Revised and updated, this practical handbook is a succinct how-to guide to the psychiatric interview. In a conversational style with many clinical vignettes, Dr. Carlat outlines effective techniques for approaching threatening topics, improving patient recall, dealing with challenging patients, obtaining the psychiatric history, and interviewing for diagnosis and treatment. This edition features updated chapters on the major psychiatric disorders, new chapters on the malingering patient and attention-deficit hyperactivity disorder, and new clinical vignettes. Easy-to-photocopy appendices include data forms, patient education handouts, and other frequently referenced information. Pocket cards that accompany the book provide a portable quick-reference to often needed facts.
Written by the training director of Yale Child Study Center's world-renowned psychiatry program, this practical handbook is a quick, concise guide for professionals on the front lines of child and adolescent mental health care. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Stubbe takes clinicians through each step of the psychiatric care process, delivering essential fast facts and effective patient care strategies. Sections cover psychiatric evaluation; disorders seen in infants, children, and adolescents; treatment modalities and treatment planning; and special circumstances including psychiatric emergencies, child neglect and abuse, and family issues. Easy-to-use appendices include rating scales and resource information. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.
Now DSM-5 updated! Using a unique and effective combination of mnemonics, practical techniques, and phrasing examples that illustrate the nuances of the interviewing process, The Psychiatric Interview, 4th Edition helps you establish a rapport with patients and gain valuable clinical insights. Now updated to incorporate the DSM-5 and current research, this popular manual teaches you how to improve your interviewing skills, breaking down this complex area into concise information you can put to use immediately in your practice. Key Features: Offers a practical, concise approach to the psychiatric interview, filled with tips and pearls to develop confidence in interviewing.Uses mnemonics and pocket cards to help you understand and remember key elements of the effective interview.Brings you up to speed with the DSM-5 and current research, including changes in diagnosing dementia, substance abuse, eating disorders, ADHD, and more.Provides clear techniques for approaching threatening topics, and shows how relationships that are endangered can be repaired.Presents information in an engaging, conversational manner, helping you form an alliance with each patient in order to promote cooperation and effective treatment.Ideal for psychiatrists, psychiatric residents, nurse practitioners, or other mental health professionals.Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigationPowerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the webCross-linked pages, references, and more for easy navigationHighlighting tool for easier reference of key content throughout the textAbility to take and share notes with friends and colleaguesQuick reference tabbing to save your favorite content for future use"
This new addition to the Practical Guides in Psychiatry series is a clinically oriented pocket guide to diagnosis and treatment of schizophrenia and other psychoses. Using the conversational style and case vignettes found in all Practical Guides in Psychiatry titles, Dr. Freudenreich shows how to recognize psychotic signs and symptoms, arrive at a clinical diagnosis that explains the psychosis, and treat the disorder. Close attention is given to management of medical comorbidity, antipsychotic-induced side effects, and drug interactions. Coverage also includes prognostic considerations and forensic and social aspects of schizophrenia. Appendices contain pocket cards covering emergencies, rating scales, and wellness. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.
Now in its Second Edition, this practical guide focuses on assessment, diagnosis, and management of the complex array of dementia disorders seen in older patients. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Agronin addresses all the subtypes of dementia and associated psychiatric conditions such as agitation, psychosis, and depression. This edition features a new chapter on mild cognitive impairment and expanded coverage of Alzheimer disease and risk factors. Chapters offer advice on caregiver support and legal and ethical concerns. Handy pocket-card appendices include tests used in the dementia workup and treatment guides for agitation, psychosis, and depression. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.
The Trouble with Psychiatry - A Doctor's Revelations about a Profession in Crisis
Author: Daniel Carlat
Publisher: Simon and Schuster
IN THIS STIRRING AND BEAUTIFULLY WRITTEN WAKE-UP CALL, psychiatrist Daniel Carlat exposes deeply disturbing problems plaguing his profession, revealing the ways it has abandoned its essential purpose: to understand the mind, so that psychiatrists can heal mental illness and not just treat symptoms. As he did in his hard-hitting and widely read New York Times Magazine article "Dr. Drug Rep," and as he continues to do in his popular watchdog newsletter, The Carlat Psychiatry Report, he writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive—and more lucrative—practice of simply prescribing drugs, with a host of deeply troubling consequences. Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients’ lives. Talk therapy takes time, whereas the fifteen-minute "med check" allows for more patients and more insurance company reimbursement. Yet DSM diagnoses, he shows, are premised on a good deal less science than we would think. Writing from an insider’s perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other "popular" psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of overprescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies. Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses—and misdiagnoses—of mental disorders skyrocket, it’s essential that Dr. Carlat’s bold call for reform is heeded.
This new book in the popular Practical Guides in Psychiatry series focuses on the assessment and clinical management of the various forms of dementia and associated psychiatric conditions. In an engaging writing style with many clinical vignettes, Dr. Agronin describes diagnostic tests used in the workup, types of dementia, and the pharmacological and behavioral treatments available.
Revised, updated, and expanded, this handbook is a quick, concise, practical guide for clinicians treating patients with addictive disease. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Gitlow describes effective strategies for the step-by-step process of intervening in a lifelong illness pattern. This edition includes new material on buprenorphine, naltrexone, and other pharmacologic treatments, nicotine cessation therapies, and pharmacologic interventions for sedative dependence, plus a new chapter on substance-induced disorders, a thoroughly rewritten prevention chapter, and expanded coverage of treatment dilemmas and legal issues. Easy-to-use appendices provide quick access to numerous new screening tools and other frequently referenced information. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.
The Maudsley Handbook of Practical Psychiatry has long served trainees in psychiatry, presenting them with practical and essential advice. This new edition of the handbook, perhaps better known as the 'Orange book', provides guidance on the psychiatric and neuropsychiatric examination and interviewing of adults and children - not just a central skill, but the basis for reaching a diagnosis and defining a treatment plan. It also covers special interview situations, such as dealing with specific patient reactions, and other special problems, for example, conducting a complicated assessment in cases of autism or self harm. The final chapters explain when to refer to the experts and describes early treatment interventions. The book concludes with important legal and service organisation issues. As with previous editions, the new edition has been revised and rewritten with the full and active involvement of a group of consultant psychiatrists and trainees.
Ist die Psyche nichts als die neuronalen Prozesse im Gehirn? Müssen zentrale mentale Begriffe wie Selbst, Bewusstsein, Unbewusstsein, etc. durch neuronale Mechanismen erklärt werden und die Psychiatrie durch die Neurowissenschaften ersetzt werden? Unser Buch zeigt auf, dass mentale Prozesse und psychische Symptome bei psychiatrischen Erkrankungen wie Schizophrenie, Depression, etc. weder reine geistige noch nur neuronale Prozesse sind. Gehirn ist immer auch schon Umwelt; und es ist die Interaktion der Umwelt-Gehirn-Beziehung, in der psychische Phänomene inklusive ihrer Abnormitäten ihren neuropsychodynamischen Ursprung haben. Der Inhalt Neuropsychodynamische Grundlagen Neurosoziale Auffassung des Gehirns Psychoanalytische Konzepte und deren Weiterentwicklung Neuropsychodynamik psychischer Störungen Therapie auf neuropsychodynamischer Grundlage Neurosoziale und neuropsychodynamische Zukunftsperspektiven Die Herausgeber Prof. Dr. Heinz Böker, Psychiatrische Universitätsklinik Zürich, Zentrum für Depressionen, Angsterkrankungen und Psychotherapie, Zürich, Schweiz. Prof. Dr. Peter Hartwich, Städtische Kliniken Frankfurt am Main-Höchst, Klinik für Psychiatrie und Psychotherapie/Psychosomatik, Akademisches, Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Frankfurt am Main, Deutschland. Prof. Dr. Dr. Georg Northoff, University of Ottawa, Institute of Mental Health Research, Royal Ottawa Mental Health Centre, Ottawa/ON, Canada, Zhejang University, Hangzhou/China, Taipeh Medical University Taipeh/Taiwan.
Autism, including Asperger syndrome, is a strongly heritable condition that can usually be diagnosed in children by the age of two or three years. Although autism is more common in the less intellectually able child, in the more able child the condition is often overlooked until adulthood. Epidemiological research has shown that most adults in the general population meeting the criteria for autism are unrecognized and undiagnosed. There is a growing pressure on psychiatrists to be able to recognize autism and to consider its effects on their adult patients, particularly when they are also showing signs of another mental disorder, such as psychosis, personality disorder, or chronic depression. The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide introduces adult psychiatrists, including sub-specialist psychiatrists, to autism and Asperger syndrome. It covers recognition and diagnosis and the psychiatrist's role in treating patients with co-morbid mental disorder whilst taking account of the autism component. It explores the process of sign-posting patients with autism to appropriate care and support as family involvement diminishes or ceases. While there are a number of books written on how to cope with autism as an adult, The Psychiatry of Adult Autism and Asperger Syndrome: A practical guide is aimed at the practising adult psychiatrist. The book describes normal and pathological functioning and then guides the reader through assessment and post diagnostic intervention issues. The use of fictionalized clinical examples helps to illustrate autism and its presentation in adulthood, and illustrate the issues psychiatrists often raise in training workshops.
Completely updated to reflect current changes in the law and in practice, Mental Health Law: A Practical Guide is a concise and approachable handbook to mental health law for students and professionals working in psychiatric settings. Easy-to-read, practical, and illustrated with case examples and a wealth of practical advice to guide you through many complex legal issues Multidisciplinary approach written by specialist authors and key opinion leaders who understand the practical issues you face Fully updated and expanded to include the Mental Health Act 2007 and the Mental Capacity Act 2005 so that you are totally up to date Provides clear guidance, practical pointers, and all you need to know about mental health law implementation This authoritative guide will serve as a comprehensive introduction and long-term resource manual for trainee and qualified psychiatrists as well as nurses, social workers, psychologists, and occupational therapists working in mental health.
stematiker apostrophiert, deren Leistungen bestenfalls als überholt angese hen werden, nicht selten jedoch auch als Hemmschuh für die neuen Seh weisen einer psychodynamischen Psychiatrie mit tiefen psychologischen Theorien, Lehranalysen, Selbsterfahrungsgruppen u. a. m. Unberücksichtigt bleibt dabei meist, daß viele der neuen Lehren trotz der Betonung von Be griffen wie "Seele" oder "psychisch" im Grunde nur maskierte Formen einer modischen identitätstheoretischen Philosophie materialistischer Couleur darstellen (Koehler 1984). Gewiß ist gegen eine psychodynamische Ausbildung des psychiatri schen Nachwuchses wenig einzuwenden, sofern eine Verabsolutierung des gewählten Standpunktes vermieden wird. Leider stellen die zweifellos erfor derlichen tiefen psychologischen Aspekte noch keinen selbstverständlichen Teil einer integralen psychiatrischen Ausbildung an den deutschen Klini ken dar, in denen der junge Assistenzarzt sein diagnostisches und therapeu tisches Wissen erwirbt (Mombour 1984). Deshalb sieht er sich fast überall gezwungen, unter zum Teil erheblichen Schwierigkeiten seinen Zusatztitel für Psychotherapie "außer Haus" zu erwerben. Dessen schwere Zugäng lichkeit, die vor allem institutionell bedingt ist, mag zur Tendenz beitragen, daß die psychodynamische Sehweise eine herausgehobene Position erhält und in der Vorstellung gerade der psychiatrischen Anfanger leicht zum do minierenden Denkansatz gerät.
The psychiatric interview is the foundation of the psychotherapeutic process and is critically important to establish trust, elicit useful responses, assess patient behavior and psychopathology, and establish treatment goals and plans. Building on the success of its predecessor, a highly regarded guide to interviewing young patients and their families, Psychiatric Interview of Children and Adolescents, has been thoroughly updated and painstakingly revised to address emerging issues and evolving treatment strategies in an accessible, down-to-earth, and comprehensive style and structure. The book retains its comprehensive coverage of the principles of interviewing, use of the AMSIT model for mental status examinations, and evaluation of both internalizing and externalizing symptoms, as well as its coverage of neuropsychiatric assessment, psychiatric formulation, comorbidities, resistances, and countertransference. Additional features, either notable or new to this book, include: The importance of diagnostic and therapeutic engagement in establishing trust with the patient and family, and techniques for forging a positive emotional connection, which the authors view as an essential responsibility for the clinician and a linchpin of successful practice. A new chapter on the psychiatric evaluation of preschoolers and very young children, which recognizes that assessment cannot be conducted based solely on adult report, and which presents the "multiples" model: multiple sessions, multiple informants, multiple experts, multiple modes of assessment, multicultural approach, and multiaxial emphasis. Expanded coverage of bullying, including cyber bullying, which has a pervasive and potentially pernicious effect on young people steeped in social media. Recognition, both throughout the book and in a separate chapter on family assessment, that behavior problems in a child or young adult cannot be understood without the relational context of the family, and that any family member's problems are best understood as manifestations of dysfunctions within the broader family unit. Expanded coverage of the factors and issues involved in evaluating children and adolescents from special populations, including those with neurodevelopmental disorders or intellectual disabilities; those who are disadvantaged, displaced, or victims of discrimination; and those with posttraumatic stress disorder related to terrorism or burn trauma. The book's instructional aims are enhanced by the use of carefully chosen and compellingly crafted clinical vignettes that illustrate vital concepts and techniques, and key points at the end of each chapter help the reader identify and remember the most important material. Psychiatric Interview of Children and Adolescents will help clinicians master the skills and attain the insight they require to accurately assess and effectively treat this most vulnerable of patient populations.
Fully revised and updated for the new edition, the Oxford Handbook of Psychiatry provides the most up-to-date information clinically relevant to the doctor on the ground. Using a presentation-based format it provides detailed advice on clinical decision making after diagnosis. This handbook is an indispensable companion for any professional working in psychiatric medicine. Covering all major psychiatric conditions and sub-specialties, this handbook provides practical and comprehensive guidelines and in-depth coverage of psychiatric assessment, psychopathology, evidence-based practice, therapeutic issues, and transcultural psychiatry. It is indexed alphabetically by ICD-10 / DSM-IV classification codes and acute presentations for quick access. It reflects the recent major changes to psychiatric training and examination as well as the latest drug information. Reviewed by experienced clinicians, and revised by Specialist Trainees, this handbook not only gives expert advice for psychiatry professionals, but is also directly relevant to trainees in psychiatry. For the third edition, new information includes guidance on Adult ADHD, information on new drugs of abuse (e,g, GBL, GHB, mephodrone), and clinical decision-making in the prison setting. With such broad coverage and depth of guidance, this is the must-have pocket guide for all professionals and trainees working in psychiatry.
Psychosocial and holistic approaches to assessment have become a central feature of modern mental health care. This practical and comprehensive book guides students through the theory and practice of psychosocial assessments to help them integrate the data as preparation for the effective planning of treatment and interventions. Key features: step-by-step guide on how to undertake each stage of the assessment process in practice clinical staff and service users voices describing their experiences of the process end of chapter exercises reflections and considerations for practice This is essential reading for pre-registration nursing students and mental health professionals.
While the ABPN has now supplied such standards for psychiatry,psychiatric interviewing instruction has not been standardized inthe US or in other countries. Similarly, the few psychiatricinterviewing books available are written in textbook form, oftenlong and often from the subpecialty perspective (e.g. psychodynamicinterviewing). Critically, no interviewing guides to datetake a true biopsychosocial perspective. That is, they limitthemselves to “interviewing” as an isolated techniquedivorced from full patient assessment, which for quality patientcare must include the interface of psychological and socialcomponents with biological components. Similarly, fewinterviewing texts are fully integrated with DSM/ICD categoricaldiagnostic schemata, even though these descriptive diagnosticsystems represent the very core of our clinical language—thelingua franca of the mental health professions. Without good descriptive diagnoses there cannot be adequatecommunication of clinical data among providers. The proposed book will meet this need for training inbiopsychosocial assessment and diagnosis. The patient interview is at the heart of psychiatricpractice. Listening and interviewing skills are the primarytools the psychiatrist uses to obtain the information needed tomake an accurate diagnosis and then to plan appropriatetreatment. The American Board of Psychiatry and Neurology andthe Accrediting Council on Graduate Medical Educationidentify interviewing skills as a core competency forpsychiatric residents. The Psychiatric Interview: evaluation and diagnosis is anew and modern approach to this topic that fulfills the need fortraining in biopsychosocial assessment and diagnosis. Itmakes use of both classical and new knowledge of psychiatricdiagnosis, assessment, treatment planning and doctor-patientcollaboration. Written by world leaders in education, the book isbased on the acclaimed Psychiatry Third Edition byTasman, Kay et al, with new chapters to address assessment inspecial populations and formulation. The psychiatricinterview is conceptualized as integrating the patient's experiencewith psychological, biological, and environmental components of theillness. This is an excellent new text for psychiatry residents at allstages of their training. It is also useful for medicalstudents interested in psychiatry and for practicingpsychiatrists who may wish to refresh their interviewingskills.
This popular reference provides quick access to essential guidance on psychiatric patient care - all in the user-friendly format of the Practical Guide series. From delirium and depression...to Alzheimer's disease and anxiety disorders...it equips you to thoroughly understand and effectively address the needs of psychiatric patients in the clinical setting. Perform a complete psychiatric assessment of patients. Access step-by-step guidelines on differential diagnosis, treatment, and management. Review the latest medical therapeutics specific to the psychiatric patient. Find the information you need more easily with the help of a new two-color design. New contributors and a major revision to the table of contents. Expanded formulary includes the must know psychiatric drugs. New two-color design. Information updated to reflect current standards of practice.
Packed with practical advice from experts, and based on the editor's many years of organizing career seminars for psychiatric residents, Entering Private Practice: A Handbook for Psychiatrists offers a comprehensive curricular approach -- highlighted throughout by user-friendly forms, samples, and checklists -- to setting out on a career in private practice. Entering Private Practice: A Handbook for Psychiatrists details the advantages and disadvantages of private practice and emphasizes that practitioners must love their work and balance it with a successful personal life. Following a systematic, no-nonsense approach to private practice, these distinguished contributors discuss the nuts and bolts of how to, Find and set up a private practice, including the use of technology and the web to minimize administrative overhead and enhance clinical services -- A self-administered form to get started; advice on finance, Internet searches, networking, and interviewing; pros and cons of solo practice, small and large psychiatric groups, and multidisciplinary and multispecialty groups; and step-by step instructions on everything from choosing a location and handling finances and billing to hiring staff and selecting décor Market a practice -- Top 10 tips for both internal marketing (advice for communicating with patients and sample patient and physician surveys), and external marketing (effective outlets, including directory listings, brochures and sample content, direct mail, and the media; includes sample press release and media pitch) Navigate the ins and outs of insurance billing and relationships -- Basic principles and procedures to help practitioners do good work for reasonable pay and help patients get what they most need despite limited resources (including Medicare forms and checklists for understanding insurance benefits and notifying patients about the costs of ancillary services) Relate to primary care physicians -- Integration of care (referral, consultation, and collaboration) to achieve better patient outcomes, including basic principles and skills for effective communication Steer clear of legal pitfalls -- The top 10 legal and risk management areas of concern for psychiatrists, including practice rules, confidentiality, record-keeping, compliance, managed care, and malpractice insurance, among others Avoid or deal with common ethical problems -- Confidentiality, informed consent, boundaries, dealing with industry, continuing education responsibilities, general health care ethics, collaboration, and money issues illustrated by case vignettes Joining the ranks of essential guides, Entering Private Practice: A Handbook for Psychiatrists is a must-read for any psychiatrist planning a career in or a career change to private practice.