Discusses the evidence-based assessment of deliberate self-harm, and covers the special problems of general psychiatric practice when alcohol misuse and severe personality disorder complicate the picture.

This volume covers the management of acutely disturbed in-patients, drug and psychosocial approaches to the treatment of schizophrenia, and the problems of comorbid substance misuse and homelessness. It includes chapters on risk and childbirth, psychoses in the elderly, and the special problems of identifying and treating psychiatric disorders in those with learning disability. There is also practical advice on assessing fitness to be interviewed by the police, and on preparing medico-legal reports.

Psychiatric comorbidities such as depression, anxiety and substance use are extremely common amongst people with schizophrenia. They add to poor clinical outcomes and disability, yet are often not at the forefront of the minds of clinicians, who tend to concentrate on assessing and treating the core symptoms of schizophrenia, notably delusions and hallucinations. There is an imperative to assess every patient with schizophrenia for psychiatric comorbidities, as they might masquerade as core psychotic symptoms and also because they warrant treatment in their own right. This volume addresses these issues using a clinical lens informed by the current literature. Published as part of the Oxford Psychiatry Library series, the book serves as a concise and practical reference for busy clinicians.

Since psychiatric training in medical school is brief in duration (often 4-8 weeks only), and minimal to nonexistent in many residency programs, most primary care physicians are not adequately equipped to treat psychiatric disorders, despite the fact that this role promises a significant portion of the average physician’s practice. This book provides non-psychiatric physicians, especially primary care physicians, with the tools to successfully diagnose and treat psychiatric disorders in their practices. Primary care physicians are the largest prescribers of psychiatric medications in the US, where they also provide the bulk of psychiatric diagnoses and treatment, especially in traditionally underserved areas. Every chapter is devoted to each of the major psychiatric disorders that a primary care physician is likely to encounter in clinical practice. They are formatted in a nearly identical way to make the text both easy to read and quickly peruse as a reference. Each chapter also includes a clinical description of the disorder, the proper method (including questions to ask, or screening tools, etc.) to make an accurate diagnosis, and differential diagnoses to consider. Additionally, appropriate treatment(s) for the diagnoses are indicated in a stepwise fashion. Chapters also contain information on medical tests that may be appropriate to order to rule out medical conditions, as well as details on proper routine health screening for individuals on specific medications and/or mental health diagnoses. To optimize accessibility of medication prescribing information, several tables of the medications that are commonly prescribed for each disorder will be indicated. This may lead to some redundancy of information, as there is considerable overlap in medication and dosing strategies for different illnesses, ex antipsychotics for bipolar disorder and schizophrenia and antidepressants for Major Depressive Disorder and Anxiety Disorders. However, duplication of information assists in readability and user friendliness, as doctors will not have to flip through different parts of a book or refer to an appendix every time they wish to look up specific medication related information. Written by experts in the field, Handbook of Psychiatric Disorders in Adults in the Primary Care Setting is a valuable resource to aid in the proper assessment and treatment of psychiatric disorders by the physicians who are most likely to see and treat these patients. Most psychiatric textbooks are probably not appropriate for most primary care physicians as they contain far too much specialized information that they do not need to know and do not often contain clinical steps and guidelines for treatment. This text fulfills a pressing clinical need.

A counterintuitive and novel approach to the long-sought goal of subtyping schizophrenia and other psychotic disorders emerges from ongoing research. Five psychosis associated anxiety and depressive subtypes each help define five corresponding psychosis diagnoses, their fixed false beliefs, and most importantly, their treatments. These anxiety and depressive comorbidities have long been long overlooked as an understandable hodgepodge of distressing symptoms caused by the pain of psychosis. But these five comorbidities usually precede onset of the psychosis, and their treatment can significantly improve outcome. So, maybe, the causation is the other way around: maybe they are among the underlying contributors to schizophrenia and other psychotic disorders. The chapter authors expertly detail the data supporting this innovative approach. They provide fictional case studies, DSM-5 diagnostic criteria, specific interviewing approaches for the five comorbidities in psychosis patients, and improved treatment options. Other chapters explore psychoses related to substance use, medical illness and medical treatment, as well as other factors that contribute to psychotic disorders. This first-of-its-kind reference is a valuable clinical, educational, research and training resource for psychiatrists, psychologists, nurses, social workers, neurologists and anyone interested in the care and treatment of someone with a psychotic disorder. - Reflects current research, diagnosis, and treatment options for: - Schizophrenia with Voices and Panic Anxiety - Obsessive-Compulsive Schizophrenia and Obsessive-Compulsive Disorder - Persecutory Delusional Disorder and Social Anxiety - Delusional Depression and Melancholic Depression - Bipolar I Disorder and Atypical Depression - Substance Use Psychoses - Medical Illness and Iatrogenic Psychoses - Covers treatment options and outcomes with medication and psychotherapy. - Includes sample patient interview approaches and/or biological tests for each diagnosis. - Highlights symptoms, quasi-psychotic symptoms and secondary signs of the comorbidities when alone, and when in conjunction with psychosis. - Reviews diagnosis-specific significance and contributory roles of neurotransmitters, hypofrontality, psychological trauma, and genetics.

This new edition describes a stage-specific model highlighting the risk, the clinical and biological factors present during the development of psychotic illness, and the best treatments available for each of these stages. Guides practitioners and researchers in the adoption of carefully planned management strategies fully integrating treatment with prevention.

This book highlights the importance of investigating for ADHD in adults with attention difficulties, poor memory and executive function impairments. The authors advocate a neurodevelopmental assessment approach in all phases of life, and explain how to perform such assessments. The identification of ADHD in adults with other psychiatric and neurological disorders will lead to a better response to treatments, and as a result reduce its social, economic and personal burden. ADHD can no longer be considered solely a pediatric condition, as it occurs in a significant proportion of adults worldwide. However, ADHD in adults is often unrecognized and untreated. Diagnosing the disorder in adulthood is a challenge, due not only to the different clinical presentation in this phase of life, but also to the fact that other conditions may mask the symptoms. ADHD constitutes a hidden comorbidity with a detrimental impact of those affected, and a poor response (or even non-response) to several treatments. Intended for psychiatrists, neurologists, specialists in gerontology and neuropsychology, this book is an indispensable resource for all mental health practitioners who want to optimize the treatment of patients affected by psychiatric and neurological disorders who respond poorly to standard treatments.

Clinical Obsessive-Compulsive Disorders in Adults and Children is a complete, comprehensive overview of OCD, covering its underlying causes, manifestations and treatment. The book begins by covering the basic science of OCD and its biological basis and mechanisms. It discusses the treatment for both adults and children with an emphasis on providing information for clinicians to use in their everyday practice. Using the latest information regarding evidence-based treatments, it takes the reader through medication options, including behavioural therapy, support groups and recent developments in surgical treatment. The clinical manifestations of OCD are covered, as well as the differentiation between OCD and other neuropsychiatric disorders with similar presentations. Chapters on spectrum illnesses including body dysmorphic disorder, impulse control disorders such as trichotillomania, and hoarding are also included. This book will appeal to all mental health professionals, from practitioners to researchers, working in the field of compulsive disorders.

"Efficient and accurate use of the American Psychiatric Association's (2013) Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) has become a necessary part of the professional duties of psychologists in a variety of clinical, rehabilitative, and child service agencies. This book is intended to increase child psychologists' familiarity with DSM-5 and to bolster their confidence in using it within school settings. The present text attempts to provide a broad understanding of the DSM-5 system--what it attempts to do, how it is organized, and how to use it most effectively to capture and communicate the unique features of children's and adolescent's problems"--