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Using the practical yet comprehensive approach found in the first edition, the author considers each anxiety disorder's clinical complexity while simultaneously using an integrative orientation toward finding clinical solutions. The author considers the presentation of each disorder as it occurs and is treated in the "real world" of clinical practice. Finally, the volume addresses effective therapeutic procedures and recommendations, including pharmacological and psychological treatment approaches. A true "must read" for any psychiatrist interested in anxiety disorders.

Narrative psychiatry empowers patients to shape their lives through story. Rather than focusing only on finding the source of the problem, in this collaborative clinical approach psychiatrists also help patients diagnose and develop their sources of strength. By encouraging the patient to explore their personal narrative through questioning and story-telling, the clinician helps the patient participate in and discover the ways in which they construct meaning, how they view themselves, what their values are, and who it is exactly that they want to be. These revelations in turn inform clinical decision-making about what it is that ails them, how they'd like to treat it, and what recovery might look like. The Art of Narrative Psychiatry is the first comprehensive description of narrative psychiatry in action. Engaging and accessible, it demonstrates how to help patients cultivate their personal sources of strength and meaning as resources for recovery. Illustrated with vivid case reports and in-depth accounts of therapeutic conversations, the book offers psychiatrists and psychotherapists detailed guidance in the theory and practice of this collaborative approach. Drawing inspiration from narrative therapy, post-modern philosophy, humanistic medicine, and social justice movements - and replete with ways to more fully manifest the intentions of the mental health recovery model - this engaging new book shows how to draw on the standard psychiatric toolbox while also maintaining focus on the patient's vision of the world and illuminating their skills and strengths. Written by a pioneer in the field, The Art of Narrative Psychiatry describes a breadth of nuanced, powerful narrative practices, including externalizing problems, listening for what is absent but implicit, facilitating re-authoring conversations, fostering communities of support, and creating therapeutic documents. The Art of Narrative Psychiatry addresses mental health challenges that range from mild to severe, including anxiety, depression, despair, anorexia/bulimia, perfectionism, OCD, trauma, psychosis, and loss. True to form, the author narrates her own experience throughout, sharing her internal thoughts and decision-making processes as she listens to patients. The Art of Narrative Psychiatry is necessary reading for any professional seeking to empower their patients and become a better, more compassionate clinician.

When a professional states, "Your child has Autism Spectrum Disorder (ASD)", it is enough to make your whole world fall apart. What does it mean to be on the autism spectrum? How will this affect your child's life, your life, the life of your family, and others you interact with? What sorts of medications, therapies, and alternative methods are used to help manage the disorder? What are the financial and legal ramifications? How will this affect schooling, your spiritual growth, and everyday life? These are just a few of the questions that will rapidly cross your mind. Caring for Autism: Practical Advice from a Parent and Physician delves into all these questions and more. As the father of a daughter with ASD and as a trained psychiatrist who specializes in ASD, Dr. Michael A. Ellis provides a holistic view of what comes after diagnosis. In user-friendly tones, he answers the most commonly asked questions about what it's actually like to live with ASD, what medications and therapies are available, and the global impact it has on the child's environment. With the help of his wife, Lori Layton Ellis, to provide a mother's perspective, Dr. Ellis shares personal stories of their 10-year journey in order to provide insight and support for anyone - patient, parent, caregiver - traversing the difficulties of autism.

Part of the new American Pyschopathological Association Series. Containing contributions from leading scholars of causal thinking in epidemiology and psychopathology research, this volume is based on presentations at the ground-breaking 2008 meeting of the American Psychopathological Association. The authors explore the meaning of causal statements that are made from statistical and experimental evidence; then, they suggest novel approaches to analyze these statements and thus make them more informative and medically rigorous. The collection of chapters uniquely includes both methodological contributions and detailed assessments of how causal inferences can be made when considering research results on developmental psychopathology, clinical psychopharmacology, personality disorders, post-traumatic stress disorder, and psychiatric genetics. In analyzing causal references, the authors examine controversies surrounding various disorders and their treatment.

This book provides a detailed account of intellectual, other neuropsychological and behavioral manifestations of general pediatric diseases. The conditions discussed include the whole range of pediatric diseases - genetic syndromes, other congenital conditions, metabolic, endocrine, gastrointestinal, infectious, immunologic, toxic, trauma, and neoplastic, as well as sensory disabilities including deafness and blindness. Although the book is not intended to discuss cognitive and behavioral manifestations of conditions usually considered to be primary neurological disease, some of those, including cerebral palsy, muscular dystrophy, myotonic dystrophy and epilepsy, are included. Where possible, a "translational" approach is used, linking the behavioral and cognitive manifestations of these conditions, to the underlying structural, chemical or genetic abnormalities and their effect on the brain, and, in turn, on behavior and cognition. At the same time, included are significant psychosocial factors. Together, those factors have a major effect on patients' performance, including school performance, and on their families. This book is unique in its extensive coverage of the major pediatric conditions and of the detailed neurological, neuropsychological and behavioral aspects of each condition.

Electroshock therapy has long suffered from a controversial and bizarre public image, effectively removing it as a treatment option for many patients. In Electroshock, Max Fink, M.D., draws on 45 years of clinical and research experience to argue that ECT is now a safe, painless, and sometimes life-saving treatment for emotional and mental disorders. Dr. Fink traces the development of ECT from its discovery in 1934 followed by widespread use for two decades, to the 1950s when it was largely replaced by the introduction of psychotropic drugs, to its revival in the past twenty years as a viable treatment. He provides actual case studies of patients who have been treated with ECT and illustrates that many disorders--such as depression, mania, catatonia, and schizophrenia--respond well to it. As he explains the whole procedure from preparation to recovery, we see what the patient experiences. Fink also shows how anesthesia and muscle relaxation have refined ECT, minimizing discomfort and reducing risks to a level far lower than those experienced by patients using psychotropic drugs routinely prescribed for the same problems. Clarifying the many misconceptions surrounding ECT, Electroshock is an excellent sourcebook for patients, their families, and mental health professionals.

The First Episode of Psychosis is the ideal book for patients experiencing the frightening and confusing initial episode of psychosis, which often occurs during late adolescence or early adulthood, and which affects nearly 3% of all people over the course of their lifetime. The book covers a range of disorders, focusing on primary psychotic disorders such as schizophrenia and schizophreniform disorder, clearly describing symptoms, early warning signs, and treatment--information that is essential for patients and families faced with the challenges posed by psychosis. The book also discusses psychiatric evaluation, healthy lifestyle choices, and the stigma often associated with mental illnesses. Worksheets allow readers to keep records of symptoms to facilitate communication with care providers, and an extensive glossary clarifies the dizzying array of terms used by medical professionals. Optimistic, practical, and recovery-oriented, The First Episode of Psychosis will help patients and their families to take an active, informed role in their care to ensure the best possible prognosis.

In order to provide sound, person-centred care, mental health nursing students need a thorough understanding of theory alongside the ability to translate this knowledge into practice. It can be difficult to apply ideas from the classroom and books when learning how to work with mental health service users for the first time. That is why the theoretical aspects of this book are presented alongside realistic accounts of nursing practice. Fundamentals of Mental Health Nursing is a case-based and service user centred textbook for mental health nursing students. Designed to support students throughout their pre-registration studies, the text covers the essential knowledge required to provide high quality nursing care. Contributions from real service users and cases of fictional clients are explored in detail to provide excellent transferable skills for practice. Dedicated chapters explore fundamental nursing skills and mental health law before providing a case-based exploration of the areas and subjects that will be encountered by students in university and placement. Practice-based chapters introduce students to the needs of a diverse range of fictional clients and explain how the skills of communication, assessment, care planning and monitoring can be applied. Each chapter provides a sample care plan explaining why and how clinical decisions are made, so that students can develop their own skills and practice. The text opens with clear advice to help students succeed in their studies and concludes with a wealth of practical and thoughtful advice on becoming a professional and getting that first job. Online Resource Centre * Twenty one video clips of fictional service users demonstrate the application of theory and prepare students for real nursing practice * Quizzes, scenarios and a range of activities help students to apply their learning * Interactive glossary explains terminology and jargon * Sample CV's and self awareness exercises aid professional development

On a mid-October evening, a group of fathers gathered around a conference table and met each other for the first time. None of the men had ever thought of himself a "support group kind of guy" and each felt entirely out of place. In fact, nothing about their lives felt normal anymore. The Group: Seven Widowed Fathers Reimagine Life chronicles the challenges and triumphs of seven men whose wives died from cancer and were left to raise their young children entirely on their own. Brought together by tragedy, the fathers - Neill, Dan, Bruce, Karl, Joe, Steve, and Russ - forged an uncommon bond. Over time, group meetings evolved into a forum for reinvention and transformed the men in unexpected ways. Through the fathers' poignant interactions, The Group illustrates that while some wounds never fully heal, each of us has the potential to construct a new and meaningful future. Rosenstein and Yopp, co-leaders of the support group, weave together the fathers' stories with contemporary research on grief and adaptation. The Group traces a compelling journey of healing and personal discovery that no book has ever captured before. The men's touching efforts to care for their families, grieve for their wives, and reimagine their futures will inspire anyone who has suffered a major loss.

The Handbook of AIDS Psychiatry is a practical guide for AIDS psychiatrists and other mental health professionals as well as for other clinicians who work with persons with HIV and AIDS and a companion book to the Comprehensive Textbook of AIDS Psychiatry (Cohen and Gorman, 2008). The Handbook provides insights into the dynamics of adherence to risk reduction and medical care in persons with HIV and AIDS as well as strategies to improve adherence using a biopsychosocial approach. Psychiatric disorders can accelerate the spread of the virus by creating barriers to risk reduction. Risky sexual behaviors and sharing of needles in intravenous drug users account for the majority of new cases each year. Delirium, dementia, depression, substance dependence, PTSD, and other psychiatric disorders complicate the course and add considerably to the pain and suffering of persons with AIDS. HIV infection and AIDS also are risk factors for suicide, and the rate of suicide has been shown to be higher in persons with AIDS. Psychiatric care can help prevent HIV transmission through recognition and treatment of substance-related disorders, dementia, and mood disorders such as mania. Comprehensive, coordinated care by a multidisciplinary AIDS team, including AIDS psychiatrists, can provide a biopsychosocial approach that is supportive to patients, families, and clinicians. Psychiatric interventions are valuable in every phase of infection, from identification of risk behaviors to anticipation about HIV testing; from exposure and initial infection to confirmation with a positive HIV antibody test; from entry into systems of care to managing complex antiretroviral regimen; from healthy seropositive to onset of first AIDS-related illness; from late stage AIDS to end-stage AIDS and death. There is no comprehensive handbook of AIDS psychiatry to guide clinicians in providing much needed care. The Handbook of AIDS Psychiatry is a practical pocket guide that provides protocols for the recognition and treatment of the psychiatric disorders most prevalent in persons with AIDS and most relevant for primary physicians, infectious disease specialists, and other caregivers because of their impact on health, adherence, behavior, and quality of life.

About one American in five receives a diagnosis of major depression over the course of a lifetime. That's despite the fact that many such patients have no mood disorder; they're not sad, but suffer from anxiety, fatigue, insomnia, or a tendency to obsess about the whole business. "There is a term for what they have," writes Edward Shorter, "and it's a good old-fashioned term that has gone out of use. They have nerves." In How Everyone Became Depressed, Edward Shorter, a distinguished professor of psychiatry and the history of medicine argues for a return to the old fashioned concept of nervous illness. These are, he writes, diseases of the entire body, not the mind, and as was recognized as early as the 1600s. Shorter traces the evolution of the concept of "nerves" and the "nervous breakdown" in western medical thought. He points to a great paradigm shift in the first third of the twentieth century, driven especially by Freud, that transferred behavioral disorders from neurology to psychiatry, spotlighting the mind, not the body. The catch-all term "depression" now applies to virtually everything, "a jumble of non-disease entities, created by political infighting within psychiatry, by competitive struggles in the pharmaceutical industry, and by the whimsy of the regulators." Depression is a real and very serious illness, he argues; it should not be diagnosed so promiscuously, and certainly not without regard to the rest of the body. Meloncholia, he writes, "the quintessence of the nervous breakdown, reaches deep into the endocrine system, which governs the thyroid and adrenal glands among other organs." In a learned yet provocative challenge to psychiatry, Shorter argues that the continuing misuse of "depression" represents nothing less than "the failure of the scientific imagination."

It is estimated that 7.2 million people in the United States have mental retardation or associated impairments - a spectrum now referred to as "intellectual disability." This book provides professionals with the latest and most reliable information on these disabilities. It utilizes a developmental perspective and reviews the various types of intellectual disabilities, discusses approaches to classification, diagnosis, and appropriate interventions, and provides information on resources that may offer additional help. Case examples are included in each section to highlight specific diagnostic and treatment issues. The emphasis in this book is on the development of the person, the provision of interventions for behavioral and emotional problems associated with intellectual disability, and the positive support necessary for self-determination. It discusses the facilitation of transitions throughout the lifespan from infancy to maturity and old age. Additionally, the book reviews evaluations for behavioral and emotional problems, genetic factors, appropriate psychosocial, medical, and pharmacological interventions, and family and community support.

Progress to exam success with Oxford Assess and Progress: Psychiatry! This compact revision guide contains 250 Single Best Answer and Extended Matching Questions on all the key areas on undergraduate psychiatry curricula, from interview and assessment skills to substance misuse psychiatry. The Oxford Assess and Progress series offers high-quality revision content that teaches as well as tests. Every question in this volume comes with extensive feedback, explaining the rationale behind every answer. The questions are ranked by difficulty to help you track your progress as you revise. This title is cross-referenced to the best-selling Oxford Handbook of Psychiatry, third edition and Oxford Handbook of Clinical Specialties, ninth edition and includes directions to other sources of further reading to help you develop your knowledge. Written by practicing psychiatrists, general practitioners, and experts in medical assessment, this is the ultimate revision guide for undergraduates studying for psychiatry exams or preparing for rotations in psychiatry and general practice, as well as GP trainees revising psychiatry for exams.

Terrorists, child abductors, muggers, delinquent teenagers, malicious colleagues . . . Who wouldnt be worried? The world can be a dangerous place, for sure. But have we lost the knack of judging risk? Are we letting paranoia get the better of us? In this entertaining and thought-provoking book, based on the most up-to-date scientific research, Daniel and Jason Freeman highlight just how prominent paranoia is today. One in four of us have regular paranoid thoughts. The authors analyse the causes of paranoia, identifying the social and cultural factors that seem to be skewing the way we think and feel about the world around us. And they explain why paranoia may be on the rise and, crucially, what we can do to tackle it. Witty, clear, and compelling, Paranoia takes us beyond the tabloid headlines to pinpoint the real menace at the heart of twenty-first century culture.

Mental health problems during and immediately after pregnancy are a major concern across the world. As well as affecting the health of the mother, they can have significant, harmful, and long term effects on the infant if not dealt with effectively. Perinatal Psychiatry honors the work of Channi Kumar, one of the seminal figures in the history of perinatal psychiatry, and presents a comprehensive multidisciplinary review of the field. Bringing together the leading researchers in the area, it covers the causes of perinatal mental health problems, the biology of perinatal depression and its more extreme form, puerperal psychosis, as well as psychosocial and psychological interventions, hormonal and neural substrates of perinatal depression, and risk factors and epidemiology.

This book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U.S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with the historical context of the recovery movement and its recent emergence on the center stage of mental health policy around the world, the authors then clarify various definitions of mental health recovery and address the most common misconceptions of recovery held by skeptical practitioners and worried families. With this framework in place, the authors suggest fundamental principles for recovery-oriented care, a set of concrete practice guidelines developed in and for the field, a recovery guide model of practice as an alternative to clinical case management, and tools to self-assess the recovery orientation of practices and practitioners. In doing so, this volume represents the first book to go beyond the rhetoric of recovery to its implementation in everyday practice. Much of this work was developed with the State of Connecticut's Department of Mental Health and Addiction Services, helping the state to win a #1 ranking in the recent NAMI report card on state mental health authorities. Since initial development of these principles, guidelines, and tools in Connecticut, the authors have become increasingly involved in refining and tailoring this approach for other systems of care around the globe as more and more governments, ministry leaders, system managers, practitioners, and people with serious mental illnesses and their families embrace the need to transform mental health services to promote recovery and community inclusion. If you've wondered what all of the recent to-do has been about with the notion of "recovery" in mental health, this book explains it. In addition, it gives you an insider's view of the challenges and strategies involved in transforming to recovery and a road map to follow on the first few steps down this exciting, promising, and perhaps long overdue path.

Psychiatric Aspects of Neurologic Diseases: Practical Approaches to Patient Care is targeted at neurologists, psychiatrists, and other physicians who care for patients with the most common neurologic diseases ranging from Alzheimer's to stroke to headaches to multiple sclerosis to epilepsy. The book provides a practical approach to the evaluation and treatment of the psychiatric conditions that affect the vast majority of these patients and are as disabling as the neurologic symptoms. Drawing from the collective wisdom and clinical expertise of the faculty of the Johns Hopkins Division of Geriatric Psychiatry and Neuropsychiatry, one of the largest and most well known faculties in this specialized field, the book provides a wealth of useful clinical information for physicians who care for these patients. The volume is divided into three parts: the first part (2 chapters) provides a detailed approach to the evaluation and differential diagnosis of the neurologic patient with psychiatric symptoms followed by a discussion of the common psychiatric syndromes seen in these patients. The second part discusses in detail the epidemiology, clinical presentation, and treatment of psychiatric conditions in 12 neurologic diseases, written by experts in each of these diseases. The third discusses in depth the range of psychiatric treatments, both pharmacologic and non-pharmacologic, available to treat the psychiatric aspects of neurologic diseases, specifically tailored to their use with the neurologic patient. The book is intended to serve as a practical reference for clinicians and is written in clear language, with distinct separated text segments, linked to the frequent use of tables. A glossary of terms, used throughout the book, is provided at the end for easy reference.

The fifth edition of Psychiatry introduces medical students and junior doctors to the fundamentals of psychiatric knowledge in a patient centred, digestible, and memorable way. Written by clinicians who deliver front-line patient care and boast years of teaching experience, practical information is informed by theory and research. Written with an underlying philosophy that positive rapport with patients is central to providing successful psychiatric care this is a trustworthy and lauded guide to diagnosis and management. Organised into 34 chapters on core topics, information is laid out in a concise, user-friendly format with case studies, and scientific research formatted into boxes for easy access, ensuring students can quickly locate key information for revision and examinations. Previous First Prize winner for Psychiatry at the British Medical Association Book Awards, this textbook is ideal for those requiring a grounding in the discipline of patient-centred and evidence-based care.

Schizophrenia is one of the most traumatic psychiatric disorders, both for the affected person and their family. It also carries an unfortunate stigma and suffers from frequent misinterpretation by the popular media. The disorder usually manifests itself through significant periods of hallucinations, bizarre delusions, and disorganized behaviour, but the individuals who suffer from this brain disorder are not generally violent, and do have periods of remission. However it is often difficult for these individuals to maintain a regular lifestyle and relationships at home and at work, and many individuals with schizophrenia end up unable to live independently or, worse, homeless. This new edition in the popular Facts series provides a concise and up-to-date account of the underlying causes and symptoms of schizophrenia, as well as current theories about the disorder. The authors look at all the current treatment options, both medical and psychological, together with likely side-effects and the problem of compliance with treatment. The role of the family and the community in caring for individuals with schizophrenia is also considered. The authors are experienced psychiatrists and psychologists with many years' experience in the treatment and study of schizophrenia. This book will provide a welcome source of information for individuals with schizophrenia, their family members, and those involved in caring for them.

Mood disorders are a global health issue. National guidance for their detection and management have been published in the US and in Europe. Despite this, the rate at which depression is recognized and managed in primary and secondary care settings remains low and suggests that many clinicians are still unsure how to screen people for mood disorders. Against the backdrop of this problem, the editors of this volume have designed a book with a dynamic two-fold purpose: to provide an evidence-based overview of screening methods for mood disorders, and to synthesize the evidence into a practical guide for clinicians in a variety of settings--from cardiologists and oncologists, to primary care physicians and neurologists, among others. The volume considers all important aspects of depression screening, from the overview of specific scales, to considerations of technological approaches to screening, and to the examination of screening with neurological disorders, prenatal care, cardiovascular conditions, and diabetes and cancer care, among others. This book is sure to capture the attention of any clinician with a stake in depression screening.