Unmasking Psychological Symptoms How Therapists Can Learn to Recognize the Psychological Presentation of Medical Disorders

by Schildkrout, Barbara

• ISBN13: 9780470639078
• ISBN10: 0470639075
• Edition: 1st
• Format: Paperback
• Copyright: 2011-08-23
• Publisher: Wiley

Summary

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 Biography

Barbara Schildkrout, MD, is a Clinical Instructor in Psychiatry at the Harvard Medical School. She has taught for many years at the Beth Israel Deaconess Medical Center and the Boston Institute for Psychotherapy. She is a board-certified psychiatrist and has had a private clinical practice in the Boston area for over twenty-five years.

Table of Contents

Acknowledgments	p. ix
The Nature of the Problem	p. 1
Laying the Groundwork	p. 11
Characteristics That Make Somatic Diseases Difficult to Detect	p. 21
Patterns in Time	p. 61
The Clinical Interview	p. 83
The History of the Present Illness	p. 97
Specific Physical Signs and Symptoms	p. 103
Classical Presentations-Focal Signs, Dementia, and Delirium	p. 129
Specific Mental Signs and Symptoms	p. 149
Important Aspects of the Patient Assessment-A Second Look	p. 223
Extended Clinical Vignettes-Working With Patients	p. 241
References	p. 277
Author Index	p. 281
Subject Index	p. 283
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