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The Medical Evaluation of Psychiatric Patients

The Medical Evaluation of Psychiatric Patients Author R.F. Klein
ISBN-10 9781489907837
Release 2013-06-29
Pages 247
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One of the fascinations of psychiatry is that it is amenable to many different approaches. In seeking to account for mental disorder, for example, it is pos sible to explore the meaning and significance of symptoms in the psychody namic sense, to examine the social determinants of illness, or to adopt an es sentially biological viewpoint in investigating links between physiological and psychological dysfunction .. As a clinical discipline it may be practiced in the community, in the specialized clinic or hospital, or shoulder-to-shoulder with other medical practitioners in the general hospital. This richness and diversity are at once a strength and a weakness, attracting practitioners with a wide range of talents and interests, yet sometimes leading to polarizations and false an titheses. The so-called "medical model" of psychiatry has come under a good deal of attack, and deservedly so when claiming an exclusive provenance over all types and aspects of mental disorder. What cannot be gainsaid, however, is the central role of medicine in relation to many parts of the field, and the success in terms of understanding and therapy that has resulted from medicine's in volvement. Nor can it be doubted, after the most cursory acquaintance with the physically or mentally ill, that the relationship between these two forms of suffering is often so close and so mutually reinforcing that distinctions are drawn somewhat arbitrarily. This last is perhaps the cardinal reason for the alliance between medicine and psychiatry.



The Psychiatric Interview

The Psychiatric Interview Author Allan Tasman
ISBN-10 9781118340981
Release 2013-05-10
Pages 208
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While the ABPN has now supplied such standards for psychiatry, psychiatric interviewing instruction has not been standardized in the US or in other countries. Similarly, the few psychiatric interviewing books available are written in textbook form, often long and often from the subpecialty perspective (e.g. psychodynamic interviewing). Critically, no interviewing guides to date take a true biopsychosocial perspective. That is, they limit themselves to “interviewing” as an isolated technique divorced from full patient assessment, which for quality patient care must include the interface of psychological and social components with biological components. Similarly, few interviewing texts are fully integrated with DSM/ICD categorical diagnostic schemata, even though these descriptive diagnostic systems represent the very core of our clinical language—the lingua franca of the mental health professions. Without good descriptive diagnoses there cannot be adequate communication of clinical data among providers. The proposed book will meet this need for training in biopsychosocial assessment and diagnosis. The patient interview is at the heart of psychiatric practice. Listening and interviewing skills are the primary tools the psychiatrist uses to obtain the information needed to make an accurate diagnosis and then to plan appropriate treatment. The American Board of Psychiatry and Neurology and the Accrediting Council on Graduate Medical Education identify interviewing skills as a core competency for psychiatric residents. The Psychiatric Interview: evaluation and diagnosis is a new and modern approach to this topic that fulfills the need for training in biopsychosocial assessment and diagnosis. It makes use of both classical and new knowledge of psychiatric diagnosis, assessment, treatment planning and doctor-patient collaboration. Written by world leaders in education, the book is based on the acclaimed Psychiatry Third Edition by Tasman, Kay et al, with new chapters to address assessment in special populations and formulation. The psychiatric interview is conceptualized as integrating the patient's experience with psychological, biological, and environmental components of the illness. This is an excellent new text for psychiatry residents at all stages of their training. It is also useful for medical students interested in psychiatry and for practicing psychiatrists who may wish to refresh their interviewing skills.



Medical Complications of Psychiatric Illness

Medical Complications of Psychiatric Illness Author Claire Pomeroy
ISBN-10 1585627763
Release 2008-08-13
Pages 228
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Psychiatric patients have an increased rate of morbidity and mortality due to physical illnesses. Distressingly, psychiatrists fail to recognize these comorbid medical illnesses in nearly half of all cases. All too often, the physical illness may be causing or exacerbating the psychiatric symptoms. Furthermore, the psychiatric condition itself and iatrogenic complications of medication or other treatments can result in serious medical pathology. Until now, most psychiatrists have deferred the general medical care of their patients to other practitioners. Yet because psychiatrists are uniquely positioned to provide health care that bridges somatic and mental conditions, they are increasingly being called on to ensure that their patients also receive adequate medical care. This breakthrough text responds to that call to action from a perspective unique in the literature: It focuses on the medical complications of psychiatric illnesses, rather than the more typical psychiatric complications of medical illnesses. This concise yet comprehensive book is intended for practitioners who treat adult medical patients. It is divided into two main sections: Health Care of Psychiatric Patients, organized by recommendations for routine medical management and reproductive health, focuses on the general health care maintenance of psychiatric patients with medical illnesses. Also discussed are the unique reproductive health needs of psychiatric patients, who are often at increased risk of coercive or abusive sexual relationships, rape and other sexual assaults, unplanned pregnancy, pregnancy complications, and sexually transmitted diseases. Psychiatric Disorders, organized by diagnostic groupings, focuses on those psychiatric disorders -- affective, anxiety, and somatoform disorders and dementia; schizophrenia and other psychotic disorders; Munchausen's syndrome and other factitious disorders; self-injurious behavior; eating disorders; and alcohol and drug abuse -- that most clearly can have medical complications. Using extensive notes and tables throughout, these distinguished contributors have created far more than just another compendium of medical illnesses that can present with psychiatric symptoms. Here you'll find a practical, detailed roadmap that will be welcomed not only by students, residents, and clinicians working with adult psychiatric patients who develop medical complications, but also by practitioners who manage psychiatric patients in a general medical practice.



Principles of Inpatient Psychiatry

Principles of Inpatient Psychiatry Author Fred Ovsiew
ISBN-10 0781772141
Release 2008-11-01
Pages 383
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Principles of Inpatient Psychiatry is geared to psychiatrists working in inpatient settings: residents, psychiatrists who occasionally provide inpatient care, and psychiatric "hospitalists" who specialize in the inpatient arena. Inpatient settings contain the sickest psychiatric patients, such as those with a high risk of suicide, agitation requiring emergency management, or treatment-resistant psychosis and depression, all topics discussed in the book. Co-morbid general-medical illness is common, and the book focuses attention, supported by case examples, on medical and neuropsychiatric as well as general-psychiatric evaluation and management. Chapters address special clinical problems, including first-episode psychosis, substance abuse, eating disorders, and legal issues on the inpatient service. The editors bring expertise to bear on a wide range of treatments, including psychopharmacologic, psychodynamic, and milieu approaches.



Evaluation of the Psychiatric Patient

Evaluation of the Psychiatric Patient Author Seymour L. Halleck
ISBN-10 9781468458800
Release 2013-11-09
Pages 224
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A few months before the final manuscript of this book was sent to the publisher, Dr. Karl A. Menninger died, shortly before his ninety seventh birthday. Thus, when I sat down to write this preface, he was very much on my mind. I remembered that it had been almost forty years since he wrote A Manual for Psychiatric Case Study, not one of his well-known but probably the most practical of his books. The psycho analytically trained part of me began to wonder what had motivated me to write a book on a topic so similar to that which had earlier drawn the attention of my revered teacher. There is no pressing need for another book on psychiatric evaluation; furthermore, evaluation is a very diffi cult subject to write about in a straightforward way. Whatever my unconscious motivations may have been, I hope they were less significant than those of which I was aware. I wrote this book mainly as part of an effort to reverse certain trends in psychiatric educa tion. In the last decade psychiatrists have increasingly been trained in an environment that emphasizes brief evaluation of patients and de emphasizes teaching about the complexity of human behavior and ex perience. Trainees no longer study psychiatric evaluation in a systematic manner. They take fewer intensive histories, fill out forms instead of describing the patient's mental status, and, with rare exceptions, are not taught how to conceptualize biological and psychosocial interactions.



Approach to the Psychiatric Patient

Approach to the Psychiatric Patient Author John Warren Barnhill
ISBN-10 9781585623006
Release 2009
Pages 523
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A thought-provoking accompaniment to standard psychiatric textbooks, this volume provides interesting perspectives on psychiatric knowledge, theory, and practice. It encourages an approach that combines curiosity, skepticism, and compassion. Includes more than 100 essays.



Big Book of Emergency Department Psychiatry

Big Book of Emergency Department Psychiatry Author Yener Balan
ISBN-10 9781351984188
Release 2017-09-18
Pages 354
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This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED’s is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.



Emergency Psychiatry

Emergency Psychiatry Author Rachel L. Glick
ISBN-10 078176873X
Release 2008
Pages 538
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Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com)



Emergency Department Treatment of the Psychiatric Patient

Emergency Department Treatment of the Psychiatric Patient Author Susan Stefan
ISBN-10 0198040806
Release 2006-03-16
Pages 232
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Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills. In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it. This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department. Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocates and lawyers for people with psychiatric disabilities.



Clinical Manual of Supportive Psychotherapy

Clinical Manual of Supportive Psychotherapy Author Peter N. Novalis
ISBN-10 0880484039
Release 1993
Pages 362
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This is comprehensive guide to the specific modality of supportive psychotherapy by three experienced clinicians. It documents the wide applicability of supportive psychotherapy, beyond its usual confines of patients in crisis or with chronic mental or physical illness. It presents in a clear and concise fashion the background and techniques of supportive psychotherapy, and illustrates this information with useful case examples. The authors also present the various modifications that must be made to meet individual needs.



Behavioral Emergencies for the Emergency Physician

Behavioral Emergencies for the Emergency Physician Author Leslie S. Zun
ISBN-10 9781107018488
Release 2013-03-21
Pages 414
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This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.



Psychiatry for Medical Students

Psychiatry for Medical Students Author Robert J. Waldinger
ISBN-10 0880487895
Release 1997
Pages 618
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This popular book gives medical students, primary care physicians, nurses, social workers, and psychologists a jargon-free introduction to the basics, including topics such as schizophrenia, electroconvulsive therapy, transference, and tranquilizers.



Handbook of Outpatient Treatment of Adults

Handbook of Outpatient Treatment of Adults Author Barry A. Edelstein
ISBN-10 9781489908940
Release 2013-06-29
Pages 684
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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.



Textbook of Adult Emergency Medicine

Textbook of Adult Emergency Medicine Author Peter Cameron
ISBN-10 9780702054389
Release 2014-04-01
Pages 1036
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Now fully revised and updated, Textbook of Adult Emergency Medicine provides clear and consistent coverage of this rapidly evolving specialty. Building on the success of previous editions, it covers all the major topics that present to the trainee doctor in the emergency department. It will also prove invaluable to the range of other professionals working in this setting - including nurse specialists and paramedics - who require concise, highly practical guidance, incorporating latest best practices and current guidelines. For the first time, this edition now comes with access to addtional ancillary meterial, including practical procdure videos and self-assessment material. Updates throughout reflect latest practice developments, curricula requirements and essential guidelines Key point boxes highlight topic ‘essentials’ as well as controversial areas of treatment An expanded list of leading international contributors ensures comprehensive coverage and maximizes worldwide relevance New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillariy material, including procedure videos and self-assessment materials to check your understanding and aid exam preparation Expansion of administration section - especially patient safety New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillary materials - including practical procedures videos and self-assessment materials



Kaplan and Sadock s Comprehensive Textbook of Psychiatry

Kaplan and Sadock s Comprehensive Textbook of Psychiatry Author Benjamin J. Sadock
ISBN-10 9781496389152
Release 2017-05-11
Pages 4998
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50th Anniversary Edition The cornerstone text in the field for 50 years, Kaplan & Sadock's Comprehensive Textbook of Psychiatry has consistently kept pace with the rapid growth of research and knowledge in neural science, as well as biological and psychological science. This two-volume Tenth Edition shares the expertise of over 600 renowned contributors who cover the full range of psychiatry and mental health, including neural science, genetics, neuropsychiatry, psychopharmacology, and other key areas. It remains the gold standard of reference for all those who work with the mentally ill, including psychiatrists and other physicians, psychologists, psychiatric social workers, psychiatric nurses, and other mental health professionals.



Systematic Psychiatric Evaluation

Systematic Psychiatric Evaluation Author Margaret S. Chisolm
ISBN-10 9781421407029
Release 2012-09-07
Pages 264
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The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians. -- Arnold E. Andersen, M.D., The University of Iowa College of Medicine



Handbook of Emergency Psychiatry E Book

Handbook of Emergency Psychiatry E Book Author Hani R. Khouzam
ISBN-10 9780323076616
Release 2007-03-09
Pages 688
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This user-friendly resource presents a patient-centered approach to managing the growing incidence of major psychiatric emergencies in the outpatient setting. Abundant illustrations, tables, and algorithms guide you through the wide range of disorders discussed, and a color-coded outline format facilitates rapid access to essential information necessary for making a proper diagnosis for optimal management outcomes. Organizes information by patient presentation to help you distinguish among conditions that present with similar symptoms. Discusses medical conditions presenting with psychiatric symptoms, where appropriate. Highlights critical information in "Hazard Signs" boxes for quick, at-a-glance review. Uses acronyms and memory aids to enhance recall of information in moments of crisis. Features a chapter discussing the psychiatric effects of bioterrorism. Offers an Improved Suicide Risk Scale with criteria on impulsivity, plan, and lethal level of attempt. Provides valuable tips on interviewing and interacting with patients in various situations, as techniques will vary from depressed suicidal patients to manic and potentially assaultive individuals. Includes appendixes that discuss common psychiatric medications used and important lab values in the ER.