Dynamic Consultations With Psychiatrists

Unique resource detailing the day-to-day activity of doctors who work on “the coal face” of psychiatry in an acute setting Dynamic Consultations With Psychiatrists is the outcome of a collaboration between the psychiatrists of a certain hospital and the author, which has continued successfully for more than ten years, containing a number of patient consultations and cases where psychiatry was used successfully to solve a patient’s problem. The presentation of each case, and particularly of the consultation, is meant to demonstrate the process by which insights were gained. Each consultation is written in plain English with the deliberate avoidance of terminology and especially psychoanalytic jargon. Naturally, all identified features of the patients have been deleted or changed so that the patients’ privacy is not compromised. The format is near to a transcript so that the work demonstrates how the understanding evolves and emerges from the process. The structure of the book is not according to a diagnosis but according to “presenting problem” (in other words, the most prominent feature), allowing for easy and efficient accessibility. Sample concepts and learning resources covered and included in Dynamic Consultations With Psychiatrists are as follows: How a doctor is faced with a patient who is suffering in their own particular way and how the clinician gets to develop a deeper understanding of their predicament Difficulties the “coal face” doctors encounter and the challenges they will face in their personal emotional wellbeing Relationships with the other professionals both within their hospital and other agencies Curtailed histories so that there is a seamless exposition of how the conclusions of the consultation have been reached Psychiatrists, psychotherapists, and students/instructors in related programs of study can use Dynamic Consultations With Psychiatrists to gain valuable insight into the thought process of practicing psychiatrists in relation to a myriad of patient problems, allowing them to learn vicariously and become better at dealing with their own patients’ problems.

This book guides psychiatry trainees through some of the most common psychiatric consultation requests in the general medical hospital, using accessible, case-based narratives. Clinical case scenarios are used to demonstrate how to consider both medical and psychological factors involved in the consultation, and the approach to challenging interpersonal dynamics that may occur between the hospitalized patient and the primary medical team. Each case illustrates how to begin to think like a consultation-liaison psychiatrist in order to arrive at a diagnosis and formulate a treatment plan in complex clinical situations. Cases unfold in real time to highlight the critical role of the psychiatrist as liaison to the patient and medical team in order to guide psychiatric management and facilitate effective communication and treatment in the hospital. In addition to clinical cases, each chapter features a concise list of strategies to identify and address patient symptoms and behaviors, interpersonal dynamics, and barriers to care that arise in the hospital. The Psychiatric Consult features resident-specific recommendations and a case-based format that make it a unique, realistic, and engaging learning tool.

This book illustrates clinical, psychoanalytic approaches to understanding people in depth, even when breadth of understanding is severely constricted by the brevity of a consultation. It considers the changing times in which psychoanalytic psychotherapists carry on consulting.

The fields of psychiatry and child psychiatry are encumbered by numerous and complex relational, medicolegal, and ethical dilemmas. This practical and clinically relevant book attempts to bring clarity to complex clinical presentations through the integration of psychodynamic, family systems, medicolegal, and ethical perspectives. It recognizes that the intimate and often difficult work with such complex cases requires consultation with multidimensional experts to address psychodynamic, family, ethical, and therapeutic issues. In the process, the author aims to foster the comfort and skill in dealing with these cases that is essential to the personal and professional growth of the psychiatrist. It is further anticipated that the book will assist in developing best practice standards for assessment and intervention in cases of this nature.

Covering the major psychiatric disorders encountered in consultation psychiatry, this text discusses when a psychiatric consultation is necessary, how to approach a patient in a medical setting and what qualities contribute to an effective consultant.

This volume documents the vibrant energy and productivity of Japanese consultation-liaison psychiatrists who have developed a new biopsychosocial model for the treatment of patients with a variety of serious diseases. It begins with an overview on the historical background and the present issues in Japan. Further articles deal with psychiatric problems in transplant medicine, psychonephrology, psychooncology and HIV/AIDS. Finally drug-induced psychosis and psychosomatic problems of diabetes patients are discussed. The book will be useful to any physician or mental health care professional who works with the medically ill. It demonstrates the wide range of knowledge and treatment options available to mental health care professionals to intervene when dealing with patients suffering of a serious disease.

In today's world of managed care -- characterized by limited mental health resources, emphasis on accountability, concerns of third-party payers, and consumer need -- the demand for mental health professionals to use briefer therapeutic approaches is on the rise. Fully 84% of all clinicians are doing some form of planned brief therapy (6-20 sessions per year per patient). Yet despite clinical advances and outcome data that demonstrate the effectiveness of short-term therapy, many therapists -- in fact, 90% of those whose theoretical orientation is psychodynamic rather than cognitive-behavioral -- are reluctant to learn briefer interventions, seeing value only in long-term, depth-oriented work. The second edition of this Concise Guide is intended to help educate both beginning and experienced clinicians in the strategies and techniques of time-attentive models and to foster more positive and optimistic attitudes toward using these important therapies. The seven therapeutic models presented here -- including an entirely new chapter on time-limited group therapy -- highlight the importance of the interpersonal perspective. The seven models, one per chapter, represent well-established short-term approaches to clinical issues that therapists commonly encounter in their clinical practices. These models also have clearly defined intervention techniques and formulation strategies and can be used within the 10- to 20-session time frame of most managed care settings. The first part of each chapter dealing with a therapeutic model lists the various presenting problems the authors deem most suitable for treatment by that particular approach. The authors discuss the overall framework of each model, selection criteria, goals, therapeutic tasks and strategies, empirical support, and relevance for managed care, with clinical cases to illustrate the application of each model. The authors include updated chapters on supportive, time-limited, and interpersonal therapies; time-limited dynamic psychotherapy; short-term dynamic therapy for patients with posttraumatic stress disorder; brief dynamic therapy for patients with substance abuse disorders; an entirely new chapter on time-limited group therapy; and a final chapter on the reciprocal relationship between pharmacotherapy and psychotherapy. Meant to complement the more detailed information found in lengthier psychiatric texts, this Concise Guide (it is designed to fit into a jacket or lab coat pocket) is a practical and convenient reference for psychiatrists, psychiatric residents, and medical students working in a variety of treatment settings, such as inpatient psychiatry units, outpatient clinics, consultation-liaison services, and private offices.