This new handbook in the Practical Guides in Psychiatry series is designed for residents and clinicians who treat psychiatric disorders in medical and surgical patients. Replete with case examples, algorithms, "pearls," and tables, the book steers the reader through the evaluation and management of cognitive disorders, psychological symptoms, and substance abuse in the medical-surgical setting. Its emphasis is on adapting therapeutic recommendations to the patient's medical management program and understanding how psychiatric drugs interact with the patient's other medications. Coverage includes the psychiatric consultation report; pain management; forensic issues; death, dying, and bereavement; and issues particular to specific medical-surgical diseases.

Consultation-liaison psychiatry interfaces between psychiatry and the rest of medicine as well as psychology, social work, nursing, and other behavioral science disciplines. This is a practical, up-to-date handbook providing a biopsychosocial, integrative perspective and drawing of the expertise of two renowned psychiatrists in the field. The book offers five major sections addressing the fundamentals of the field as well as an assessment the current status of the field.

The essential role of the psychiatrist as consultant and educator of primary care physicians is increasing in importance as the American health care system faces fundamental restructuring. In a recent workshop during the annual meeting of the American Psychiatric Association, a number of prominent consultation-liaison psychiatrists reviewed major developments in consultation-liaison psychiatry during the past decade and looked toward the future. This book is based on these presentations, but it is not simply a proceedings book. A number of additional experts have contributed important chapters, and all the chapters based on the presentations are expanded and updated. Thus, this book reviews the current state of consultation-liaison psychiatry and anticipates future challenges. It also informs the reader about the state-of-the-art knowledge and skills in consultation-liaison psychiatry as of 1994. This book should be a valuable up-to-date overview/refresher for both consultation liaison psychiatrists and general psychiatrists who wish to update and formulate his/her consultant role. It should be especially valuable for psychiatric residents for whom the role as consultant to primary physicians assumes increasing importance, and for primary physicians and medical students who are interested in learning about commonly encountered complex biopsychosocial problems of their patients and integrating these dimensions in patient care. I am grateful to Mary Safford and Eileen Bermingham of Plenum for their help with the preparation and production of this book. I am also thankful to Anita Shaw for her secretarial help. Hoyle Leigh, M. D.

Consultation-liaison psychiatry has evolved rapidly in the last decade, with significant expansion of services across the UK. Now in its third edition, Seminars in Consultation-Liaison Psychiatry provides a current, comprehensive, practically orientated guide that covers clinical topics, education, service development, audit and research. New and updated chapter topics cover the presentation, diagnosis, and management of common conditions, and chapters on organisational topics provide insights into developing and managing the context within which practice takes place. Each chapter is informed by the latest research while remaining hands-on in its focus, structured around common clinical scenarios that liaison staff encounter in hospital settings. A practical guide, this book is packed with essential reading for clinicians working at the interface between mental and physical healthcare.

Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization documents the development of Consultation-Liaison Psychiatry from its inception to the present. The book draws on contributions from philosophy, physiology, psychoanalysis, epidemiology and other disciplines to define the broad scope of the field. Distinctions and similarities between Consultation-Liaison Psychiatry and Psychosomatic Medicine will be of interest to psychiatrists, social workers, and health psychologists, as well as students, residents, and fellows pursuing careers in these disciplines.

This authoritative reference surveys mind-body healing concepts and psychosomatic medicine in diverse countries and regions of the world. It provides practical insights on the Western division between medical and mental healing and useful information concerning recent efforts to bridge that enduring divide, particularly in the use of ancient and indigenous healing knowledge in psychosomatic practice. Coverage compares and contrasts current applications of psychosomatic medicine and/or consultation-liaison psychiatry as conducted in such representative countries as France, Britain, China, India, Argentina, Canada, and the United States. And the book predicts how this synthesis of traditions and advances will progress as it: Traces the history and development of psychosomatic medicine. Reviews contributions of traditional healing methods to psychosomatic medicine. Analyzes national styles of psychosomatic medicine as practiced in specific countries. Compares the status of psychosomatic medicine / consultation-liaison psychiatry in various countries. Considers the future of psychosomatic medicine as the field, and the world, evolves. Global Psychosomatic Medicine and Consultation-Liaison Psychiatry expands the knowledge base for psychiatrists, primary care physicians, psychiatric and primary care residents, medical students, behavioral medicine specialists, and others who are interested global and regional perspective on providing biopsychosocial care. It is also relevant for advanced students in health psychology and behavioral medicine, and for professionals in related health fields.

This is a question-and-answer companion that allows you to evaluate your mastery of the subject matter. It is made up of approximately 390 questions divided into 39 individual quizzes each that correspond to chapters in the textbook.

This ambitious resource presents an inventive approach to integrating pediatric and mental health care based in comprehensive, family-centered service delivery. Its framework adds a problem-solving focus to the core principles of pediatric consultation-liaison psychiatry, emphasizing young patients’ developmental, family, and social context. An international panel of expert clinicians explores the value of the mental health component in treating complex and chronic cases across varied settings, as well as practical considerations in implementing collaborative pediatric care systemwide, including at the global level. Detailed case histories illustrate skills and traits essential to making this problem-based approach work, such as multidimensional thinking, a prevention mentality, a dedication to lifelong learning, and empathy and respect for young clients and their families. Included in the coverage: · Pediatric medicine for the child psychiatrist. · Safety issues in a general medical facility setting. · “Other medical” presentations and considerations in pediatric consultation-liaison psychiatry. · Principles of biopsychosocial formulation and interventions in the pediatric medical setting. · Preventive models for reducing major causes of morbidity and mortality in childhood. Child and adolescent psychiatrists, child and school psychologists, and physicians in pediatrics, general practice, and family medicine will welcome Pediatric Consultation-Liaison Psychiatry as both a robust training text and a blueprint for the future of children’s medicine.

Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient. The text's carefully chosen features and valuable content include: Historical context for the evolution of "pediatric psychosomatic medicine" to "pediatric consultation-liaison psychiatry," ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification. Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment. A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians. Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients. The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.

Somatically ill patients often also suffer from psychological symptoms. The diagnosis and treatment of these symptoms and their underlying psychiatric disorders are the task of consultation-liaison psychiatry. In this publication the latest developments, such as psychiatric comorbidity in general hospital inpatients as well as mental disorders in the outpatient setting, and special disorders like depression, alcohol abuse, and delirium, are discussed. One chapter on suicide attempts delineates the results and experiences from the 'German Competency Network on Depression'. The important topic of somatoform disorders in outpatient and inpatient settings is also reviewed. Non-German readers are usually are not aware that, in Germany, there are two distinct board-certified physician specialties dealing with patients with psychiatric illnesses, usually referred to as 'psychiatrists' and 'psychosomaticists'. In the 'Debate Section' succinct viewpoints are presented to enable the reader to decide whether this dichotomy is helpful or not in the clinical care of patients with psychiatric and somatic comorbidity. This publication is essential reading for psychiatrists, psychosomaticists, psychotherapists, geriatricians, psychologists, internists and health care planners. Also medical students and non-psychiatrists who want to broaden their view on how modern psychiatry can assist in the care of their patients will find it of special interest.