Аннотация

By any metric, burnout is a pressing issue in medicine generally and psychiatry specifically – particularly because of its potential impacts on patient care.Combating Physician Burnout: A Guide for Psychiatrists, the first book of its kind to focus on the field of psychiatry, aims to educate psychiatrists about three key concepts: stress, burnout, and physician impairment. Edited by recognized experts on physician burnout, this volume features contributions from domestic and international authorities in the field, including academic and community psychiatrists, those involved in residency and medical student education, and members of the American Psychiatric Association Work Group on Psychiatrist Well-being and Burnout.Five sections lay out the scope of the challenge and outline potential interventions: The introduction discusses the history and social context of burnout, providing psychiatrists struggling through burnout with important perspective. The second section, «The Continuum of Stress, Burnout, and Impairment» explores the potential effects of burnout on clinical care and examines depression and suicide among physicians. Environmental Factors Leading to Burnout" identifies contextual elements that seem to contribute to burnout, including the electronic health record and the challenge of balancing professional and personal demands. The fourth section of the book discusses a range of systemic and individual interventions, included among them organizational screening for burnout, peer review and support, and mindfulness training and meditation. The final section, «Ethics and Burnout,» tackles the moral challenge burnout poses to the profession of psychiatry. Regardless of career stage, readers will benefit from the unique psychiatric perspective on burnout – and the practical advice on combating its effects – offered by this guide.

Аннотация

Applied Mindfulness: Approaches in Mental Health for Children and Adolescents starts from the premise that mental health clinicians must have their own mindfulness practice before teaching the tenets and techniques of mindfulness to others, including young people. To that end, the book offers readers clear instructions on how to first practice mindfulness in their own lives and then extend their personal practice outward to others. Once this knowledge is internalized, the clinician can focus on mindfulness in terms of its application to specific clinical diagnoses, such as anxiety and depression, attention-deficit/hyperactivity disorder, and substance abuse. Because many mental health professionals work in multiple settings, such as in schools, in clinics, and online, the contributors, representing a wide range of creative and authoritative voices, explain how to skillfully tailor mindfulness interventions for effective application across diverse contexts. Drs. Carrion and Rettger, as Director of the Stanford Early Life Stress and Pediatric Anxiety Program (SELSPAP) and Director of SELSPAP's Mindfulness Program, respectively, have been engaged in ongoing community-based work delivering mindfulness and yoga programming to underserved youth and their helpers. This expertise is evident in their eloquent yet down-to-earth editing.The volume offers clinicians everything they need to begin their mindfulness journey, including the following: Introductory knowledge on how to get started with a meditation practice. Specific mindfulness scripts are provided throughout the book to foster development of the reader's own practice. In addition, there are audio practices and clear written descriptions of practices to offer support for those learning to meditate, internalize mindfulness practices, and then adapt these skills for clinical practice. A developmental and ecological approach to implementing mindfulness. The book offers insight into integrating mindfulness across many settings, platforms, and applications, and includes chapters on mindfulness online, at home, and in school, as well as chapters on incorporating nature into mindfulness practice and the relationship between mindfulness and creativity. Material on specific clinical populations, including immigrant youth and incarcerated youth. A special chapter is devoted to trauma-informed yoga, which has been shown to be an effective therapeutic intervention for youth who have been incarcerated. Comprehensive information on the current state of youth mindfulness research, which prepares readers to discuss these topics knowledgeably with colleagues and patients. Like ripples in water, the benefits of mindfulness spread outward, from clinicians to patients, families, schools, and communities. Applied Mindfulness: Approaches in Mental Health for Children and Adolescents is the first step toward stress reduction, peace, and compassion for a new generation.

Аннотация

Ambivalence, poor adherence to treatment, serious psychiatric and medical comorbidities – the difficulties posed by patients of substance use disorders are among the most challenging for practitioners to face. Given that only 10% of patients with these disorders actually receive specialized addiction treatment, it's clear that physicians in all medical and surgical specialties need to become comfortable assessing and treating substance use disorders.The Pocket Guide to Addiction Assessment and Treatment is designed specifically to aid a wide range of clinicians, regardless of their training in addiction, to more confidently assess and treat this patient population.The book's practical, actionable content is divided into three sections – Fundamentals of Addiction, Substances and Behaviors, and Treatment – that address topics including: The neurobiology of addiction How to recognize and treat intoxication, withdrawal from, and addiction to substances such as alcohol, anabolic-androgenic steroids, benzodiazepines, cannabis, opioids, stimulants, and tobacco, as well as hallucinogens, inhalants, and caffeine Special issues with psychiatric and medical comorbidities, as well as with specific populations Behavioral addictions, with a special focus on gambling disorder Cognitive-behavioral therapy; 12-step programs; nutrition and exercise; spirituality, mindfulness, and meditation; and other treatment options, with examples of how each can be used with patients facing addictions With an accessible, easily referenced format, the Pocket Guide to Addiction Assessment and Treatment serves as a go-to resource for general psychiatrists, internists, family practitioners, pediatricians, emergency medicine physicians, psychiatric nurses, residents, medical students, and other practitioners involved in the addiction treatment field. And because all of the diagnostic discussions are DSM-5®–based, readers can be confident that they're getting the most relevant and up-to-date guidance on the topic.

Аннотация

Both academically rigorous and clinically practical, Trauma- and Stressor-Related Disorders is fully informed by the new DSM-5 category that includes adjustment disorders, acute stress disorder, and posttraumatic stress disorder. Stress and trauma have long been recognized as playing a role in the etiology of certain psychiatric disorders, and this book delineates normal and pathological responses to stress, providing a conceptual framework for understanding trauma- and stressor-related disorders. An individual's response to stress depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors, and these are examined from both a scientific and clinical perspective. Central to the book's utility is its presentation of clinical vignettes that help the reader to contextualize the information presented and model effective clinical skills.Among the volume's critically important topics and features are A robust section on assessing the psychosocial factors associated with resilience (e.g., optimism, cognitive flexibility, a social support network), encouraging and enhancing these factors, and implementing psychosocial interventions to aid patients who have experienced trauma to promote resilience by targeting these factors. A comprehensive chapter on the medical-legal aspects of trauma- and stressor-related disorders because clinicians working with these patients frequently encounter situations that have legal implications (e.g., capacity evaluations, informed consent, confidentiality, serving as a witness in court proceedings). Full coverage of controversies unique to this group of disorders. For example, because no other set of DSM-5 diagnoses require a stressor as an etiological agent, this dimension can add considerable controversy to these diagnoses. Comprehensive overview of the development of the stress and trauma disorders chapter of the upcoming revision of the International Classification of Diseases (ICD-11, expected for 2017), including crosswalk tables to compare ICD-10, DSM-5, and the planned ICD-11 and featuring a summary of the evidence base for specific treatments for ICD-10 or ICD-11 stress and trauma disorder categories. In addition, key points, informative Web sites, and recommended reading at the end of each chapter are designed to consolidate and extend the practitioner's knowledge base. Trauma- and Stressor-Related Disorders provides readers with the latest research and treatment recommendations in an expertly edited, easy-to-use format that will earn its place in the clinician's library.

Аннотация

Perhaps never before has an objective, evidence-based review of the intersection between gun violence and mental illness been more sorely needed or more timely. Gun Violence and Mental Illness, written by a multidisciplinary roster of authors who are leaders in the fields of mental health, public health, and public policy, is a practical guide to the issues surrounding the relation between firearms deaths and mental illness. Tragic mass shootings that capture headlines reinforce the mistaken beliefs that people with mental illness are violent and responsible for much of the gun violence in the United States. This misconception stigmatizes individuals with mental illness and distracts us from the awareness that approximately 65% of all firearm deaths each year are suicides. This book is an apolitical exploration of the misperceptions and realities that attend gun violence and mental illness. The authors frame both pressing social issues as public health problems subject to a variety of interventions on individual and collective levels, including utilization of a novel perspective: evidence-based interventions focusing on assessments and indicators of dangerousness, with or without indications of mental illness.Reader-friendly, well-structured, and accessible to professional and lay audiences, the book: Reviews the epidemiology of gun violence and its relationship to mental illness, exploring what we know about those who perpetrate mass shootings and school shootings. Examines the current legal provisions for prohibiting access to firearms for those with mental illness and whether these provisions and new mandated reporting interventions are effective or whether they reinforce negative stereotypes associated with mental illness. Discusses the issues raised in accessing mental health treatment in regard to diminished treatment resources, barriers to access, and involuntary commitment. Explores novel interventions for addressing these issues from a multilevel and multidisciplinary public health perspective that does not stigmatize people with mental illness. This includes reviews of suicide risk assessment; increasing treatment engagement; legal, social, and psychiatric means of restricting access to firearms when people are in crisis; and, when appropriate, restoration of firearm rights. Mental health clinicians and trainees will especially appreciate the risk assessment strategies presented here, and mental health, public health, and public policy researchers will find Gun Violence and Mental Illness a thoughtful and thought-provoking volume that eschews sensationalism and embraces serious scholarship.

Аннотация

The recent publication of the revised Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) has had a profound impact on the classification of eating disorders, introducing changes that were formalized after years of study by the Eating Disorders Work Group. The Handbook of Assessment and Treatment of Eating Disorders is the only book that provides clinicians with everything they need to know to implement these changes in assessment, diagnosis, and treatment. After an overview of feeding and eating disorders that systematically reviews the changes from DSM-IV to DSM-5®, some of the foremost scholars in each area address eating disorders in adults, children and adolescents, and special populations. Chapters on assessment and treatment, along with accompanying videos, offer comprehensive, state-of-the-art coverage that will benefit clinicians in practice, such as psychiatrists and psychotherapists, as well as mental health trainees.Clinicians will find the following features and content especially useful: Five full chapters on assessment tools cover the evolution of measures and instruments, from the primitive beginnings to the cutting edge of new technological applications. The challenges of diagnosing feeding and eating disorders in children and adolescents are also addressed. Treatment chapters cover restrictive eating, including anorexia nervosa and avoidant/restrictive food intake disorder, binge eating, including bulimia nervosa and binge-eating disorder, and other eating problems, including pica, rumination disorder, and night eating syndrome. One chapter focuses on eating problems among men and boys, who have diverse presentations, and the motivations and body image disturbances that may differ from those typically found among females. Because attunement to culturally and socially patterned characteristics of clinical presentation is essential to an informed and accurate mental health assessment, an entire chapter is devoted to clinical effectiveness in multicultural and cross-cultural settings. Each chapter ends with key clinical points to help readers focus on the most salient content, test comprehension, and review for examinations. Clinicians in both training and practice will find the book's up-to-date, DSM-5®–compatible content to be utterly essential. The Handbook of Assessment and Treatment of Eating Disorders belongs in the library of every mental health professional practicing today.

Аннотация

Since publication of the first edition, Dulcan's Textbook of Child and Adolescent Psychiatry has become the recognized standard in child and adolescent psychiatry textbooks. In this thoroughly revised second edition, the editor and chapter authors, leaders in the field of child and adolescent mental health, have again provided a complete, state-of-the-art textbook with notable updates and improvements that enhance accessibility and learning. The new edition is more concise and compact, while remaining comprehensive in scope. The number of chapters has been reduced to sharpen the book's focus on topics most relevant to clinical work. The textbook reflects the new DSM-5 classifications that all clinicians and trainees must know to function in today's health care environment.Many other features contribute to the textbook's user-friendly design and broad appeal: Chapters on the disorders (neurodevelopmental, psychiatric, and those affecting somatic function) have a consistent structure of definition and clinical description, diagnosis, epidemiology, comorbidity, etiology and risk factors, prevention, course and prognosis, evaluation, and treatments, making it easy for readers to locate information and facilitating learning. The textbook is useful as both a core textbook for child and adolescent psychiatry fellowship training and a reference for a wide variety of health care professionals, including pediatricians, family physicians, general psychiatrists, child neurologists, psychologists, advanced practice nurses, and psychiatric social workers. The full range of psychosocial treatments is included, focusing on individuals, families, therapeutic milieus, and systemic models of care. The increasing emphasis on taking mental health care beyond the clinician's office is reflected in chapters on consultations related to schools and to primary care. A section on specialized topics includes chapters on a range of critically important issues, including evidence-based practice, cultural and religious issues, legal and ethical issues, and telehealth. Each chapter in the book ends with «Summary Points,» take-away messages that emphasize the most important concepts and promote consolidation of knowledge. The section Additional Resources includes selected books for professionals and web sites for professionals, patients, and families, which provide avenues for further study and connections with others treating or living with mental health issues. Reflecting both the art and the science of this fascinating field, Dulcan's Textbook of Child and Adolescent Psychiatry, Second Edition, provides authoritative, practical guidance and is a resource that mental health practitioners at all levels of experience should have on their desks and handheld devices.

Аннотация

The editor and authors of Youth Substance Abuse and Co-occurring Disorders take an applied approach that serves the needs of clinicians, clinical researchers, and students in the fields of mental health, public health, and medicine (pediatrics, family medicine, and child and adolescent psychiatry, in particular). While the population of adolescents with SUD possesses diverse clinical characteristics, 70%–80% manifest comorbid psychopathology, known also as co-occurring disorders or dual diagnosis – that is, the presence of one or more comorbid psychiatric disorders in addition to SUDs. These comorbidities can greatly complicate assessment and treatment, and this book provides clinicians with not only the theory behind the various approaches to SUD but also the practical knowledge that is essential to understand and treat psychiatric comorbidity in these adolescents.Some of the most prominent investigators in the field have contributed scholarly chapters to the volume, which offers a multitude of useful features: An extensive examination of the etiology of SUD, focusing on whether psychopathology may precede SUD, as in the majority of cases, develop as a consequence of preexisting SUD, or originate from a common vulnerability Consistent emphasis on future directions in clinical research and treatment advancement, which helps the reader identify critical gaps in understanding the relationship between SUD and psychiatric comorbidity among youth Thorough, state-of-the art chapters on the developmental pathways and relationships between substance use and co-occurring psychiatric disorders, screening tools and interventions, and the full range of co-occurring disorders make the book ideal for instructional use Information on risk factors for development of SUD in adolescence, including psychiatric disorders in childhood such as disruptive behavior disorders, mood, anxiety disorders, etc. Clinically useful and scientifically rigorous, Youth Substance Abuse and Co-occurring Disorders should stimulate further discussion and advancement of the field, ultimately resulting in improved and more effective services and intervention modalities for these youth.

Аннотация

Obsessive-compulsive and related disorders (OCRDs) are both prevalent and a source of significant impairment for patients who suffer from them, yet they remain underrecognized and underdiagnosed. Handbook on Obsessive-Compulsive and Related Disorders provides comprehensive and cutting-edge coverage of OCRDs for clinicians and trainees in the context of the new classification framework established by the DSM-5. Chapters cover OCD, body dysmorphic disorder (BDD), hoarding disorder, trichotillomania (hair pulling disorder), excoriation (skin picking) disorder, and illness anxiety disorder, among other related conditions, ensuring that readers are current on both the research on and the standard of care for these illnesses. In addition, each chapter employs a logical and consistent structure, addressing diagnostic criteria and symptomatology, epidemiology, etiology and pathophysiology, comorbidities, course and prognosis, assessment and differential diagnosis, psychosocial impairment and suicidality, and other topics such as cultural and gender-related issues. Treatment approaches and considerations are explored in-depth.The Handbook's useful features are many: The first book focused on the OCRDs to be published since the development of DSM-5, it reflects a deep understanding of the disorders and the DSM-5 development process. Readers can depend on the utmost compatibility with DSM-5 because the book was edited by the chair of the DSM-5 work group, and the chair of the sub-work group, that oversaw the development of the OCRD category. The editors have provided a helpful introductory chapter that thoroughly addresses the changes from DSM-IV. The book includes a chapter on disorders that were seriously considered for, though ultimately not included in, the DSM-5 OCRD chapter and for which research offers some support for a close relationship to OCD. These include tic disorders, illness anxiety disorder (hypochondriasis), and obsessive-compulsive personality disorder. Case studies are provided in each chapter, as well as key clinical points, both of which help the reader understand, contextualize, and make use of the book's content. Recommended readings at the end of each chapter offer the opportunity to deepen understanding. The costs to society of undiagnosed and/or untreated OCRD are high in both human and financial terms, and clinicians need to master all available tools to help patients and families understand and cope with these disorders. Handbook of Obsessive-Compulsive and Related Disorders deserves a prominent position – both in the literature and on the clinician's bookshelf.

Аннотация

Clinicians searching for evidence-based quantitative assessments on which to base diagnosis and treatment of patients with bipolar disorder need look no further. Advances in Treatment of Bipolar Disorders analyzes the benefits and harms for both older and more recently developed treatments, and places these analyses in the context of the authors' many years of clinical experience. The result is a book that is both quantitatively sound and qualitatively rich, and one that will help clinicians understand the latest research and integrate it into their practices with confidence. In addition to comprehensive coverage of the most important recent advances, the book addresses advances in more specific areas, including the treatment of particular populations such as women, children, and older adults. In addition, the book covers many critically important topics and boasts an abundance of helpful features: Evidence-based quantitative assessments of benefits use «numbers needed to treat» for therapeutic effects and «numbers needed to harm» for side effects, ensuring that the quality of data supporting interventions meets a rigorous standard. The book's information is based not only on controlled trials and FDA approvals but also on almost two decades of clinical research and clinical treatment experience by clinicians at Stanford University. Plentiful figures and summary tables are provided to summarize the content and make it easy-to-grasp and clinician-friendly. In addition to coverage of acute bipolar depression and acute manic and mixed episodes, the book provides chapters on the preventive treatment of bipolar disorder and the pharmacology of mood-stabilizing and second-generation antipsychotic medications. Bipolar disorders are challenging and complex mental illnesses, and clinicians need all the help they can get in managing the effects of these illness on their patients' lives. Advances in Treatment of Bipolar Disorders aims to provide everything clinicians need to know to update their knowledge of this rapidly evolving field and ensure an evidence-based standard of care for this patient population.