Most physical illness effects people at the extremes of life, particularly in late life. A significant proportion of these hospitalised older patients will experience some mental health problems, and medical units lacking specialist old age psychiatry services must rely on adult psychiatric and consultation liaison services for support. These generalists assume the role of old age psychiatrists by default. The aim of this book is to provide a practical guide to the psychiatric support of older patients on the medical, surgical and geriatric wards.
This textbook presents real-world cases and discussions that introduce the various mental health syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to students of geriatric psychiatry. With the latest DSM-5 guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both American and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for credentialing and/or practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care. Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.
This updated resource refines and expands on both the core concepts and the real-world practice of consultation-liaison psychiatry in medical settings. New and revised chapters provide background and basics and describe CL psychiatry approaches to managing a wide array of common conditions, including heart disease, dementia, anxiety and depressive disorders, alcohol and substance use problems, and chronic pain. Besides the fine points of practice in varied chronic and acute care settings, specific patient populations such as children, elders, ob/gyn patients, and the immunocompromised are discussed. The latest information and insights on pharmacology, interviewing, and ethical and cultural issues round out the book's highly accessible coverage. A sampling of topics in the Handbook: Basic foundations of diagnosis, psychiatric diagnosis, and final common pathway syndromes. An integrative care model of psychiatry in the primary care setting. Patient personality, personality types and traits, and disorders. The chronic patient and the palliative care setting. Trauma- and stressor-related disorders. Somatic symptoms and related disorders. The Second Edition of the Handbook of Consultation-Liaison Psychiatry ably follows its predecessor by presenting the diverse state of the specialty to enhance the work of psychiatrists, clinical psychologists, and primary care physicians.
Preceded by American Psychiatric Publishing textbook of psychosomatic medicine: psychiatric care of the medically ill / edited by James L. Levenson. 2nd ed. 2011.
Most physical illness effects people at the extremes of life, particularly in late life. The aim of this book is to provide a practical guide to the psychiatric support of older patients on the medical, surgical and geriatric wards.
This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS.
At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
