Psichiatria

"'Avendo io sempre subordinato ogni mia azione alla considerazione se avesse come conseguenza di rendermi magra o grassa, ben

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.

Il trauma come chiave d'accesso alla comprensione della sofferenza mentale o come leggenda scientifica da sfatare? Queste due

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.

Psychotropic agents have been effective for the treatment of the emotional, and cognitive symptoms of serious psychiatric disorders. At the same time, the availability of such agents raises questions about the appropriate use of what might be termed 'smart pills', 'happy pills', or 'pep pills'. This volume argues that developments in modern psychopharmacology raise a range of important philosophical questions, and may ultimately change the way we think about ourselves. It provides a framework for addressing important philosophical issues in psychiatry and psychopharmacology. The approach is a naturalistic one, drawing on theory and data from modern cognitive-affective neuroscience and attempts to address objective and subjective aspects of psychiatric disorders, to integrate our knowledge of mechanisms and meanings, and to provide a balanced view of the good and the bad of psychotropics.

This is a major international textbook for psychiatrists and other professionals working in the field of mental healthcare. With contributions from opinion-leaders from around the globe, this book will appeal to those in training as well as to those further along the career path seeking a comprehensive and up-to-date overview of effective clinical practice backed by research evidence. The book is divided into cohesive sections moving from coverage of the tools and skills of the trade, through descriptions of the major psychiatric disorders and on to consider special topics and issues surrounding service organization. The final important section provides a comprehensive review of treatments covering all of the major modalities. Previously established as the Essentials of Postgraduate Psychiatry, this new and completely revised edition is the only book to provide this depth and breadth of coverage in an accessible, yet authoritative manner.

A trent'anni dalla "180", la cosiddetta "legge Basaglia", che segnò la progressiva chiusura dei manicomi, un dialogo tra uno d