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Written with clinicians in mind, this book demonstrates the use of Cognitive Behavior Therapy with individuals who are at risk of developing psychosis. Divided into three parts, the book opens with the background to the clinical trial including the rationale for the early intervention strategy, assessment strategies to identify "at risk" groups, and a review of prevention strategies. In Part II the focus is on the application of cognitive therapy for this group. Part III examines strategies for change, as well as specific issues including social isolation and relapse prevention.
A timely overview of new psychological interventions in this exciting and emerging field, Working with People at High Risk of Developing Psychosis: A Treatment Handbook presents the most up-to-date progress in the identification of individuals who are at ultra high risk of developing a psychotic illness. The book focuses on a range of psychological interventions that are currently being developed, tested, and used in order to alleviate these early symptoms and attempt to delay or even prevent the onset of a psychotic illness. Even for those who will not go on to develop an illness, such interventions are helpful in the alleviation of their presenting symptoms. This practical treatment handbook addresses a wide range of issues presented by "at risk" clients. Specific chapters, written by experts in that particular area, cover stress management, co-morbidity, substance misuse, family work and group therapy.
These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery.This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment.
Written with clinicians in mind, this book demonstrates the use of Cognitive Behavior Therapy with individuals who are at risk of developing psychosis. Divided into three parts, the book opens with the background to the clinical trial including the rationale for the early intervention strategy, assessment strategies to identify "at risk" groups, and a review of prevention strategies. In Part II the focus is on the application of cognitive therapy for this group. Part III examines strategies for change, as well as specific issues including social isolation and relapse prevention.
Using the authors' over thirteen years of experience at the psychosis-risk clinic at Yale University School of Medicine, The Psychosis-Risk Syndrome presents a concise handbook that details the diagnostic tools and building blocks that comprise the Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear and to the point, this volume provides an in-depth description of this new clinical high-risk population, along with instructions on how to use the SIPS to evaluate persons for psychosis-risk.The handbook's main section takes the reader step-by-step through the SIPS evaluation, tracking how patients and families find their way to the clinic, the initial interview, the evaluation process, and the summary session consisting of findings and future options. The core diagnostic symptoms of the SIPS and psychosis-risk states are illustrated with dozens of symptom and case examples drawn from real but disguised patients from the Yale clinic. With an emphasis on clinical usefulness, the handbook finishes with "practice cases" for the reader to test his or her new skills at evaluating clinical populations for psychosis-risk.
The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.
DSM-5® Casebook and Treatment Guide for Child Mental Health offers trainees and clinicians who provide mental health services to children and adolescents a concise but conceptually and clinically rich guide to the types of disorders commonly found in practice. The cases are either new or updated from the previous publication, which was designed as a child mental health casebook for DSM-IV-TR, and were chosen to illustrate advances in diagnosis and evidence-based assessment and treatment with DSM-5 in mind. For each case, commentaries are included from a child and adolescent psychiatrist and child psychologist (or another mental health professional), who review each vignette and address diagnostic formulation and treatment from both psychotherapeutic and psychopharmacologic perspectives, with attention to other modalities that might be important for clinical management. This panel approach allows for a diversity of perspectives and provides valuable, complementary insights into each case. The book is structured in a logical, user-friendly way, with many features that facilitate and enhance learning: Cases are divided into four sections, each with an introduction by the editors, who summarize and contextualize the information presented in that part, providing a framework for understanding and building bridges to the other sections. The 29 case vignettes are fascinating, instructive, and diverse. The cases range from fairly clear diagnoses, to more complex presentations (such as when patients with comorbid conditions), to the most difficult cases (when the diagnosis is unclear, the patient has not responded to previous treatment, only limited evidence is available on the correct means of treatment, and/or the patient's psychopathology occurs in the context of extreme psychosocial stressors). The book's final part addresses diagnostic and treatment decision making and includes two chapters on clinical and research issues in the diagnosis and treatment of child psychopathology. The book's cross-disciplinary approach makes it appropriate for clinicians and trainees from all disciplines who are involved in treating children and adolescents with mental health problems. DSM-5® Casebook and Treatment Guide for Child Mental Health is unparalleled in its engaging style, up-to-date information, and expert, evidence-based guidance in conceptualizing diagnosis and treatment.
Schizophrenia is one of the most complex and disabling diseases to affect mankind. Relatively little is known about its nature and its origins, and available treatments are inadequate for most patients. As a result, there are inevitable controversies about what causes it, how to diagnose it, and how best to treat it. However, in the past decade, there has been an explosion of new research, with dramatic discoveries involving genetic etiology and epidemiological risk factors. There has also been a catalog of new drugs coming to market, and controversy about the relative advantages and disadvantages of newer compared with older therapies. In addition, developing technologies in genomics, molecular biology and neuroimaging provide streams of new information. This book represents a definitive, essential, and up-to-date reference text on schizophrenia. It extensively and critically digests and clarifies recent advances and places them within a clinical context. The Editors (one American and one British), highly respected clinical psychiatrists and researchers and acknowledged experts on schizophrenia, have again assembled an outstanding group of contributors from the USA, UK, Europe and Australia, It will be of value to practising psychiatrists and to trainees, as well as to clinical and neuroscience researchers interested in keeping up with this field or coming into it. The book consists of four sections: descriptive aspects, biological aspects, physical treatments, and psychological and social aspects. It reviews the theoretical controversies over symptomatology, classification and aetiology (particularly pertinent as DSM-V is being developed), the relationship of schizophrenia to the other psychoses, the significance of positive and negative symptoms and pre-morbid personality. It describes a variety of approaches to integrating the vast research data about schizophrenia, including neurodevelopmental, genetic, pharmacological, brain imaging and psychological findings. The biological treatment section reviews the comparative efficacy of various drugs, the management of drug-resistant patients and both neurological and metabolic complications. The final section looks at psychological therapies, social outcomes, and the economics of schizophrenia. Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Risk Factors for Psychosis: Paradigms, Mechanisms, and Prevention combines the related, but disparate research endeavors into a single text that considers all risk factors for psychosis, including biological, psychological and environmental factors. The book also introduces the ethics and current treatment evidence that attempts to ameliorate risk or reduce the number of individuals with risk factors developing a psychotic disorder. Finally, the book highlights new research paradigms that will further enhance the field in the future. Psychotic disorders affect more than 50 million people worldwide, creating a devastating effect on lives and causing major financial and emotional impact on families and on society as a whole. The search for risk factors for psychosis has developed rapidly over the past decades, invigorated by changes in the thinking about the malleability and treatability of psychotic disorders. The paradigms for investigating psychosis risk have developed, often in parallel, but there has been no book to date that has summarized and synthesized the current approaches. - Integrates research from biological, psychological and environmental factors into a single resource - Offers insight into at-risk paradigms, biomarkers, and the current state of research on treatment option for psychosis - Presents a holistic and dynamic look at risk syndromes and how they can be measured through neuroimaging, neuropsychology and other methods