Psichiatria

Brain stimulation -- focally applying electricity to the brain -- is a field with a rapidly expanding and promising array of techniques, which already have proven efficacy in treating conditions ranging from Parkinson's disease to chronic and acute pain to depression. Comprehensively surveying the landscape of current practice, Brain Stimulation Therapies for Clinicians provides a clear and straightforward analysis of the many therapeutic applications, along with the technologies and techniques involved in each.The book begins with a thoughtful, and occasionally macabre, history of electrical stimulation of the brain. The authors then provide an accessible and concise overview of electricity and its effects on the brain. The essence of the book, though, is its thorough exploration of the clinical applications of electrical stimulation. Brain Stimulation Therapies for Clinicians covers the wide range of existing electrical stimulation therapies, including electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), and a host of other clinical applications. Each chapter examines a particular therapy, including its history, an overview of the techniques involved, its clinical indications, side effects, and a critical review of the literature surrounding its efficacy. Designed as an approachable and thorough reference for the practicing clinician, the book includes many features to assist in evaluating the variety of stimulation therapies. - The book as a whole is an excellent-quick start guide to help practitioners make informed choices about brain stimulation therapies. The background on the basics of electricity is useful for those not intimately familiar with these concepts. - A thorough glossary helps the clinician navigate the jargon and decode the alphabet soup surrounding current practice.- Clear and useful diagrams and schematics illustrate all essential points.- Interesting sidebars highlight fascinating and occasionally amusing potential applications of brain stimulation techniques -- and offer a glimpse into the sometimes grim history of human brain experimentation.- The authors' careful attention to evidence-based literature helps clinicians determine which techniques have proven efficacy and which claims are unsupported.- Each chapter features a comprehensive bibliography of references for further reading. Brain Stimulation Therapies for Clinicians is an essential reference for any clinician, or even potential patient, interested in understanding electrical stimulation as therapy.

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.

Psychotropic agents have been effective for the treatment of the emotional, and cognitive symptoms of serious psychiatric disorders. At the same time, the availability of such agents raises questions about the appropriate use of what might be termed 'smart pills', 'happy pills', or 'pep pills'. This volume argues that developments in modern psychopharmacology raise a range of important philosophical questions, and may ultimately change the way we think about ourselves. It provides a framework for addressing important philosophical issues in psychiatry and psychopharmacology. The approach is a naturalistic one, drawing on theory and data from modern cognitive-affective neuroscience and attempts to address objective and subjective aspects of psychiatric disorders, to integrate our knowledge of mechanisms and meanings, and to provide a balanced view of the good and the bad of psychotropics.

This is a major international textbook for psychiatrists and other professionals working in the field of mental healthcare. With contributions from opinion-leaders from around the globe, this book will appeal to those in training as well as to those further along the career path seeking a comprehensive and up-to-date overview of effective clinical practice backed by research evidence. The book is divided into cohesive sections moving from coverage of the tools and skills of the trade, through descriptions of the major psychiatric disorders and on to consider special topics and issues surrounding service organization. The final important section provides a comprehensive review of treatments covering all of the major modalities. Previously established as the Essentials of Postgraduate Psychiatry, this new and completely revised edition is the only book to provide this depth and breadth of coverage in an accessible, yet authoritative manner.

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For many years, psychotherapy was criticized for lacking an empirical base, but the basis for that criticism has gradually changed as neurobiological research has advanced and the number of efficacy studies has expanded. The growing literature empirically validating psychotherapy as a treatment, and the abundance of psychotherapies now available, make a comprehensive textbook of psychotherapeutic treatments in psychiatry of central importance, both to practitioners and to trainees in psychiatry and other mental health professions.Glen O. Gabbard, author or editor of more than 22 books and over 280 scientific papers and book chapters, is a leader in the fields of psychiatry and psychoanalysis. He has assembled 50 of the world's most renowned experts in every psychotherapeutic school of thought to create this definitive volume, sure to become the standard text for all student and practicing psychotherapists, whatever their background -- psychiatry, psychology, or social work. This authoritative work boasts many must-have features: - All the major psychotherapeutic modalities are addressed in one volume, including sections on psychodynamic psychotherapy; cognitive therapy; interpersonal psychotherapy; supportive psychotherapy; family systems therapy; the different modalities of couples, group, and family therapies; dialectical behavioral therapy; and mentalization-based therapy.- This comprehensive, utterly current overview of the field is versatile and can be used as a textbook for a course; as a reference for the mental health professional who needs to match a specific type of therapy to a particular patient; or as a clinical handbook.- The sections are structured in a consistent manner, with each featuring individual chapters on theory, technique, indications and efficacy, and the combination of psychotherapy and medication. This allows for the therapies to be easily compared and contrasted and makes navigating the volume effortless.- The text provides chapters on the neurobiological underpinnings of psychotherapy -- a burgeoning field -- and on the nature of professional boundaries in psychotherapy -- as indispensable to the student first contemplating personal and professional ethics as to the clinician actively embodying them.- In addition to the major individual psychotherapies, group, family, and couples therapy are covered, as well as integrative therapies evolved from different models. Treatment outcome depends on carefully matching the therapeutic modality to the patient or client, and this book will both facilitate and enhance that meticulous process. Up-to-date, scientifically rigorous, and exhaustive in its scope, the Textbook of Psychotherapeutic Treatments is the "go-to" text and reference for the knowledgeable, conscientious psychotherapist, in training and in practice.

With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry.This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care.The book's 35 chapters are divided into four parts: - Part I, Inpatient Practice -- focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties.- Part II, Special Clinical Issues -- covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care.- Part III, The Continuum of Care -- addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives.- Part IV, Structure and Infrastructure -- focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists. An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.

Traumatic events and disasters are an unexpected but not uncommon aspect of our lives. This book describes the field of disaster mental and behavioral health and is directed at fostering resilience and recovery, whilst recognizing that such events lead to mental illness, distress and health risk behaviors, all of which should be planned for and considered in early interventions. Psychological first aid is discussed, as well as the potential role of psychopharmacology and the relevance of culture in the setting of the disaster. This is essential reading for clinicians who might be involved in a mass trauma situation, along with educators and students in the increasing numbers of educational programs relating to the preparation and response to mass trauma and disaster situations. It should be read by policy makers and public health specialists who must understand the impact of disaster on the person and the systems in which we live.

With advances in medical technology and with many large scale, longitudinal studies now underway, social and biological science have built a convincing case that the varieties of madness subsumed by the label schizophrenia are created, fueled, and sustained by genetic, biochemical and environmental factors. However, with the ever more detailed models of the neurobiological and social systems out of which schizophrenia is born, it is possible to overlook how suffering persons actually experience their symptoms and navigate their way through life. This book is unique in focusing on the experiences of those who have schizophrenia, and who must make sense of and live with this condition. It explores how schizophrenia disrupts person's experiences of themselves as beings in the world and how that disruption poses enduring barriers to recovery - barriers not reducible to issues of social justice or biology. After presenting a model of how disturbances in self-experience are related to but not identical with symptoms and dysfunction, it looks at the implications for the development of therapies that might provide greater opportunities for recovery. The book provides a highly readable and humane examination of this common condition.

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Effective and capable clinicians need to develop strong interpersonal, intellectual and organisational abilities. This practical and accessible text explores clinical skills that are increasingly assessed in training, postgraduate examinations, continuing professional development programmes and reaccreditation appraisals. It is concerned with balancing the demands of the patient's life circumstances with lessons from empirical science and clinical experience. These skills help clinicians to put interventions together into effective treatment plans, and to develop strategies that facilitate recovery from mental illness. This book is written from a multidisciplinary perspective and it explores new ways of working. Although it is primarily addressed to psychiatrists, it is relevant to mental health nurses, social workers, occupational therapists and clinical psychologists.

Evaluating and treating patients with violent ideations and behaviors can be frustrating, anxiety-provoking, and even dangerous, as errors in judgment can lead to disastrous consequences. Fortunately, there is the Textbook of Violence Assessment and Management, the first and only comprehensive textbook on assessing the potentially violent patient for mental health clinicians on the front lines of patient care. Uniquely qualified to produce this comprehensive volume, the editors have assembled a distinguished roster of contributors who, in 28 practical chapters, combine evidence-based medicine with expert opinion to address the topic of patient violence in all its diversity of presentation and expression. Dr. Simon is Director of the Program in Psychiatry and Law at Georgetown University School of Medicine, as well as the author or co-author of more than two dozen books. Dr. Tardiff, Professor of Psychiatry and Public Health at the Payne Whitney Clinic, The New York Hospital -- Cornell Medical Center, is the author of The Concise Guide to Assessment and Management of Violent Patients, an introduction to aggression management now in its second edition. Violence is both endemic to our society and epidemic in our age. Skilled assessment and management of violence is therefore critical for mental health professionals involved in patient care. The Textbook of Violence Assessment and Management includes many features designed to instruct and support these clinicians. For example: * It is the first comprehensive textbook to take the mental health professional from evaluation and assessment to treatment and management of patients who are or may become violent. * The 28 chapters address the diversity of clinical settings, patient demographics, psychopathology and treatment modalities, making this work useful as both a textbook and a reference that clinicians can consult as needed for particular cases.* End-of-chapter "Key Points" highlight the most important concepts and conclusions, allowing students to review and consolidate their learning and practicing professionals to locate critical information quickly.* Clinical case examples abound, providing rich and nuanced perspectives on patient behavior, evaluation and management.* The textbook includes a separate chapter on evaluating patients from different cultures, a competency that becomes more crucial as patient populations become more diverse. Increasing numbers of veterans are diagnosed with PTSD and traumatic brain injury. Campus tragedies such as Virginia Tech are fresh in our collective memory. This text is both timely and necessary -- not just for mental health professionals and their patients, but for the families and communities whose safety depends upon competent professional judgment.

Textbook of Clinical Neuropsychiatry provides a comprehensive, encyclopedic and up to date coverage of the complete range of neuropsychiatric disorders. The text is clearly written and well organized, utilizing a consistent and easy to read format throughout. Part I describes the diagnostic assessment of patients and details the interview, mental status examination, neurologic examination and ancillary investigations. Part II provides a thorough description of the clinical features of the signs, symptoms and syndromes seen in neuropsychiatric practice, with special emphasis on the multiple disorders and lesions that may cause them. Part III goes on to present virtually all of the specific disorders seen in neuropsychiatric practice, in each case detailing clinical features, course, etiology, differential diagnosis and treatment. The authoritativeness, comprehensiveness and lucid organization of Textbook of Clinical Neuropsychiatry make it an essential reference for psychiatrists and neurologists alike, and for students in those disciplines.