Massachusetts General Hospital Handbook of General Hospital Psychiatry 7th Edition by Theodore Stern, Oliver Freudenreich, Felicia Smith, Gregory Fricchione, Jerrold Rosenbau ISBN 9780323496445 032349644X
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Massachusetts General Hospital Handbook of General Hospital Psychiatry 7th Edition by Theodore Stern, Oliver Freudenreich, Felicia Smith, Gregory Fricchione, Jerrold Rosenbau – Ebook PDF Instant Download/Delivery: 9780323496445 ,032349644X
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Product details:
ISBN 10: 032349644X
ISBN 13: 9780323496445
Author: Theodore Stern, Oliver Freudenreich, Felicia Smith, Gregory Fricchione, Jerrold Rosenbau
For generations of practitioners, the Massachusetts General Hospital Handbook of General Hospital Psychiatry has been and is the “gold standard” guide to consultation-liaison psychiatry and psychosomatic medicine. The fully updated 7th Edition, by Drs. Theodore A. Stern, Oliver Freudenreich, Felicia A. Smith, Gregory L. Fricchione, and Jerrold F. Rosenbaum, provides an authoritative, easy-to-understand review of the diagnosis, evaluation, and treatment of psychiatric problems experienced by adults and children with medical and surgical conditions.
Massachusetts General Hospital Handbook of General Hospital Psychiatry 7th EditionTable of contents:
1 Beginnings
Psychosomatic Medicine
History
The Consultation Service
Recent Directions
Summary
References
2 Approach to Psychiatric Consultations in the General Hospital
Categories of Psychiatric Differential Diagnosis in the General Hospital
The Art of Psychiatric Consultation in the General Hospital
The Process of Psychiatric Consultation in the General Hospital
Principles of Psychiatric Treatment in the General Hospital
Summary
References
3 The Doctor–Patient Relationship
Overview
Unique Aspects of the Doctor–Patient Relationship in the General Hospital
The Optimal Healing Environment: Patient-Centered Care
Collaboration Around History-Taking
Planning the Path Forward: Creating a Clinical Formulation
Treatment Planning
Obstacles and Difficulties in the Doctor–Patient Relationship
Conclusion
References
4 The Psychiatric Interview
Overview
Lessons From Attachment Theory, Narrative Medicine, and Mindful Practice
The Context of the Interview: Factors Influencing the Form and Content of the Interview
Establishing an Alliance and Fostering Effective Communication
Building the Relationship and Therapeutic Alliance
Data Collection: Behavioral Observation, the Medical and Psychiatric History, and Mental Status Examination
Sharing Information and Preparing the Patient for Treatment
The Evaluation of Children and Adolescents
Difficulties and Errors in the Psychiatric Interview
Conclusion
References
5 Functional Neuroanatomy and the Neurologic Examination
Functional Neuroanatomy
The Neurologic Examination
References
6 Limbic Music
Introduction
Why Limbic Music?
What Is Limbic Music?
Where Does Limbic Music Come From and What Does It Want?
The Polyvagal Theory
Microexpressions
Implicit Bias
Clinical Examples
Conclusion
References
7 Psychological and Neuropsychological Assessment
Overview
Psychological Assessment
Neuropsychological Assessment
Obtaining and Understanding Test Reports
References
8 Diagnostic Rating Scales and Laboratory Tests
Diagnostic Rating Scales
General Psychiatric Diagnostic Instruments
Laboratory Tests
The Electroencephalogram
Neuroimaging
Conclusion
References
9 Depressed Patients
Overview
Making the Diagnosis of Depression
Choice of an Appropriate Antidepressant Treatment
Other DSM-5 Diagnoses of Depression
Despondency Consequent to Serious Illness
References
10 Delirious Patients
Diagnosis
Differential Diagnosis
The Examination of the Patient
Specific Management Strategies for Delirium
Drug Management
Delirium in Specific Diseases
Conclusion
References
11 Patients With Neurocognitive Disorders
Epidemiology
Diagnosis
Evaluation of Neurocognitive Disorders
Treatment Considerations
Conclusion
References
12 Psychotic Patients
Diagnostic Evaluation
Clinical Pictures and Corresponding Problems on the Medical Ward
Management of Psychotic Patients
Working With the Patient and the Family
More Problems in the Care of Psychotic Patients
Conclusion
References
13 Anxious Patients
Overview
The Nature and Origin of Anxiety
Anxiety in the Medical Setting
Primary Anxiety Disorders
Treatment
References
14 Patients With Alcohol Use Disorder
Overview
Screening for Alcohol Use Disorder
Acute Intoxication and the Psychiatric Sequelae of Alcohol Use
Alcohol Withdrawal Syndrome: Identification and Management
Wernicke–Korsakoff Syndrome
Pharmacotherapy for Alcohol Use Disorder
Psychosocial Treatment of Alcohol Use Disorder
References
15 Patients With Substance Use Disorders
Overview
Stimulants
Hallucinogens
Cannabis and Synthetic Cannabinoids
Heroin and Other Opioids
Benzodiazepines and Other Sedative Hypnotics
Sedative–Hypnotics
References
16 Psychosomatic Conditions
Overview
Somatic Symptom and Related Disorders
Psychiatric Differential Diagnosis
Treatment of the Somatic Symptom Disorders
Deception Syndromes
Three Shared Parameters of Psychosomatic Conditions
Conclusion
References
17 Patients With an Eating Disorder
Overview
Epidemiology
Onset and Course
Differential Diagnosis and Initial Assessment of Eating Disorders
Interventions
Treatment of Patients With Anorexia Nervosa
Treatment of Patients With Bulimia Nervosa
Treatment of Patients With Binge-Eating Disorder
Summary
References
18 Pain Patients
Overview
Pathophysiology of Pain
Pain Terminology
Pain Measurement
The Psychiatry Consultant as Pain Physician
General Principles of Pain Therapy
Medication for Pain: Analgesia and Adjuvants
Treatment of Central Neuropathic Pain States
Treatment of Pain Behavior and the Use of Multidisciplinary Pain Clinics
References
19 Patients With Seizure Disorders
Overview
The Management of Psychiatric Symptoms in Patients With Seizure Disorders
Non-Epileptic Seizures
Summary
References
20 Patients With Cerebrovascular Disease and Traumatic Brain Injury
Cerebrovascular Disease
The Management of Patients With Traumatic Brain Injury
Conclusion
References
21 Patients With Abnormal Movements
Overview
Patient History and Physical Examination
Idiopathic Movement Disorders
Tremors
Drug-Induced Movement Disorders
Functional Movement Disorders
References
22 Patients With Infectious or Inflammatory Neuropsychiatric Impairment
Overview
Potential Etiologies of Acute and Sub-Acute Neuropsychiatric Impairment
Illustrative Autoimmune Encephalitic Syndromes Manifesting With Neuropsychiatric Impairment
Treatment Strategies for Patients With Infectious or Inflammatory Causes of Encephalitic Neuropsychiatric Impairment
Remaining Questions on Autoimmune Encephalitides
Conclusion
References
23 Catatonia, Neuroleptic Malignant Syndrome, and Serotonin Syndrome
Overview
Catatonia
Neuroleptic Malignant Syndrome
Serotonin Syndrome
References
24 Patients With Disordered Sleep
Overview
Sleep Stages and Normal Sleep
Neuroanatomic Basis for Sleep
Sleep Disorders
Approach to the Patient With Disordered Sleep
References
25 Sexual Disorders or Sexual Dysfunction
Overview
Epidemiology and Risk Factors
Pathophysiology
Clinical Features and Diagnosis
Approach to Sexual History-Taking
Diagnostic Criteria of Specific Sexual Disorders
Differential Diagnosis of Sexual Disorders
Treatment
Conclusion
References
26 The Psychiatric Management of Patients With Cardiac Disease
Overview
Anxiety in the Cardiac Patient
Depression in the Cardiac Patient
Delirium in Cardiac Patients
References
27 Patients With Renal Disease
Overview
Patients With Normal Kidney Function
Kidney Disease
Treatment Considerations
Psychopharmacologic Considerations
References
28 Patients With Gastrointestinal Disease
Introduction
Disorders of the Oropharynx, Esophagus, Stomach, and Upper Intestines
Disorders of the Lower Gastrointestinal Tract
Psychiatric Issues Related to Cancers of the Upper and Lower Intestines
Liver Disorders
Disorders of the Pancreas
Medication Considerations in Gastrointestinal Illness
Medication Considerations in Liver Disease
References
29 Organ Failure and Transplantation
Overview
Psychiatric Evaluation of the Transplant Patient
Psychiatric Considerations in Patients With End-Organ Failure
Pediatric Transplantation
Conclusion
References
30 Patients With Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome
Overview
Epidemiology
Medications for HIV Infection
HIV Infection and the Central Nervous System
HIV-Associated Neurocognitive Disorders (HAND)
Differential Diagnosis of Psychiatric Distress
Approach to Psychiatric Care
Treatment
Conclusion
References
31 Patients With Cancer
Overview
Anxiety Syndromes
Depression
Fatigue
Confusion and Cognitive Impairment
Conclusion
References
32 Burn Patients
Overview
History
Epidemiology
Types of Burns
Risk Factors
Pre-Burn Psychopathology
Assessment and Management of Patients With Burns
Pain Assessment
Long-Term Phase and Outcomes
End-of-Life Care
Staff Support, Staff Stress
Ethical Considerations
References
33 Chronic Medical Illness and Rehabilitation
Overview
Diagnostic Considerations
Treatment Strategies
References
34 Intensive Care Unit Patients
The Intensive Care Unit Setting
The Psychiatrist in the Intensive Care Unit
Conclusion
References
35 Patients With Genetic Syndromes
Overview
Varied approaches to Understanding Psychiatric Genetics
Metabolic Disease
Conclusion
Suggested Reading
References
36 Coping With Illness and Psychotherapy of the Medically Ill
What Exactly Is Coping?
Who Copes Well?
Who Copes Poorly?
What Interferes With Our Ability to Adapt to Illness?
The Role of Religion
The Medical Predicament—Bringing It All Together
Coping and Social Support
Courage to Cope
Assessment of Vulnerability
How to Find Out More About Coping
How to Be a Better Coper
Additional Psychotherapeutic Techniques in the Medically Ill Population
References
37 Electroconvulsive Therapy and Neurotherapeutics
Overview
Transcranial Magnetic Stimulation
Electroconvulsive Therapy
Vagus Nerve Stimulation
Deep Brain Stimulation
Ablative Limbic Surgery
References
38 Psychopharmacology in the Medical Setting
Overview
Principles of Psychopharmacologic Practice
Pharmacokinetics
Drug Interactions
Psychiatric Uses of Non-Psychiatric Medications
References
39 Psychopharmacologic Management of Children and Adolescents
Overview
Issues in Clinical Management
Medical Precautions and Contraindications
Emergency Interventions: Treatment of Acute Agitation or Aggression
Delirium
Childhood Anxiety Disorders
Akathisia
Attention Deficit Hyperactivity Disorder
Mood Disorders
Developmental Disorders
Psychotic Disorders
Combined Agents
References
40 Mind–Body Medicine
Overview
Stress Physiology
Allostasis, Allostatic Loading, and NF-κB
Resiliency
The Mind–Body Medicine Hypotheses
Use and Efficacy of Mind–Body Techniques
Conclusions
References
41 Chronic Disease and Unhealthy Habits
Overview
Healthy Habits and Disease Prevention and Management
Transtheoretical Model of Change
Behavior Modification Counseling: the “5 As”
A Five-Step Cycle for Coaching Patients to Adopt Healthy Habits
Smoking Prevalence and Characteristics of Smokers
References
42 Complementary Medicine and Natural Medications
Overview
Efficacy and Safety
Mood Disorders
Anxiolytics and Hypnotics
Premenstrual and Menopausal Symptoms
Cognition and Dementia
Non-Medication Therapies
Conclusion
References
43 Difficult Patients
Overview
Types of Difficult Patients
Difficult Behavior and the Consultee
Psychiatrist’s Work With the Patient
Termination
References
44 Care of the Suicidal Patient
Overview
Epidemiology and Risk Factors
Pathophysiology
Clinical Features and Diagnosis
Treatment of Suicide Risk
Difficulties in the Assessment of Suicide Risk
References
45 Emergency Psychiatry
Introduction
Demographics
Types of Delivery Models
The Psychiatric Interview
The Medical Evaluation
The Safety Evaluation
Psychiatric Symptoms and Presentations
Management of Acute Symptoms
Emergency Assessment of Children
Legal Responsibilities of the Emergency Psychiatrist
Conclusion
References
46 Care at the End of Life
Goals of Treatment
The Role of the Psychiatrist
Challenges for Care Providers
Ethics and End-of-Life Care
Conclusion
References
47 Pediatric Consultation
Overview
The Pediatric Consultation Process
Reasons for Consultation Requests
Child Maltreatment
Living With Chronic Illness
Care at the End of Life
Support for Parents With Serious Illness
Ethical Issues
Future Considerations
References
48 Care of the Geriatric Patient
Overview
Consultation With Geriatric Patients
Special Considerations in the Geriatric Population
References
49 Psychiatric Illness During Pregnancy and the Postpartum Period
Overview
Diagnosis and Treatment of Mood Disorders During Pregnancy
Bipolar Disorder
Psychotic Disorders
Anxiety Disorders
Electroconvulsive Therapy
Breast-Feeding and Psychotropic Drug Use
Psychiatric Consultation and Postpartum Psychiatric Illness
Perinatal Psychiatry: From Screening to Treatment
References
50 Culture and Psychiatry
Overview
Culture and Psychiatry
Working With Interpreters
The “Medical Ombudsman” Role
Ethnicity, Culture, and Psychiatric Medications
Recommendations for Optimizing Clinical Care of Diverse Populations
References
51 Legal Aspects of Consultation
Overview
Physicians’ Rights and Obligations
Rights of Patients
Conclusion
References
52 Approaches to Collaborative Care and Behavioral Health Integration
Overview
Epidemiology
Barriers to Treatment
The Goals of Collaboration
Roles, Relationships, Expectations, and Liability
Models of Collaboration
Coordinated Care
Co-Located Care
Collaborative (Fully Integrated) Care
Choosing the Right Model
Conclusions
References
53 Physician Well-Being and Coping With the Rigors of Psychiatric Practice
Overview
Epidemiology
Etiologies for Stress and Burnout
Special Situations in Psychiatry
When the Cobbler’s Children Have No Shoes
Healing the Wounded Healer
When to Seek Consultation
Types of Professional Help
Conclusion
References
54 Management of a Psychiatric Consultation Service
Overview
Documentation Should Reflect the Service Performed
Bill Only for Services Documented in the Medical Record
Follow the Medicare Guidelines for All Entries in the Medical Record
Obtain Preauthorization for Services Whenever Necessary
Identify the Payer
Develop a Standard Format for Writing the Consultation Note
Bill the Appropriate Code
Evaluate the Costs and Benefits of the Consultation Service
Provide Quality Assurance and Quality Improvement on the Psychiatric Consultation Service
Understand Donabedian’s Model
Use Structural Measures of Consulting Quality
Apply Process Measures of Consulting Quality
Consider Outcome Measures of the Consultant’s Quality
Follow the Guiding Principles of Quality Measurement
Conclusion
References
Index
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