American Psychiatric Publishing

The Clinical Manual for Management of PTSD brings together dozens of experts from around the world to provide clinicians with the latest information on posttraumatic stress disorder (PTSD). As a practical resource, this manual covers a wide range of topics relevant to clinical practice and addresses both the basics of each area as well as specific aspects of diagnosis and treatment. This clinical manual is an effort to bridge the gap between the research community and the clinician by providing an easy-to-use source of clinically relevant information on PTSD. This clinical manual is designed to be a practical guide by the bedside, on rounds, or in the classroom. It can be used in multiple ways: * As a complete text for clinicians, residents, and students to gain a solid understanding of PTSD's various manifestations and the current treatment modalities available * As a desktop reference for experienced clinicians to read specific parts that are most pertinent to aspects of their daily practice For simple use and ease of reference, this text is divided into several sections: first, an overview of the history, biology, epidemiology, assessment methods, and comorbidities of PTSD; second, explorations of the various modes of therapeutics and management; and third, special topics such as PTSD in military settings, sexual assault, older and juvenile victims of trauma, and traumatic brain injury. This structure ensures that readers understand the complexities of this disorder as well as the best practices for these situations. * Covers neurobiology and epidemiology of the disorder * Provides an overview of diagnosis and comorbidities, as well as PTSD as a manifestation in conjunction with other diagnoses* Describes various treatments, including pharmacology, therapy, managing aggression and violence, emerging therapies, and disability issues* Touches on specific patient populations, such as children and adolescents, sexual assault survivors, military and veteran populations, geriatrics, and TBI patients, as well as sociocultural considerations* Presents controversial aspects of the diagnosis* Includes numerous tables to help summarize the available data While the concepts and therapeutic modalities presented in this manual are supported by convincing research and a robust evidence basis for efficacy, the authors also encourage clinicians to make use of their understanding of the individual patient, the context of any treatment, and further individualized inquiry when considering any therapy discussed in this text. The Clinical Manual for Management of PTSD provides clinicians and students with a consolidated and thoughtful reference which can be used to complement and enhance their everyday practice.

Psychiatric drugs are frequently used in the medically ill and are prescribed to nearly three-quarters of medically ill patients seen in psychiatric consultation. Primary care and other nonpsychiatric physicians account for more than one-half of prescriptions written for psychiatric drugs, typically to patients with complex medical illnesses. Appropriate use of psychopharmacology in the medically ill requires careful consideration of the underlying disease process and the potential for multiple complex interactions. "Clinical Manual of Psychopharmacology in the Medically Ill" is a comprehensive yet practical guide to psychotropic prescribing for patients who are medically ill. Both basic and more specialized knowledge is covered, from fundamental principles of psychotropic prescribing to disease - and organ system-specific issues. Designed to be useful to a broad range of specialists, this manual will equip clinicians with the detailed and directly relevant information they need to provide safe and effective psychopharmacological treatment for their patients with medical illness.

The new, second edition of this comprehensive text boasts coverage that is both expanded and reconfigured to focus on the most critical topics and the most up-to-date approaches in forensic psychiatry. The first edition rapidly became the gold standard in this maturing discipline because it was the first textbook designed and written for both the general clinician and the forensic psychiatrist. This edition retains that versatility and extends its scope to include new issues in the field. New features include: * A chapter on forensic geriatric psychiatry, a topic that grows in importance as our population ages* A chapter on forensic psychiatry and the Internet, which poses questions and raises issues that become more salient every day* An extensively revised chapter on psychological testing that addresses the administration and interpretation of the most current instruments in use in the field. In addition, the Textbook has preserved the features that made it so successful in its first edition, updating them to reflect current knowledge and practice. These include: * An index of legal cases that provides the foundational knowledge and navigational tools to identify relevant precedents easily* Chapters that are organized around case examples and include reviews of key concepts, practical guidelines, and references for further reading. A study guide is also available to assist in teaching or preparing for the forensic board examination* A revised and updated chapter on ethics that takes into account the ongoing evolution and clarification of the ethical role of forensic psychiatrists* Thorough coverage of what it takes to set up and manage a forensic practice and deal with key players in law enforcement and the legal system* Detailed information about the role and responsibilities of the expert witness* A survey of the different categories of legal cases, including malpractice, disability, competency, and criminal * A detailed glossary of legal terms Practicing psychiatrists, psychiatric residents, and those enrolled in forensic fellowship programs, as well as other mental health professionals, will find The American Psychiatric Publishing Textbook of Forensic Psychiatry, Second Edition a well-organized, truly practical text and reference.

Clinicians on the front lines of neuropsychiatry require a resource that is eminently practical, as well as comprehensive -- one that provides critical guidance at the bedside and in the consulting room. Psychiatry and neurology residents preparing for the daunting American Board of Psychiatry and Neurology certification examination need an efficient way to learn both basic and advanced assessment and treatment techniques in their chosen subspecialties. Essentials of Neuropsychiatry and Behavioral Neurosciences, a carefully and thoughtfully distilled abridgement of the comprehensive American Psychiatric Publishing Textbook of Neuropsychiatry and Behavioral Neurosciences, meets the needs of both groups.As one reviewer put it, the Essentials volume, designed to be a more accessible and portable version of the "big book," represents "nothing less than the presentation of the neuroscientific basis of psychiatry." One advantage of the resulting revision cycle is the opportunity to update more frequently, ensuring that each iteration reflects the cutting edge in research and practice. Newly revised to mirror both the significant changes in the 5th edition of the big book, published in 2008, and advances since that publication, the Essentials offers a number of useful features: - Additions to reference lists, succinct revisions, and several informative new illustrations distill and update the Textbook's 5th edition of 2008- A concise opening chapter on Fundamentals of Cellular Neurobiology provides the reader with the scientific framework necessary to fully understand and contextualize the chapters on specific disorders and treatments that follow- Concise, updated text assists readers in reviewing key topics, including neuropsychiatric aspects of human immunodeficiency virus infection, neuropsychiatric aspects of dementias associated with motor dysfunction, clinical and functional imaging in neuropsychiatry, and epidemiological and genetic aspects of neuropsychiatric disorders.- New in this edition of the Essentials, Recommended Readings sections provide a quick reference to the most important literature on each topic. The book boasts an impressive roster of acclaimed clinicians and researchers in neuropsychiatry, who deliver impeccably documented and imminently useful chapters on the key principles of diagnosis and treatment of patients with neuropsychiatric disorders. As the growth in neuropsychiatric knowledge -- truly astonishing over the last decade -- continues unabated, the twin resources of Textbook and Essentials become not just useful, but indispensable. No psychiatrist, neurologist, or resident in psychiatry or neurology should be without these critical volumes.

"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; and, 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.

Its last edition hailed as "an essential volume for psychiatry residents as well as clinicians" (Journal of Psychiatric Practice), The American Psychiatric Publishing Textbook of Psychopharmacology is now updated to keep you abreast of the latest research and trends in the field. Covering both basic science and clinical practice, this new edition draws on the talents of 53 new contributors -- with the total increased from 139 to 158 -- to guarantee fresh, authoritative perspectives on advances in psychiatric drug therapy. Introductory chapters provide a theoretical grounding in clinical applications, with coverage ranging from neurotransmitters to clinical trial design. The "Classes of Psychiatric Treatment" section is a virtual pharmacopoeia, with chapters devoted to specific agents. It presents information by class of drug, and for each agent provides data on indications, side effects, interactions, and more -- including drugs likely to become available in the near future. Chapters in the "Clinical Psychobiology and Psychiatric Syndromes" section review the neurological underpinnings of specific disorders, providing a context for understanding psychopharmacological approaches to treatment. Coverage of those treatments encompasses state-of-the-art approaches to psychiatric disorders; specific patient populations, such as children and pregnant women; difficult-to-manage conditions like insomnia; and specific guidance on drug selection and prescription. Among the features of the fourth edition are the following * A new chapter on genomics and genetics covers basic methodologies and concepts to help you interpret the avalanche of data appearing in the human neuroscience literature.* Expanded chapters address newly approved agents, including the antidepressant desvenlafaxine, the antipsychotic paliperidone, and the anticonvulsant pregabalin.* A new chapter on the neurobiology of childhood disorders considers data relating to pervasive developmental disorders, psychoses, learning disorders, disruptive behavior disorder/ADHD, bipolar disorder, major depressive disorder, obsessive-compulsive disorder/Tourette's syndrome, PTSD, and pediatric anxiety disorders.* A new chapter on treatment of chronic pain syndromes discusses major classes of medications as they relate to pain management and covers prevalent disorders -- such as fibromyalgia and osteoarthritis -- in which this is a priority and for which evidence-based therapy is available.* A new, comprehensive review of ethical considerations in psychopharmacological treatment and research addresses such concerns as high-risk pharmacotherapy, long-acting medications, and off-label prescribing. Solidly established as an authoritative and comprehensive source, the new edition of this new edition of The American Psychiatric Publishing Textbook of Psychopharmacology is even more indispensable for clinicians and researchers alike.

The continued rapid expansion of scientific knowledge about aging and the diseases of later life has altered the practice of geriatric psychiatry greatly since the first edition of "Geriatric Psychiatry" was published. Designed for the clinician, "The American Psychiatric Press Textbook of Geriatric Psychiatry, Second Edition", provides a thorough grounding in the basic scientific knowledge and applied clinical skills that are so needed in managing and treating mental disorders of late life.This volume covers not only the wide range of mental diseases of late life but also the biological and behavioral changes that occur with so-called normal aging. The contributors - an eclectic group of highly respected investigators, clinicians, and scholars from the fields of psychiatry, biomedicine, and behavioral science - were chosen for their demonstrated ability to present complex material in a manner that is understandable to health professionals and other interested and well-informed individuals.

Psychotic depression is a dangerous and debilitating illness that, tragically, often has fatal consequences. Studies indicate that between 16% and 54% of all depressed adults suffer from a psychosis. While this condition is completely treatable, thousands of cases remain misdiagnosed or overlooked because of a lack of interest and awareness among clinicians, the pharmaceutical industry, and the National Institute of Mental Health. As the first comprehensive guide to cover assessment, treatment, and management of patients with psychotic depression, Clinical Manual for Diagnosis and Treatment of Psychotic Depression, by Dr. Anthony Rothschild, is an invaluable resource for both clinicians and students. Drawing on his own experience in clinical care and careful consideration of the existing medical literature, Dr. Rothschild systematically describes the history, epidemiology, and possible biological causes of psychotic depression and outlines various approaches for diagnosis and assessment. He then offers a practical guide for individualized treatment strategies for psychotic depression, such as electroconvulsive therapy, psychotherapy, and recent breakthroughs in pharmacologic treatment. In addition, Dr. Rothschild identifies issues of care and management for specific patient populations -- including seniors, adolescents, women in the postpartum, and patients at risk for suicide -- in a variety of treatment settings.Each chapter includes the following features to emphasize the data and further enhance learning: * Detailed tables and charts* Key clinical points that summarize the main ideas of the chapter* A recommended reading list of books and periodicals that address similar topics* Analysis and review of relevant clinical studies Dr. Rothschild has spent more than 25 years treating patients with psychotic depression and studying the challenges inherent in diagnosing and managing this serious disorder. His findings are compiled in this easy-to-read, evidence-based manual that can benefit clinicians at all levels of training, including psychiatrists, psychologists, neurologists, internists, family and general practitioners, nurses, social workers, and clinical students. While much remains to be discussed regarding the nature of psychotic depression as a distinct illness, the existing knowledge about this condition is too significant to be ignored. The only comprehensive manual of its kind, Clinical Manual for Diagnosis and Treatment of Psychotic Depression is an important reference for any psychiatric setting.

The resident's job is as challenging as it is critical to patient care, and perhaps no specialty is as daunting to the beginning clinician as psychiatry. This book is designed to provide the tools residents need to quickly assess and competently treat patients with psychiatric illnesses and those with secondary psychiatric symptoms. Though comprehensive, the guide is also concise, compact, and practical. Differential diagnosis is made easier with the inclusion of diagnostic evaluation checklists and DSM-IV-TR criteria, and treatment interventions are described in detail, with accompanying drug dosage tables and comparison charts. The book begins -- just as the doctor-patient interaction commences -- with the assessment interview. Subsequent chapters focus on the classes of mental illness, such as anxiety disorders, personality disorders, and psychotic disorders. In each chapter, Dr. Lauren B. Marangell, lead author of Concise Guide to Psychopharmacology and an expert on the psychopharmacology of mood disorders, succeeds in distilling the most current and essential diagnostic and treatment information residents need to maintain a high quality of care. The book's many features maximize convenience while achieving full coverage: - Both the entire volume and individual chapters are structured logically to lead the resident smoothly from assessment to treatment, without oversimplifying or sacrificing patient care.- A wealth of easy-to-read tables, charts, and checklists focuses reader attention on the most important material, ensuring accuracy and making information retrieval easier. Much of the material is presented using bullet points for quick recognition to accommodate busy residents.- In addition to chapters on central topics such as mood disorders and dementia, chapters on consultation-liaison psychiatry, emergency psychiatry, child and adolescent psychiatry, and electroconvulsive therapy and device-based treatments are included.- Welcome features include a comprehensive list of commonly used acronyms, as well as a listing of generic and trade/brand names for frequently prescribed medications. This one-stop resource belongs in the pockets or on the desks of every resident and beginning clinician. Both authoritative and reader-friendly, Resident's Guide to Clinical Psychiatry will improve decision making, save time, and make the resident's high-stress job significantly easier.

Brain stimulation -- focally applying electricity to the brain -- is a field with a rapidly expanding and promising array of techniques, which already have proven efficacy in treating conditions ranging from Parkinson's disease to chronic and acute pain to depression. Comprehensively surveying the landscape of current practice, Brain Stimulation Therapies for Clinicians provides a clear and straightforward analysis of the many therapeutic applications, along with the technologies and techniques involved in each.The book begins with a thoughtful, and occasionally macabre, history of electrical stimulation of the brain. The authors then provide an accessible and concise overview of electricity and its effects on the brain. The essence of the book, though, is its thorough exploration of the clinical applications of electrical stimulation. Brain Stimulation Therapies for Clinicians covers the wide range of existing electrical stimulation therapies, including electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), and a host of other clinical applications. Each chapter examines a particular therapy, including its history, an overview of the techniques involved, its clinical indications, side effects, and a critical review of the literature surrounding its efficacy. Designed as an approachable and thorough reference for the practicing clinician, the book includes many features to assist in evaluating the variety of stimulation therapies. - The book as a whole is an excellent-quick start guide to help practitioners make informed choices about brain stimulation therapies. The background on the basics of electricity is useful for those not intimately familiar with these concepts. - A thorough glossary helps the clinician navigate the jargon and decode the alphabet soup surrounding current practice.- Clear and useful diagrams and schematics illustrate all essential points.- Interesting sidebars highlight fascinating and occasionally amusing potential applications of brain stimulation techniques -- and offer a glimpse into the sometimes grim history of human brain experimentation.- The authors' careful attention to evidence-based literature helps clinicians determine which techniques have proven efficacy and which claims are unsupported.- Each chapter features a comprehensive bibliography of references for further reading. Brain Stimulation Therapies for Clinicians is an essential reference for any clinician, or even potential patient, interested in understanding electrical stimulation as therapy.

The Clinical Manual for Evaluation and Treatment of Sleep Disorders is the first clinical text devoted solely to the diagnosis and treatment of sleep disorders that is both comprehensive and conveniently portable. The book's 13 chapters offer a concise, step-by-step method of differential diagnosis for some of the most common sleep complaints encountered in today's professional clinical practices. And, unlike most other clinical textbooks, its small size gives it a broad accessibility. The manual begins with an overview of sleep physiology and pathology, including eight common laboratory procedures and three major diagnostic nomenclatures for sleep disorders. Each of the chapters that follow provides an overview of symptoms, tests, and various behavioral and pharmacologic treatments for a wide range of sleep conditions, including insomnias, breathing disorders, parasomnias, and several common medical disorders that are often associated with sleep complaints. The latter chapters discuss sleep disorders in distinct patient demographics -- specifically children, women (during pregnancy, the postpartum period, and menopause) and the increasing population of older adults. The book concludes with a chapter devoted to pharmacologic interventions, detailing the use of and clinical issues associated with 25 different types of drugs. Additional benefits of the manual include: * A "Pearls and Pitfalls" section of bulleted facts at the beginning of each chapter* Figures, tables, and helpful takeaways (such as a differential diagnosis decision tree and patient questionnaires) in many chapters* An appendix of 65 frequently used abbreviations related to sleep complaints and disorders* Patient handouts that include sleep tips and information on insomnia, abdominal breathing, delayed sleep phase syndrome, melatonin and light treatments, sleep walking, and jet lag No other clinical text provides such a breadth of information on sleep disorders in such a compact, easy-to-carry volume. Its extensive content makes this book ideal for nursing, psychiatric, social work, and family practice settings, as well as a useful teaching implement in medical classrooms. By classifying sleep disorders according to clinical presentation, patient demographic, and related conditions, the Clinical Manual for Evaluation and Treatment of Sleep Disorders offers clinicians a valuable reference tool in the diagnosis and treatment of sleep disorders.

For many years, psychotherapy was criticized for lacking an empirical base, but the basis for that criticism has gradually changed as neurobiological research has advanced and the number of efficacy studies has expanded. The growing literature empirically validating psychotherapy as a treatment, and the abundance of psychotherapies now available, make a comprehensive textbook of psychotherapeutic treatments in psychiatry of central importance, both to practitioners and to trainees in psychiatry and other mental health professions.Glen O. Gabbard, author or editor of more than 22 books and over 280 scientific papers and book chapters, is a leader in the fields of psychiatry and psychoanalysis. He has assembled 50 of the world's most renowned experts in every psychotherapeutic school of thought to create this definitive volume, sure to become the standard text for all student and practicing psychotherapists, whatever their background -- psychiatry, psychology, or social work. This authoritative work boasts many must-have features: - All the major psychotherapeutic modalities are addressed in one volume, including sections on psychodynamic psychotherapy; cognitive therapy; interpersonal psychotherapy; supportive psychotherapy; family systems therapy; the different modalities of couples, group, and family therapies; dialectical behavioral therapy; and mentalization-based therapy.- This comprehensive, utterly current overview of the field is versatile and can be used as a textbook for a course; as a reference for the mental health professional who needs to match a specific type of therapy to a particular patient; or as a clinical handbook.- The sections are structured in a consistent manner, with each featuring individual chapters on theory, technique, indications and efficacy, and the combination of psychotherapy and medication. This allows for the therapies to be easily compared and contrasted and makes navigating the volume effortless.- The text provides chapters on the neurobiological underpinnings of psychotherapy -- a burgeoning field -- and on the nature of professional boundaries in psychotherapy -- as indispensable to the student first contemplating personal and professional ethics as to the clinician actively embodying them.- In addition to the major individual psychotherapies, group, family, and couples therapy are covered, as well as integrative therapies evolved from different models. Treatment outcome depends on carefully matching the therapeutic modality to the patient or client, and this book will both facilitate and enhance that meticulous process. Up-to-date, scientifically rigorous, and exhaustive in its scope, the Textbook of Psychotherapeutic Treatments is the "go-to" text and reference for the knowledgeable, conscientious psychotherapist, in training and in practice.

With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry.This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care.The book's 35 chapters are divided into four parts: - Part I, Inpatient Practice -- focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties.- Part II, Special Clinical Issues -- covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care.- Part III, The Continuum of Care -- addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives.- Part IV, Structure and Infrastructure -- focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists. An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.