American Psychiatric Publishing

Since publication of the first edition, Dulcan's Textbook of Child and Adolescent Psychiatry has become the recognized standard in child and adolescent psychiatry textbooks. In this thoroughly revised second edition, the editor and chapter authors, leaders in the field of child and adolescent mental health, have again provided a complete, state-of-the-art textbook with notable updates and improvements that enhance accessibility and learning. The new edition is more concise and compact, while remaining comprehensive in scope. The number of chapters has been reduced to sharpen the book's focus on topics most relevant to clinical work. The textbook reflects the new DSM-5 classifications that all clinicians and trainees must know to function in today's health care environment. Many other features contribute to the textbook's user-friendly design and broad appeal: *Chapters on the disorders (neurodevelopmental, psychiatric, and those affecting somatic function) have a consistent structure of definition and clinical description, diagnosis, epidemiology, comorbidity, etiology and risk factors, prevention, course and prognosis, evaluation, and treatments, making it easy for readers to locate information and facilitating learning. *The textbook is useful as both a core textbook for child and adolescent psychiatry fellowship training and a reference for a wide variety of health care professionals, including pediatricians, family physicians, general psychiatrists, child neurologists, psychologists, advanced practice nurses, and psychiatric social workers. *The full range of psychosocial treatments is included, focusing on individuals, families, therapeutic milieus, and systemic models of care. The increasing emphasis on taking mental health care beyond the clinician's office is reflected in chapters on consultations related to schools and to primary care. *A section on specialized topics includes chapters on a range of critically important issues, including evidence-based practice, cultural and religious issues, legal and ethical issues, and telehealth. *Each chapter in the book ends with "Summary Points," take-away messages that emphasize the most important concepts and promote consolidation of knowledge. *The section "Additional Resources" includes "Selected Books for Professionals" and "Web Sites for Professionals, Patients, and Families," which provide avenues for further study and connections with others treating or living with mental health issues. Reflecting both the art and the science of this fascinating field, Dulcan's Textbook of Child and Adolescent Psychiatry, Second Edition, provides authoritative, practical guidance and is a resource that mental health practitioners at all levels of experience should have on their desks and handheld devices.

The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person's pleasure-and-reward brain circuitry, causing great suffering.This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining: - Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting.- Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives.- Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume. - Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context.- Key points for review and multiple-choice questions are included at the end of each chapter. Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.

The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5(R) categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: *Content is organized according to DSM-5(R) categories to make for rapid retrieval of relevant treatment information for the busy clinician.*Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient.* Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text.*Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5(R) world.

This new edition of The American Psychiatric Publishing Textbook of Personality Disorders has been thoroughly reorganized and updated to reflect new findings, expanded treatment options and considerations, and future directions, such as translational research, enhancing the text's utility while maintaining its reputation as the foremost reference and clinical guide on the subject. In four exhaustive and enlightening sections, the book covers basic concepts of personality disorders, etiology, clinical assessment, diagnosis, and treatment, and it addresses special issues that may arise with specific populations or settings. In addition, the text offers many features and benefits: * Several chapters describe the intense efforts to identify the scientifically strongest -- and clinically relevant -- approaches to conceptualizing and enumerating personality traits and pathology. The book does not sidestep ongoing controversies over classification but addresses them head-on by including chapters by experts with competing perspectives. * The hybrid dimensional/categorical alternative model of classification for personality disorders included in the DSM-5 is included in an appendix and thoroughly referenced throughout the volume and discussed in detail in several chapters.* Coverage of current research is up-to-date and extensive. Longitudinal naturalistic studies, which have shown surprising patterns of improvement in patients with selected personality disorders, as well as new and more rigorous treatment studies, have yielded critical findings in recent years, all of which are thoroughly addressed.* Dozens of vivid and detailed case examples are included to illustrate diagnostic and treatment concepts.* The editors have selected a roster of contributors second to none, and the text has been scrupulously edited for consistency of language, tone, and coverage. As clinical populations become better defined, new and more rigorous treatment studies are being conducted with increasingly promising results. The American Psychiatric Publishing Textbook of Personality Disorders offers clinicians, residents, and trainees in all disciplines a front row seat for the latest findings and clinical innovations in this burgeoning field.

It is difficult to improve on a classic, but the fifth edition of Psychodynamic Psychiatry in Clinical Practice does just that, offering the updates readers expect with a deft reorganization that integrates DSM-5(R) with the author's emphasis on psychodynamic thinking. The individual patient is never sacrificed to the diagnostic category, yet clinicians will find the guidance they need to apply DSM-5(R) appropriately. Each chapter has been systematically updated to reflect the myriad and manifold changes in the 9 years since the previous edition's publication. All 19 chapters have new references and cutting-edge material that will prepare psychiatrists and residents to treat patients with compassion and skill. The book offers the following features: - Each chapter integrates new neurobiological findings with psychodynamic understanding so that clinicians can approach their patients with a truly biopsychosocial treatment plan.- Excellent writing and an intuitive structure make complicated psychodynamic concepts easy to understand so that readers can grasp the practical application of theory in everyday practice.- The book links clinical understanding to the new DSM-5(R) nomenclature so that clinicians and trainees can adapt psychodynamic thinking to the new conceptual models of disorders.- New coverage of psychodynamic thinking with relation to the treatment of patients on the autism spectrum addresses an increasingly important practice area.- Posttraumatic stress and dissociative disorders have been combined to allow for integrated coverage of primary psychiatric disorders related to trauma and stressors. A boon to clinicians in training and practice, the book has been meticulously edited and grounded in the latest research. The author firmly believes that clinicians must not lose the complexities of the person in the process of helping the patient. Psychodynamic Psychiatry in Clinical Practice, Fifth Edition, keeps this approach front and center as it engages, instructs, and exhorts the reader in the thoughtful, humane practice of psychodynamic psychiatry.

In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere. - New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.- Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.- Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.- "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format. Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

Clinical Manual of Geriatric Psychiatry provides the most current information on psychiatric diagnoses seen in older patients in a concise format. Each chapter is broken into easily understandable, increasingly focused sections, and contains an extensive array of tables, references, and suggested readings. Chapters include clinically relevant information and evidence-based treatments for a wide range of topics and disorders: - The psychiatric interview of older adults, including history, family assessment, mental status examination, rating scales and standardized interviews, and effective communication techniques.- Psychopharmacology, including information on antidepressants, psychostimulants, antipsychotic medications, mood stabilizers, anxiolytics and sedative-hypnotics, and cognitive enhancers.- Diagnosis and treatment of delirium, dementia, mood disorders, schizophrenia, anxiety disorders, sleep disorders, and substance use disorders, including coverage of definition, epidemiology, clinical features, risk factors, diagnosis and differential diagnosis, prevention and management, and treatment guidelines.- Individual and group psychotherapy strategies, including individual and group-based cognitive-behavioral therapies, interpersonal psychotherapies, relaxation training, cognitive stimulation therapy, and behavioral therapies.- Clinical psychiatry in the nursing home, with a focus on cognitive disorders and behavioral disturbances, depression, treatment progress in this setting, and relevant federal regulations. Written by experts in geriatric psychiatry, this clinical manual provides a much-needed "field guide" for the care of nursing home patients and older adults. Busy clinicians, as well as researchers, residents, fellows, clinical psychologists, and social workers, will find this compact volume to be of the utmost value, as will anyone seeking to update their knowledge of geriatric psychiatry.

Essentials of Psychopharmacology provides a synopsis and update of the most clinically relevant material included within its parent publication, The American Psychiatric Publishing Textbook of Psychopharmacology, a classic that has been hailed as indispensable to psychiatry residents and clinicians alike. This new third edition of the Essentials incorporates the latest research and treatment advances and presents key information in an accessible and easy-to-use manner. The chapter authors are among the foremost national authorities in their areas of expertise, and the content has been thoroughly referenced and meticulously edited for maximum utility. Among the features of this third edition are the following: * Commonsense organization that takes the reader through the various classes of psychotropic medications (with chapters focused on individual drugs in each class) to treatment using those drugs (with chapters addressing drug selection and therapeutic approaches to the treatment of patients with major psychiatric disorders).* Complete information on each drug's clinical pharmacology, pharmacokinetics, approved indications, dosages, side effects and toxicology, and drug-drug interactions.* Comprehensive coverage of the current psychotropic pharmacopoeia, including new chapters on the recently introduced antipsychotics asenapine, iloperidone, and lurasidone and updated chapters reflecting further accumulation of experience with other medications.* Extensive and thoroughly updated information on the use of psychotropic medications during pregnancy and lactation. Clinicians seeking a reliable reference and guide to the core knowledge base and practice of clinical psychopharmacology can do no better than this new edition of Essentials of Psychopharmacology.

Designed for interviewers at all levels of experience, The Pocket Guide to the DSM-5[trademark] Diagnostic Exam is the clinician's companion for using DSM-5[trademark] in diagnostic interviews. Beginning with an introduction to the diagnostic interview, the Pocket Guide addresses the goals of the interview, provides an efficient structure for learning how to conduct one, reviews the screening questions, and then tackles the ways in which DSM-5[trademark], with its updated approaches to diagnosis and classification, impacts the interview going forward. Significant revisions from DSM-IV-TR[registered] to DSM-5[trademark] are reviewed. The final chapter, the core of the guide, walks the reader through a complete diagnostic exam that includes the follow-up questions for each of the DSM-5[trademark] disorder classes. The book is useful for beginners learning the format and flow of the diagnostic interview and for seasoned clinicians conducting an interview consistent with the significant revisions reflected in DSM-5[trademark]. Not intended to replace DSM-5[trademark] itself or psychiatric interviews texts, The Pocket Guide to the DSM-5[trademark] Diagnostic Exam is a pragmatic and concise resource for diagnosing a person in mental distress while establishing a therapeutic relationship.

Mentalization-based therapy is a specific type of psychotherapy designed to help people consider their own thoughts and feelings and differentiate them from the perspectives of others. The editors are the foremost experts on mentalizing, having published two previous books and a multitude of scholarly papers defining it and describing its multiple clinical applications. Handbook of Mentalizing in Mental Health Practice is by far the most cutting-edge, comprehensive source of information and instruction on this critical therapeutic technique, with everything clinicians need to know to integrate mentalizing into their therapeutic repertoire. The editors maintain that the aim of mentalizing therapy is to enhance a mentalizing process, regardless of the context in which it is being delivered. Thus, while most often employed in individual therapy, it can also be useful in group and family therapy situations. Similarly, it may prove equally effective in inpatient and outpatient contexts, and in standard and brief therapy modes. What is critical is the therapist's focus on the patient's "mind-mindedness" as it applies to his or her subjective experience of reality and to awareness of other people's perspectives. Here are some of the key observations made in this fascinating book: * Evidence suggests that people who have been diagnosed with a personality disorder may have specific deficits in mentalizing in the context of attachment relationships, and that this group transcends the classification of borderline personality disorder (BPD), which the authors had previously identified with such deficits. This has profound implications for treatment of all types of personality disorders.* The authors now see mentalizing as a developmental construct that is extended to the family and throughout an individual's development. This insight suggests that intervention -- and even prevention of deficits -- may be possible.* Because mentalizing is a fundamental psychological process, it interfaces with all major mental disorders. This means that mentalizing techniques may have the potential to improve well-being across a range of disorders, including depression, eating disorders, addiction, and even the less severe forms of antisocial personality disorder.* Adolescence, the phase of development where personality disorder, depression, eating disorders, substance abuse, and other disorders first emerge, is a critical period for identification of mentalizing deficits and the time when intervention can do enormous good. These insights are tremendously useful for any practitioner of psychotherapy, as well as students in the field. Exhaustive in its coverage of the nature, practice, and exciting potential of this relatively new approach, Handbook of Mentalizing in Mental Health Practice is destined to become a classic in the literature of psychotherapy.

Since the 2003 release of the third edition of Concise Guide to Child and Adolescent Psychiatry, research on mental illness in children and the practical applications of this research have been evolving at a rapid pace. With these changes have come enhanced methods of assessment and treatment. Topics covered in this text include: * The use of DSM-IV-TR for diagnosing psychiatric disorders in children and ways in which adult criteria can be adapted for use in young patients.* An outline of the Axis I conditions especially relevant to children and adolescents that may be a focus of clinical attention.* A review of how childhood psychological disorders often occur in combinations and require broad-spectrum rating scales to supplement the diagnostic process and help avoid overly narrow focus on the presenting problem.* New trends in treatment that include a consideration of biological factors, multimodal treatment approaches, multidisciplinary teams, and use of evidence-based interventions.* Ways to help both the patient and the parent or caregiver through the treatment process for better outcomes.* Identification of the strengths and vulnerabilities that are critical to treatment plans, such as the family's financial resources and the child's social environment, which includes school, neighborhood, and social support networks, all of which influence the choice of treatment strategy. Concise Guide to Child and Adolescent Psychiatry provides professionals in psychiatric settings, pediatric offices and hospitals, schools, and juvenile justice settings with an efficient and easily portable reference to pediatric mental health topics of concern to practicing clinicians and students alike. Designed to fit into a lab coat or jacket pocket, this manual offers the information that most experts agree is relevant to helping children and adolescents overcome mental disorders.

Schizophrenia is one of the most challenging brain disorders a mental health professional can face, yet its causes and cure remain elusive. Written by experts from a wide range of psychiatric disciplines to serve as a singular resource, Essentials of Schizophrenia clearly defines the current knowledge of the nature, causes, and treatment of this disorder and puts the many misconceptions about this disabling illness into perspective. Schizophrenia is so devastating because it robs people of the very things that make them human -- their personality and intellect. Symptoms typically have their onset in early adulthood, and the disorder often leaves the individual permanently disabled. This book leads readers through questions surrounding this debilitating disorder, from an historical overview and review of epidemiology to consideration of comorbid conditions. Key topics covered in this text include: * Identification of early signs of cognitive impairment and the resulting psychopharmalogical treatment strategies for improving social or vocational function. * Role of antipsychotics, antianxiety/hypnotics, antidepressants, mood stabilizers, and dopamine agonists in treatment and associated side effects. * Current proven psychosocial interventions that augment and complement drug therapy, and increased patient involvement in choice of treatment modality. * Keys to early identification of individuals who are vulnerable to schizophrenia, and the potential for earlier intervention and treatment. * Optimal treatment approaches for first episodes to increase the likelihood of full recovery. * Answers to frequently asked questions raised by psychiatrists in daily encounters with their patients with schizophrenia. A must-read for anyone involved in the care and treatment of individuals with schizophrenia, Essentials of Schizophrenia helps the reader better understand the disorderin an accessible format. Squarely confronting a misunderstood disease that has caused great suffering and disability, this textbook serves as a dependable source of knowledge for current psychiatric professionals as well as the next generation of students and clinicians to come.

This comprehensive textbook of autism spectrum disorders, the first of its kind, is designed to meet the growing need for cutting-edge research and treatment information for clinicians who encounter patients and clients with these disorders in their practice - not just psychiatrists, but psychologists, social workers, speech therapists, and educators - and for parents who seek to understand their children's disorders and treatment options. The editors have assembled some of the foremost experts in each disorder, as well as in genetics, pharmacology, pathophysiology, neurology, neuroimaging, and other fields that contribute to our understanding of autism spectrum disorders. The book features exhaustive coverage of the established approaches, but also explores alternative and experimental therapies in-depth. By so doing, the editors hope to establish a benchmark for understanding autism on a number of levels, with knowledge that is both broad and deep. More patients are diagnosed with autism, and at earlier ages, than ever before, and these patients and their families receive services in increasingly diverse settings. Destined to become a classic, the "Textbook of Autism Spectrum Disorders" is the volume for which patients, families, and clinicians have been waiting.

In "Psychotherapy for the Treatment of Substance Abuse", leading authorities on substance abuse treatment techniques review and illustrate the most common interventions for opioid-related and alcohol-related substance abuse disorders, as well as crucial methodologies for testing and patient placement. Methods reviewed include self-help fellowships such as Alcoholics Anonymous, cognitive-behavioral and psychodynamic treatments, motivational enhancement, group and family therapy, contingency management, and the multimodal approach called Network Therapy, which recruits the support of friends and family to prompt abstinence and prevent relapse. Each chapter includes vivid case studies to illustrate the approach described, as well as a review of the key clinical concepts and a list of essential readings. Adapting a new, clinically focused manual from their popular "American Psychiatric Publishing Textbook of Substance Abuse Treatment", now in its fourth edition, Dr. Galanter and Dr. Kleber have designed Psychotherapy for the Treatment of Substance Abuse to be of practical application to both experienced clinicians and those new to the field. The accompanying DVD demonstrates Network Therapy in practice and includes enlightening commentary on key issues that are relevant across the many modalities of substance abuse treatment discussed in the book.

"Clinical Manual of Adolescent Substance Abuse Treatment" brings together extensive new research in the field of adolescent substance abuse to serve as a comprehensive resource for psychiatrists, psychologists, social workers, substance abuse specialists, and other clinicians, as well as residents and students of psychology. It provides the most recent information about adolescent substance abuse assessment, prevention and treatment. Special emphasis is given to different psychosocial and pharmacological interventions in addition to the treatment of various coexisting psychiatric disorders. This extremely timely and practical guide offers a review of most substances of abuse currently available, covers laboratory work for drug detection in youth, and discusses the legal boundaries of school-based assessment of substance abuse. Each of the 16 chapters in the manual provides thorough examination of each topic, succinct summaries, suggested readings, and referrals to relevant Web sites and other resources for further investigation. Case vignettes and visual aids such as tables and charts illustrate and reinforce key concepts. Readers will find this manual a valuable resource in furthering their understanding of adolescent substance abuse and increasing their effectiveness in providing treatment.

Now in its third edition, Essentials of Psychiatry provides a synopsis of the most important clinical material included within the fifth edition of The American Psychiatric Publishing Textbook of Psychiatry, a work hailed as "the best reference for the majority of practicing psychiatrists" (Doody's Book Reviews). Revised and updated to incorporate the latest research findings, this economical paperback abridgement of the Textbook presents, in distilled form, the core knowledge base of clinical psychiatry by focusing on information of greatest relevance to students, residents, and practicing clinicians. To create the Essentials, the editors meticulously vetted the original Textbook's 44 chapters and selected those they deemed most important for clinical practice. The resulting 22 chapters constitute a concise yet comprehensive tutorial on clinical psychiatry and are presented in a manner that is at once interesting and accessible. Included in this volume are * Two chapters dedicated to psychiatric interviewing and diagnostic assessment (including laboratory testing and neuroimaging).* Twelve chapters covering clinically common psychiatric disorders (delirium and dementia; substance abuse; schizophrenia; and mood, anxiety, somatoform, adjustment, impulse-control, personality, childhood-onset, sleep, and eating disorders).* Four chapters summarizing major treatments and therapies (psychopharmacology, brief psychotherapies, psychodynamic psychotherapy, and cognitive therapy).* Two chapters focused on specific patient populations (children/adolescents, and seniors).* Two chapters addressing additional critical issues (psychiatry and the law; suicide). A unique feature of this text is the collaboration of junior and senior authors for many of the chapters. The resulting blend of new insights and fresh perspectives with profound wisdom and vast research and clinical experience enriches the material and increases its appeal to readers of diverse backgrounds and levels of educational and clinical experience. A broad, integrated knowledge of medicine, psychology, and neuroscience is the foundation of psychiatric practice and the optimal basis for treatment decisions. Essentials of Psychiatry, Third Edition, makes this key knowledge accessible to psychiatry residents and practitioners alike and will also prove useful to physicians in other fields (e.g., family practice, internal medicine, pediatrics, neurology), as well as to interested laypersons and nonmedical professionals such as clergy and members of the bar.