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The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
Trauma, stress, and disasters are impacting our world. The scientific advances presented address the burden of disease of trauma- and stressor-related disorders. This book is about their genetic, neurochemical, developmental, and psychological foundations, epidemiology, and prevention, screening, diagnosis, and treatment. It presents evidence-based psychotherapeutic, psychopharmacological, public health, and policy interventions.
Over 100 researchers from 16 countries contribute to the first comprehensive handbook on post-traumatic stress disorder. Eight major sections present information on assessment, measurement, and research protocols for trauma related to war veterans, victims of torture, children, and the aged. Clinicians and researchers will find it an indispensible reference, touching on such disciplines and psychiatry, psychology, social work, counseling, sociology, neurophysiology, and political science.
Although adjustment disorders (AD) have been included in the major psychiatric diagnostic classifications for over 50 years, no book devoted solely to the topic of AD's has been published to date. Apart from scant coverage in psychiatric textbooks, there is little to assist the doctor or therapist in understanding or making a diagnosis of AD. The result is the under-recognition of AD's in settings where it is believed to be a common condition. In general practice, where AD's are said to be the most common disorder, they are seldom recognized and are misdiagnosed as depressive illness (major depressive disorder) or generalized anxiety disorder. Even among psychiatrists, AD's are underdiagnosed, except in consultation-liaison psychiatry, and even there, changes in diagnostic practice are afoot. Adjustment Disorder: From Controversy to Clinical Practice provides concise and comprehensive information on AD's and advances a greater understanding and better diagnostic skills among those clinicians working with this group of patients. This accessible and clinically driven book is amplified by up-to-date theoretical information such as exploring the psychobiology of AD's, considering the best evidence-based treatments, and touching on the philosophical questions that AD's raise, such as whether AD's are actually a disease. The chapters follow a natural progression beginning with the history and controversies, through to epidemiology, diagnosis and treatment, then addressing the biology of AD's and concluding with an examination of AD's in special groups such as children and adolescents as well as in medico-legal settings.
In this revised and expanded second edition, Dr. Horowitz places special emphasis on treatment. The chapters on diagnosis, theory and therapeutic technique have been extensively revised. In ten years since the publication of the first edition, Dr. Horowitz has continued to direct the Centre for the Study of Neurosis at the Langley Porter Psychiatric Institute of the University of California, placing particular emphasis on psychotherapy of stress response syndromes. This clinical work has provided the background for a greatly expanded discussion of treatment technique and a new chapter on therapeutics of stress response syndromes. Mental health professional who want to be effective with patients experiencing the stress of bereavement, traumatic accident, medical illness or other life events should find this book a useful guide.
Trauma, stress, and manmade and natural disasters are increasingly impacting individuals and communities. The clinical and scientific advances presented here strive to address the rapidly expanding individual and community burden of disease resulting from the experience of traumatic or stressful events. The authors describe the suffering which trauma- and stressor-related disorders (TSRDs) cause, and explain in 30 concise chapters the state of the science for the DSM-5 trauma- and stressor-related disorders with regard to pathogenesis, diagnostic assessment and approach to treatment. This volume presents the genetic, neurochemical, developmental, and psychological foundations and epidemiology of the trauma- and stressor-related disorders, in addition to specific guidance on screening and evaluation, diagnosis, prevention, and biological, psychological and social treatments. The chapters in this book cover a variety of TSRDs: posttraumatic stress disorder, acute stress disorder, adjustment disorders, persistent complex bereavement disorder, and reactive attachment and disinhibited social engagement disordersd. Graphics, including neuroimaging are integrated for easy reference and to aid grasping of key concepts. The book draws on the current literature and provides brief case scenarios from individuals and families exposed to psychological or physical traumas, including mass trauma events. Factors contributing to susceptibility to these disorders and to resilience are also addressed. Trauma- and Stressor-Related Disorders provides an in-depth yet succinct introduction to current clinical and research knowledge for trainees and for professionals including psychotherapeutic, psychopharmacological, public health, and policy interventions. It addresses the level of evidence for different best practices to target the disabling cognitive, emotional or behavioral symptoms for a specific patient or population.
We all have to deal with stress sometimes. Learning to balance our many responsibilities, adjust to new situations, and handle multiple stresses is part of life. But does this mean that you should feel stressed all the time? What if you always feel overwhelmed? What if you simply can't adjust to a new challenge or situation? When the normal challenges of life cause such extreme emotional turmoil that a person cannot adapt and react appropriately, he may be suffering from an adjustment disorder. Those who suffer from adjustment disorders find it particularly difficult to adapt and function in their daily environments. Perhaps they are dealing with a loss or change in life, such as divorce, moving, a new baby, or an end to a relationship. Perhaps they overreact to minor stresses or have anxiety, depression, or conduct disorders that interrupt their normal life functions. When their inability to cope becomes a mental illness, people need help from medical professionals to gain control of their lives again. In Adjustment Disorders, you will learn about the antidepressants and anti-anxiety drugs available to treat adjustment disorders. Along the way, you will read about the history of psychiatric drugs, how they work, and current treatment methods. You will also read valuable information about what to expect when taking psychiatric drugs, as well as some of the most prevalent alternatives to drug treatment. Sharing the experiences of young people as they cope with divorce, disappointment, moving, depression, and anxiety may help you understand how such changes can affect your life as well...and where to turn if your reactions to these changes get out of control.
This book covers a curriculum of topics for treating patients with co-occurring intellectual disabilities and mental illness, better known as dual diagnosis (DD). Though these patients represent approximately three percent of the population, they are largely underserved due to a huge gap in the literature and limited training on this topic among non-psychiatric practitioners. They are often medically fragile and have co-occurring seizure disorders and other neurologic conditions, frequently presenting to psychiatrists with behavior problems when in fact they have undiagnosed, under-diagnosed or undertreated medical conditions. A medical professional who is not trained to spot the nuanced symptoms can therefore be unprepared to work with such patients. They may misdiagnose, inappropriately prescribe medications, and fail to employ the best practices as a result. This is particularly problematic because such patients often function at significantly higher levels when accurately diagnosed and appropriately treated. Written by experts in the field, this text covers the psychiatric and medical assessment of DD patients, neurologic conditions, interviewing techniques, medications, and other topics that DD patients may present with. The book also covers a myriad of other issues surrounding DD patients that physicians often struggle with, including DD patients at the interface of the legal system, human rights concerns, tips for working with families and caregivers, and general ethical considerations. The text is specifically designed for physicians who may need quick access to information in either print or digital form. Each chapter opens with case vignettes to easily demonstrate each particular scenario and is followed up with concise, practical information. All chapters include tables that summarize the clinical pearls as well as the DSM-5 and DM-ID diagnostic criteria that is most vital to care, making this an excellent resource in both the classroom and in a treatment setting. This book offers a pathway to accurate diagnosis and treatment, leaving psychiatrists and trainees better prepared to offer the full range of mental health treatment for their dual diagnosis patients.
Can traumatic life events cause depression? Studies generally point to a connection between adverse life events and depression. However, establishing a causal rather than associative connection, the key concern of this book, is more problematic. What neurobiological changes may be induced by stress and depression, and to what extent do these changes correspond? The authors structure their examination around three major themes: the pathophysiological role of stress in depression; whether or not a subtype of depression exists that is particularly stress-inducible; and, finally, how best to diagnose and treat depression in relation to its biological underpinnings.