Complex Clinical Conundrums In Psychiatry

Author : Kuppuswami Shivakumar
Publisher : Springer
ISBN 13 : 3319703110
Total Pages : 236 pages
Book Rating : 4.14/5 ( download)

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Download or read book Complex Clinical Conundrums in Psychiatry written by Kuppuswami Shivakumar and published by Springer. This book was released on 2018-05-25 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the readers with a series of complex cases that are organized by psychiatric disorder. Written by experts in the field, the cases offer insight on how to navigate care in delicate situations while considering preexisting medical conditions. Topics cover pharmacological concerns in women who are pregnant or nursing, working with dementia patients suffering from HIV, assessing and treating ADHD in special populations, monitoring medication use in patience recovering from Substance Use Disorder, and working with patients suffering from personality disorders. Each chapter offers guidance through the maze of classifications, clinical features, diagnosis and various complex interventions. The book also covers new information on the advances in research and management aspects. Complex Clinical Conundrums in Psychiatry is a valuable resource for psychiatrists, psychologists, family physicians, geriatricians, counselors, social workers, nurses, and all medical professionals working with complex psychiatric patients.

Author : Dinesh Bhugra
Publisher : Oxford University Press
ISBN 13 : 019257048X
Total Pages : 689 pages
Book Rating : 4.82/5 ( download)

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Download or read book OTB MIGRANT PSYCHIATRY OTP C written by Dinesh Bhugra and published by Oxford University Press. This book was released on 2021-02-04 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: Migrant psychiatry is an evolving subdiscipline within cultural psychiatry that deals with the impact of migration on the mental health of those who have migrated and those who work with these groups and provide services to them. Stress related to migration affects migrants and their extended families either directly or indirectly. The process of migration is not just a phase, but leads on to a series of adjustments, including acculturation, which may occur across generations. Factors such as changes in diet, attitudes and beliefs, and overall adjustment are important in settling down and making the individuals feel secure. This period of adjustment will depend upon the individual migrant's pre-migration experiences, migration process and post-migration experiences, but also upon an individual's personality, social support and emotional response to migration. Socio-demographic factors, such as age, gender, educational, and economic status will all play a role in post-migration adjustment. In order to understand the impact on individuals, not only the type of migration and different stressors, but also the types of psychological mechanisms at a personal level and the resources and processes at a societal level need to be explored. Despite the number of refugees and asylum seekers around the world increasing at an astonishing rate, the mental health needs of migrants are often ignored by policy makers and clinicians. The Oxford Textbook of Migrant Psychiatry is designed to serve as the comprehensive reference resource on the mental health of migrants, bringing together both theoretical and practical aspects of the mental health needs of refugees and asylum seekers for researchers and professionals. Individual chapters summarise theoretical constructs related to theories of migration, the impact of migration on mental health and adjustment, collective trauma, individual identity and diagnostic fallacies. The book also covers the practical aspects of patient management including cultural factors, ethnopsychopharmacology, therapeutic interaction and therapeutic expectation, and psychotherapy. Finally, the book will examine special clinical problems and special patient groups. Part of the authoritative Oxford Textbooks in Psychiatry series, this resource will serve as an essential reference for psychiatrists, mental health professionals, general practitioners/primary care physicians, social workers, policy makers and voluntary agencies dealing with refugees and asylum seekers.

Author : Louise Roberts
Publisher : Elsevier Health Sciences
ISBN 13 : 0729587568
Total Pages : 493 pages
Book Rating : 4.63/5 ( download)

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Download or read book Mental Health and Mental Illness in Paramedic Practice written by Louise Roberts and published by Elsevier Health Sciences. This book was released on 2020-09-18 with total page 493 pages. Available in PDF, EPUB and Kindle. Book excerpt: With increasing prevalence, paramedics are commonly dispatched to pre-hospital settings where mental health and mental illness are essential considerations in paramedic practice and approaches to treatment. Mental Health and Mental Illness in Paramedic Practice is the first text of its kind – a resource specifically written by expert clinicians and academics solely for the Australian and New Zealand paramedic context. The text introduces fundamental concepts and theories in mental health and mental illness in the context of paramedic principles of care. It delves into topics such as person-centred mental healthcare; communication and the therapeutic relationship; and legal and ethical issues – all within the realm of paramedic practice. The textbook steps students through common patient presentations in the pre-hospital setting and offers practical guidance in applying appropriate approaches to treatment. Case studies accompanied by critical thinking questions are incorporated throughout to assist with application to practice Demonstrates relevance to real-life scenarios through consumer vignettes and paramedic stories Special considerations embedded in each chapter, including: cultural considerations; ethics and ethical dilemmas; inter-professional practice, application and considerations; and ongoing care / other modes of care Review questions included at the end of each chapter to ensure reflection on key topics and concepts Strong focus on evidence-based research and practice Core components of undergraduate paramedicine addressed An eBook included in all print purchases

Author : Gerald N. Grob
Publisher : Rutgers University Press
ISBN 13 : 9780813548128
Total Pages : 270 pages
Book Rating : 4.28/5 ( download)

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Download or read book Diagnosis, Therapy, and Evidence written by Gerald N. Grob and published by Rutgers University Press. This book was released on 2009-11-13 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Employing historical and contemporary data and case studies, the authors also examine tonsillectomy, cancer, heart disease, anxiety, and depression, and identify differences between rhetoric and reality and the weaknesses in diagnosis and treatment.

Author : Mantosh J. Dewan
Publisher : American Psychiatric Pub
ISBN 13 : 1585627887
Total Pages : 460 pages
Book Rating : 4.82/5 ( download)

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Download or read book The Difficult-to-Treat Psychiatric Patient written by Mantosh J. Dewan and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why do some psychiatric patients fail to get better, even when in the care of competent clinicians? Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more than $40 billion annually, and as many as 40% of patients with depression have a treatment-refractory form of the illness. This groundbreaking clinical guide starts where standard textbooks end, focusing on clinical strategies to be used after all basic treatment options, such as medication and psychotherapy, have failed. In this book expert contributors address the sequential clinical steps in treating difficult-to-treat psychiatric patients by offering a blend of evidence-based clinical recommendations, detailed case vignettes, treatment algorithms, and -- when necessary to go beyond the reach of evidence -- the clinical wisdom of leaders in the field. The chapters in this user-friendly, practical guide are organized by major disorder. Each chapter offers concrete recommendations on what to do when the usual first steps in therapy are ineffective, including evidence for biopsychosocial treatments alone versus in combination, generic versus specific therapies, and literature reviews and the latest expert wisdom. A sampling includes The management of the complex and often refractory bipolar disorder, which involves replacing or combining lithium treatment with anticonvulsants or atypical antipsychotic agents with adjuncts such as benzodiazepines, thyroid hormone, and electroconvulsive therapy, but also -- above all -- with careful attention to the therapeutic alliance. The importance of combined therapeutic modalities for patients with schizophrenia -- especially given managed care's cost-cutting strategies, which deprive many schizophrenic patients of effective treatment modalities such as family therapy or early use of an atypical antipsychotic. Combination treatments for anxiety, with medications adjusted over time as symptoms wax and wane, and early and appropriate interventions to mitigate internal and external environmental stressors. The emphasis on common sense, optimism, a sense of humor, and an iron constitution as the most important tools for clinicians wishing to work with the most severely ill patients with borderline personality disorder. The importance of individual differences in biological vulnerability, emotionality and expressiveness, cognitive schemas and beliefs, prior traumatic experience, resilience, and coping strategies for successful treatment of posttraumatic stress disorder. Packed with up-to-date information of immediate relevance, this volume will prove invaluable in both classroom and clinical practice, for everyone from beginning interns and residents to experienced psychiatric and medical practitioners and social workers.

Author : Anne M. Doherty
Publisher : RCPsych Publications
ISBN 13 : 1108892345
Total Pages : 167 pages
Book Rating : 4.46/5 ( download)

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Download or read book Mental Health, Diabetes and Endocrinology written by Anne M. Doherty and published by RCPsych Publications. This book was released on 2021-10-28 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental Health, Diabetes and Endocrinology examines the main areas of clinical overlap between endocrinology and mental health to address key clinical conundrums. Drawing on the most recent developments from literature and clinical practice, this book gives specific attention to the main areas where clinical conundrums and treatment challenges arise across endocrinology, psychiatry, psychology and primary care. Common challenges in this area include depression which can impact on the person's ability to self-care and to adhere to treatment with consequences for their morbidity and mortality; 'diabulaemia' associated with high mortality rates; obesity and associated mental disorders; cognitive impairment and mental capacity; anti-psychotic medications and their endocrine sequelae; and specific setting-related considerations. Mental Health, Diabetes and Endocrinology is a useful resource for the overlapping conditions across these specialities, and provides clinically-focussed evidence-based resources for all health care professionals who encounter these issues.

Author : Arnold M. Ludwig
Publisher :
ISBN 13 :
Total Pages : 680 pages
Book Rating : 4.85/5 ( download)

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Download or read book Principles of Clinical Psychiatry written by Arnold M. Ludwig and published by . This book was released on 1986 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Peter F. Buckley
Publisher : Springer Science & Business Media
ISBN 13 : 3642452574
Total Pages : 231 pages
Book Rating : 4.74/5 ( download)

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Download or read book Treatment–Refractory Schizophrenia written by Peter F. Buckley and published by Springer Science & Business Media. This book was released on 2014-03-18 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: Schizophrenia is often associated with an inadequate response to pharmacological and non-pharmacological treatments. How to treat patients who have an unsatisfactory response to anti-psychotics, including clozapine - which is unequivocally the most powerful antipsychotic medication for this recalcitrant population - remains a clinical conundrum. A range of adjunctive medications have been tried with mixed results; there has also been renewed interest in the role of neuromodulatory strategies, electroconvulsive therapy, and cognitive and vocational approaches. Perhaps a bright spot for the future lies in the evolution of pharmacogenetic approaches for individualized care. In this book, leading experts from Europe, Australia and the Americas provide a timely appraisal of treatments for the most severely ill schizophrenia patients. This clinically focused book is informed by the latest research on the neurobiology and treatment of schizophrenia. It is comprehensive in scope, covering current treatment options, various add-on approaches, and a range of psychosocial treatments. The contributors are respected experts who have combined their clinical experience with cutting-edge research to provide readers with authoritative information on fundamental aspects of clinical care for schizophrenia.

Author : Dinesh Bhugra
Publisher : John Wiley & Sons
ISBN 13 : 1118799593
Total Pages : 304 pages
Book Rating : 4.98/5 ( download)

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Download or read book Troublesome Disguises written by Dinesh Bhugra and published by John Wiley & Sons. This book was released on 2014-11-06 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Troublesome Disguises examines psychiatric conditions which are not necessarily uncommon, rare or exotic but are challenging for the clinician who may struggle to reach a diagnosis and to set up management strategies. However, with familiarity, these conditions can and should be recognised. This new edition is an exercise in consciousness-raising as well as a warning to beware of diagnostic systems which, despite their many virtues, may become too influential and may perpetuate errors which are to the detriment of patients. For the clinician struggling to understand and treat patients who fail to fit the usual diagnostic categories, Troublesome Disguises provides wise instruction in the virtue of entertaining doubts, as well as practical advice for the assessment and management of atypical cases.

Author : Peter Cornish
Publisher : Springer Nature
ISBN 13 : 3031452062
Total Pages : 326 pages
Book Rating : 4.62/5 ( download)

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Download or read book Stepped Care 2.0: The Power of Conundrums written by Peter Cornish and published by Springer Nature. This book was released on 2023-11-20 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the risk paradigm and SC2.0, the model’s one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.