THE USE OF PSYCHOTROPIC DRUGS IN PRIMARY CARE

This study address the practices adapted in the prescription of psychotropic drugs by familiy doctors and their difficulties in the constuction of diagnosis in mental health in primary care. The family physicians began to play an important role in mental health, after insertion of psychotropic drugs in 2011 in Primary Care in the City of Rio de Janeiro, they began to follow these users and have to decide what to do and how to make this demand. We conducted a qualitative study, where it was used the technique of focus group. Data analysis was performed by speech analysis, weaving up a relationship with literature references. The focus was attended by eight familiy physicians, residents of the Medical Home and Family and Community in the city of Rio de Janeiro. It was observed that family doctors, with their skills: community and individual approach; use of harm-reduction techniques; person-centered clinical method; integral care present difficulties in making a diagnosis, prescription of psychotropic drugs and monitoring of mental health users. The mental health issues are subjective and rely heavily on the "different look"; a qualified hearing; a user bond/medical; the approach to the use, to diagnose and treat properly, either with or alternative therapies and medicines. These are issues, that sometimes needs a multidisciplinary approach, with help of psychologists and/or psychiatrists, being so important to have a matrix support really effective.