Psychosomatic Medicine

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2015-06-19
  • Publisher: Oxford University Press

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Psychosomatic Medicine (PM) is a rapidly developing subspecialty of psychiatry focusing on psychiatric care of patients with other medical disorders. PM specialists diagnose and manage psychiatric symptoms in a variety of medical settings, optimize their patients' medical care, and expand understanding regarding the role of psychological factors in health and disease. PM practitioners may function as psychiatric consultants in hospital-based wards, primary providers in med-psych units, or collaborative practitioners integrated with inpatient and outpatient medical teams. PM practitioners strive to stay current with the latest research and practice guidelines in a burgeoning field involving complex interactions and combinations of illnesses. To address these challenges, this book provides practical instruction from PM clinicians, educators and researchers, covering core clinical concepts routinely used in practice.

Psychosomatic Medicine serves as an educational resource covering salient psychosomatic medicine topics for trainees and colleagues in psychiatry and other medical specialties. A history of PM contextualizes the field, and an overview of psychiatric consultation in the general medical setting emphasizes specifics of psychosomatic interviewing, physical examination, and collaboration with primary medical services. The remaining chapters cover the diagnosis and management of conditions commonly encountered by the psychosomatic psychiatrist: assessment and treatment of psychiatric disorders in a medical setting; assessment of decisional capacity; use of psychotropic medication in medically-compromised patients; management of delirium, cognitive and somatoform disorders; psychiatric manifestations of neurologic and other general medical conditions; emergent complications of psychiatric medication and illicit substance use; and special topics pertinent to PM. Finally, future directions in PM are explored in fascinating detail.

Table of Contents

1. History of Psychosomatic Medicine and Consultation-Liaison Psychiatry

2. Psychiatric Consultation in the Inpatient General Medical Setting

Psychiatric Diagnosis and Management in the General Medical Setting
3. Mood Disorders and Insomnia in the General Medical Setting

4. Anxiety in the General Medical Setting

5. Somatic Symptom and Related Disorders

6. Psychopharmacology in the General Medical Setting

7. Management of Agitation in the General Medical Setting

8. Strategies to Improve Coping and Manage Maladaptive Behaviors in the General Medical Setting

9. Assessment of Decision-Making Capacity

Psychiatric Presentations Associated with Neurologic and Other Medical Conditions
10. Delirium

11. Neurocognitive Disorders in the General Medical Setting

12. Psychiatric Presentations Associated with Neurologic Illness

13. Psychiatric Presentations Associated with Organ Failure and Systemic Illness

Emergent Complications of Medication and Substance Use
14. Catatonia, Neuroleptic Malignant Syndrome, and Serotonin Syndrome

15. Toxidromes: Toxicology and the Psychiatric Patient

16. Substance Intoxication and Withdrawal States in the General Medical Setting

Special Topics in Psychosomatic Medicine
17. Perinatal Psychiatry

18. Psycho-Oncology

19. Organ Transplant Psychiatry

20. Psychiatric Evaluation and Management of Pain

21. Psychiatry in Palliative Care

22. Future Directions in Psychosomatic Medicine

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