Psichiatria

Understanding the complex pharmacological changes that occur with ageing is critical to informed prescribing, yet much of today's practice in geriatric prescribing continues to be based on anecdotal evidence and case report data instead of controlled research studies. Navigating the vast database in geriatric psychopharmacology is a daunting task at best, leaving many clinicians overwhelmed and confused, and opening the door to potentially dangerous consequences for some of the most fragile patients. In this text, three experienced pharmacologists provide a practical "how to" guide to clinical geriatric prescribing, drawing upon their own first-hand clinical experience and their reading of the literature in geriatric psychopharmacology.

Anxiety disorders are at once among the most disabling and the most prevalent of the psychiatric disordersAmore common than either mood or substance use disorders. Often misdiagnosed and undertreatedAperhaps because it is often difficult for patients to seek help and for caregivers to appreciate the morbidity of anxiety disordersAthese disorders account for a staggering one-third of all costs related to psychiatric disorders. This one-stop resource for both clinicians and researchers details not only the rigorous diagnostic schemas, underlying sophisticated psychobiological models, and effective pharmacotherapy and psychotherapy interventions developed during the past few decades but also the latest advances in this diverse field. Presenting the work of an unprecedented 77 U.S. and international experts, this 10-part textbook begins with an in depth discussion of the history, classification, preclinical models, concepts (evolutionary, cognitive, and psychodynamic), and combined treatment of anxiety disorders. -For clinicians, this exceptional reference then covers the phenomenology, etiology, psychotherapy, and pharmacotherapy of every major anxiety disorder: generalized anxiety disorder, mixed anxiety-depressive disorder, obsessive-compulsive and related disorders, panic disorder, social phobia, specific phobia, posttraumatic stress disorder (PTSD), and acute stress disorder. Also included are the latest theoretical and clinical issues that cut across all anxiety disorders. -For researchers, this densely packed volume shows that the study of anxiety disorders is indisputably one of the most interesting and rewarding areas of contemporary medical research, requiring the integration of data from disparate fields (such as neuroanatomy, neurochemistry, cognitive dysfunctions, and genetic and environmental studies) into powerful and sophisticated modelsAmodels that move us toward better understanding and more effective treatment of these complex disorders. For example, animal models of fear conditioning provide fascinating parallels with clinical phenomena such as posttraumatic stress disorder. Similarly, functional brain imaging demonstrates that pharmacotherapy and psychotherapy for obsessive-compulsive disorder produce similar changes in the brain. The authors conclude by discussing anxiety disorders in relation to special populations, such as children, adolescents, and seniors; different medical settings; substance abuse; and culture and society, including economic costs and consumer considerations. This remarkable compendium of studies at the cutting edge of anxiety disorder research and clinical practice will be welcomed by psychiatric and medical clinicians, researchers, and educators as a uniquely valuable reference, and by other mental health care professionals who are interested in the latest developments in understanding and treating these important disorders.

Questo libro nasce dall'esigenza di proporre una lettura critica della nosografia, della psicopatologia e della terapia in psi

E' possibile vedere nella "follia" l'origine del "genio"

In questo volume Elsa Ronningstam ha raccolto contributi di importanti clinici e ricercatori internazionali sul tema del narci

Now in its Fourth Edition, "NMS Psychiatry" contains numerous new features. Among these revisions are additional contributors, a chapter on legal issues, and a compendium of drugs. Many scientifically based practice guidelines were used in the preparation of this edition. The 500 Step 2 USMLE-style questions offered at the end of each chapter and in a comprehensive exam at the end of the book contain detailed explanations. Chapter topics include the clinical examination, personality disorders, and cognitive and mental disorders due to general medical conditions, substance-related disorders, somatoform and associated disorders, sexual and gender issues, child psychiatry, and more.

La crisi di cui parla il sottotitolo non va intesa in senso negativo: quello che la psichiatria oggi vive è infatti un periodo di grandi prospettive. La recente aziendalizzazione dei servizi sanitari impone un attento esame della situazione, non tanto sul piano politico, quanto piuttosto su un piano dinamico. Emergono nuove categorie di disagio e di sofferenza, con nuove modalità di presentazione del bisogno da parte dell'utenza. Il libro, con un linguaggio a tratti provocatorio, presenta una critica serrata dell'attuale funzionamento dei servizi psichiatrici pubblici, ed è un'occasione di riflessione per quanti operano in questo campo, oltre che di stimolo a una rifondazione teorica della psichiatria territoriale.

A volte un adolescente, nonostante la forza dell'età, la sua ricchezza, la sua creatività, appare così carico di problemi da d

Gli autori descrivono un tipo specifico di trattamento psicodinamico importante per un grande gruppo di pazienti (con disturbo