and conflicts are sometimes obstacles to professional and social reintegration. All the described aspects recommend nowadays the organization of multidisciplinary rehabilitation teams as the only way of providing differentiated and multifocal approaches. The inclusion of mental health professionals in rehabilitation teams allows a better adequacy of their programs to @entity1 and families emotional needs.
