Massachusetts General Hospital Handbook of General Hospital Psychiatry 7th Edition by Theodore Stern, Oliver Freudenreich, Felicia Smith, Gregory Fricchione, Jerrold Rosenbau ISBN 9780323496445 032349644X

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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