Clinical Manual of Psychopharmacology in the Medically Ill

Author: James L. Levenson,Stephen J. Ferrando

Publisher: American Psychiatric Pub

ISBN: 1615371079

Category: Medical

Page: 864

View: 2055

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The new edition of Clinical Manual of Psychopharmacology in the Medically Ill continues the legacy and builds on the success of the first edition by offering a thoroughly up-to-date, comprehensive, and practical guide to the prescription of psychotropic medications in patients with medical illness. The book addresses the prevalence of psychiatric illness in patients with serious medical illness, the complications that may arise, and the implications for psychopharmacological treatment. There is increasing recognition that patients with medical and psychiatric comorbidity have more functional impairment, disability days, emergency department use, rehospitalization, and other medical care costs than do those without such comorbidity. As a result, health care systems have been incentivized to develop new and innovative models of population-based care that integrate medical and psychiatric care in an effort to increase quality and prevention while decreasing use of expensive services such as emergency department visits and hospitalizations. The book is a valuable guide for clinicians across a range of specialties operating in this new, more demanding health care environment. The manual addresses critically important topics through the use of a variety of user-friendly features: Psychiatric drugs that have become available since the first edition, as well as all recent relevant randomized controlled trials, systematic reviews, and meta-analyses, are covered thoroughly. Each chapter addresses key differential diagnostic considerations and adverse neuropsychiatric side effects of disease-specific medications. Disease-specific pharmacokinetic principles in drug prescribing, including interactions between psychotropic drugs and disease-specific drugs, are also addressed. Key summary points pertaining to psychotropic prescribing in the specific medical disease(s) or specialty area covered are included at the end of each chapter, and a multitude of useful tables summarizing the most important information are provided as well. Chapters are heavily referenced with source information should readers wish to expand their knowledge in a specific area. The chapter authors were selected for their expertise in each area, then the text was edited for consistency, clarity, and maximum utility. Clinical Manual of Psychopharmacology in the Medically Ill is a rigorous and illuminating guide to this vital topic, and clinicians from a variety of specialties will find it indispensable.

Clinical Manual of Psychopharmacology in the Medically Ill

Author: Stephen J. Ferrando,James L. Levenson,James A. Owen

Publisher: American Psychiatric Pub

ISBN: 1585629421

Category: Medical

Page: 640

View: 3042

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A comprehensive yet practical guide to the prescription of psychotropic medications in patients with medical illness, Clinical Manual of Psychopharmacology in the Medically Ill is designed to be useful to clinicians practicing in a broad range of specialties, from the psychosomatic medicine specialist caring for a delirious patient with cancer to the general medical practitioner prescribing an antidepressant to a diabetic patient who recently had a myocardial infarction. This manual Provides useful psychotropic prescribing protocols that can be employed by primary care physicians, psychiatrists, and other medical professionals. Reviews fundamental principles of psychotropic drug prescribing across medical specialties. Educates clinicians regarding the growing evidence base supporting the safety and efficacy of psychopharmacological treatments for a diverse range of psychiatric problems in medically ill patients. Provides clinically relevant information concerning psychopharmacology in the medically ill, including pharmacokinetic and pharmacodynamic principles, drug-drug interactions, and organ system disease-specific issues. Clinical Manual of Psychopharmacology in the Medically Ill is divided into two sections. The first supplies fundamental background information for prescribing psychotropics across medical disease states, including discussion of pharmacodynamics and pharmacokinetics, drug-drug interaction principles, major systemic adverse effects of psychotropic drugs, and alternate routes of psychotropic drug administration. The second section addresses psychopharmacological treatment in specific organ system diseases, such as renal and cardiovascular disease, as well as other relevant subspecialty areas, such as critical care, organ transplantation, pain, and substance use disorders. Authored by experts in the field, chapters contain the following: Key differential diagnostic considerations, including adverse neuropsychiatric side effects of disease-specific medications Disease-specific pharmacokinetic principles in drug prescribing, including interactions between psychotropic drugs and disease-specific drugs Useful tables summarizing information on adverse neuropsychiatric side effects of disease-specific medications, adverse disease-specific side effects of psychotropic drugs, and drug-drug interactions Extensive referencing of source material to allow readers to expand their knowledge in specific areas This manual, beyond serving as a clinical guide, should become a mainstay of curricula in general psychiatric residency programs, psychosomatic medicine fellowships, and nonpsychiatric residency training programs that prepare physicians to provide safe and effective psychopharmacological treatment for patients with medical illness.

Psychiatrie, Psychosomatik, Psychotherapie

Band 1: Allgemeine Psychiatrie Band 2: Spezielle Psychiatrie

Author: Hans-Jürgen Möller,Gerd Laux,Hans-Peter Kapfhammer

Publisher: Springer-Verlag

ISBN: 3642036376

Category: Medical

Page: 2906

View: 4448

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Ein Werk, das Maßstäbe setzt! Längst etablierte sich der „MLK" als DAS Standardwerk in der Psychiatrie und Psychotherapie. Damit das Wissen auf den neuesten Stand gebracht wird und die Fülle an Information übersichtlich bleibt, erscheint der „MLK" erstmals in zwei Bänden. Band 1: Allgemeine Psychiatrie und Psychotherapie – mit ausführlichen Kapiteln zu den einzelnen Verfahren Band 2: Spezielle Psychiatrie und Psychotherapie mit sämtlichen Störungen Das komplette Wissen auf dem Weg zum Facharzt und darüber hinaus! Jetzt mit EBM-Boxen!

Nonalcoholic Fatty Liver Disease, An Issue of Clinics in Liver Disease - E-Book

Author: Arun J. Sanyal

Publisher: Elsevier Health Sciences

ISBN: 145574736X

Category: Medical

Page: 240

View: 4556

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Dr. Sanyal's expertise as Chairman of the Division of Hepatology at Virginia Commonwealth University and the breadth of his published articles in hepatology make him the perfect person to compile state-of-the-art reviews on the topic of NASH/fatty liver. The articles in this issue address the following topics: The Genetic Epidemiology of Nonalcoholic Fatty Liver Disease; Relevance of Liver Histology to Predict Clinically Meaningful Outcomes in NASH; Mechanisms of Simple Hepatic Steatosis; Cellular and Molecular Basis for Phenotype of Steatohepatitis; Mechanisms of Disease Progression in NASH: New Paradigms; Can NASH Be Diagnosed, Graded and Staged Non-Invasively?; Is NAFLD in Children the Same Disease as in Adults?; The Cardiovascular Link to NAFLD: A Critical Analysis; Impact of Behavioral Disturbances and Their Treatment on Obesity and NAFLD; and Management of NASH.

Clinical Manual of Emergency Psychiatry, Second Edition

Author: Michelle B. Riba, M.D., M.S.,Divy Ravindranath, M.D., M.S.,Gerald Scott Winder, M.D.

Publisher: American Psychiatric Pub

ISBN: 1585625078

Category: Medical

Page: 375

View: 6428

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The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

Clinical Manual of Pediatric Psychosomatic Medicine

Mental Health Consultation With Physically Ill Children and Adolescents

Author: Richard J. Shaw,David R. DeMaso

Publisher: American Psychiatric Pub

ISBN: 9781585626687

Category: Medical

Page: 425

View: 8136

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The mental health assessment and treatment of youngsters with physical symptoms and illnesses commonly pose unique and often complex challenges to clinicians. Clinical Manual of Pediatric Psychosomatic Medicine is the only complete text on the subject, describing an integrative approach to behavioral health problems in children and adolescents who are physically ill, have emotional illness masquerading as physical illness, and have comorbid emotional and physical conditions that complicate the management of each. It brings together information regarding consultation-liaison or psychosomatic work with children into a succinct guide that provides the practitioner with pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children, and it features a set of unique templates to help guide clinical assessment and management. The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including coping strategies for family members; psychopharmacology; and techniques such as medical hypnosis to help children prepare for procedures. Among the book's other helpful features are: Templates with specific questions for both general psychiatric assessment and specific issues, such as pre-transplant assessment, treatment adherence, and somatoform disorders Intensive coverage of pediatric pain assessment and management, including the use of adjunctive psychiatric medications to treat children with chronic pain Unique considerations tailored to each topic, such as anxiety symptoms related to specific physical conditions and end-of-life strategies for cancer patients Consideration of legal and forensic issues, including consent, confidentiality, and assessment for parenting capacity An abundance of quick-reference tables -- including psychopharmacological agents used in a wide range of conditions, with indications, doses, and side effects -- and flow charts describing step-by-step approaches to pain and somatoform disorders This practical manual is useful to a wide range of professionals who work with children and adolescents in medical settings. And because psychosomatic medicine has recently received subspecialty status with the American Board of Psychiatry and Neurology, it offers an excellent resource for board examinations.

Clinical Manual of Addiction Psychopharmacology, Second Edition

Author: Henry R. Kranzler, M.D.,Domenic A. Ciraulo, M.D.,Leah R. Zindel, R.Ph., M.A.L.S.

Publisher: American Psychiatric Pub

ISBN: 1585624403

Category: Medical

Page: 447

View: 1697

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This new edition of Clinical Manual of Addiction Psychopharmacology offers information on the pharmacology of the major classes of drugs related to addiction and the latest pharmacological treatment of dependence on these drugs. The manual reflects recent research and evidence-based perspectives on the pharmacological actions of drugs of abuse.

Manual of Clinical Psychopharmacology

Author: Alan F. Schatzberg,Jonathan O. Cole,Charles DeBattista

Publisher: American Psychiatric Pub

ISBN: 1585623776

Category: Medical

Page: 720

View: 3901

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Revised by preeminent psychopharmacologists, the book presents systematic, comprehensive, yet utterly accessible information and practical advice for applying psychotropic medications to the treatment of specific psychiatric conditions.

Clinical Manual of Psychosomatic Medicine

A Guide to Consultation-liaison Psychiatry

Author: Michael G. Wise,James R. Rundell

Publisher: Amer Psychiatric Pub Incorporated


Category: Medical

Page: 338

View: 8375

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More concise, practical, and clinically oriented than other available texts, Clinical Manual of Psychosomatic Medicine: A Guide to Consultation-Liaison Psychiatry is designed to aid today's busy clinicians with bedside and office consultation. This manual presents the distilled wisdom of two highly experienced consultation-lialson psychiatrists and includes many illustrative figures and tables that offer quick, easy access to critical information about how to diagnose and treat psychiatric disorders in patients who have, or believe they have, other medical disorders. The authors of Clinical Manual of Psychosomatic Medicine begin by summarizing how to do effective psychiatric consultation in a changing health care environment, citing key trends such as managed health care, reallocation of health care resources, medical care, and psychiatric consultation's shift from inpatient to outpatient settings, and to multidisciplinary teams. Epidemiology, clinical characteristics, differential diagnosis, and treatment and management of various syndromes and disorders - Delirium, dementia, depression, mania, anxiety, somatoform and related disorders, and substance-related disorders (alcohol, sedatives/hypnotics/anxiolytics, oplates/narcotics, amphetamines, and cocaine) - violence/aggression and suicldality. Pharmacological issues - Patients who are medically ill are usually taking one or more medications. Therefore, consultation-liaison psychiatrists must thoroughly understand drug actions, metabolism, and elimination; the cytochrome P450 system; and drug interactions, including the risks for pregnant and breast-feeding women. Other critical issues - Pain management, personality, ethical and legal, and geriatric psychiatry issues. Special consultation-liaison topics - Pregnant/postpartum, pediatric, burn, cancer, neurology and neurosurgery, HIV/AIDS, critically ill, and impotent patients, and organ transplant donors and reciplents. mortality, morbidity, length of stay, and hospital costs in general hospital patients and medical-surgical outpatients. To accommodate the shift from inpatient to outpatient settings and to the evolving importance of psychiatric care delivered within specialty and primary care settings, this invaluable reference shows how consultation psychiatrists are the ideal clinicians to provide rapid, focused, and practical diagnostic assessments and treatment recommendations. Essentially an expanded fourth edition of the Concise Guide to Consultation Psychiatry, the eminently practical Clinical Manual of Psychosomatic Medicine: A Guide to Consultation-Liaison Psychiatry will be welcomed by consultation-liaison and general psychiatrists, primary care physicians, consultation-liaison/psychosomatic fellows, psychiatry residents, and medical students. This manual is an outstanding resource for didactics and clinical rotations for those in training or reviewing for board examinations.

Handbook of Consultation-Liaison Psychiatry

Author: Hoyle Leigh,Jon Streltzer

Publisher: Springer

ISBN: 3319110055

Category: Medical

Page: 561

View: 5395

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This updated resource refines and expands on both the core concepts and the real-world practice of consultation-liaison psychiatry in medical settings. New and revised chapters provide background and basics and describe CL psychiatry approaches to managing a wide array of common conditions, including heart disease, dementia, anxiety and depressive disorders, alcohol and substance use problems, and chronic pain. Besides the fine points of practice in varied chronic and acute care settings, specific patient populations such as children, elders, ob/gyn patients, and the immunocompromised are discussed. The latest information and insights on pharmacology, interviewing, and ethical and cultural issues round out the book's highly accessible coverage. A sampling of topics in the Handbook: Basic foundations of diagnosis, psychiatric diagnosis, and final common pathway syndromes. An integrative care model of psychiatry in the primary care setting. Patient personality, personality types and traits, and disorders. The chronic patient and the palliative care setting. Trauma- and stressor-related disorders. Somatic symptoms and related disorders. The Second Edition of the Handbook of Consultation-Liaison Psychiatry ably follows its predecessor by presenting the diverse state of the specialty to enhance the work of psychiatrists, clinical psychologists, and primary care physicians.

Handbook of Essential Psychopharmacology

Author: Ronald W. Pies

Publisher: American Psychiatric Pub

ISBN: 9781585626601

Category: Medical

Page: 556

View: 6611

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Handbook of Essential Psychopharmacology, Second Edition, provides an indispensable guide to vital information in the rapidly expanding field of psychopharmacology. The updated edition of this popular handbook will continue to be a reference that is simply the essential starting point in psychopharmacology for residents and experienced clinicians alike. Busy residents and clinicians will find a quick, current, and accessible guide to basic facts about psychotropic drugs, including dosages, indications, and drug interactions. As in the first edition, its structure is clear and easy to read, including An all-new introductory chapter, designed to equip the reader with a basic understanding of pharmacodynamics and pharmacokinetics Four main chapters covering the four main groups of psychotropic medications: antidepressants, antipsychotics, anxiolytics, and mood stabilizers A consistent format for all four chapters that summarizes critical information about each group of medications, including drug class, indications, mechanisms of action, pharmacokinetics, main side effects, drug-drug interaction, potentiating maneuvers, and use in special populations A wealth of tables and graphs for quick clinical consultation and unique self-instruction sets of questions and answers Fascinating and educational vignettes and puzzlers, extensive references for further reading, and -- new to this edition -- an invaluable appendix of fifty questions and answers, designed to test the reader's knowledge and comprehension of the text Densely informative and packed with practical material and special features, this truly essential guide is a handy clinical reference for experienced clinicians, an ideal teaching tool for educators, and a useful resource for residents, especially those preparing for the psychiatry board examinations.


Author: Jimmie C. Holland,William S. Breitbart,Paul B. Jacobsen,Matthew J. Loscalzo,Ruth McCorkle,Phyllis N. Butow

Publisher: Oxford University Press

ISBN: 0199363331

Category: Medical

Page: 864

View: 9059

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Originally published by Oxford in 1998, Psycho-Oncology was the first comprehensive text in the field and remains the gold standard today. Edited by a team of leading experts in psycho-oncology, spearheaded by Dr. Jimmie C. Holland, the founder of the field, the text reflects the interdisciplinary nature and global reach of this growing field. Thoroughly updated and developed in collaboration with the American Psychosocial Society and the International Psycho-oncology Society, the third edition is a current, comprehensive reference for psychiatrists, psychologists, oncologists, hospice workers, and social workers seeking to understand and manage the psychological issues involved in the care of persons with cancer and the psychological, social, and behavioral factors that contribute to cancer risk and survival. New to this edition are chapters on gender-based and geriatric issues and expanded coverage of underserved populations, community based programs, and caregiver training and education.

Psychiatrie - Ein Lehrbuch Fur Studierende Und Arzte

Author: Emil Kraepelin

Publisher: N.A

ISBN: 9783737206976


Page: 380

View: 302

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"Psychiatrie ist die Lehre von den psychischen Krankheiten und deren Behandlung. Ihren Ausgangspunkt und ihre Grundlage bildet die wissenschaftliche Erkenntnis des Wesens der Geistesstorungen. In der Losung dieser Aufgabe waren schon die Arzte des Altertums so weit vorgeschritten, dass sie das Irresein mit gewissen korperlichen Storungen in Verbindung brachten, namentlich mit dem Fieber und mit Veranderungen der Korpersafte. Leider gingen diese bereits zu Lehrgebauden entwickelten Anschauungen mit dem Zusammenbruch der alten Kultur fast vollig wieder verloren. Dafur drangen im Mittelalter einerseits scholastisch -philosophische, andererseits religios -aberglaubische Vorstellungen in die Auffassung des Irreseins ein und verdrangten rasch die vorhandenen Ansatze eines naturwissenschaftlichen Verstandnisses. Die Geistesstorung war nicht mehr Krankheit, sondern Werk des Teufels, Strafe des Himmels, bisweilen auch gottliche Verzuckung. Nicht der Arzt beschaftigte sich mehr mit der Erforschung und Behandlung des Seelengestorten, sondern der Priester suchte ihm die bosen Geister zu vertreiben; das Volk betete ihn als Heiligen an, und die Hexenrichter Hessen ihn in der Folterkammer wie auf dem Scheiterhaufen fur seine vermeintlichen, wahnhaften Sunden bussen. Mit der Wiedererneuerung der Wissenschaften und insbesondere mit dem Aufschwunge der Medizin begann allmahlich auch das Interesse der Arzte sich wieder den Geisteskranken zuzuwenden. Allein es dauerte Jahrhunderte, bevor die klare Erkenntnis sich uberall Geltung zu erringen vermochte, dass die Seelenstorungen nur vom arztlichen Standpunkte aus richtig erforscht und erkannt werden konnen." [...] Vorliegender erster Band dieser zweiteiligen Reihe befasst sich mit den Ursachen des Irreseins, den Erscheinungen, Verlauf, Ausgange und Dauer des Irreseins, sowie der Behandlung. Auch heute gehort dieses Werk noch zu den lesenswerten Titeln uber die Psychiatrie. Der Autor dieses Werkes, Emil Kraepelin (1856 bis 1926) war ein de"

Taschenatlas Pharmakologie

Author: Lutz Hein,Heinz Lüllmann,Klaus Mohr

Publisher: Georg Thieme Verlag

ISBN: 3131516577

Category: Medical

Page: 416

View: 5443

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Wirkt sofort! Dieser Taschenatlas hilft. Beschwerden der Verwirrung und Überforderung werden sofort gemildert und weichen dem Gefühl des Verstehens und Begreifens. Die Wirkstoffe Visualisierung und Kompaktheit sind in großen Mengen aktiv. - Über 170 brillante Infografiken illustrieren die Pharmakologie und erleichtern dir den Zugang zu pharmakologischen Sachverhalten. Die kompakten Lerneinheiten eignen sich als Ergänzung zu einem Lehrbuch, zum Vertiefen und Wiederholen. Alle relevanten Informationen zu Wirkstoffgruppen kannst du rasch und gut verständlich nachlesen. Das sinnvolle arzneimitteltherapeutische Vorgehen bei wichtigen Erkrankungen kompakt und auf dem aktuellen Stand. Arzneimittel-Konvertierungslisten helfen dir auf der Suche nach dem Wirkstoff- oder Handelsnamen. Dank Daumenregister und Farbleitsystem kannst du dich schnell orientieren. Du verstehst Zusammenhänge und schaust über den ein oder anderen Tellerrand.

Massachusetts General Hospital Handbook of General Hospital Psychiatry - E-Book

Author: Theodore A. Stern,Gregory L. Fricchione,Jerrold F. Rosenbaum

Publisher: Elsevier Health Sciences

ISBN: 1455711314

Category: Medical

Page: 752

View: 6309

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Massachusetts General Hospital Handbook of General Hospital Psychiatry, by Theodore A. Stern, Gregory L. Fricchione, Ned H. Cassem, Michael Jellinek, and Jerrold F. Rosenbaum, is your ideal source of guidance on consultation-liaison psychiatry! Experts from the Massachusetts General Hospital—widely respected as one of the world's premier psychiatric institutions—provide practical advice on the diagnosis and treatment of psychiatric issues experienced by in-hospital, medically ill adults and children. This compact resource reads like a handbook, but delivers all the details you’d expect from a textbook. Understand and manage the psychological impact of chronic medical problems, life-threatening diseases, disfigurement, and more. Effectively manage difficult patients, including those with hypochondriacal and conversion disorders. Find information quickly thanks to an improved chapter organization, and get just the answers you need with concise yet complete coverage appropriate for psychiatrists and generalists alike. Implement the most current, effective pharmaceutical therapies as well as cognitive-behavioral approaches.

Depression in Medical Illness

Author: Arthur J. Barsky,David A. Silbersweig

Publisher: McGraw Hill Professional

ISBN: 0071819096

Category: Medical

Page: 400

View: 2326

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An authoritative guide to understanding and treating depression in the medically ill Depression in Medical Illness is based on the fact that depression and medical illness are inextricably bound together and must be viewed through a single lens in order to truly understand, diagnose, and treat them. Throughout the book, the authors emphasize not simply a critical distillation and balanced summary of the available empirical data, but equally important, an active synthesis, formulation, and analysis of that evidence.This informs a contemporary biomedical understanding, as well as diagnostic and therapeutic approaches. All of the chapters are authored by members of the Department of Psychiatry at the world-renowned Brigham and Women’s Hospital. In chapters devoted to specific medical disorders, psychiatrists with particular expertise in those areas have been joined by other eminent Brigham medical and surgical specialists or subspecialists. This makes these chapters valuable not just to psychiatrists and other mental health professionals, but to a wide range of medical specialists as well. Logically Organized Into Five Sections: Core Concepts – provides a conceptual and intellectual framework for understanding depressive illness in the context of medical illness Assessment and Treatment of Depression in Medically Ill Patients – discusses the general principles of depression diagnosis and treatment Depression in Medical Illness – Assesses what we know about depression when it is comorbid with the full range of major medical disorders Special Populations and Settings – Is devoted to special patient populations and the importance of the settings in which care is delivered New Directions – A fascinating glimpse into the future of the care of medically ill patients who are depressed

Handbook of Outpatient Treatment of Adults

Nonpsychotic Mental Disorders

Author: Barry A. Edelstein,Michel Hersen,M.E. Thase

Publisher: Springer Science & Business Media

ISBN: 1489908943

Category: Psychology

Page: 684

View: 6133

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During the past several decades, the field of mental health care has expanded greatly. This expansion has been based on greater recognition of the prevalence and treatability of mental disorders, as well as the availability of a variety of forms of effective treatment. Indeed, throughout this period, our field has witnessed the introduction and the wide spread application of specific pharmacological treatments, as well as the development, refinement, and more broadly based availability of behavioral, psychodynamic, and marital and family interventions. The community mental health center system has come into being, and increasing numbers of mental health practitioners from the fields of psychiatry, psychology, social work, nursing, and related professional disciplines have entered clinical practice. In concert with these developments, powerful sociopolitical and socioeconomic forces-including the deinstitutionalization movement of the late 1960s and early 1970s and the cost-containment responses of the 1980s, necessitated by the spiraling cost of health care-have shaped the greatest area of growth in the direction of outpatient services. This is particularly true of the initial assessment and treatment of nonpsychotic mental disorders, which now can often be managed in ambulatory-care settings. Thus, we decided that a handbook focusing on the outpatient treatment of mental disorders would be both timely and useful. When we first began outlining the contents of this book, the third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disor ders (DSM-III) was in its fourth year of use.

Grief and Bereavement in the Adult Palliative Care Setting

Author: E. Alessandra Strada

Publisher: Oxford University Press

ISBN: 0199768927

Category: Medical

Page: 126

View: 8753

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For patients and family caregivers the journey through illness and transitions of care is characterized by a series of progressive physical and emotional losses. Grief reactions represent the natural response to those losses. Grief is defined by a constellation of physical, cognitive, emotional and spiritual manifestations, varying in length and severity. While grief reactions are common and expected responses to loss, they have the potential to cause significant suffering. And, while grief is not a disease, it can develop into a pathological process warranting specialized treatment. Additionally, some aspects of grief overlap with the symptoms of clinical depression and anxiety, making diagnosis difficult. Grief and Bereavement in the Adult Palliative Care Setting provides practical, evidence-based, and clinically effective approaches to understanding the multifaceted nature of grief and bereavement in patients with advanced illness and their caregivers. This handbook is an ideal tool for palliative care providers of various disciplines who provide direct clinical services to patients and family members. It assists clinicians in recognizing and identifying grief reactions as unique expressions of patients and caregivers' history and psychological functioning. Primary care physicians who provide care to patients and families will also find this practical assessment and treatment guide helpful. They will learn how to best support bereaved patients and caregivers when grief is uncomplicated, and when to choose more active interventions that may include appropriate referrals to mental health professionals.