This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED’s is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.
PreTest® is the closest you can get to seeing the test before you take it. Written by clerkship faculty and reviewed by students who know what it takes to pass, this book is perfect for clerkship exam review and the USMLE Step 2 CK. Psychiatry: PreTest® asks the right questions so you’ll know the right answers. Open it and start learning what’s on the test.Completely updated for the new DSM-5500 USMLE-style Q&A cover core topics on the shelf exam Complete explanations explain each answer option Answer discussions condense essential topics for high-yield review Tested and reviewed by students who know what it takes to pass
It is difficult to improve on a classic, but the fifth edition of Psychodynamic Psychiatry in Clinical Practice does just that, offering the updates readers expect with a deft reorganization that integrates DSM-5(R) with the author's emphasis on psychodynamic thinking. The individual patient is never sacrificed to the diagnostic category, yet clinicians will find the guidance they need to apply DSM-5(R) appropriately. Each chapter has been systematically updated to reflect the myriad and manifold changes in the 9 years since the previous edition's publication. All 19 chapters have new references and cutting-edge material that will prepare psychiatrists and residents to treat patients with compassion and skill. The book offers the following features: - Each chapter integrates new neurobiological findings with psychodynamic understanding so that clinicians can approach their patients with a truly biopsychosocial treatment plan.- Excellent writing and an intuitive structure make complicated psychodynamic concepts easy to understand so that readers can grasp the practical application of theory in everyday practice.- The book links clinical understanding to the new DSM-5(R) nomenclature so that clinicians and trainees can adapt psychodynamic thinking to the new conceptual models of disorders.- New coverage of psychodynamic thinking with relation to the treatment of patients on the autism spectrum addresses an increasingly important practice area.- Posttraumatic stress and dissociative disorders have been combined to allow for integrated coverage of primary psychiatric disorders related to trauma and stressors. A boon to clinicians in training and practice, the book has been meticulously edited and grounded in the latest research. The author firmly believes that clinicians must not lose the complexities of the person in the process of helping the patient. Psychodynamic Psychiatry in Clinical Practice, Fifth Edition, keeps this approach front and center as it engages, instructs, and exhorts the reader in the thoughtful, humane practice of psychodynamic psychiatry.
Research in neuroscience is revolutionizing how we think about psychiatric diagnosis and treatment. Psychiatric disorders reflect dysfunction of the human mind and involve changes in cognition, emotion, and motivation. Understanding how the neural networks that underlie these mental functions become dysfunctional holds great promise for devising innovative approaches to diagnosis and treatment. Scientific progress is being driven, in part, by advances in human functional neuroimaging, which is being used to characterize the activity of specific brain circuits at rest and during the performance of specific tasks. Moreover, advances in clinical neuroscience are being coupled with expanding knowledge about genetics and cellular and synaptic neuroscience. Taken together, these advancements offer the hope of much more mechanism-based approaches to treatment in the future. Better understanding of neural circuits also can provide the basis for innovative psychotherapeutic strategies that take advantage of brain plasticity for purposes of neurorehabilitation. In this book, we examine recent developments in the field of network neuroscience and their potential impact on clinical psychiatry, including the way that psychiatrists are trained and interact with other medical specialties and mental health professionals.
Neuroscience of Clinical Psychiatry: The Pathophysiology of Behavior and Mental Illness, Second EditionLittle information from this complex and evolving field of neuroscience has been readily accessible to the clinical psychiatrist on the front lines of patient care, let alone to the resident preparing for the Boards. There thus has existed a need for a concise and accessible text that builds a bridge between the two disciplines.To meet this need, the fully updated Second Edition of this straightforward and reader-friendly reference provides readers with a basic link between the science of the brain and the treatment of common mental health disorders. Both comprehensive and easy to follow, this textbook is being used in psychology graduate programs, nurse practitioner training and psychiatry residencies. It is useful for board exam review as well as for the practicing clinician looking to keep pace with the latest advances in neuroscience.The book’s clear and direct language will enhance your understanding of basic neuroscientific concepts underlying commonly encountered disorders, and the effects of brain chemistry on common behaviors. Practical applications, insightful illustrations, and review questions following each chapter help solidify your grasp of neuropathology and its link to mental health disorders and their treatment.Explore the neurologic underpinnings of psychiatric disorders!• Updated content lets you keep pace with recent advances. • Straightforward discussions help you grasp complex concepts with ease. • Concise presentation improves comprehension and retention of essential material. • Abundant illustrations and tables provide vital information at a glance. • End-of-chapter review questions offer abundant opportunities for self-paced review.• Solution site with online access to fully searchable text.
Helps with complex prescribing needs The evidence base for drug treatments in psychiatry ranges from meta-analyses and randomised controlled clinical trials to single case reports, and from NICE guidelines to individual SPCs. Where do you look for information when transferring a patient from one drug to another? Where do you find a clear overview when dealing with a complex patient (e.g, with co-morbid epilepsy or liver disease or HIV infection)? Where can you seek advice on prescribing psychotropics during pregnancy? The Maudsley Prescribing Guidelines in Psychiatry! The leading clinical reference for handling prescribing problems as encountered in daily practice and for formulating prescribing policy. Evidence-based and written by experts This book is the essential guide for anyone responsible for prescribing, dispensing or administering drugs for patients with mental health disorders. All the evidence has been reviewed and summarized succinctly by an expert team of psychiatrists and pharmacists. New content and improved format This new edition makes greater use of tables and boxes to facilitate quick reference and includes new sections on cytochrome-mediated interactions and psychiatric side effects of non-psychotropic drugs. Clinically relevant Chapters address plasma monitoring, schizophrenia, bipolar disorder, depression and anxiety, children and adolescents, substance abuse and special patient groups. Each section has a full reference list. The book covers prescribing drugs outside their licensed indications and their interaction with substances such as alcohol, nicotine and caffeine. Useful for all levels of experience Trainees will gain important information regarding the rational, safe and effective use of medications for patients with mental illness. Experienced clinicians will find excellent guidance regarding more complex issues that they may not encounter regularly. Why the Maudsley Prescribing Guidelines in Psychiatry? Long recognized as an international trailblazer in mental health care, the Maudsley Hospital earned its reputation for excellence in both in-patient and community care. It is highly regarded for its research, and pioneered the use of clinical neuroscience. You can trust The Maudsley Prescribing Guidelines in Psychiatry to be scientifically sound and clinically effective.
Now with bonus material, including a new foreword and afterword with updated researchIn this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nation’s children. What is going on? Anatomy of an Epidemic challenges readers to think through that question themselves. First, Whitaker investigates what is known today about the biological causes of mental disorders. Do psychiatric medications fix “chemical imbalances” in the brain, or do they, in fact, create them? Researchers spent decades studying that question, and by the late 1980s, they had their answer. Readers will be startled—and dismayed—to discover what was reported in the scientific journals. Then comes the scientific query at the heart of this book: During the past fifty years, when investigators looked at how psychiatric drugs affected long-term outcomes, what did they find? Did they discover that the drugs help people stay well? Function better? Enjoy good physical health? Or did they find that these medications, for some paradoxical reason, increase the likelihood that people will become chronically ill, less able to function well, more prone to physical illness? This is the first book to look at the merits of psychiatric medications through the prism of long-term results. Are long-term recovery rates higher for medicated or unmedicated schizophrenia patients? Does taking an antidepressant decrease or increase the risk that a depressed person will become disabled by the disorder? Do bipolar patients fare better today than they did forty years ago, or much worse? When the National Institute of Mental Health (NIMH) studied the long-term outcomes of children with ADHD, did they determine that stimulants provide any benefit? By the end of this review of the outcomes literature, readers are certain to have a haunting question of their own: Why have the results from these long-term studies—all of which point to the same startling conclusion—been kept from the public? In this compelling history, Whitaker also tells the personal stories of children and adults swept up in this epidemic. Finally, he reports on innovative programs of psychiatric care in Europe and the United States that are producing good long-term outcomes. Our nation has been hit by an epidemic of disabling mental illness, and yet, as Anatomy of an Epidemic reveals, the medical blueprints for curbing that epidemic have already been drawn up.
This book is for prescribers specializing in psychiatry, primary care physicians, nurse practitioners, psychologists and pharmacists. Featuring one hundred and fifty new and updated case-based questions, divided into ten core areas of psychiatry, this collection will help you identify areas in which you need further study. Each question is followed by an explanation of the answer and a list of references. After completing the questions you will be better able to: • diagnose patients presenting with psychiatric symptoms using accepted diagnostic standards and practices • implement evidence-based psychiatric treatment strategies aligned with the patient's recovery goals • integrate recent advances in diagnostic and treatment strategies into clinical practice according to best practice guidelines. This collection has been approved by the American Board of Psychiatry and Neurology as part of a lifelong learning and self-assessment program and as a component of maintenance of certification. Optional posttests with CME credit are available for a fee (waived for NEI members). For more information, contact the Neuroscience Education Institute.