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Book Details
Abstract
This is a text book of clinical psychiatry that is concise yet comprehensive, up to date, and readily accessible. It aims to be an easy entry to the pertinent facts of clinical psychiatry for medical students and students of mental health disciplines; a resource for established clinicians, including GPs; and also a brief yet thorough overview for the more advanced psychiatric trainee or mental health professional. There is a particular focus on providing simple clinical tips. Liberal use of fact boxes and summary lists ensures readers will have at their fingertips the facts required for undergraduate OSCE exams in clinical psychiatry (an appendix provides explicit examples), as well as equipping more advanced readers with the basic knowledge underpinning post-graduate exams in clinical psychiatry and related allied health disciplines. To effect coherence of approach and minimal overlap between chapters, the bulk of the text has been written by two authors who are experienced psychiatrists with expertise in a broad range of clinical and research areas. Introductory chapters cover the psychiatric interview and mental state and clinical investigations relevant to psychiatry. The second section is an overview of all of the major syndromes of psychiatry, covering epidemiology, aetiology and clinical aspects, and including discussion of specific treatment approaches. A separate section reviews more generally, biological and psychosocial aspects of treatment in psychiatry, with worked case examples.
- coherence of approach and minimal overlap with specialist material integrated
- clinical tips and skills
- covers clinical and written examination requirements
- referencing WHO, ICD and DSM V
- a glossary of terms
- fact boxes and summary lists
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover\r | Cover | ||
A PRIMER OF clinical psychiatry | iii | ||
Copyright\r | iv | ||
Foreword | v | ||
Contents | vii | ||
Preface | ix | ||
Acknowledgments | x | ||
Contributors and reviewers | xi | ||
About the authors | xiv | ||
PART 1 The toolsofpsychiatry\r | 1 | ||
CHAPTER 1\rThe psychiatric interview and mental state examination | 3 | ||
The history | 4 | ||
The mental state examination | 8 | ||
The formulation | 12 | ||
CHAPTER 2\rThe physical examination and investigations relevant to psychiatry | 14 | ||
Why a physical examination? | 14 | ||
Who performs the physical examination? | 15 | ||
Context of the physical examination | 15 | ||
Elements of the physical examination | 15 | ||
Blood and urine tests | 16 | ||
Electroencephalography (EEG) | 19 | ||
Neuroimaging | 20 | ||
PART 2 The syndromes of psychiatry | 21 | ||
CHAPTER 3\rClassification | 23 | ||
The pragmatic classification system | 24 | ||
Organic disorders | 26 | ||
Schizophrenia and related disorders | 27 | ||
Bipolar spectrum disorders | 28 | ||
Depressive disorders | 28 | ||
Anxiety and somatoform disorders | 29 | ||
Personality disorders | 31 | ||
CHAPTER 4\rOrganic psychiatry | 33 | ||
Psychiatric disorders secondary to medical disorders\r | 33 | ||
Psychological responses to general medical conditions\r | 42 | ||
Psychological disorders and interaction with general medical conditions\r | 44 | ||
CHAPTER 5\rSchizophrenia and related disorders | 48 | ||
Clinical features | 48 | ||
Differential diagnosis | 49 | ||
Subtypes of schizophrenia | 52 | ||
Cognitive functioning in schizophrenia | 53 | ||
Comorbidity | 53 | ||
Epidemiology | 55 | ||
Outcome | 57 | ||
Aetiology | 57 | ||
Management | 61 | ||
CHAPTER 6\rDepressive disorders | 64 | ||
Clinical features of \rdepressive disorders | 64 | ||
Psychotic depression | 67 | ||
Less ‘typical’ presentations | 68 | ||
Natural history of depression | 69 | ||
Differential diagnoses | 69 | ||
Aetiology of depressive disorders | 72 | ||
Management of depression | 75 | ||
Prognosis | 78 | ||
CHAPTER 7\rBipolar and related disorders | 79 | ||
Prevalence of bipolar disorders | 79 | ||
Clinical features | 79 | ||
Course of bipolar disorders | 81 | ||
Schizoaffective disorder | 83 | ||
Bipolar spectrum disorders | 84 | ||
Differential diagnoses | 85 | ||
Aetiology of bipolar disorders | 85 | ||
Management of bipolar disorders | 87 | ||
CHAPTER 8\rAnxiety and post-traumatic disorders | 92 | ||
Panic disorder | 95 | ||
Phobic disorders | 95 | ||
Generalised anxiety disorder (GAD) | 97 | ||
Post-traumatic syndromes | 99 | ||
CHAPTER 9\rThe obsessive-compulsive spectrum | 102 | ||
Obsessive-compulsive disorder (OCD) | 102 | ||
Obsessive-compulsive spectrum disorders | 105 | ||
CHAPTR 10\rEating disorders | 109 | ||
Anorexia nervosa (AN) | 109 | ||
Bulimia nervosa (BN) | 113 | ||
Other eating disorders | 116 | ||
Obesity | 116 | ||
CHAPTER 11\rSomatisation and the somatoform disorders | 119 | ||
Somatisation | 122 | ||
Management | 126 | ||
CHAPTER 12\rPersonality disorders | 131 | ||
Personality | 131 | ||
Personality disorders | 132 | ||
Comorbidity | 136 | ||
Differential diagnoses | 137 | ||
Aetiology | 137 | ||
Management | 140 | ||
PART 3\rTreatments | 145 | ||
CHAPTER 13\rBiological treatments | 147 | ||
Psychopharmacology | 147 | ||
Drug interactions | 147 | ||
Absorption | 149 | ||
Specific medications | 150 | ||
Other biological treatments | 185 | ||
CHAPTER 14\rThe psychotherapies | 189 | ||
Supportive psychotherapy | 189 | ||
Psychoeducation | 190 | ||
Behavioural therapy | 190 | ||
Cognitive therapy | 192 | ||
Cognitive behaviour therapy (CBT) | 193 | ||
Interpersonal psychotherapy | 194 | ||
Dialectic behaviour therapy | 195 | ||
Psychodynamic psychotherapy | 196 | ||
Group therapy | 198 | ||
Family therapy | 199 | ||
Couple therapy | 200 | ||
CHAPTER 15\rDealing with psychiatric emergencies | 204 | ||
Aggression and violence | 204 | ||
Suicidality | 211 | ||
PART 4\rSpecial groups | 215 | ||
CHAPTER 16\rChild and adolescent psychiatry | 217 | ||
Aetiology | 217 | ||
Assessment | 219 | ||
Management | 221 | ||
Specific disorders | 221 | ||
CHAPTER 17\rOld age psychiatry | 234 | ||
Dementia | 234 | ||
Delirium | 239 | ||
Depression | 240 | ||
Bipolar disorder | 242 | ||
Anxiety disorders | 243 | ||
Schizophrenia and delusional disorder | 244 | ||
CHAPTER 18\rForensic psychiatry and risk assessment | 246 | ||
Areas of work for the forensic psychiatrist\r | 246 | ||
Risk assessment | 249 | ||
CHAPTER 19\rDual disability | 254 | ||
Intellectual disability (ID) | 254 | ||
Autism and autism spectrum disorders | 256 | ||
Comorbidity and developmental disorders | 259 | ||
Assessment issues | 260 | ||
Specific psychiatric disorders | 263 | ||
Management | 266 | ||
CHAPTER 20\rSubstance use disorders | 269 | ||
Substances of abuse | 269 | ||
Prevalence and costs | 273 | ||
Patterns of use | 274 | ||
Screening and assessment | 274 | ||
Substance-induced disorders | 277 | ||
Social aspects | 284 | ||
APPENDIX\rObjective Structured Clinical Examinations (OSCEs) in psychiatry | 288 | ||
Sample OSCE–1 | 290 | ||
Sample OSCE–2 | 293 | ||
Index | 299 | ||
Colorplate01 | 312 | ||
Colorplate02\r | 313 |