Consultation Liaison Psychiatry

Preceded by American Psychiatric Publishing textbook of psychosomatic medicine: psychiatric care of the medically ill / edited by James L. Levenson. 2nd ed. 2011.

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.

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.

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.

Although consultation liaison (CL) psychiatry has been practiced informally for many years, it has been recognized as a psychiatry subspecialty for less than two decades. This textbook addresses the important interface between the wide range of medical or surgical conditions and comorbid psychiatric disorders encountered in most hospital settings as well as outpatient sites. Because many patients admitted to a general hospital may have one or more psychiatric conditions that require attention and treatment to facilitate their recovery, this book will be an essential addition to any CL psychiatrist's library; it will be equally useful for consultation liaison psychiatry fellows, psychiatry residents, general psychiatrists who are interested in CL psychiatry or who perform psychiatric consultations from time to time, medical students on their CL psychiatry clerkships, psychiatric nurse practitioners, and attending neurologists and neurology residents and fellows.This book includes chapters that address the most prevalent, as well as rare medical conditions found among hospitalized patients and reviews assessment and treatment of the co-occurring psychiatric condition. For example, the Heart Disease chapter addresses patients' responses to a new, potentially life-threatening cardiac event, and explains the essential steps and interventions a CL consultant should take to optimize patient care and safety - as well as ways to help the care team to better understand and manage their own stress. Other chapters, among a total of 24, include Women's Health, Ethical and Legal Issues, and Eating Disorders. In addition, this book covers new areas or ones that are rarely or less comprehensively addressed in other CL texts, among them: Vulnerable Populations (including sections on psychiatric assessment and care of veterans, refugees, prisoners, LGBTQ-identified patients, and elders), Quality and Outcomes, Collaborative Care, and Telepsychiatry. This text includes more than 60 tables, and each chapter includes five multiple choice study questions with annotated answers. As a stand-alone reference, it is an inclusive, up-to-date, and state-of-the art database for this exciting and essential subspecialty. When paired with its sister text, Fundamentals of Consultation Liaison Psychiatry: Neuropsychiatry, these two volumes will empower readers to more precisely and comprehensively assess and treat medical or surgical patients suffering with one or more psychiatric conditions that may be adversely affecting their health and recovery.

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.

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.

Rev. ed. of: Clinical manual of psychosomatic medicine / Michael G. Wise, James R. Rundell. 1st ed. c2005.