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Obesity and psychiatric concerns are closely linked. This issue examine obesity and psychiatric status, and includes articles on binge eating disorder and night eating syndrome. This issue provides guidance on the medical evaluation of the obese individual, behavioral assessment, dietary management, and behavioral treatment. Articles on motivational interviewing, pharmacotherapy for obesity and surgical treatment of obesity give the full spectrum of treatment options. Finally this issue examines obesity as a public health epidemic.
This issue of Psychiatric Clinics, guest edited by Drs. Harry Brandt and Steven Crawford, is the second of two issues dedicated to a comprehensive review of the latest in Eating Disorder diagnosis and treatment. Under the guidance of series consulting editor Dr. Harsh Trivedi, Drs. Brandt and Crawford will cover a number of essential topics, included, but not limited to: Levels of Care and Treatment Guidelines, CBT and CBT-E, Interpersonal Therapy, Family Based Treatment, Self-help Treatment of eating disorders, Pharmacologic Treatment of Eating Disorders, Technology and Treatment of Eating Disorders, Guide to Medical Complications in Eating Disorders and their management. Guide to Medical Complications in Eating Disorders and their management, Eating Disorder Prevention, Eating Disorders Advocacy, and Eating problems and Eating Disorders Associated with Bariatric Surgery, among others.
This book is written for providers of broad training backgrounds, and aims to help those who care for people with EDs, overweight and obesity provide evidence-based care. The goal of the book is to provide these providers with a straightforward resource summarizing the current standard of care. However, it goes further by also introducing the concept of food addiction (FA) as a model to understand some forms of overeating. This book discusses the pros and cons of embracing FA and reviews the evidence for and against the validity and utility of FA. By doing so, the chapters convey a “middle ground” approach to help people with obesity, BED, and bulimia nervosa plus FA symptomatology who also want to lose weight. The text discusses FA by reviewing several of the main ongoing controversies associated with the construct. It reviews both the clinical and neuroscientific evidence that some individuals’ eating behavior mirrors that seen in substance use disorders (SUD), such as how their relationship with food appears to be “addictive”. Chapters also discuss how many of the mechanisms known to underlie SUDs appear to drive overeating in animal models and humans. Finally, the text argues that the similarities between the brain mechanisms of addictive disorders and overeating behavior has the potential to open up new avenues for current treatment and treatment development. Food Addiction, Obesity and Disorders of Overeating: An Evidence-Based Assessment and Clinical Guide is suited for both medical and mental health practitioners, including physicians in primary care or psychiatry, nurses, psychologists, social workers, medical students and medical residents. It could also be utilized by researchers in obesity and ED fields, stimulating ideas for future research and study design.
A major shift in approaching Schizophrenia has been witnessed among psychiatrists with the belief now that early diagnosis and intervention may have a positive influence on the outcome of schizophrenia. The search for key diagnostic clusters to enhance early diagnosis is underway as well as concerted efforts to find biomarkers of disease and disease progression. To address this, this issue of the Psychiatric Clinics of North America presents distinguished academic clinicians and neuroscientists who provide comprehensive overviews of the present state of knowledge on the epidemiology, early clinical characteristics, and diagnostic changes, proposed pathogenesis, neurobiology, and treatment requirements for this disorder. The current state of knowledge is substantial, academically credible, and scientifically based. Topics on the subject of early intervention in and diagnosis of schizophrenia include: Nosology of Schizophrenia: Defining Illness Boundaries Based upon Symptoms; Neurodevelopmental Hypothesis of Schizophrenia; Predicting Risk and the Emergence of Schizophrenia; Is Early Intervention for Psychosis Feasible and Effective?; Can Neuroimaging Be Used to Define Phenotypes and Course of Schizophrenia?; Reliable Biomarkers and Predictors of Schizophrenia and Its Treatment; From Study to Practice: Enhancing Clinical Trials Methods Toward 'Real World' Outcomes; Relapse Prevention in Schizophrenia; Antipsychotic Polypharmacy; Cognitive Remediation: Retraining the Brain in Schizophrenia; Peers and Peer-led Interventions; Homelessness; and The Emerging Role of Technology and Social Media in Caring for People with Schizophrenia. Each presentation in this publication includes an Overview, Implications for Practice, with Summarizations of Important Clinical and Learning Points.
This book equips readers with the knowledge required to improve diagnosis and treatment and to implement integrated prevention programs in patients with eating and weight disorders. It does so by providing a comprehensive, up-to-date review of research findings and theoretical assumptions concerning the interface and interactions between body image and such disorders as anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding and eating disorders, orthorexia nervosa, overweight, and obesity. After consideration of issues of definition and classification, the opening part of the book examines the concept of body image from a variety of viewpoints. A series of chapters are then devoted to the assessment of the multidimensional construct “body image”, to dysmorphophobia/body dysmorphic disorder, and to muscle dysmorphia. The third part discusses body image in people suffering from different eating disorders and/or overweight or obesity, and two final chapters focus on body image in the integrated prevention of eating disorders and obesity, and cultural differences regarding body image. The book will be of interest to all health professionals who work in the fields of psychiatry, clinical psychology, eating disorders, obesity, body image, adolescence, public health, and prevention.
This issue discusses the diagnosis and treatment of major depressive disorder (MDD) and other depressive disorders, with an emphasis on the psychosocial aspects of depression: how it affects societies, how it is affected by culture, and what the true meaning of recovery is for those suffering from MDD. The issue is divided into three section: Etiology, Diagnosis and Treatment. Authors address the evidence where biology and subjectivity meet. They discuss what is adaptive and what is pathologic and discuss population-based solutions that take into account the specificity of the individual. Authors also take into account combination treatments of psychotherapy and pharmacotherapy and weigh the treatment choices against specific patient subtypes.
There has been much debate among researchers and health professionals over the causes, cures and definitions of eating disorders. Anorexia nervosa and bulimia are terms used to describe particular eating disorders. Obesity is a ratio of body weight and height, and may be the result of an eating disorder.
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.
This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf
Obesity has become a major health epidemic. The psychiatric aspects of obesity--contributing to the condition as well as resulting from it--are important for every psychiatrist to understand. This issue examines obesity from a psychiatric standpoint, discussing topics such as body image, behavioral assessment and treatment, obesity and psychiatric status, and self-help programs. The issue also provides numerous articles on the medical treatment of obesity, giving psychiatrists a solid base of knowledge with which to council their obese patients.