Clinical Manual of Geriatric Psychiatry provides the most current information on psychiatric diagnoses seen in older patients in a concise format. Each chapter is broken into easily understandable, increasingly focused sections, and contains an extensive array of tables, references, and suggested readings. Chapters include clinically relevant information and evidence-based treatments for a wide range of topics and disorders: The psychiatric interview of older adults, including history, family assessment, mental status examination, rating scales and standardized interviews, and effective communication techniques. Psychopharmacology, including information on antidepressants, psychostimulants, antipsychotic medications, mood stabilizers, anxiolytics and sedative-hypnotics, and cognitive enhancers. Diagnosis and treatment of delirium, dementia, mood disorders, schizophrenia, anxiety disorders, sleep disorders, and substance use disorders, including coverage of definition, epidemiology, clinical features, risk factors, diagnosis and differential diagnosis, prevention and management, and treatment guidelines. Individual and group psychotherapy strategies, including individual and group-based cognitive-behavioral therapies, interpersonal psychotherapies, relaxation training, cognitive stimulation therapy, and behavioral therapies. Clinical psychiatry in the nursing home, with a focus on cognitive disorders and behavioral disturbances, depression, treatment progress in this setting, and relevant federal regulations. Written by experts in geriatric psychiatry, this clinical manual provides a much-needed «field guide» for the care of nursing home patients and older adults. Busy clinicians, as well as researchers, residents, fellows, clinical psychologists, and social workers, will find this compact volume to be of the utmost value, as will anyone seeking to update their knowledge of geriatric psychiatry.
The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking.Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
Psychiatrists and residents are faced with the important – but what may feel overwhelming – task of refreshing their knowledge of the whole of psychiatric practice, typically while remaining engaged in full-time clinical activity. Psychiatrists will find the logical structure, substantive questions, and thorough explanations provided by the Study Guide for the Psychiatry Board Examination to be as reassuring as they are educational. Although readers are advised to consult a range of resources in preparation for the examination, this guide is indispensable. It is the first and only guide to reflect the revisions contained in DSM-5®, and it will ably assume a primary role in the study and review process. The guide is designed for maximum usefulness, with specific features and attributes to support knowledge recall and successful examination performance. The authors are from a cross-section of accomplished students, fellows, and junior and senior faculty, all of whom have faced or will face the board examination and who understand its importance to the profession. Topics were determined by the American Board of Psychiatry and Neurology Certification Examination in Psychiatry 2015 Content Blueprint. The approximately 400 questions were formulated from information extracted from widely available American Psychiatric Publishing textbooks and accurately reflect the accepted psychiatric knowledge base. Each multiple choice question is followed by an explanation of why the correct answer is correct and the others are incorrect, and every question and explanation is referenced, directing the reader to the primary material for more in-depth learning and study. The volume was designed as a study guide for both the initial psychiatry board examination and the recertification examination. The process of working through the study guide will allow the reader to identify areas of strength and weakness, initiate further study, and test and retest knowledge, ultimately preparing for the examination's rigors. Only the Study Guide for the Psychiatry Board Examination offers support for the new, DSM-5® – compatible examination, and that alone renders it essential.
The accelerating advancement in research in neurodevelopmental disorders – including autism spectrum disorders, attention-deficit/hyperactivity disorder, learning disorders, and more – has enormous implications for clinical practice. Autism and Other Neurodevelopmental Disorders provides clinicians with up-to-date information on the impact these advances have on the standard of care in the range of disorders commonly encountered by both primary and subspecialist physicians. The authors, affiliated with the UC-Davis MIND Institute, explain the latest findings from the biological, behavioral, and clinical sciences in ways that are accessible to clinicians and helpful to patients and their families.Specific features include: A uniform chapter structure that makes it easy for the reader to locate material and make comparisons between and among disorders. Each chapter addresses signs and symptoms (including onset and developmental course); epidemiology and etiology (including known genetic and environmental contributors, biological mechanisms and relevant animal models); diagnostic criteria; differential diagnosis and comorbidities; and evidence-based interventions. The inclusion, where possible, of current draft DSM-5 diagnoses, as well as DSM-IV. Practical focus on psychological/behavioral and medical issues, as well as other supports and resources for patients, their families, and the community. Emphasis on current, ongoing research that holds promise for future clinical care. Identification of new research directions and needs. A comprehensive chapter devoted to the effects each of the neurodevelopmental disorders has on language and social communication. Replete with tables, illustrative figures, key points, and suggestions for further reading, Autism and Other Neurodevelopmental Disorders helps clinicians meet the challenge of providing the most up-to-date and effective care for their patients.
Cognitive-Behavior Therapy for Children and Adolescents provides readers with the defining fundamentals of CBT in an accessible, down-to-earth style. In addition, a well-integrated, developmentally appropriate approach is detailed for a number of the mental disorders and conditions that are most common among children and adolescents. This unique work provides the following: Explications of innovative CBT techniques in the treatment of children with chronic physical illness and depressive, bipolar, anxiety (including OCD and PTSD), eating, elimination, and disruptive behavior disorders A comprehensive chapter features the clinical implications and applications of combining CBT with psychopharmacological treatment Videos on the accompanying DVD demonstrate CBT techniques with children or adolescents with depression, anxiety, OCD, eating disorder, medical illness, and disruptive behavior disorder Guidance for integrating parents and families into the child's treatment is shared for every disorder covered in the book Extensive case examples, key clinical points, and self-assessment questions and answers will further equip readers to effectively and thoughtfully apply CBT Useful chapter appendixes include accessible tables of CBT concepts; patient and parent handouts; and clinical exercises, activities, and tools that further augment the text Finally, because factors such as race, ethnicity, religion, immigration status, and sexual orientation may affect the therapeutic relationship, diagnosis, and treatment of patients, a separate chapter on conducting effective CBT with culturally diverse children and adolescents is provided. Clinicians will gain a robust understanding of CBT practice with children and adolescents – so that they can also do it – and do it effectively. This unique, easy-to-use guide is an invaluable and worthy reference for all mental health practitioners who work with children and adolescents. No other text on the subject will match it.
The Clinical Manual for the Treatment of Schizophrenia provides a wide-ranging, empirically based review of assessment and treatment issues in schizophrenia, offered from a multicultural and supremely patient-centered perspective. The following features reflect the care taken in developing this manual, as well as the inclusive nature of the contents: The initial chapter offers a thorough introduction to the disease – its history, etiology, epidemiology, risk factors, and social aspects – seen through the lens of a case study. The chapter ends with an overview of the diagnostic process, allowing the reader to place what follows into context. The basic science underlying schizophrenia is explained next, with coverage of biological markers; brain structure, function, and cytology; the dopamine and glutamate hypotheses; and the neurodevelopmental model of the disease. The chapter on clinical assessment focuses on making the differential diagnosis according to established criteria, with emphasis on a person-oriented approach that takes into account early trauma, stressful events, and the subjective well-being of the patient. Subsequent chapters explore cognition, comorbidity, substance abuse, and treatment-resistant symptoms in schizophrenia. Finally, chapters on the pharmacological and psychosocial treatment of schizophrenia compare and contrast these approaches, ensuring that the reader is completely up-to-date and knowledgeable about available treatment options. Clinicians who work with schizophrenic patients in a variety of settings – from private practice to emergency departments – will benefit from the scholarship and experience of this manual's astute and insightful authors.
Clinical Manual of Neuropsychiatry focuses on the assessment, diagnosis, and treatment of the full spectrum of neuropsychiatric disorders, as well as those conditions that have significant neuropsychiatric components. With the help of this highly practical manual, clinicians are empowered to evaluate patients and treat the neuropsychiatric aspects of a host of disorders. The manual: Sets forth a concise, step-by-step approach to assessing patients, by beginning with the indications for a neuropsychological evaluation, and progressing through the patient interview, physical examination, and measures that are useful diagnostic indicators, such as psychological testing and structural and functional neuroimaging. Offers complete physiological and epidemiological information about each condition, by providing much-needed context and helping the clinician to identify the focal neurological symptoms to look for, potential contributing factors, and the course a disease is likely to follow. Covers the general neuropsychiatric and neuropsychological considerations the clinician must take into account when attempting to understand the factors that influence presenting symptoms and behavioral changes. For example, intracranial pressure can be and elusive consequence of central nervous system (CNS) tumors and has been implicated in behavior changes such as apathy and depression. Aids the clinician in making a clinical diagnosis through the precise evaluation of a patient's neurological and psychiatric signs and symptoms, through taking a careful history, and through a directed physical examination the patient. Addresses the full range of available treatment options, including psychopharmacological, psychotherapeutic, and cognitive rehabilitation modalities. Presents an utterly up-to-date chapter on psychopharmacological treatment of patients with neuropsychiatric disorders, and includes an abundance of tables that compare indications, efficacy, and side effect profiles for the full range of drugs that are likely to be prescribed. While acknowledging the ongoing dialogue on the nature of neuropsychiatry, Clinical Manual of Neuropsychiatry focuses on the paramount duty of the physician, whether psychiatrist or neurologist: to understand each patient's underlying disease and to ease the suffering it causes. This meticulously referenced, thoughtfully illustrated, and elegantly structured volume deserves a place in both the beginning and seasoned clinician's library.
The second book in the Evidence-Based Guides series, The Evidence-Based Guide to Antidepressant Medications, provides a clear reference to the current knowledge and evidence base for the use of antidepressants among a variety of patients across a wide range of disorders. Chapters within this guide are authored by experts in their respective areas of practice, and synthesize a large amount of medical literature into a comprehensive, yet understandable, concise, reader-friendly guide. Each chapter covers both the FDA-approved and off-label use of antidepressant medications and the evidence base for their use. Each chapter also features useful tables pertaining to specific topics, such as summaries of uses and efficacy, and important clinical pearls of wisdom in the Key Clinical Concepts. Topics covered in chapters within this text include: Use of selective serotonin reuptake inhibitors, MAOIs, and tricyclic antidepressants in major depressive disorder, bipolar depression, psychotic depression, and treatment-resistant depression. Acute management of anxiety disorders, obsessive-compulsive disorder, and specific phobias through antidepressant use. Use of antidepressant medication in medically ill patients, such as those with cardiovascular, pulmonary, gastrointestinal, renal, and endocrine diseases, as well as cancer, chronic pain, HIV, burns and hospital-based trauma.Developmental considerations necessary to keep in mind when prescribing antidepressants to children and adolescents, along with an outline of controlled studies and their special attention to safety. Medication management in geriatric patients, including antidepressant use among depressed elderly patients with dementia, stroke, or Parkinson's disease. Risks and benefits of prescribing antidepressants during pregnancy and lactation. Together, the authors have synthesized a large amount of medical literature into a comprehensive, yet understandable, concise, reader-friendly guide. The Evidence-Based Guide to Antidepressant Medications is a must-have reference for psychiatrists and other practicing clinicians, residents in training, psychiatric nurses, social workers and researchers.
The second edition of this groundbreaking text represents a complete departure from the structure and format of its predecessor. Though still exhaustive in scope and designed to provide a knowledge base for a broad audience – from the beginning student to the seasoned analyst or academician – this revision emphasizes the interdisciplinary nature of psychoanalytic thought and boldly focuses on current American psychoanalysis in all its conceptual and clinical diversity. This approach reflects the perspective of the two new co-editors, whose backgrounds in linguistics and social anthropology inform and enrich their clinical practice, and the six new section editors, who themselves reflect the diversity of backgrounds and thinking in contemporary American psychoanalysis. The book begins with Freud and his circle, and the origins of psychoanalysis, and goes on to explore its development in the post-Freud era. This general introduction orients the reader and helps to contextualize the six sections that follow. The most important tenets of psychoanalysis are defined and described in the «Core Concepts» section, including theories of motivation, unconscious processes, transference and countertransference, defense and resistance, and gender and sexuality). These eight chapters constitute an excellent introduction to the field of psychoanalysis. The «Schools of Thought» section features chapters on the most influential theories – from object relations to self psychology, to attachment theory and relational psychoanalysis, and includes the contributions of Klein and Bion and of Lacan. Rather than making developmental theory a separate section, as in the last edition, developmental themes now permeate the «Schools of Thought» section and illuminate other theories and topics throughout the edition. Taking a more clinical turn, the «Treatment and Technique» section addresses critical subjects such as transference and countertransference; theories of therapeutic action; process, interpretation, and resistance, termination and reanalysis; combined psychoanalysis and psychopharmacotherapy, child analysis, ethics, and the relationship between psychoanalysis and psychodynamic psychotherapy. A substantive, utterly current, and meticulously referenced section on «Research» provides an in-depth discussion of outcome, process, and developmental research. The section entitled «Psychoanalysis and Other Disciplines» takes the reader on a fascinating tour through the many fields that psychoanalysis has enriched and been enriched by, including the neurosciences, philosophy, anthropology, race/ethnicity, literature, visual arts, film, and music. A comprehensive Glossary completes this indispensable text. The Textbook of Psychoanalysis is the only comprehensive textbook of psychoanalysis available in the United States. This masterful revision will both instruct and engage those who are learning psychoanalysis, those who practice it, and those who apply its theories to related disciplines. Though always controversial, this model of the human psyche still provides the best and most comprehensive insight into human nature.
While the APA's Textbook of Addiction Psychiatry covers material that a general psychiatrist or primary care physician needs for the appropriate referral and initial management of stimulant dependence, Cocaine and Methamphetamine Dependence: Advances in Treatment goes beyond this basic knowledge and addresses the rapid evolution of both the understanding and the treatment of stimulant abusers. It also sheds light on how the epidemiology of cocaine, amphetamine and methamphetamine abuse and dependence have substantial differences in geographic distribution both here and abroad, and how treatments are evolving to help these complex patients benefit from emerging pharmacological and behavioral therapies. Cocaine dependence complications account for one out of every three drug-related emergency room visits. Coroners' reports relate stimulants to the direct cause of death in 25% of cocaine overdoses and 68% of methamphetamine overdoses or as antecedents causing cardiovascular or medical problems leading to death in 20% of these abusers. Additionally, cocaine and methamphetamine abuse and dependence frequently co-occur with other major mental illnesses such as schizophrenia, major depression, and posttraumatic stress disorder. This makes a greater understanding of stimulant dependence among the psychiatric community an integral part of providing effective evaluation and treatment. Cocaine and Methamphetamine Dependence provides: An introduction of the DSM-5 plan to drop the distinction between abuse and dependence and add craving as a criterion. An overview of how the epidemiology of stimulant abuse is changing and pharmaceutical abuse is rising due to factors such as greater availability through family and friends who are increasingly being prescribed stimulants for conditions like weight loss or attention deficit disorder. The insight that even after long abstinence, stimulant users may remain vulnerable to amphetamine-induced psychosis, with delusions, paranoia and compulsive behavior. The insight that a comprehensive assessment of the patient involves the management of aberrant behaviors such as intoxication, violence, suicide, impaired cognitive function, and uncontrolled affective displays. A focus on treatment, emphasizing that the most important component of stimulant treatment involves behavioral therapies, often in combination with adjunctive medications. A review of the criminal justice system's shift away from punitive action and towards more human treatment, including the far-reaching benefits of medical management and treatment. Fortunately, our understanding of stimulant abuse and dependence is growing at a time when a steady stream of new users and casualties is still accumulating. Constant vigilance regarding changes in epidemiology, fluctuations in drug availability, and changes in drug trafficking patterns are essential to recognition of new drug abuse patterns and their identification and treatment. Cocaine and Methamphetamine Dependence should be on the bookshelf of residents, physicians and psychiatrists who are highly likely to come into contact with one of the millions using and abusing stimulants today.