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In Women in Psychiatry, 21 accomplished women psychiatrists in private practice, teaching institutions, hospitals, public health treatment programs, and leadership positions reveal both the challenges and rewards of being in a wide array of professional positions. The stories are heartfelt and personal as well as professional accounts of obstacles overcome and milestones achieved. In a field once completely dominated by men, nearly one-third of physicians who identified themselves as practicing psychiatry in the U.S. were women, and the diversity of their approaches to the practice of psychiatry is encouragingly illustrated in this book. Women in Psychiatry clearly demonstrates where an interest in science or medicine can lead when combined with determination, guidance, experience, mentoring, perseverance, and organizational support. The featured women represent diverse backgrounds, ethnicities, positions, career pathways, and accomplishments. All the authors share lessons learned and provide recommendations on what they found helpful in achieving their goals of personal and professional fulfillment. These chapters present many common themes among women professionals both within and outside of psychiatry, including handling pregnancy and motherhood while building a career, the potential strain between women and men in the field, and some of the income and leadership role inequities that still exist. Features and benefits of Women in Psychiatry include:   Insights into career paths through descriptions of pivotal events and decisions that shaped their careers as scientists. Perspectives and advice on how to balance personal and professional responsibilities, both in training and in practice. Illustrations of the role played by cultural and linguistic background, race, ethnicity, sexual orientation, religion, marital status, subspecialty, place of employment, and work setting. The importance of mentorship throughout the process, first as a recipient and ultimately as a mentor to other women entering the field. Strategies these authors used to accomplish goals and the various styles of leadership that helped them reach those goals. The historical context for understanding that until recent decades, despite irrefutable evidence that women in the biomedical professions are capable, there were few in most fields with the exception of nursing, dental hygiene, and elementary science teaching. Women in Psychiatry is the ideal book for women who are considering a career in psychiatry or other areas of medicine. It is also a book for partners and spouses of women in medicine and psychiatry. It is an inspirational and educational document that women and men, whether in medicine or other, nonrelated careers, can value and appreciate through the recounting of personal and professional experiences that made a difference.

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Geetha Jayaram, Annelle B. Primm, Donna M. Norris

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Psychiatry Review and Canadian Certification Exam Preparation Guide

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Psychiatry Review and Canadian Certification Exam Preparation Guide is the first exam preparation text intended specifically for candidates taking the Royal College of Physicians and Surgeons of Canada (RCPSC) psychiatry examination. This concise, single volume review contains "Canadian-specific" content so that readers need not modify other sources, but may rely on it as their primary source of preparation.The volume is based on The American Psychiatric Publishing Board Review Guide for Psychiatry and cites only validated sources used in other APP books, so candidates can be assured of its content integrity. It has been fully updated, and it includes a multitude of features that will appeal to harried candidates:   The information presented is consistent with Canadian psychiatry practice. References have been drawn from the Canadian psychiatric literature, and laboratory units; medication names and doses, and the language employed are consistent with Canadian medicine and psychiatry; The volume is organized according to familiar DSM-IV classifications, allowing readers to quickly locate the most appropriate chapter. It does not neglect foundational knowledge, however, offering complete coverage of basic neuroanatomy as well as more advanced topics such as neuroimaging, psychopharmacology, and the cultural and legal aspects of psychiatric illness; Quick-reference tables summarizing diagnostic criteria for specific psychiatric disorders and other critical information are especially useful and abundant; and A rigorous 200-question practice exam and answer guide provide a reality check for prospective exam takers. The exam's structure reflects the actual board examination, with question topics commingled, and candidates seeking additional questions and annotated answers to enhance their preparation are referred to additional online self-assessments. The Psychiatry Review and Canadian Certification Exam Preparation Guide represents the best of psychiatric scholarship, combined with insight into the RCPSC psychiatry exam, and a keen eye for presenting the necessary information in a logical, easy-to-remember manner. This one-stop resource is destined to become candidates' constant companion in the months leading up to the exam, and after.

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Usha Parthasarathi, Ana Hategan, James A. Bourgeois

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Clinical Manual of Alzheimer Disease and Other Dementias

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In Clinical Manual of Alzheimer Disease and Other Dementias, practicing psychiatrists and neurologists provide essential input into neuropsychiatric assessment and the diagnosis and treatment of a wide range of neuropsychiatric conditions, including Alzheimer disease and traumatic brain injury. The manual provides invaluable information on both evaluation/diagnosis and treatment. Case studies offer real-life clinical experiences by some of the country's leading experts in the field. Clinical Manual of Alzheimer Disease and Other Dementias   Includes DSM-IV-TR cognitive disorders and addresses other cognitive syndromes and psychiatric symptoms that may confound diagnosis. Provides clinical insights into the diagnostic signs and symptoms of dementing illnesses, including Alzheimer disease, frontotemporal dementias, delirium, amnesia, and other cognitive disorders. Reviews the psychiatric syndromes that are related to dementing illnesses and deals with their treatment. Discusses the detection and management of depression in the evaluation of a person with a cognitive complaint or symptoms. Emphasizes the behavioral disorders that accompany dementing illness and presents an approach to their pharmacological and nonpharmacological management. Delineates clinical workup for medical conditions that may underly cognitive or other psychiatric symptoms. Provides an overview of clinical tools and techniques for diagnosing cognitive dysfunction, including history taking, mental status evaluation, physical and neurological examination, and neuropsychological testing. Presents an illustrated review of the most current techniques of neuroimaging in differential diagnosis. Includes key clinical points in every chapter summarizing important concepts. In addition to topics covered in the textbook, the manual includes a chapter on community resources to enable clinicians to better support patients and families through local and national organizations and agencies. This text is a must-have reference for clinical psychiatrists, resident fellows, residents in training, medical students in psychiatry rotations, clinical psychologists, and psychiatric nurses.

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Even in today's more enlightened society, it takes courage for many lesbian, gay, bisexual, and transgender (LGBT) individuals to "come out of the closet" and embrace their sexual orientation and identity. Coming out, or facing internal and societal conflicts related to sexuality, involves a great deal of anxiety that can permeate other aspects of an LGBT individual's life -- particularly when seeking psychiatric treatment. The goal of The LGBT Casebook is to help clinicians, trainees, and other mental health professionals address the mental health needs of LGBT people in the context of problems these individuals face in their everyday lives, including homophobia and discrimination.The LGBT Casebook begins with five chapters devoted to basic concerns that affect LGBT populations, including coming out, heterosexist attitudes, the "don't ask, don't tell" mentality, legal issues, gay parenting, and sexual identity in patient-therapist relationships. In the rest of the book, clinician-authors present case studies of 20 patients with different DSM diagnoses, illuminating the impact of LGBT identity and illustrating a way of working with each presented patient. Features and benefits of The LGBT Casebook include:   Insights into the unique problems LGBT people face in their everyday lives when compared with heterosexual individuals. Problems that are common to all LGBT individuals, such as the anxiety of being in the closet (hiding one's identity) or coming out (embracing one's identity). Practitioners with little experience in working with the LGBT population can gain a better understanding of psychiatric diagnoses within the context of an LGBT individual's everyday life. The book can be read cover-to-cover to gain insights into the full diversity of the LGBT population, or by specific chapters of interest to help with the diagnosis of a patient currently in treatment. A glossary at the back of the book defines both clinical and colloquial terms and phrases that clinicians and patients use to define themselves and their peers. While The LGBT Casebook is the ideal general overview and roadmap for the clinician new to treating LGBT patients, it also provides new pearls of wisdom and insights for psychiatrists, residents, medical students, nurses, and clinical social workers who are already familiar with working with the LGBT community. By introducing a diverse range of people, diagnoses, and presenting problems, it will serve as a valuable reference book for all mental health professionals when assessing and treating the mental health concerns of lesbian, gay, bisexual, and transgender patients.

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Jack Drescher, Petros Levounis, Mary Barber

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The American Board of Psychiatry and Neurology

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The American Board of Psychiatry and Neurology: Looking Back and Moving Ahead honors the 75th anniversary of the ABPN by reviewing the Board's history and evolution, describing the subspecialties and the role that certification plays in their practice, explaining the current status of the ABPN's programs, and exploring future directions. A substantive contribution to our understanding of the historical and contemporary issues that confront the Board, the profession, and the community of practitioners, this book   Provides in-depth chapters on the neurological subspecialties, including child neurology, clinical neurophysiology, vascular neurology, neuromuscular medicine, and neurodevelopmental disabilities. Explores the psychiatric subspecialties in detailed chapters on addiction psychiatry, child and adolescent psychiatry, geriatric psychiatry, psychosomatic medicine, and forensic psychiatry. Describes the evolution and ongoing management of the credentialing process, including exam development, administration, and scoring. Addresses the critical importance of ethical standards and their integral role in certification, licensing, and practice. Discusses the future of board certification and the importance of recertification and lifelong learning. With chapters written primarily by current or former ABPN directors or senior staff members, The American Board of Psychiatry and Neurology: Looking Back and Moving Ahead will be invaluable to candidates, training programs, and institutions preparing for certification; diplomates seeking to maintain certification; and subspecialists desiring to understand the role of certification in their subspecialty.

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For many years, the American Psychiatric Glossary has been the standard reference for psychiatrists, residents, psychiatric social workers, and other mental health professionals. Last published 8 years ago, it enjoyed unparalleled dominance in the mental health market. Now comes The Language of Mental Health: A Glossary of Psychiatric Terms, which is designed not only to replace its predecessor but also to improve upon its offerings and bring the content firmly into the twenty-first century.This comprehensive, user-friendly reference boasts an abundance of features, both time-tested and new, as follows:   The number of Glossary definitions has been increased by 25%, and coverage has been expanded to include terms specific to newer psychiatric subspecialties, such as geriatric psychiatry, addiction psychiatry, psychosomatic medicine, and child and adolescent psychiatry. The section on "Medications Used in Psychiatry" is expanded and up to date. Medications are organized by drug class (e.g., antidepressants), subclass (e.g., selective serotonin reuptake inhibitors), trade name (e.g., Prozac), and generic name (e.g., fluoxetine). The section on "Psychiatric Measures" is robust and detailed. For example, the entry under "Neuropsychiatric Measures for Cognitive Disorders" lists nearly a dozen assessments, along with their acronyms or abbreviations. The section on "Mental Health Resources" includes vital descriptions and current contact information for dozens of organizations. The Web addresses are especially useful for those seeking immediate assistance or access to information. Although the reference maintains the level of theoretical, diagnostic, and therapeutic accuracy one would expect from a book for clinicians, it will also prove useful to advocacy groups, attorneys, and mental health patients and their families. Compact enough to slip into a pocket or briefcase, yet substantial enough to withstand frequent consultations and extended study, The Language of Mental Health is a worthy successor to the American Psychiatric Glossary and is the only reference of its caliber and completeness on the market.

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Robert E. Hales, Narriman C. Shahrokh, Katharine A. Phillips, Stuart C. Yudofsky

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As many as 35-40% of patients afflicted with Major Depressive Disorder (MDD) are treatment resistant, a situation that places a massive emotional and financial burden on society and challenges the mental health profession to develop new treatment paradigms and practices. Even the most astute clinicians can be frustrated when treatment options fail to be effective or work for only a brief time, leaving them to wonder what course to pursue next. Treatment Resistant Depression: A Roadmap for Effective Care gives clinicians and their patients what they need most desperately: a sequence of steps that reflect state-of-the-art diagnostic procedures and integrates all evidence-based treatment modalities -- in short, a roadmap to wellness and recovery.Based primarily on the experiences of the authors, all of whom are leading researchers and/or clinicians in Treatment Resistant Depression and affiliated with the University of Michigan Comprehensive Depression Center, the book also draws upon the clinical research advances and treatment innovations of programs around the world. Although the book's step-by-step organization is clear and easy to follow, its coverage, scope, and level of sophistication are anything but simplified. This book   Is comprehensive, addressing treatment options, including psychopharmacotherapy, psychotherapy, neuromodulation (ECT, transcranial magnetic stimulation, deep brain stimulation, vagus nerve stimulation), exercise, nutrition, self-management approaches to enhance adherence, behavioral sleep programs, and others Addresses treatment resistant depression across the lifespan, reflecting the diverse demographics of depression, which knows no age, gender, or socioeconomic status Emphasizes the authors' commitment to early intervention and provides techniques for identifying young people who are at risk for developing depression or already expressing symptoms of the disease Recognizes the chronicity of depression, rather than focusing on only the acute stage, and in this way allows for more effective treatment over the patient's lifetime Introduces self-management as playing a critical role in the patient's prognosis, engagement, adherence to clinical steps that help maintain recovery, and self-esteem Promotes the development of new, personalized, and predictive biomarkers to target treatment more effectively. Designed to be useful across disciplines and treatment modalities, the book includes a multitude of tables, graphs, and learning aids that will benefit students, instructors, and clinicians. At the same time, the book promises to be a valuable resource for patients and their families, since Treatment Resistant Depression is both difficult to live with and little understood. No other book offers so much practical guidance, sound research and hope.

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University of Michigan Comprehensive Depression Center, Michelle B. Riba, Melvin G. McInnis, John F. Greden

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There is a need to refine our current psychiatric nosology to produce diagnostic criteria and disorder categories that keep pace with advances in neuroscience while at the same time enhance clinical utility. Furthermore, dimensional aspects of psychiatric disorders require greater recognition so as to improve our understanding of boundaries between disorders and underscore the heterogeneous nature of psychopathology. The Conceptual Evolution of DSM-5 provides a framework for the evolution of the forthcoming diagnostic system in the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which will help advance clinical practice and facilitate ongoing development of diagnostic criteria. This manual:   Highlights recent progress in our understanding of cross-cutting factors relevant to psychiatric diagnosis and symptom presentation Includes detailed discussions on the role of factors such as age, gender, culture, and disability in the expression of mental disorders Provides a review of genetic evidence supporting a cross-cutting approach to nosology Offers suggestions for integrating cross-cutting factors with DSM-5. The Conceptual Evolution of DSM-5 was written to impart a theoretical context for understanding potential revisions to DSM-5. The authors reevaluate the structure of the current manual and discuss cross-cutting approaches to facilitate clinical practice and refine research approaches that will guide clinical trials, genetics, imaging, and treatment guidelines. The authors provide the following insights:   Detailed descriptions of age-, gender-, and culture-specific aspects relevant to psychiatric diagnosis and the need for sensitivity to these factors when making diagnoses Discussions on the dimensional aspects of mental disorders, including overlapping symptoms relevant to many or most diagnoses Consideration of alternative classifications of disorders that recognize disorders sharing validating features Presentation of neuroscientific and epidemiologic evidence to expand understanding of disorders beyond that of the categorical organization presented in DSM-IV A review of clinical implications, including how clinicians may shift their conceptualization of previously reified diagnostic criteria and their consequences. As presented to the 99th Annual Meeting of the American Psychopathological Association, The Conceptual Evolution of DSM-5 explores the rapidly changing research base for the understanding of neurodevelopmental, neurocognitive, addictive, and other psychiatric disorders. The contributions in this volume confirm that DSM-5 is intended to be a living document that can accommodate revisions to specific diagnostic areas based on new evidence that is replicable and subject to review. This efficient updating process will help researchers and clinicians keep abreast of the latest protocols for the research, diagnosis, and treatment of mental illness.

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Darrel A. Regier, David J. Kupfer, Emily A. Kuhl, William E. Narrow

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The American Psychiatric Publishing Textbook of Geriatric Neuropsychiatry

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The third edition of the popular Textbook of Geriatric Neuropsychiatry thoroughly reviews this clinical subspecialty devoted to the diagnosis and treatment of psychiatric and behavior disorders in aging patients who display impaired brain function. In this text, world-renowned neuropsychiatrists and neuroscientists provide practical application of the latest research for both experienced clinicians and those new to the study of neuropsychiatry for the elderly. The book provides a comprehensive approach to treatment and contemporary neuroscience:   Addresses the reality of an increasing aging population and the accompanying psychosocial changes this brings for patients and caregivers. Focuses on the health care of patients with neuropsychiatric illness. Consolidating the continued explosion of neuroscience research and the understanding of human behavior as it relates to aging. Bridges the fields of geriatric neurology and geriatric psychiatry, emphasizing relationships between neuropsychiatric illness and the aging of the nervous system. Responds to advancements in the study and science of geriatric neuropsychiatry, as well as feedback from past readers and clinicians. Concise and organized for easy reference, the textbook is divided into four parts that disclose clinically relevant information within the context of the very latest in neuroscience research and clinical application, including:   Clinical definitions of the essential neuropsychiatric syndromes and disorders commonly seen in the elderly and how these disorders manifest. Emphasis on the principles and special considerations essential for the safe and effective treatment of neuropsychiatric disorders in the elderly.  Study of the importance of interactions among aging; psychosocial, family, and neuropharmacological elements; and brain stimulation therapies.  In-depth review of the influence of the aging nervous system on the pathophysiology, neuropsychiatric manifestations, clinical course, and prognosis of neurological and psychiatric illness in the elderly. Geriatric neuropsychiatry is an integrative specialty that draws from a diversity of fields including psychiatry, neuropsychiatry, neuroimaging, neuropsychopharmacology, gerontology, genetics, and molecular biology, to name a few. Incorporating these perspectives, this text is highly recommended for psychiatrists, neurologists, psychologists, geriatricians, psychiatric nurses, residents and fellows, and other clinicians interested in the study and treatment of the effects of aging on the brain.

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Norman L. Foster, Mark S. George, Jeffrey L. Cummings, C. Edward Coffey, Daniel Weintraub

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Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk.Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author:   Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including:   Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations.  Key points at the end of each chapter that identify critical information.  A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

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Mentalizing, the fundamental human capacity to understand behavior in relation to mental states such as thoughts and feelings, is the basis of healthy relationships and self-awareness. A growing evidence base supports the effectiveness of mentalizing-focused interventions in the treatment of borderline personality disorder. This volume explores wider applications, construing mentalizing as a core common factor in the effectiveness of psychotherapeutic interventions that cuts across treatment modalities and theoretical approaches ranging from psychodynamic to interpersonal and cognitive therapies.This book distills the burgeoning literature on mentalizing for clinicians of diverse professional backgrounds. The book is divided into two parts: Understanding Mentalizing fully explicates the concept of mentalizing and its foundations in developmental research and social-cognitive neuroscience; Practicing Mentalizing presents the general principles of psychotherapeutic interventions that promote mentalizing as well as a range of current clinical applications.   Mentalizing is multifaceted -- for example, pertaining to self and others as well as explicit and implicit processes -- and links to myriad overlapping concepts including empathy, metacognition, theory of mind, mindfulness, and psychological mindedness. Two sides of research on the development of mentalizing in attachment relationships have significant clinical implications: interactions in secure attachment relationships enhance mentalizing and illuminate the conditions of optimal psychotherapeutic relationships; conversely, trauma in attachment relationships undermines the development of mentalizing and eventuates in developmental psychopathology that poses special challenges for psychotherapy. Neuroimaging is illuminating diverse brain regions that contribute to mentalizing capacity, including a "mentalizing region" in the medial prefrontal cortex that is consistently activated in mentalizing tasks; concomitantly, research on autism and psychopathy attests to the neurobiological basis of psychopathologies in which stable impairments of mentalizing are most conspicuous. In development and in psychotherapy, mentalizing begets mentalizing, as exemplified by a mentalizing stance that fosters inquisitiveness and curiosity about mental states in oneself and others; basic principles and clinical examples, including the use of transference, demonstrate the spirit and technique of mentalizing, capped off by a patient's first-hand account of mentalization-based treatment for borderline personality disorder. Attachment trauma is the wellspring of disrupted mentalizing capacity, and a focus on mentalizing provides an integrative framework for psychodynamic and cognitive-behavioral treatment of trauma as well as for parenting, family, and social-systems interventions directed toward interrupting the perpetuation of trauma in relationships. Psychoeducational interventions, including patient education and structured exercises, are employed to cultivate a therapeutic alliance around mentalizing; the book includes a straightforward explanation clinicians can use with patients, "What is Mentalizing and Why Do It?" In the chapter on mentalizing interventions, the authors propose to clinicians, "You are already doing it." If the effectiveness of treatment depends on therapists mentalizing and helping their patients do so more consistently and skillfully, clinicians of all persuasions can benefit from the extensive knowledge now available to hone further their attention to this vital therapeutic process.

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Jon G. Allen, Peter Fonagy, Anthony W. Bateman

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The practice of medicine is both learned and advanced through the compilation and study of cases -- vignettes that record the presentation, diagnosis, and treatment of individual patients and diseases. This is especially true of psychosomatic medicine (PSM), which depends on the "compelling case" to distill clinical knowledge and communicate it to students, residents, and clinicians. An invaluable contribution to the field, the Casebook of Psychosomatic Medicine describes the psychiatric symptoms and/or illnesses managed by the PSM psychiatrist in collaboration with other medical colleagues. The book presents a broad range of cases illustrating the medical, psychosocial, and intertwined situations psychiatrists are likely to encounter in an academic medical center setting.No other single volume offers a broader range of engaging, detailed, and nuanced PSM cases, or grounds them so firmly in a psychiatric, psychosocial, and spiritual context. Here are just a few of this patient-centered book's most impressive and useful features:   The relevant science underlying each case is addressed in discussion sections, allowing the book to be read as a stand-alone volume. Alternatively, the cases can be read as instructive and insightful illustrations by the reader who has already absorbed the fundamentals of PSM from standard textbooks in the field. This user-friendly book is organized by the organ system or disease type of the presenting illness or symptom. Content rare in volumes of this kind includes detailed coverage of the diagnosis and management of cognitive disorders; the management of drug toxicity states; determinations of decisional capacity for medical decision making; and "stress and adaptation", an issue the PSM psychiatrist encounters daily. The authors strongly believe that one of the most crucial roles for the psychiatrist is in the medical center, and the book reflects that orientation.  The book addresses the importance of understanding the impact of patients' systemic illnesses on their psychiatric symptoms, and modifying interventions and care accordingly. These abilities are critical to sound PSM practice. Although PSM has a long and noble history, it is the newest of the psychiatric subspecialties, and as the literature expands, more and more clinicians will incorporate PSM treatment modalities into their practice. The Casebook of Psychosomatic Medicine is an essential contribution to that body of knowledge and establishes a new standard with which to face the future of this exciting field.

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John M. Bostwick, Debra Kahn, Kemuel L. Philbrick, James A. Bourgeois, Adele Devine, Quentin Devine

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Clinical Manual for Evaluation and Treatment of Sleep Disorders

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The Clinical Manual for Evaluation and Treatment of Sleep Disorders is the first clinical text devoted solely to the diagnosis and treatment of sleep disorders that is both comprehensive and conveniently portable. The book's 13 chapters offer a concise, step-by-step method of differential diagnosis for some of the most common sleep complaints encountered in today's professional clinical practices. And, unlike most other clinical textbooks, its small size gives it a broad accessibility.The manual begins with an overview of sleep physiology and pathology, including eight common laboratory procedures and three major diagnostic nomenclatures for sleep disorders. Each of the chapters that follow provides an overview of symptoms, tests, and various behavioral and pharmacologic treatments for a wide range of sleep conditions, including insomnias, breathing disorders, parasomnias, and several common medical disorders that are often associated with sleep complaints. The latter chapters discuss sleep disorders in distinct patient demographics -- specifically children, women (during pregnancy, the postpartum period, and menopause) and the increasing population of older adults. The book concludes with a chapter devoted to pharmacologic interventions, detailing the use of and clinical issues associated with 25 different types of drugs.Additional benefits of the manual include:   A "Pearls and Pitfalls" section of bulleted facts at the beginning of each chapter Figures, tables, and helpful takeaways (such as a differential diagnosis decision tree and patient questionnaires) in many chapters An appendix of 65 frequently used abbreviations related to sleep complaints and disorders Patient handouts that include sleep tips and information on insomnia, abdominal breathing, delayed sleep phase syndrome, melatonin and light treatments, sleep walking, and jet lag No other clinical text provides such a breadth of information on sleep disorders in such a compact, easy-to-carry volume. Its extensive content makes this book ideal for nursing, psychiatric, social work, and family practice settings, as well as a useful teaching implement in medical classrooms. By classifying sleep disorders according to clinical presentation, patient demographic, and related conditions, the Clinical Manual for Evaluation and Treatment of Sleep Disorders offers clinicians a valuable reference tool in the diagnosis and treatment of sleep disorders.

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Martin Reite, John R. Ruddy, Michael Weissberg

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Handbook for ADHD Complications in Children and Adults

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Many books address various aspects of ADHD -- but ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults is the only one that covers the multiple ways in which ADHD is complicated by other psychiatric and learning disorders in both children and adults. It features comprehensive, research-based information on the condition and its full range of comorbidities, from mood disorders to developmental coordination disorder, written by researcher-clinicians familiar with the complications that these additional disorders pose. The authors summarize in accessible language what is currently known about ADHD and its comorbidities from preschool age to adulthood, describing how ADHD produces different profiles at different stages of development.The book offers a new paradigm for understanding ADHD, viewing it not as a simple behavior disorder but as a complex developmental impairment of executive functions in the brain. In describing combinations of disorders in various age groups, this effective guide shows that significant impairments can occur in adolescence and adulthood, when individuals face increased demands for self-management. And because adults with ADHD are likely to have at least one additional psychiatric disorder at some point in their lives, this handbook also describes how to adjust treatment strategies for both ADHD and additional disorders to reduce the impairments resulting from comorbidity. Among the book's features:   It reviews aspects of ADHD not only for elementary-school children, adolescents, and adults but also for preschoolers, giving ADHD developmental context by describing how symptoms in preschool years differ from those in older children Eleven chapters offer practical clinical help for patients whose ADHD appears in combination with other disorders, including aggression, mood disorders, obsessive/compulsive disorders, substance abuse, Tourette syndrome, and the autistic/Asperger's disorder spectrum. It presents guidelines for assessing and treating complicated ADHD, including psychopharmacological treatment, psychosocial treatment, cognitive therapy, and tailoring treatment to individuals and their families. It provides guidance on adapting and adjusting medications and other interventions to optimize treatment effects for the wide diversity of complex cases that embody ADHD. It contains useful information about how to discern other disorders when the chief complaint suggests ADHD -- and how to detect ADHD when the patient's presentation has been modified by the presence of other disorders. With its comprehensive summaries of research and wealth of clinical guidance, this handbook clearly shows how attentional disorders are related to other conditions and how patients with these more complex variants of ADD can be more effectively recognized and treated.

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The five-year process of preparing for the revision of the Diagnostic and Statistical Manual (DSM) has been organized around a series of conferences convened by the American Psychiatric Association, in collaboration with the World Health Organization and the U.S. National Institutes of Health, to address the future of psychiatric diagnosis. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V is the fruit of one of those conferences and presents the most academically sound, thought-provoking, and timely papers from the proceedings. As the conference and book demonstrate, recent advances in psychiatric diagnosis suggest a new approach to obsessive-compulsive disorder (OCD) classification:   Research into the pathogenesis of OCD increasingly supports reclassification out of the anxiety disorders and into a separate group of obsessive-compulsive-related disorders (OCRDs).  The relationships among OCRDs may be better defined, delineated, and understood if the current categorical diagnostic approach is supplemented with a dimensional approach which assesses obsessive-compulsive symptom domains. Obsessive-compulsive disorders are believed to be underdiagnosed in patients who complain of broad symptoms of anxiety, and reclassification of OCD as an OCRD would promote more careful examination of distinct obsessive-compulsive symptoms, yield more accurate diagnosis, and result in more effective treatments. Reclassification may facilitate future research directions in examining the biological underpinnings of these disorders. In addition to examining the genetic, neurological, and ethno-cultural bases for OCRDs, the book gives special attention to disorders that cross current diagnostic categories, including:   Body dysmorphic disorder (BDD) Tourette's syndrome and trichotillomania Impulse-control disorders The process leading to publication of DSM-V is by its nature an exhaustive and complex one, and the conferences play a critical role in reviewing relevant research, assessing the status of scientific knowledge, and advancing that knowledge base. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V represents the cutting-edge thinking that will culminate in new diagnoses, classifications, and standards of practice for this debilitating set of disorders. Clinicians and academicians will be fascinated by this glimpse into the next generation of the DSM-V.

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Paul J. Sirovatka, Darrel A. Regier, Joseph Zohar, Eric Hollander

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Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders

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Refining the Research Agenda for DSM-5 and ICD-11

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Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders: Refining the Research Agenda for DSM-5 and ICD-11 provides a comprehensive summary of the current state of mental health classification in the United States and internationally, fostering a better understanding of primary research and clinical needs and facilitating the efforts of service planners, researchers and trainees to address current use of psychiatric diagnosis in the public health sector. The volume reflects the proceedings of a research planning conference convened by the APA and World Health Organization (WHO) that focused on public health aspects of the diagnosis and classification of mental disorders. Highly relevant to the ongoing development of DSM-5 and ICD-11, the book includes the background papers prepared and presented by the Conference Expert Groups. The resulting collection:   Discusses the current state of mental illness prevention efforts and the role of public health in supporting them -- critical topics, given that development of effective strategies to reduce mental illness around the world depends on the accuracy with which risk and protective factors can be identified, defined, and understood. Features international perspectives on public health implications of psychiatric diagnosis, classification, and service, providing viewpoints that are broad and more globally relevant.  Views mental health education, and awareness on a macro level, including its impact on social and economic policy, forensics and the legal system, and education. This approach facilitates the continued development of a research base in community health and promotes the establishment of programs for monitoring, treating, and preventing mental illness. Addresses many fascinating and clinically relevant issues, such as those raised by the concept and the definition of mental disorders and how these impact psychiatric services and practice by individual providers. This collection should prove useful to the advisory groups, task forces, and working groups for the revision of these two classifications, as well as for researchers in the area of diagnosis and classification, and more generally in public health.

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Benedetto Saraceno, Norman Sartorius, Patricia Esparza, Shekhar Saxena, Darrel A. Regier

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Clinical Manual of Couples and Family Therapy

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The Clinical Manual of Couples and Family Therapy presents a conceptual framework for engaging families of psychiatric patients. It outlines practical, evidence-based family therapy skills that make it easier for clinicians to effectively integrate families into the treatment process. Moreover, it reestablishes the role of the psychiatrist as the leader of the team of professionals providing mental health care to patients in need.The underlying assumption in this concise manual is that most psychiatric symptoms or conditions evolve in a social context, and families can be useful in identifying the history, precipitants, and likely future obstacles to the management of presenting problems. The book clarifies the clinical decision-making process for establishing family involvement in patient care in different clinical settings, and it outlines distinct steps in family assessment and treatment within a biopsychosocial organizing framework that can be applied to all families, regardless of the patient's presenting problems. The book's approach is based on a broad model of family functioning, which provides a multidimensional description of families and has validated instruments to assess family functioning from both internal and external perspectives. Unique features and benefits of the manual include:   A focus on one consistent model of assessment and treatment that can be applied to a wide range of psychiatric conditions and clinical settings Numerous case examples, tables, and charts throughout the text to further highlight the material A summary of key concepts at the end of each chapter A companion DVD, keyed to discussion in the text, that demonstrates how to perform a family assessment and treatment All psychiatrists should be proficient in assessing the social and familial context in which a patient's psychiatric illness evolves. The Clinical Manual of Couples and Family Therapy is a practical guide designed to facilitate a clinician's ability to evaluate and treat couples and families.

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Gabor I. Keitner, Ira D. Glick, Alison Margaret Heru

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Textbook of Pediatric Psychosomatic Medicine

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The Textbook of Pediatric Psychosomatic Medicine provides a comprehensive, empirically based knowledge of assessment and treatment issues in children and adolescents with physical illness. Scholarly, authoritative, and evidence based, it is the first volume of its kind and will help to define the field going forward.Addressing a very wide range of medical subspecialties, this volume is a first step for researchers who want to obtain a review of the psychiatric issues in their respective specialties. In addition, the book offers many special features, including   An exceptionally strong section on psychopharmacology in the medical setting, which is complemented by a comprehensive set of reference tables on psychopharmacological agents, including doses, side effects, and indications for use in the physically ill child. Definitive chapters on less commonly reviewed topics that are of particular relevance for clinicians who treat physically ill children, including pediatric palliative care, Munchausen syndrome by proxy, and pediatric feeding disorders. Coverage of key legal and forensic issues in pediatric psychosomatic medicine. Presentation of material in graphical and tabular formats for maximal usefulness, including templates of specific questions for assessing common psychiatric symptoms and flowcharts illustrating step-by-step approaches to pain and somatoform disorders. Relevance to a broad range of professionals, including psychiatrists, pediatricians, psychologists, nurses, medical students, and social workers who work with children in medical settings.  May be adopted as a textbook for psychology undergraduate classes, social work internships, and both general and child psychiatry residency training programs. The editors are recognized both nationally and internationally as being among the foremost experts for their respective fields, and they have assembled the leading practitioners of pediatric psychosomatic medicine to create this volume. The only complete text on pediatric psychosomatic medicine, this volume is destined to prove seminal in the field and indispensable in the clinician's library.

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A Clinical Guide to Weight Loss and Maintenance

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The Gravity of Weight: A Clinical Guide to Weight Loss and Maintenance, by Sylvia R. Karasu, M.D., and T. Byram Karasu, M.D., is a scholarly and critical inquiry into the field of overweight and obesity. Reviewing more than 900 publications, from some of the early classical papers to the most recent research, the authors have integrated the complex psychological and physiological aspects of the mind, brain, and body to explain why the control of body weight is so daunting for so many people. Written primarily for clinicians in all health-related fields, including physicians, psychologists, nurses, social workers, and nutritionists, as well as for their intellectually curious patients, The Gravity of Weight explores the controversy regarding obesity as a disease with morbidity and mortality, as well as the complex methodological issues involved in obesity research. The authors delineate the extraordinary metabolic complexities implicated in weight control as well as the importance of circadian rhythms and sleep as they relate to weight and even disorders such as the night eating syndrome. They also investigate the psychological aspects of overweight and obesity, including discrimination against the obese and the fat acceptance movement, and they discuss some of the most common diets as well as the psychotherapeutic, pharmacological, and surgical treatment options currently available for these patients.The Gravity of Weight: A Clinical Guide to Weight Loss and Maintenance is a comprehensive, multidisciplinary text that synthesizes some of the most essential information for successful weight control:   The role of the environment, including diet, disordered eating, and portion control, in weight management The National Weight Control Registry and the study of those successful at weight control The importance of differentiating weight loss from weight loss maintenance The qualitative and quantitative measurements of physical activity, including the role of exercise for maintenance of weight loss The contribution of genetics to "the obesities"  Depression and obesity: cause or consequence? Psychotherapeutic strategies, including cognitive behavioral therapy  Medical and surgical treatment approaches and their effectiveness Drs. Karasu have drawn from both professional and personal experience to write The Gravity of Weight: A Clinical Guide To Weight Loss and Maintenance. Both had fathers who suffered from morbid obesity. One died at the age of 56, while the other lived to be 91. The authors' professional curiosity led them to question how differences in environment, genetics, and overall physical and psychological health can affect one person's longevity and another's early passing.In searching for the answers to some of the most perplexing questions regarding weight, the authors have created what is perhaps the most comprehensive exploration of the relationship of the mind, brain, body and our environment to overweight and obesity. The resulting text deserves a prominent place in the library of those who work in this field.

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Sylvia R. Karasu, T. Byram Karasu, Albert J. Stunkard

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The Evidence-Based Guide to Antipsychotic Medications

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The Evidence-Based Guide to Antipsychotic Medications is designed to provide both clinicians and residents with focused, comprehensive, and clinically relevant information regarding the use of antipsychotic medications to treat a broad range of psychiatric conditions -- from mood and anxiety disorders to substance abuse, personality disorders, and schizophrenia. The volume editor is a renowned psychiatrist and author with more than 25 years of experience in both clinical and research settings diagnosing and treating patients with mood and psychotic disorders. In addition, each of the volume's 13 contributors is an expert with many years of clinical experience to draw on.The book is down-to-earth and reader-friendly and is structured for maximal utility in both coverage and format:   Key Clinical Points cap each chapter, synthesizing and summarizing the knowledge you can take away, and serving both as a refresher for those using the book as a reference and as a study aid to master the material. Both FDA-approved and off-label use of antipsychotic medications are addressed, reflecting the reality of clinical practice on the front lines. Use of antipsychotic medications in both the pediatric and geriatric populations, a potentially controversial subject, is addressed in a nonsensational, straight-forward manner. The Appendixes provide a wealth of information in tabular format, including drug tables (names, strengths, formulations, pharmacokinetics, and dosing); advice on initiating and monitoring antipsychotic medications; common side effects and their management; and special considerations for use during pregnancy and breastfeeding. The Evidence-Based Guide to Antipsychotic Medications is the first in a new series that strives to take evidence-based psychiatry from gold standard to standard practice. Scientifically up-to-date and rigorous, yet accessible and easy to understand, this volume stands alone as an indispensable resource on the topic.