Box 2. Example of a patient with concurrent mental and somatic diseases. (GP 7)

Peter is a middle-aged man with schizophrenia and periodic alcohol misuse, who is overweight. He also suffers from type 2 diabetes, heart failure, and chronic obstructive pulmonary disease. His GP had tried to refer Peter to hospital several times, but Peter often cancels or leaves the hospital because he cannot cope in the large hospital setting. The GP finds that Peter has an unbearable feeling of insecurity which is related to his psychiatric disorder. Therefore, the GP manages Peter’s chronic conditions, although she does not see this as the best solution for Peter. They are in weekly contact and Peter gets appointments at very short notice, because he has so many diseases to deal with and his conditions easily exacerbate.