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    Handbook on Obsessive-Compulsive and Related Disorders

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    Obsessive-compulsive and related disorders (OCRDs) are both prevalent and a source of significant impairment for patients who suffer from them, yet they remain underrecognized and underdiagnosed. Handbook on Obsessive-Compulsive and Related Disorders provides comprehensive and cutting-edge coverage of OCRDs for clinicians and trainees in the context of the new classification framework established by the DSM-5. Chapters cover OCD, body dysmorphic disorder (BDD), hoarding disorder, trichotillomania (hair pulling disorder), excoriation (skin picking) disorder, and illness anxiety disorder, among other related conditions, ensuring that readers are current on both the research on and the standard of care for these illnesses. In addition, each chapter employs a logical and consistent structure, addressing diagnostic criteria and symptomatology, epidemiology, etiology and pathophysiology, comorbidities, course and prognosis, assessment and differential diagnosis, psychosocial impairment and suicidality, and other topics such as cultural and gender-related issues. Treatment approaches and considerations are explored in-depth.The Handbook's useful features are many: The first book focused on the OCRDs to be published since the development of DSM-5, it reflects a deep understanding of the disorders and the DSM-5 development process. Readers can depend on the utmost compatibility with DSM-5 because the book was edited by the chair of the DSM-5 work group, and the chair of the sub-work group, that oversaw the development of the OCRD category. The editors have provided a helpful introductory chapter that thoroughly addresses the changes from DSM-IV. The book includes a chapter on disorders that were seriously considered for, though ultimately not included in, the DSM-5 OCRD chapter and for which research offers some support for a close relationship to OCD. These include tic disorders, illness anxiety disorder (hypochondriasis), and obsessive-compulsive personality disorder. Case studies are provided in each chapter, as well as key clinical points, both of which help the reader understand, contextualize, and make use of the book's content. Recommended readings at the end of each chapter offer the opportunity to deepen understanding. The costs to society of undiagnosed and/or untreated OCRD are high in both human and financial terms, and clinicians need to master all available tools to help patients and families understand and cope with these disorders. Handbook of Obsessive-Compulsive and Related Disorders deserves a prominent position – both in the literature and on the clinician's bookshelf.

    Advances in Treatment of Bipolar Disorders

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    Clinicians searching for evidence-based quantitative assessments on which to base diagnosis and treatment of patients with bipolar disorder need look no further. Advances in Treatment of Bipolar Disorders analyzes the benefits and harms for both older and more recently developed treatments, and places these analyses in the context of the authors' many years of clinical experience. The result is a book that is both quantitatively sound and qualitatively rich, and one that will help clinicians understand the latest research and integrate it into their practices with confidence. In addition to comprehensive coverage of the most important recent advances, the book addresses advances in more specific areas, including the treatment of particular populations such as women, children, and older adults. In addition, the book covers many critically important topics and boasts an abundance of helpful features: Evidence-based quantitative assessments of benefits use «numbers needed to treat» for therapeutic effects and «numbers needed to harm» for side effects, ensuring that the quality of data supporting interventions meets a rigorous standard. The book's information is based not only on controlled trials and FDA approvals but also on almost two decades of clinical research and clinical treatment experience by clinicians at Stanford University. Plentiful figures and summary tables are provided to summarize the content and make it easy-to-grasp and clinician-friendly. In addition to coverage of acute bipolar depression and acute manic and mixed episodes, the book provides chapters on the preventive treatment of bipolar disorder and the pharmacology of mood-stabilizing and second-generation antipsychotic medications. Bipolar disorders are challenging and complex mental illnesses, and clinicians need all the help they can get in managing the effects of these illness on their patients' lives. Advances in Treatment of Bipolar Disorders aims to provide everything clinicians need to know to update their knowledge of this rapidly evolving field and ensure an evidence-based standard of care for this patient population.

    Positive Psychiatry

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    Long overdue, Positive Psychiatry provides a rigorous and clinically useful guide to the growing body of research that strongly suggests that positive psychosocial factors such as resilience, optimism, and social engagement are associated with better outcomes, including lower morbidity, greater longevity, and a heightened sense of patient well-being. Because most of the research has been conducted outside of the field of psychiatry, it has had relatively little influence on everyday clinical practice. This volume, written and edited by luminaries in the field, hopes to remedy this situation by introducing clinicians to the guiding principles of positive psychiatry, which hold that mental health cannot be defined as the mere reduction or even elimination of mental illness, and that mental health professionals must focus on more than simply controlling the symptoms of illness.To that end, the book, while biologically grounded and exhaustively referenced, is also structured and written to be accessible. It includes many useful features: Bulleted outlines of key clinical points are included where appropriate, fostering direct application of positive psychiatry constructs, measures, interventions, and outcomes into clinical practice and training. An abundance of interesting and compelling clinical vignettes illustrate how to incorporate positive psychiatry techniques and treatment strategies into practice. Comprehensive coverage makes this volume the «go-to» resource for researchers and clinicians seeking an overview and details of what positive psychiatry is, why it is needed, and how to integrate it into research, practice, and training. The roster of contributors is a «who's who» in the field of positive mental health, rendering this the definitive source of information on positive psychiatry. Chief among the book's strengths is its emphasis on empirically grounded applications, and the editors have ensured that limitations in the available evidence base are identified, as well as directions for further research. Positive Psychiatry fills a critical gap in the treatment literature, and researchers, clinicians, and trainees in psychiatry and allied mental health fields will welcome its publication.

    The American Psychiatric Publishing Textbook of Substance Abuse Treatment

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    No other text available today offers what The American Psychiatric Publishing Textbook of Substance Abuse Treatment can: completely updated treatment information on a broad range of substance use disorders that is consistent with the new DSM-5 classification and thus reflective of how psychiatry is practiced today. Designed for researchers and mental health professionals ranging from trainee to licensed practitioner, the book is also appropriate for a diverse array of rehabilitation settings, from inpatient to community-based treatment. Full coverage is provided on 12-step programs, as well, including the latest outcomes research.Much of the material is new to this edition: A chapter has been added on science in the treatment of substance abuse, in which the authors discuss the history of scientific intervention in substance abuse and explore what happens to the brain when addicting drugs are consumed, review animal models and imaging techniques, and discuss current progress in the science of addiction. Chapters have been added on screening and brief intervention, reflecting the development of brief screening tools and research on the efficacy of interventions, and the role of «recovery» in chronic care disease management – specifically what the treatment models for alcohol dependence and for diabetes can effectively borrow from each other. A new chapter focuses on the treatment of alcohol intoxication and withdrawal – the first steps in treatment of alcohol use disorder. Two chapters on marijuana – one on the neurobiology and one addressing treatment have been added. Given the accelerating trend toward decriminalization and legalization of this substance, clinicians will find this information of increasing importance. The section on substance use issues among gay men and lesbians has been expanded to include bisexual and transgender people in recognition of increased diversity among the population. Well-structured, with topics that follow logically and many practical, treatment-oriented features, such as quick reference tables and lists of recommended readings, The American Psychiatric Publishing Textbook of Substance Abuse Treatment is a classic that will enhance the education and practice of clinicians.

    The Social Determinants of Mental Health

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    The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care.This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the «take-away» messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a «Call to Action,» offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities.Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

    The Behavioral Addictions

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    The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person's pleasure-and-reward brain circuitry, causing great suffering.This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining: Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting. Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives. Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume. Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context. Key points for review and multiple-choice questions are included at the end of each chapter. Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.

    Integrated Care

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    The goals of Integrated Care: Working at the Interface of Primary Care and Behavioral Health are to educate psychiatrists about the fundamental shift underway in health care and to prepare them to be successful and effective in the new health care arena. The passage and implementation of the Patient Protection and Affordable Care Act presents an opportunity for newly insured patients and for funding models of integrated care, enabling psychiatrists to have a more significant population-level impact. The only book of its kind, the guide defines integrated care, reviews the evidence base, and addresses the three potential benefits of this model of care: improved outcomes, cost containment, and enhanced patient experience (also known as the «triple aim»). The new models of integrated care presented in this book are population-based, which is the key to improved outcomes, and they represent a change in how medicine in general and psychiatry in particular will approach health care delivery moving forward.The book's features are both high-impact and user-friendly: The book is divided into two sections, «Behavioral Health in Primary Care Settings» and «Primary Care in Behavioral Health Care Settings,» with Section 1 focused on improving the detection and treatment of behavioral health conditions by integrating behavioral health services into primary care settings and Section 2 focused on improving the health status of patient populations with serious mental illness by integrating primary care into behavioral health treatment. Each chapter presents a set of «core principles of effective collaborative care,» which serve as a guide for the structure and provision of care for the varying models, regardless of the setting. Contributors provide dozens of examples that highlight the impact psychiatrists can make in achieving the triple aim of improved outcomes, cost containment, and enhanced experience. Detailed case vignettes integrated throughout the book bring concepts to life and help clinicians to understand and improve the patient-provider relationship. The information presented in these chapters allows both practicing psychiatrists and those in training to develop a skill set essential to designing, working in, teaching, or promoting an integrated care program within a health care system. Evidence based and timely, Integrated Care: Working at the Interface of Primary Care and Behavioral Health is a must read for clinicians in the brave new world of health care reform.

    Helping Kids in Crisis

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    Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them – in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population.The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses – professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists–from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.

    Preventive Medical Care in Psychiatry

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    Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians was written for psychiatrists in training and in clinical practice, as well as other health care providers who wish to learn an evidence-based and user-friendly approach to prevent commonly encountered, treatable, and potentially deadly illnesses in their patients. The poor health and early mortality of people with serious mental illnesses has been well documented: People who have serious mental illness have increased general medical comorbid conditions, receive minimal preventive medical services, and have a reduced life span of as much as thirty years when compared to the general population. In addition, there is now extensive data showing bidirectional interactions between chronic medical illnesses and mental disorders. Clearly, treating the whole person, instead of the disorder in isolation, is critical to improving outcomes and reducing suffering.The book's logical structure makes it easy to use, with sections devoted to general principles of preventive psychiatry, cardiovascular and pulmonary disorders, endocrine and metabolic disorders, infections disorders, and oncologic disorders. In addition, the volume: Provides evidence-based approaches to care across the prevention spectrum, from primary prevention (how to keep people healthy), to secondary prevention (how to detect early signs of common illnesses), through tertiary prevention (how to prevent disability and adverse outcomes once patients develop medical problems). Informs clinicians about how to more effectively interface with general medical practitioners, and instructs them in providing screening for common medical problems, as well as ensuring that preventive measures, such as vaccinations, are performed. Covers, in a section addressing «special topics,» child, adolescent, and geriatric populations, as well as strategies for assessing and managing chronic pain. Concludes with an appendix that features a health questionnaire, Preventive Medicine in Psychiatry (PMAP), for use in screening and follow-up, and a handy summary of age based preventive medicine recommendations, references to which clinicians will return repeatedly. The Affordable Care Act has provided mental health practitioners with new opportunities to develop integrated models of care that better serve patients and populations, furthering the existing trend of treating the whole patient. Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians is a critical resource which will prove indispensable to clinicians dedicated to improving the quality of life and longevity for patients who suffer from serious mental illness. Twenty-five percent of royalties help support Resident-Fellow Members (RFM) within the California Psychiatric Association.

    Study Guide to DSM-5®

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    The Study Guide to DSM-5® is an indispensable instructional supplement to DSM-5® to help teachers and students of psychiatry, psychology, social work, medical schools, and residency programs understand and apply diagnostic criteria and key clinical concepts through a variety of learning tools. The Study Guide can stand alone as a training supplement to DSM-5® or be paired with DSM-5® Clinical Cases as comprehensive instruction for understanding and applying DSM-5®. The Study Guide possesses a multitude of features that will benefit both learner and instructor: Foundational concepts of diagnosis are amplified with case vignettes, discussion questions, and recommended reading to enrich knowledge and practice. Content and features are consistent across the chapters for diagnostic classes. These chapters include an introduction, diagnostic pearls, summary discussion, and self-assessment questions and answers. In-depth discussions of key diagnoses within each class cover approach to the diagnosis, getting the history, diagnostic tips, clinical vignettes, and differential diagnosis. Key clinical vignettes exemplify diagnostic criteria while reflecting the complexity of real-life scenarios. In addition, examples are offered to help readers appreciate diagnostic variations and ambiguities. Discussion points and questions for self-assessment are provided for each diagnostic class throughout the guide, allowing readers to test their understanding of DSM-5® and helping teachers to focus on the most critical issues. A special section dedicated to an overview of diagnostic questions that cover material across the Study Guide and DSM-5® provides additional testing of knowledge, along with an answer key. Engagingly written, the Study Guide to DSM-5® introduces learners to DSM-5® and provides them with the tools they need to fully understand and deftly apply DSM-5® concepts and criteria.