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The five-year process of preparing for the revision of the Diagnostic and Statistical Manual (DSM) has been organized around a series of conferences convened by the American Psychiatric Association, in collaboration with the World Health Organization and the U.S. National Institutes of Health, to address the future of psychiatric diagnosis. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V is the fruit of one of those conferences and presents the most academically sound, thought-provoking, and timely papers from the proceedings. As the conference and book demonstrate, recent advances in psychiatric diagnosis suggest a new approach to obsessive-compulsive disorder (OCD) classification: Research into the pathogenesis of OCD increasingly supports reclassification out of the anxiety disorders and into a separate group of obsessive-compulsive-related disorders (OCRDs). The relationships among OCRDs may be better defined, delineated, and understood if the current categorical diagnostic approach is supplemented with a dimensional approach which assesses obsessive-compulsive symptom domains. Obsessive-compulsive disorders are believed to be underdiagnosed in patients who complain of broad symptoms of anxiety, and reclassification of OCD as an OCRD would promote more careful examination of distinct obsessive-compulsive symptoms, yield more accurate diagnosis, and result in more effective treatments. Reclassification may facilitate future research directions in examining the biological underpinnings of these disorders. In addition to examining the genetic, neurological, and ethno-cultural bases for OCRDs, the book gives special attention to disorders that cross current diagnostic categories, including: Body dysmorphic disorder (BDD) Tourette's syndrome and trichotillomania Impulse-control disorders The process leading to publication of DSM-V is by its nature an exhaustive and complex one, and the conferences play a critical role in reviewing relevant research, assessing the status of scientific knowledge, and advancing that knowledge base. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V represents the cutting-edge thinking that will culminate in new diagnoses, classifications, and standards of practice for this debilitating set of disorders. Clinicians and academicians will be fascinated by this glimpse into the next generation of the DSM-V.

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The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents.The editors have created an accessible text with many useful features: A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service. Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting. Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly Constructive «take-home» points at the end of each chapter that summarize key information and caution against common clinical errors. References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

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The Textbook of Pediatric Psychosomatic Medicine provides a comprehensive, empirically based knowledge of assessment and treatment issues in children and adolescents with physical illness. Scholarly, authoritative, and evidence based, it is the first volume of its kind and will help to define the field going forward.Addressing a very wide range of medical subspecialties, this volume is a first step for researchers who want to obtain a review of the psychiatric issues in their respective specialties. In addition, the book offers many special features, including An exceptionally strong section on psychopharmacology in the medical setting, which is complemented by a comprehensive set of reference tables on psychopharmacological agents, including doses, side effects, and indications for use in the physically ill child. Definitive chapters on less commonly reviewed topics that are of particular relevance for clinicians who treat physically ill children, including pediatric palliative care, Munchausen syndrome by proxy, and pediatric feeding disorders. Coverage of key legal and forensic issues in pediatric psychosomatic medicine. Presentation of material in graphical and tabular formats for maximal usefulness, including templates of specific questions for assessing common psychiatric symptoms and flowcharts illustrating step-by-step approaches to pain and somatoform disorders. Relevance to a broad range of professionals, including psychiatrists, pediatricians, psychologists, nurses, medical students, and social workers who work with children in medical settings. May be adopted as a textbook for psychology undergraduate classes, social work internships, and both general and child psychiatry residency training programs. The editors are recognized both nationally and internationally as being among the foremost experts for their respective fields, and they have assembled the leading practitioners of pediatric psychosomatic medicine to create this volume. The only complete text on pediatric psychosomatic medicine, this volume is destined to prove seminal in the field and indispensable in the clinician's library.

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The Evidence-Based Guide to Antipsychotic Medications is designed to provide both clinicians and residents with focused, comprehensive, and clinically relevant information regarding the use of antipsychotic medications to treat a broad range of psychiatric conditions – from mood and anxiety disorders to substance abuse, personality disorders, and schizophrenia. The volume editor is a renowned psychiatrist and author with more than 25 years of experience in both clinical and research settings diagnosing and treating patients with mood and psychotic disorders. In addition, each of the volume's 13 contributors is an expert with many years of clinical experience to draw on.The book is down-to-earth and reader-friendly and is structured for maximal utility in both coverage and format: Key Clinical Points cap each chapter, synthesizing and summarizing the knowledge you can take away, and serving both as a refresher for those using the book as a reference and as a study aid to master the material. Both FDA-approved and off-label use of antipsychotic medications are addressed, reflecting the reality of clinical practice on the front lines. Use of antipsychotic medications in both the pediatric and geriatric populations, a potentially controversial subject, is addressed in a nonsensational, straight-forward manner. The Appendixes provide a wealth of information in tabular format, including drug tables (names, strengths, formulations, pharmacokinetics, and dosing); advice on initiating and monitoring antipsychotic medications; common side effects and their management; and special considerations for use during pregnancy and breastfeeding. The Evidence-Based Guide to Antipsychotic Medications is the first in a new series that strives to take evidence-based psychiatry from gold standard to standard practice. Scientifically up-to-date and rigorous, yet accessible and easy to understand, this volume stands alone as an indispensable resource on the topic.

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Clinicians who work on the frontlines of correctional mental health know that the challenges are only increasing. Not only is the proportion of inmates with mental disorders growing at a rate that exceeds that of the correctional population as a whole, but this group is expanding at both ends of the aging continuum, so that increasing numbers of both geriatric and juvenile offenders require assessment and treatment. Changing patient demographics and evolving treatment modalities make it essential that psychiatrists, psychologists, social workers, nurses, and other professionals who serve the prison population have access to the most practical, up-to-date, and comprehensive resource. Handbook of Correctional Mental Health, now in an expanded, second edition, is that resource.This book addresses key concepts to ensure that the reader meets the current standard of care for inmates through all phases of the criminal justice system. In 20 state-of-the-art chapters, nationally recognized providers and correctional mental health experts address the most pressing issues facing clinicians. Unique to this edition, the Handbook: Summarizes the literature regarding unique populations observed in a correctional environment, thereby assisting the provider in tailoring treatment to various target populations. Provides a clear overview of both malpractice law and the concept of «deliberate indifference» that aids the reader in understanding the legal requirements for providing care and minimizing risks of lawsuits. Educates clinicians on how to differentiate feigned versus legitimate mental health symptoms, and how to understand and interpret inmate motivations for psychiatric malingering. Discusses important administrative aspects regarding documentation issues, quality assurance, and practicing under a consent decree. Provides useful tables throughout the text with key summary points emphasized. Includes five new, clinically focused chapters on the assessment and treatment of inmates with substance use disorders, geriatric offenders, juvenile offenders, inmates with self-injurious behaviors, offenders who have experienced various traumas during their lives, and inmates housed on maximum security units and death row. Other titles in the field are either out-of-date or limited in scope. By contrast, this new edition of Handbook of Correctional Mental Health includes everything mental health professionals need to provide the highest standard of care to this growing – and complex – patient population.

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According to David Satcher, M.D., Ph.D., the 16th U.S. Surgeon General, we know a great deal more about treating mental illnesses than about preventing them and promoting mental health. In his foreword to Clinical Manual of Prevention in Mental Health, Dr. Satcher applauds this guide as timely and vital, as it provides new and emerging research on the importance of prevention in mental health. Clinical Manual of Prevention in Mental Health was conceived through discussions within the Prevention Committee of the Group for the Advancement of Psychiatry (GAP), and features contributions from 30 highly regarded clinicians and researchers who are experienced in the treatment and prevention of specific types of mental illnesses.Clinical Manual of Prevention in Mental Health will help you move toward widespread adoption of mental illness prevention in your own practice setting. This important new reference provides practical suggestions to help you work toward preventing, or implementing preventive measures in the treatment of Mood disorders Anxiety disorders Schizophrenia Substance use disorders Suicidality Family violence Conduct disorder and other adolescent disorders Late-life depression, dementia, and mild cognitive impairment Physical illnesses in psychiatric settings Cigarette smoking Compared with other areas of medicine, such as the prevention of infectious disease, our understanding of the prevention of mental illnesses remains in a relatively nascent state, especially in terms of how prevention can be incorporated into routine clinical practice. The authors of the various chapters have endeavored to balance reviewing the available research knowledge with providing guidance for practicing clinicians on how such knowledge can be incorporated into everyday practice. Clinical Manual of Prevention in Mental Health urges clinicians everywhere to inquire about risk factors and protective factors in patients' lives in addition to focusing on the presenting problem. It is the authors' intent to provide mental health professionals with the knowledge and practical applications necessary to be prevention-minded in all of their interactions with patients, families, and the community.

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The use of evidence-based guidelines and algorithms is widely encouraged in modern psychiatric settings, yet many practitioners find it challenging to apply and incorporate the latest evidence-based psychosocial and biological interventions. Now, practitioners have an outstanding new resource at their fingertips. How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies accomplishes two goals: it explains the methods and philosophy of evidence-based psychiatry, and it describes ways in which psychiatrists and other mental health specialists can incorporate evidence-based psychiatry into their clinical practices. Uniquely relevant to psychiatric clinicians, this is the only book on evidence-based medicine specific to the field of psychiatry that addresses integrated psychopharmacology and psychotherapies.This new book first provides an expansion on the popular text the Concise Guide to Evidence-Based Psychiatry, updating the sections on clinical trials, the teaching of evidence-based medicine, and the effective treatment of patients with complex comorbid conditions. It then allows experts from a variety of specialty areas and practice settings to describe how they incorporate the latest evidence and outcome studies into interesting and inspiring cases of their own.The book starts with the assumption that clinicians must adapt guidelines, algorithms, other sources of evidence, and the interpretation of this evidence to each individual patient. It describes basic statistical concepts in an easily understood format and offers separate chapters devoted to systematic reviews and meta-analyses, clinical practice guidelines, diagnostic tests, surveys of disease frequency, and prognosis and psychometric measurement. It also presents an easily relatable discussion of many of the major issues of evidence-based psychiatry, such as use of the «Five-Step» evidence-based medicine model. The first section can be used both as an introduction to the topic and a ready reference for researching the literature and appraising evidence. The second section includes relevant case examples of major psychiatric disorders, and the third presents case examples from diverse treatment settings. In these sections, 24 contributing clinicians from a variety of practice settings discuss situations in which they followed aspects of evidence-based care. The text includes tables and charts throughout the text, including algorithms, guidelines, and examples of simple, therapist-devised measures of progress, further enhance learning, retention, and clinical practice. How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies is a valuable new tool that will help residents, practicing psychiatrists, and other mental health workers find the most useful and relevant information to inform and improve their everyday practices.

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Sexuality is an integral part of gender identity, self-image, and overall well-being. Sexual dysfunctions present in all cultures and ethnicities around the world. Sexual problems have an especially high prevalence among patients with psychiatric syndromes – yet, in recent years, the field of psychiatry has shifted away from the treatment of sexual disorders. Clinical Manual of Sexual Disorders is the first comprehensive text in decades to address the management and treatment of sexual dysfunctions and disorders. Using a conceptual model that incorporates biological, psychological, and cultural interventions as its guiding principle, the book explores and evaluates the epidemiology of sexual disorders and paraphilias, sexual dysfunctions with comorbid psychiatric disorders, sexual problems associated with various medications, and sexual disorders in specific patient populations.Written by 25 contributing clinical specialists from around the world, the text combines conceptual shifts within the field of human sexuality with the latest research findings into a practical three-part volume. The first four chapters cover general areas relevant to the clinical understanding of human sexuality and sexual dysfunctions within the frame of psychiatry. The second part of the book outlines the major sexual dysfunctions, including male erectile disorder, female arousal disorder, premature ejaculation, and paraphilias. And the final chapters address the management of sexual issues in two unique patient populations that are often neglected in other textbooks – children and adolescents and older adults. The book includes several unique features to further enhance learner retention Tables, charts, figures, and illustrations to enhance the reading material Evaluations, questionnaires and other patient materials Take-away points on key clinical issues at the end of each chapter Case examples from the authors' own practices References for further reading Restoration of sexual function can improve the quality of life for many individuals with and without psychiatric disorders, making recognition and treatment of sexual problems of utmost importance to any general psychiatric practice. As the only text of its kind, Clinical Manual of Sexual Disorders provides a concise, clinically-oriented biopsychosocial guide to the management and treatment of sexual dysfunction that is appropriate for all psychiatric, clinical, and educational settings.

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The critical importance of brain health to the well-being of older adults is becoming increasingly clear. However, an important aspect that interests most people relates to what clinicians and their adult patients and family members can do to retain and even improve cognitive and emotional functioning as they age. Successful Cognitive and Emotional Aging thoroughly discusses the neuroscience of healthy aging and presents effective strategies for staying lively, engaged, and positive.The book is organized into three parts. The first one, focusing on behavioral and psychosocial aspects, strives to place cognitive aging in a broad context. With chapters that explore such topics as the meaning of wisdom, the role of spirituality in healthy aging, and what centenarians can teach us about cognition and emotion, this section sets the stage for a rich, robust, yet nuanced treatment of its subject. The second part addresses the biological aspects and presents the scientific foundations of cognitive aging, as well as reviews the research on the role of factors such as stress, resilience, and diet. Finally, the third section addresses prevention and intervention strategies in a practical, down-to-earth fashion, addressing questions such as «What environments encourage physical activity?» and «How can we promote resilience?»Several features of the book are especially noteworthy: The book bridges the gap between popular science for a lay audience and the heavily theoretical, academic approach of other books on the aging brain, making it suitable not only for clinicians but for their patients and family members as well. The fascinating story of an innovative intergenerational school makes the case for meaningful activity – not just for the older participants but for the entire community – and is suggestive of the plethora of possible programs that might prove effective at keeping the older population engaged and contributing. Results from a 70-year longitudinal study are extensively reviewed and identify the coping strategies that seem to bring about well-being in older age. The most promising strategies for successful aging, applicable to a large majority of the population, are summarized by the editors so that clinicians as well as consumers of healthcare may implement them as they see fit. As the baby boomers reach what used to be considered «old age,» the demand for evidence-based strategies for retaining and improving cognition will only increase. Fortunately, as the editors note, it is never too early or too late to start working toward the goal of improving brain health.

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When care of younger patients raises thorny legal questions, you need answers you can trust: that's why this book belongs on every clinician's reference shelf. Principles and Practice of Child and Adolescent Forensic Mental Health is a timely and authoritative source that covers issues ranging from child custody to litigation concerns as it walks clinicians through the often-confusing field of depositions and courtroom testimony.The book expands on the 2002 volume Principles and Practice of Child and Adolescent Forensic Psychiatry winner of the 2003 Manfred S. Guttmacher Award, to meet pressing twenty-first-century concerns, from telepsychiatry to the Internet, while continuing to cover basic issues, such as forensic evaluation, psychological screening, and the interviewing of children for suspected sexual abuse, that are important to both new and experienced practitioners. Many of its chapters have been entirely rewritten by new authors to provide fresh insight into such topics as child custody; juvenile law; abuse, neglect, and permanent wardship cases; transcultural, transracial, and gay/lesbian parenting and adoption; and the reliability and suggestibility of children's statements. It also includes significant material not found in the previous volume: Two chapters on special education offer an introduction to screening instruments and help practitioners determine a child's potential need for special education programs and services. A chapter on cultural competence helps readers improve the accuracy and responsiveness of forensic evaluations and minimize the chance of an unjust outcome resulting from misguided expert opinion. The section on youth violence features three new chapters – Taxonomy and Neurobiology of Aggression, Prevention of School Violence, and Juvenile Stalkers – plus a newly written chapter on assessment of violence risk, offering guidance on how to confront problems such as bullying and initiate effective family interventions. A chapter on psychiatric malpractice and professional liability addresses these legal concerns with an eye toward cases involving minors. A chapter on psychological autopsy covers evaluation of the circumstances surrounding pediatric suicides, describing various types of equivocal deaths and discussing legal issues such as admissibility of the autopsy in court. A newly written chapter on the Internet expands the previous book's focus on child pornography to help practitioners deal with issues ranging from online threats to emotional and legal consequences of interactions in cyberspace. This is a valuable reference not only for practitioners in psychiatry and the mental health field but also for attorneys and judges. It opens up a field that may be too often avoided and helps professionals make their way through legal thickets with confidence.

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