Author: Eric G. Meyer
Publisher: Springer Nature
ISBN: 3031143728
Category : Medical
Languages : en
Pages : 276
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Book Description
Every DSM-5 diagnosis includes an exclusion criterion that the disorder is not better explained by a medical condition. Meeting this criterion can be difficult for a variety of reasons. The psychiatric signs and symptoms of medical disorders are not commonly emphasized in medical textbooks. Further, illness scripts for medical diagnoses do not often overlap with psychiatric disorders, making it difficult to know what medical conditions should be ruled out. For example, irritability is a common symptom in polycystic ovarian disorder, but PCOS is rarely on the differential for irritability. Similarly, while hypothyroidism is commonly linked to the illness script of depression, patients with MDD may be just as likely to have diabetes - an infrequently considered diagnosis for depression. “Buzzword” medical conditions that are commonly prioritized in medical student training can negatively influence classic illness scripts. While such diagnostic possibilities make for good multiple-choice questions, they are frequently rare and may inadvertently undermine important common possibilities. For example, a patient with chest pain in the context of anxiety is more likely to have asthma, acute coronary syndrome, or even a pulmonary embolism than pheochromocytoma. In a recent white paper issued by the American Psychiatric Association, it has urged psychiatrists to better advocate for patients with severe mental illness who often lack access to primary care. But some psychiatrists may be unfamiliar with physical exam maneuvers and medical review of systems (ROS) questions. Complex medical systems may delegate the physical exam to physicians outside of psychiatry, or there may be a temptation to rely on the emergency room’s “medical clearance” as a “medical rule-out.” Both can result in decreased familiarity with physical exam techniques previously mastered as part of medical school. A cursory review of the physical exam maneuvers and concise symptom-based medical ROS lists can alleviate some of these concerns. This book is intended to provide psychiatrists and physicians who routinely evaluate psychiatric symptoms with the tools needed to rule out medical conditions that could be causing those symptoms. It will start with an introduction that reviews why the text is needed and potential larger gaps in training that might contribute to the necessity for such a text. Each chapter thereafter will focus on a specific symptom. Each symptom will be defined to ensure accuracy. Then a differential of common medical conditions that can cause that psychiatric symptom will be provided. For each diagnosis key history, physical exam, laboratory, and radiologic findings will be provided that help rule the condition out. Screening tools that can help rule out medical etiologies will also be provided. Where available, positive predictive values (PPVs) will be provided to help users understand the likelihood that a negative finding or result indicated that a medical disorder is not present. While individual aspects of this text exist in other formats, the comprehensive nature of our approach, descriptions of psychiatric symptoms to means of ruling out potential medical etiologies, is not currently available to providers. This text will assist providers in ruling out medical etiologies of common psychiatric symptoms, ensuring patients are diagnosed correctly. Such an improvement has the potential to dramatically improve patient outcomes.
Author: Mohamed Ahmed Abd El-Hay
Publisher: Routledge
ISBN: 1351374400
Category : Psychology
Languages : en
Pages : 274
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Book Description
A psychiatric assessment is a structured clinical conversation, complemented by observation and mental state examination, and supplemented by a physical examination and the interview of family members when appropriate. After the initial interview, the clinician should be able to establish whether the individual has a mental health problem or not, the nature of the problem, and a plan for the most suitable treatment. Essentials of Psychiatric Assessment provides the resident or beginning psychiatrist with a complete road map to a thorough clinical evaluation.
Author: Margaret S. Chisolm
Publisher: JHU Press
ISBN: 1421407027
Category : Psychology
Languages : en
Pages : 261
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Book Description
The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians. -- Arnold E. Andersen, M.D., The University of Iowa College of Medicine
Author: American Psychiatric Association
Publisher: American Psychiatric Publishing
ISBN: 9781955245180
Category :
Languages : en
Pages :
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Book Description
Author: Lauren B. Marangell
Publisher: American Psychiatric Pub
ISBN: 1585623245
Category : Medical
Languages : en
Pages : 412
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Book Description
This concise, yet comprehensive guide distills the most critical and current information on diagnosis and treatment so that residents and other beginning clinicians will have the tools they need to quickly assess and competently treat patients with psychiatric illnesses. Replete with diagnostic evaluation checklists, DSM-IV-TR criteria, and drug dosage tables, the Resident's Guide to Clinical Psychiatry is a practical and convenient one-stop resource that will make the resident's job significantly easier. Each of the 16 chapters has been structured logically and with the utmost care to guide residents through the psychiatric landscape. For example, the chapter on pharmacotherapy is organized by class of drug, with sections on mechanism of action, indications and efficacy, and tips for medication selection. This is followed by detailed information on specific drugs -- their clinical use, risks, side effects, management, and potential interactions. This depth of coverage is matched by breadth of subject, with chapters on central topics such as mood disorders and dementia, in addition to special chapters on consultation-liaison psychiatry, emergency psychiatry, child and adolescent psychiatry, and electroconvulsive therapy and device-based treatments. Whether employed as a text or an on-the-fly reference, this authoritative volume supplies everything the resident requires to provide a uniformly high level of psychiatric clinical care.
Author: Leslie S. Zun
Publisher: Cambridge University Press
ISBN: 110701848X
Category : Medical
Languages : en
Pages : 415
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Book Description
This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.
Author: Ahmed Samei Huda
Publisher: Oxford University Press
ISBN: 0192534092
Category : Medical
Languages : en
Pages : 417
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Book Description
Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.
Author: Barbara Schildkrout
Publisher: John Wiley & Sons
ISBN: 0470639075
Category : Psychology
Languages : en
Pages : 306
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Book Description
More than 100 medical diseases—many common ailments—are capable of masquerading as mental disorders. This book shows clinicians how to identify patients who are most likely to have an underlying physical ailment and how to direct them to a targeted medical work-up. With guidance on working with patients during the referral process and afterward, as well as on integrating medical findings into ongoing therapeutic work, clinicians will benefit from the practical advice on recognizing signs, symptoms, and patterns of medical diseases that may be underlying a psychologically presenting malady.
Author: Paul R. McHugh
Publisher: JHU Press
ISBN: 1421404141
Category : Medical
Languages : en
Pages : 508
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Book Description
Substantially revised to include a wealth of new material, the second edition of this highly acclaimed work provides a concise, coherent introduction that brings structure to an increasingly fragmented and amorphous discipline. Paul R. McHugh and Phillip R. Slavney offer an approach that emphasizes psychiatry's unifying concepts while accommodating its diversity. Recognizing that there may never be a single, all-encompassing theory, the book distills psychiatric practice into four explanatory methods: diseases, dimensions of personality, goal-directed behaviors, and life stories. These perspectives, argue the authors, underlie the principles and practice of all psychiatry. With an understanding of these fundamental methods, readers will be equipped to organize and evaluate psychiatric information and to develop a confident approach to practice and research.
Author: American Psychiatric Association
Publisher: American Psychiatric Publishing
ISBN:
Category : Medical
Languages : en
Pages : 372
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Book Description
The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.
