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: 6691

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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, Second Edtion

Author: James L. Levenson, M.D.,Stephen J. Ferrando, M.D.

Publisher: American Psychiatric Pub

ISBN: 1585625019

Category: Medical

Page: 838

View: 6810

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Clinical Manual of Psychopharmacology in the Medically Ill is an authoritative guide to the principles and practice of prescribing psychotropic medication to psychiatrically and medically ill patients. Thoroughly updated to include coverage of newly released medical and psychiatric drugs and relevant research conducted in the interval since the first edition, this new edition retains the structure and features that made the first edition so successful. In two well-organized sections designed to be read serially, the manual addresses fundamental background information for prescribing psychotropic drugs across medical disease states, followed by psychopharmacological treatment in specific organ system diseases and relevant subspecialty areas. The manual is designed to be useful to clinicians practicing in a broad range of specialties, including psychosomatic medicine specialists, advance practice nurses, the general psychiatrist whose patient with schizophrenia develops liver disease, and the primary care provider prescribing an antidepressant to a patient with chronic obstructive pulmonary disease. Written in an accessible and pragmatic style, Clinical Manual of Psychopharmacology in the Medically Ill is a core text and reference for many fellowship programs approved by the Accreditation Council for Graduate Medical Education and prepares clinicians to provide safe and effective care to their patients with mental illness.

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: 9197

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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.

The American Psychiatric Publishing Textbook of Psychosomatic Medicine

Psychiatric Care of the Medically Ill

Author: James L. Levenson

Publisher: American Psychiatric Pub

ISBN: 1585623792

Category: Medical

Page: 1180

View: 869

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Extensively updated this second edition again brings together a multinational group of distinguished contributors to address every aspect of psychiatric care in the medically ill. This book captures the diversity of the field, whose practitioners -- scholars, physicians, and clinicians of varied backgrounds -- represent a multiplicity of perspectives.

Manual of Psychiatric Care for the Medically Ill

Author: Antoinette Ambrosino Wyszynski,Bernard Wyszynski

Publisher: American Psychiatric Pub

ISBN: 9781585626885

Category: Medical

Page: 416

View: 6650

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Manual of Psychiatric Care for the Medically Ill delivers a practical approach to accurate psychiatric diagnosis and treatment in the medical-surgical setting. The editors have updated the literature reviews of their widely used 1996 American Psychiatric Publishing publication A Case Approach to Medical-Psychiatric Practice and have added easy-to-use summaries, Web resources, checklists, flowcharts, and worksheets-all designed to facilitate and teach the process of psychiatric consultation. The appended study guide makes this book even more valuable as an educational tool. Intended as a companion guide to comprehensive textbooks in psychosomatic medicine, this concise volume combines medication updates with "how-to" strategies for the psychiatric treatment of patients with cardiovascular, hepatic, renal, and pulmonary disease; gastrointestinal symptoms; delirium; HIV; hepatitis C; steroid-induced psychiatric syndromes; and organ transplantation. A special feature is the comprehensive chapter on the treatment of psychiatric illness in pregnancy. Each chapter summarizes the literature, emphasizing diagnostic and treatment considerations for patients with psychiatric symptoms and medical illnesses. Representing the work of 24 contributors, this useful, highly informative volume features Checklists, flowcharts, and worksheets that can be photocopied and brought to the patient's bedside for use during the clinical consultation. These templates help focus the information-gathering process, organize the data, and generate important documentation. Standardized assessment instruments and questionnaires, such as the Michigan Alcohol Screening Test, Delirium Rating Scale-Revised-98, and HIV Dementia Scale, which assist in consultation and evaluation. Summaries and charts of differential diagnoses to assist psychiatric consultation to medical patients, including Web addresses to access the latest information on a particular condition or treatment. A study guide in case-question-answer format for selected chapters. This volume also includes a "how-to" chapter on assessing decisional capacity, complete with a worksheet for gathering information and documenting informed consent. It also features practical reviews of psychotherapeutic issues, such as a primer for what to do when patients ask about spiritual issues. Concluding chapters present short, practical guides on addressing general psychological issues occurring in medical patients. This proven manual -- already being used to teach residents the core curriculum in Consultation-Liaison Psychiatry and On-Call Preparedness at Bellevue Hospital in New York City -- will be welcomed by general psychiatrists, consultation-liaison and psychosomatic medicine fellows, residents, and medical students everywhere.

Clinical Manual of Psychosomatic Medicine

A Guide to Consultation-liaison Psychiatry

Author: Kemuel L. Philbrick

Publisher: American Psychiatric Pub

ISBN: 1585623938

Category: Medical

Page: 542

View: 1804

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Rev. ed. of: Clinical manual of psychosomatic medicine / Michael G. Wise, James R. Rundell. 1st ed. c2005.

Managing the Side Effects of Psychotropic Medications, Second Edition

Author: Joseph F. Goldberg, M.D., M.S.,Carrie L. Ernst, M.D.

Publisher: American Psychiatric Pub

ISBN: 1585624888

Category: Medical

Page: 616

View: 6200

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Information about new psychotropic drugs, a summary of advances in knowledge about identifiable risk factors for adverse effects, and updated recommendations on viable "antidote" management strategies -- including novel pharmacotherapies for tardive dyskinesia and newer agents for weight loss -- are among the features of this new, second edition of Managing the Side Effects of Psychotropic Medications. Where other psychopharmacology textbooks -- and, indeed, most internships and residencies in psychiatry -- lack a solid basis in primary care medicine, this guide bridges that educational gap, offering a thorough examination of all the effects of taking a psychotropic drug as well practical clinical advice on how to manage complications that arise. The book is divided into three parts: The first deals with global issues that affect the assessment and formulation of possible adverse effects, as well as with pertinent concepts related to basic pharmacology, physiology, and medical monitoring. The second part presents information organized by individual organ systems or specific medical circumstances. The final part focuses on summary recommendations covering all the material presented in the book and is followed by helpful appendixes and self-assessment questions and resources for practitioners. This new edition includes: * Updated summaries about what psychiatrists should know regarding drug-drug interactions, iatrogenic cardiac arrhythmias, drug pressor effects and orthostatic hypotension, and drug rashes; as well as updated discussions on avoiding lithium nephrotoxicity, handling adverse effect emergencies, and understanding new FDA classifications about drug safety during pregnancy* An expanded discussion on the strengths and limitations of pharmacogenetic testing to predict adverse drug effects, as well as information about new treatments for sexual dysfunction, sleep disturbances, cognitive complaints, and other maladies* Revised summary tables to aid rapid assessment and management* An expanded section on supplemental resources* An updated and expanded self-assessment section with more key questions Busy clinicians will find in Managing the Side Effects of Psychotropic Medications an accessible reference that provides both scientific and scholarly discussion of the consequences of drug therapies they may prescribe (or avoid), the range of available strategies to effectively manage adverse effects, and the scientific and practical implications of their treatment decisions.

Psychiatric Care of the Medical Patient

Author: Barry S. Fogel,Donna B. Greenberg

Publisher: Oxford University Press

ISBN: 0190226293

Category: Medical

Page: 1248

View: 5573

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The third edition of Psychiatric Care of the Medical Patient brings a classic reference text into the twenty-first century. It combines critical scholarship with the voice of expert clinicians who work at the interface of psychiatry with medical specialties. It is meant to be read for pleasure as well as consulted as a reference. The editors have worked with the authors to bring a consistent perspective to the book - one that sees the medical psychiatrist as an agent for bringing a more comprehensive perspective to medical care. Even seasoned and knowledgeable practitioners will find much that is new to them in this book. The volume covers topics in depth that other books in the field may not cover at all, such as the use of herbal and nutritional therapies for medical-psychiatric symptoms and syndromes, and the choice of questionnaires to supplement history-taking. It looks at old topics in a new way: The chapter on the physical examination applies psychometric considerations to the Babinski sign, describes the method and application of quantitative bedside olfactory testing, and discusses smartphone apps to improve the sensitivity of the examination. Psychiatric Care of the Medical Patient, 3rd Edition provides concepts and information to facilitate the dialogue between psychiatrists and general medical specialists - minimizing psychiatric jargon and speaking in the common language of caring and curious physicians.

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: 7787

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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 Child and Adolescent Psychopharmacology

Author: Molly McVoy,Robert L. Findling

Publisher: American Psychiatric Pub

ISBN: 1615371265

Category: Medical

Page: 545

View: 2823

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The new, third edition of the Clinical Manual of Child and Adolescent Psychopharmacology has been thoroughly revised, yet its mission remains the same: to keep clinicians up-to-date on the latest research so that they can provide state-of-the-art care to their young patients. To this end, the book describes and explores those elements that are specific to pediatric psychopharmacology; this defines and positions the volume at the nexus of child and adolescent psychiatry, pediatrics, and pharmacology. A stellar roster of contributors addresses new treatments for youths with disruptive behavior disorders, mood disorders, anxiety disorders, pervasive developmental disorders, and psychotic illnesses and tackles some of the most important emerging issues in the field. For example, advances in understanding the long-term treatment effects of medications in pediatric populations are thoroughly reviewed, including not only maintenance studies that consider the durability of efficacy but also clinical trials of greater duration designed to specifically evaluate long-term safety. In addition, recent studies of combination therapies are examined, helping clinicians better understand how to treat the complicated patients that arrive every day at a prescribing clinician's office. Finally, because research designs now include a broader base of patient populations to make the data more applicable to everyday clinical practice, the book focuses on head-to-head studies with multiple active comparators. The book offers clinicians comprehensive, accessible information and boasts a multitude of helpful features: The book is organized by diagnosis instead of agent class. This makes it a true clinical desktop reference that allows clinicians to quickly and efficiently search treatment options and the evidence base on a case-by-case basis. DSM-5 criteria and information on comorbidities are also included. The American Academy of Child and Adolescent Psychiatry Practice Parameters are integrated into the discussion, where applicable, in support of standard of care. The book has been updated to include the latest research at the time of publication. A new chapter has been added to address eating disorders, an area where psychopharmacological research that may apply to children and adolescents is now being pursued. Useful features to help the reader understand and retain the material include clinical summary points, easy to read tables, and current and carefully vetted references. The Clinical Manual of Child and Adolescent Psychopharmacology, Third Edition, is an indispensable guide to the substantive research that has been done in nearly every area of pediatric psychopharmacology, as well as the major improvements that have been made to the evidence-based practice of treating youths with psychiatric illness.

Handbook of Medicine in Psychiatry

Author: Peter Manu,Corey Karlin-Zysman

Publisher: American Psychiatric Pub

ISBN: 1585625205

Category: Medical

Page: 530

View: 3790

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Mental health clinicians who lack internal medicine experience or who do not feel comfortable addressing medical conditions in their patients will find Handbook of Medicine in Psychiatry an indispensable resource. The first evidence-based medical handbook for psychiatrists in training or practice, the book takes the reader through a series of common medical conditions, offering practical information on diagnosis and treatment of life-threatening conditions, as well as management of less serious health issues. For the second edition, the text has been thoroughly updated and restructured. The book is designed to guide clinicians to focus quickly and effectively on managing medical problems in the psychiatric setting. The Handbook offers invaluable content and many helpful features: Coverage of medical emergency management in psychiatric hospitals takes the limitations of the facility into account. For example, the chapters on caring for patients in cardiac arrest or patients in respiratory failure include practical strategies for adapting to the limited resources available in self-standing psychiatric hospitals. The material on life-threatening adverse reactions to psychotropic drugs is completely up-to-date and thorough and includes guidelines for the recognition, prevention, and management of agranulocytosis, ventricular arrhythmias, pancreatitis, neuroleptic malignant syndrome, serotonin syndrome, hyperglycemic emergencies, and airway obstruction. Medical deterioration in psychiatric settings is both common and critical, and the book offers cutting-edge knowledge on assessment procedures and instruments for prediction of acute medical deterioration of psychiatric inpatients. Structured for easy reading and comprehension, the book's topics are grouped into seven parts that address the essential features of clinical presentation, differential diagnosis, stratification of the risk of major complications or death, and the evidence-based approach to management, as applicable in the psychiatric setting. The numerous tables, figures, and flowcharts effectively illustrate important procedures and protocols. Completely updated and streamlined, Handbook of Medicine in Psychiatry stands alone in its completeness, its rigor, and its understanding of the environmental challenges that face the clinician delivering care to patients with serious medical and psychiatric comorbidities.

Handbook of Essential Psychopharmacology

Author: Ronald W. Pies

Publisher: American Psychiatric Pub

ISBN: 9781585626601

Category: Medical

Page: 556

View: 9922

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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.

Clinical Manual of Addiction Psychopharmacology

Author: Henry R. Kranzler,Domenic A. Ciraulo,Leah R. Zindel

Publisher: American Psychiatric Pub

ISBN: 1585625280

Category: Medical

Page: 463

View: 7530

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Clinical Manual of Addiction Psychopharmacology is a comprehensive guide to the pharmacology of drugs of abuse and the medications used to treat dependence on those substances. This new, second edition provides a thorough update on a broad range of addictive substances, along with enhanced coverage in areas where significant advances have been made since publication of the first edition. Clinicians, including psychiatrists, psychiatric residents and fellows, and other mental health practitioners who encounter individuals with substance-related disorders in the course of their clinical work, will find the manual to be well-organized, exhaustively referenced, and current. The book is structured for ease of use and completeness of coverage, with an abundance of beneficial features: Material is presented in a systematic fashion, addressing epidemiology, pharmacology of the abused substance (including pharmacokinetics and pharmacodynamics), psychopharmacological treatments, and issues of dependence, tolerance, withdrawal, and abstinence. Both basic science and clinical dimensions are addressed, and these different perspectives, including pharmacotherapy and the psychosocial aspects of treatment, are integrated to allow clinicians a more holistic and effective treatment approach. Coverage of the pharmacology of drugs of abuse is thorough and reflects the latest research findings, providing a necessary background for understanding the clinical effects and treatment of dependence on these substances. Coverage of pharmacotherapy for dependence on these drugs is equally comprehensive, with meticulously detailed findings and evidence-based recommendations for the clinical care of patients dependent on a variety of substances. Tables are used strategically to present complex information in a logical and accessible way; for example, the table on management of alcohol withdrawal syndrome includes detailed information on the symptom-triggered approach, fixed dose schedules, and delirium in a condensed, yet easy-to-understand format. The book is well written and edited for clarity and accuracy by editors and contributors at the forefront of the psychopharmacology of addiction. As new drugs come into the market and old drugs find new applications, clinicians must stay current to provide the best care. Clinical Manual of Addiction Psychopharmacology helps them to do just that, offering both sound science and clinical wisdom to meet the complex challenges of treating individuals with substance-related disorders.

Clinical Manual of Palliative Care Psychiatry

Author: Nathan Fairman,Jeremy M. Hirst,Scott A. Irwin

Publisher: American Psychiatric Pub

ISBN: 1615370617

Category: Medical

Page: 297

View: 4417

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In recent years, palliative care has emerged as the leading model of person-centered care focused on preserving quality of life and alleviating distress for people and families experiencing serious and life-limiting medical illness. Alongside this development has come a growing recognition of the need for expertise in psychiatric diagnosis, psychopharmacology, and psychotherapy within the interdisciplinary team of specialists tasked with identifying and addressing the varied sources of suffering in patients with advanced medical illnesses. The Clinical Manual of Palliative Care Psychiatry was written to motivate and guide readers -- whether mental health clinicians or palliative care providers -- to deepen their understanding of the psychosocial dimensions of suffering for the benefit of seriously ill patients and the support of their families. Great care has been exercised in the choice of topics and features: Chapter content emphasizes practical aspects of assessment and management that are unique to the palliative care setting, ensuring that clinicians are equipped to address the most common challenges they are likely to face. Each chapter ends with a list of supplemental materials -- including key publications (e.g., "Fast Facts" from the Center to Advance Palliative Care) and links to relevant modules from the Education in Palliative and End-of-Life Care curriculum (e.g., EPEC for Oncology) -- aimed at extending and enhancing reader knowledge of the topics covered. The authors provide thorough coverage of medication use, including off-label applications, which are common in palliative care. A wealth of tables and figures present clinically relevant information in a concise and easy-to-grasp manner. Practical and brimming with essential information and useful techniques, the Clinical Manual of Palliative Care Psychiatry empowers both mental health clinicians and palliative care practitioners to more skillfully respond to psychosocial suffering in seriously ill and dying patients.

The American Psychiatric Publishing Textbook of Psychopharmacology

Author: Alan F. Schatzberg,Charles B. Nemeroff

Publisher: American Psychiatric Pub

ISBN: 1585623091

Category: Medical

Page: 1616

View: 532

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Now updated to keep professionals current with the latest research and trends in the field, this edition covers both basic science and clinical practice, and draws on the talents of 53 new contributors to guarantee fresh, authoritative perspectives on advances in psychiatric drug therapy.


Clinical Manual of Cultural Psychiatry, Second Edition

Author: Russell F. Lim, M.D., M.Ed.

Publisher: American Psychiatric Pub

ISBN: 158562439X

Category: Medical

Page: 596

View: 3370

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The interaction of culture and mental illness is the focus of the Clinical Manual of Cultural Psychiatry, which is designed to help mental health clinicians become culturally competent and skilled in the treatment of patients from diverse backgrounds. The product of nearly two decades of seminar experience, the book teaches clinicians when it is appropriate to ask "Is what I am seeing in this patient typical behavior in his or her culture?" The ability to see someone else's worldview is essential for working with ethnic minority and culturally diverse patients, and the author, who designed the course that was this handbook's precursor, has expanded the second edition to take into account shifting demographics and the changing culture of mental health treatment. The content of the new edition has been completely updated, expanded to include new material, and enhanced by innovative features that will prove helpful for mental health clinicians as they encounter diverse patient populations. * The new chapter on women reflects the fact that mental health disparities extend beyond ethnic minorities. Women have significantly higher rates of posttraumatic stress disorder and affective disorders, for example, yet research on women has been limited largely to the relationship between reproductive functioning and mental health. * Two new chapters address the alarming number of unmet mental health needs that lesbian, gay, bisexual, and transgender patients suffer from. These chapters emphasize the need for mental health providers and policy makers to remedy these disparities.* A new chapter has been added to help clinicians determine the role religious and spiritual beliefs play in psychological functioning, because religious and spiritual beliefs have been found to have both positive and negative effects on mental health.* The newly introduced DSM-5® Cultural Formulation Interview (CFI) is addressed in the book's introduction and is included in its entirety, along with an informant module, 12 supplementary modules, and guidelines for their use in a psychiatric assessment. In addition, the reader has access to videotaped examples using simulated patients to illustrate practical application of the DSM-5® Outline for Cultural Formulation and CFI.* Extensive information on ethnopsychopharmacology, reviewing clinical reports of ethnic variation with several different classes of psychotropic medications and examining the relationship of pharmacogenetics, ethnicity, and environmental factors to pharmacologic treatment of minorities. The book updates coverage of African American, Asian American, Latino/Hispanic, and Native American/Alaskan Native cultures as they relate to mental health issues while retaining the nuanced approach that was so effective in the first edition. Course-tested and DSM-5® compatible throughout, the Clinical Manual of Cultural Psychiatry is a must-read for clinicians in our diverse era.

Prescribing Mental Health Medication

The Practitioner's Guide

Author: Christopher M. Doran

Publisher: Routledge

ISBN: 113628009X

Category: Medical

Page: 584

View: 3108

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Prescribing Mental Health Medication is a text for practitioners who treat mental disorders with medication. It explains the entire process of medication assessment, management and follow up for general medical practitioners, mental health practitioners, students, residents, prescribing nurses and others perfecting this skill. Already used by providers and training institutions throughout the world, the newly revised second edition is completely updated and focuses on the following key issues: How to determine if medication is needed Proper dosing and how to start and stop medication When to change medication Dealing with difficult patients Specific mental health symptoms and appropriate medication Special populations including pregnant women, substance abusers, children and adolescents, and the elderly Monitoring medication with blood levels Management of medication side effects and avoidance of medication risk The misuse of medication Prescription of generic preparations Prescriptions via the Internet, telemedicine, and electronic medical records Organizing a prescriptive office and record-keeping Completely updated, this text includes information on all psychotropic medications in use in the United States and the United Kingdom. It incorporates clinical tips, sample dialogues for talking about medications to patients, and information specifically relevant in primary care settings.

Manual of Clinical Psychopharmacology for Nurses

Author: Laura G. Leahy,Christian G. Kohler

Publisher: American Psychiatric Pub

ISBN: 158562991X

Category: Medical

Page: 560

View: 1566

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Manual of Clinical Psychopharmacology for Nurses offers a holistic approach to psychopharmacological prescribing from a nursing perspective and is the only text designed especially for Psychiatric Mental Health Advanced Practice Registered Nurses (P.M.H.-A.P.R.N.s). The Manual is grounded in the belief that given their nursing background and their personalized approach to the individual, P.M.H.-A.P.R.N.s are uniquely qualified to offer symptom-based treatment within the context of an individual's medical and psychological care. A comprehensive resource for advanced practice nurses, mental health practitioners, general practitioners, and consumers, this book possesses many useful features, including the following: A logical, easy-to-use format that guides the reader through the most common psychiatric conditions, presenting the diagnostic criteria and neurobiology of the relevant disorder, pharmacological choices and recommendations on monitoring, side effects to consider, and treatment of special populations, including those with medical illnesses. A special chapter devoted to culturally sensitive psychopharmacology that offers information on the role of culture in mental health, wellness, and illness and provides culturally sensitive assessment techniques and other treatment strategies PMH nurses can use to minimize stigma; address health care disparities; and improve patient adherence, satisfaction, and outcomes. A chapter that addresses complementary and alternative pharmacotherapies -- vital because a significant percentage of patients may be using herbal preparations, which present serious implications for the prescribing clinician. Appendices covering drug dosing equivalencies, pharmacogenetics, psychiatric rating scales, and other helpful resources. The core philosophy of the advanced practice nursing field is that health care should be individualized, focusing not only on patients' conditions but also on the effects those conditions have on patients' lives and the lives of their families. The Manual of Clinical Psychopharmacology for Nurses offers readers the most current information on psychopharmacological treatment in an accessible, easy-to-use format grounded in the principles and practices of holistic nursing.

Manual of Clinical Psychopharmacology

Author: Alan F. Schatzberg,Charles DeBattista

Publisher: American Psychiatric Pub

ISBN: 1585625213

Category: Medical

Page: 795

View: 7209

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Standard of care in psychiatry requires that practitioners stay current on new agents, interactions, side effects, and dosing guidelines -- a daunting task for the modern clinician grappling with today's challenging medical environment. The Manual of Clinical Psychopharmacology has been the psychiatrist's trusted companion for nearly three decades, and this new, eighth edition delivers the cutting-edge information clinicians need in a down-to-earth style, facilitating the integration of biological and psychopharmacological information into practice. The book's primary purpose is to provide the reader-practitioner with a practical, usable clinical guide to the selection and prescription of appropriate drug therapies for individual patients, drawing on the authors' clinical experience as well as on the scientific literature. Students of psychiatry and psychopharmacology also will find the book useful as both text and reference. The eighth edition retains many of its most popular features, while adding others to enhance coverage and promote comprehension: Some sections dealing with less commonly used drugs (e.g., barbiturates) have been shortened or eliminated, making space for the huge number of new agents that have been approved (e.g., vortioxetine) or are likely to receive approval from the U.S. Food and Drug Administration (FDA). This makes the volume easier to use. The book has been thoroughly updated to reflect the release of DSM-5, which introduced dimensional measures of key dimensions (e.g., anxiety and depression) across diagnostic categories to better describe patients' disorders. In the chapter on diagnosis and classification, the authors review these major changes and the implications for prescribing. Features of particular utility for students include the introductory chapter on the general principles of psychopharmacological treatment and the summary medication tables, which serve as quick-reference guides on classes of psychotropics. Although largely evidence-based, the authors also draw on their extensive clinical experience in discussing various drugs' efficacy, dosing and side effects and other important factors. Two appendixes offer suggested readings for clinicians and for patients and families, as well as information on strengths and costs of antidepressant and antipsychotic drugs. There has never been a more meticulously researched and referenced guide to prescribing psychotropic medications, nor one more down-to-earth and practical. The Manual of Clinical Psychopharmacology richly deserves its reputation as a classic in the field and has earned a place on every psychiatrist's desk.