Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle -- these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders. For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: Is at risk of dying or becoming severely disabled. Requires an immediate therapeutic intervention for a potentially life-threatening condition. Needs to be transferred to an emergency medicine setting. Requires urgent investigations. Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting. The guide also provides risk stratification for major complications -- from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism -- enabling readers to determine the need for a transfer of the patient to an emergency medicine setting. A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists. Clinicians working in today's busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.

Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold. Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.

Preceded by American Psychiatric Publishing textbook of psychosomatic medicine: psychiatric care of the medically ill / edited by James L. Levenson. 2nd ed. 2011.

The Textbook of Medical Psychiatry was written for the wide range of clinicians who grapple with the diagnostic and treatment challenges inherent in this clinical reality: medical and psychiatric illnesses do not occur in isolation from one another. Because assessment in these cases may be challenging, the book addresses general medical conditions that directly cause psychiatric illness and the medical differential diagnosis of common psychiatric illnesses. In addition, the book describes how the presentation and treatment of both psychiatric and medical disorders are modified by the presence of comorbid conditions. The editors, who are at the forefront of the field, have assembled an outstanding group of contributors, all of whom share the objective of helping psychiatrists, internists, neurologists, trainees, and other health care providers recognize the medical issues facing patients with psychiatric symptoms, and vice versa. Proper assessment and treatment are dependent on the skillful application of this knowledge. Written in down-to-earth, clinically grounded prose, this text Provides a comprehensive exploration of approaches to the patient, including perspectives from internists and neurologists on dealing with diagnostic uncertainty and special chapters on the neurological examination, cognitive testing, neuroimaging, laboratory testing, and toxicological syndromes. Presents a review of medical disorders that can directly or indirectly affect the clinical presentation and course of psychiatric disorders. Presents a review of psychiatric disorders that can be caused by medical illnesses or affect the clinical presentation and course of medical disorders. Includes chapters on pain, insomnia, and somatoform disorders, conditions that accompany many psychiatric and medical illnesses and that fall in the boundary between these practice settings. In clinics and offices every day, physicians encounter patients whose presentations are atypical or whose symptoms are not responsive to usual care. When facing the challenges of accurately assessing complicated symptoms and managing the care of complex patients, clinicians often seek advice from colleagues whose perspectives and expertise they trust. The chapters in the Textbook of Medical Psychiatry can be consulted in much the same fashion, expanding clinicians' knowledge base and helping them to more effectively diagnose and care for their patients.

Psychiatry: a clinical handbook provides all the essential information required for a successful psychiatry rotation. Written by two recently qualified junior doctors and a consultant psychiatrist, the book offers an exam-centred, reader-friendly style backed up with concise clinical guidance. The book covers diagnosis and management based upon the ICD-10 Classification and the latest NICE guidelines. For every psychiatric condition: the diagnostic pathway is provided with suggested phrasing for sensitive questions the relevant clinical features to look out for in the mental state examination are listed a concise definition and basic pathophysiology/aetiology is outlined. The book also boasts a range of features to test your understanding of the subject: Self-assessment questions are provided at the end of each chapter. A common OSCE scenarios chapter with mark schemes, to aid practising with colleagues in preparation for exams. An exam-style questions chapter with detailed answers written by a Consultant Psychiatrist. Printed with an attractive full colour design, the book includes mnemonics, clinical photos, diagrams, OSCE tips and key fact boxes. Psychiatry: a clinical handbook is ideal for medical students, junior doctors and psychiatry trainees. From reviews: "This book excels as a guide for studying, for a variety of reasons. Notably, the pedagogic quality truly benefits from the authors' deliberate use of a variety of formats for presenting information. As a result, nearly any medical student could find this book easy to use." Doody, July 2016 "One of the best psychiatry books I have ever read. It is organised in a neat, concise manner with tables, colours, mnemonics, OSCE tips to name but a few." Amazon reviewer

Bringing together the field's leading authorities, this acclaimed work is widely regarded as the standard reference on depression. The Handbook provides comprehensive coverage of the epidemiology, course, and outcome of depressive disorders; issues in assessment and diagnosis; psychological and biological risk factors; effective approaches to prevention and treatment; and the nature of depression in specific populations. Each chapter offers a definitive statement of current theories, methods, and research findings, while also identifying key questions that remain unanswered.

This two volume set is the definitive source for all practising psychiatrists. It covers all areas of general psychiatry in depth, and includes sections on each of the subspecialties including child psychiatry and forensic psychiatry.

This updated, third edition of the Handbook of Medicine in Psychiatry has been streamlined to provide a pragmatic approach to the realities confronting clinicians in today's busy inpatient and outpatient psychiatric settings. Each chapter features one or more clinical vignettes that illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings. This volume also provides risk stratification for major complications, enabling clinicians to determine the need to transfer the patient to an emergency medicine setting. A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, and addiction medicine and adolescent medicine specialists. With the contributions of dozens of experts in their fields, the Handbook of Medicine in Psychiatry offers readers a cognitive framework and knowledge base that will assist them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.

Through dozens of tables, illustrative figures, and real-life case examples, established experts in the field, as well as a new generation of scientists, examine clinical concepts; risk factors for and impact of personality disorders; treatment options (including a new chapter on early identification of borderline psychopathology in children); special populations; and future directions for the field.

"From its origins, with leaders such as Dame Cicely Saunders, Eric Wilkes, Colin Murray and James in the United Kingdom, Balfour Mount in Canada, Vittorio in Italy, and Elizabeth Ross and Avery Weisman in the United States, hospice and palliative care has always embraced the "whole" person, in the context of their family. From her observations of people with advanced and progressive illness, Dame Cicely Saunders introduced the concept of "total pain." Pain had physical, emotional, social, and spiritual components, all of which needed to be addressed. Of course, excellent control of pain and other symptoms is vital, but the role of the palliative care team, including the physicians, is much more than this. It also extends beyond expertise in the management of physical and psychiatric symptoms. Effective symptom control may be necessary before other goals of hospice and palliative care can be achieved. But equally, failure to address emotional, social, or spiritual components of symptoms may lead to inadequate symptom control. Physicians can and should contribute to this holistic assessment and care. This is why palliative medicine is a rewarding field for physicians-there is much opportunity to practice comprehensive whole person care"--