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Textbook of Medical Psychiatry

Edited by Paul Summergrad, M.D., David A. Silbersweig, M.D., Philip R. Muskin, M.D., M.A., and John Querques, M.D.

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  • ISBN 978-1-61537-080-1
  • Item #37080
Coming February 2020!

Description

The Textbook of Medical Psychiatry was written for the wide range of clinicians who grapple with the diagnostic and treatment challenges inherent in this clinical reality: medical and psychiatric illnesses do not occur in isolation from one another. Because assessment in these cases may be challenging, the book addresses general medical conditions that directly cause psychiatric illness and the medical differential diagnosis of common psychiatric illnesses. In addition, the book describes how the presentation and treatment of both psychiatric and medical disorders are modified by the presence of comorbid conditions. The editors, who are at the forefront of the field, have assembled an outstanding group of contributors, all of whom share the objective of helping psychiatrists, internists, neurologists, trainees, and other health care providers recognize the medical issues facing patients with psychiatric symptoms, and vice versa. Proper assessment and treatment are dependent on the skillful application of this knowledge.

Written in down-to-earth, clinically grounded prose, this text

  • Provides a comprehensive exploration of approaches to the patient, including perspectives from internists and neurologists on dealing with diagnostic uncertainty and special chapters on the neurological examination, cognitive testing, neuroimaging, laboratory testing, and toxicological syndromes.
  • Presents a review of medical disorders that can directly or indirectly affect the clinical presentation and course of psychiatric disorders.
  • Presents a review of psychiatric disorders that can be caused by medical illnesses or affect the clinical presentation and course of medical disorders.
  • Includes chapters on pain, insomnia, and somatoform disorders, conditions that accompany many psychiatric and medical illnesses and that fall in the boundary between these practice settings.

In clinics and offices every day, physicians encounter patients whose presentations are atypical or whose symptoms are not responsive to usual care. When facing the challenges of accurately assessing complicated symptoms and managing the care of complex patients, clinicians often seek advice from colleagues whose perspectives and expertise they trust. The chapters in the Textbook of Medical Psychiatry can be consulted in much the same fashion, expanding clinicians' knowledge base and helping them to more effectively diagnose and care for their patients.

Contents

Foreword
Introduction: The Importance of Medical Psychiatric Illness
Part I. Approach to the Patient
Chapter 1. An Internist’s Approach to the Neuropsychiatric Patient
Chapter 2. The Neurological Examination for Neuropsychiatric Assessment
Chapter 3. The Bedside Cognitive Examination
Chapter 4. Neuroimaging, Electroencephalography, and Lumbar Puncture in Medical Psychiatry
Chapter 5. Toxicological Exposures and Nutritional Deficiencies in the Psychiatric Patient
Part II. Psychiatric Aspects of Medical Disorders
Chapter 6. Cardiovascular Disease
Chapter 7. Endocrine Disorders
Chapter 8. Inflammatory Disease
Chapter 9. Infectious Diseases
Chapter 10. Gastroenterological Disease
Chapter 11. Renal Disease
Chapter 12. Neurology and Neurosurgery
Chapter 13. Neurocognitive Disorders
Chapter 14. Neurodevelopmental Disorders
Chapter 15. Cancer
Chapter 16. Dermatology
Chapter 17. Obstetrics and Gynecology
Part III. Medical Aspects of Psychiatric Disorders
Chapter 18. Mood Disorders
Chapter 19. Psychotic Disorders
Chapter 20. Anxiety and Related Disorders
Chapter 21. Catatonia
Chapter 22. Substance Use Disorders
Part IV. Conditions and Syndromes at the Medical–Psychiatric Boundary
Chapter 23. Chronic Pain
Chapter 24. Insomnia
Chapter 25. Somatic Symptom and Related Disorders
Index

About the Authors

Paul Summergrad, M.D., is the Dr. Francis S. Arkin Professor and Chairman of the Department of Psychiatry at the Tufts University School of Medicine, where he is also Professor of Psychiatry and Medicine, and Psychiatrist-in-Chief of the Tufts Medical Center all in Boston, Massachusetts.

Philip R. Muskin, M.D., M.A., is Professor of Psychiatry and Senior Consultant in Consultation-Liaison Psychiatry at Columbia University Medical Center, in the Department of Psychiatry at the Columbia University Vagelos College of Physicians and Surgeons in New York, New York.

David A. Silbersweig, M.D., is Stanley Cobb Professor of Psychiatry at Harvard Medical School in Boston, Massachusetts; and Chairman of the Department of Psychiatry and Institute for the Neurosciences at Brigham and Women’s Hospital in Boston, Massachusetts.

John Querques, M.D., Chief of Inpatient Services; Associate Director of the Psychiatry Residency Program; and Associate Professor in the Department of Psychiatry, all at Tufts University School of Medicine in Boston, Massachusetts.

A major tragedy of modern healthcare systems in many parts of the world is unnecessary dichotomy between mental and physical illnesses. Any clinician would recognise that these are interlinked and need to be considered in a coherent cogent manner in order to provide best services for the patients whether they have co-morbidities or not. Dr. Summergrad and colleagues are to be congratulated in developing the theme of medical psychiatry in linking physical and mental illnesses. The book is full of gems about medical conditions which cause psychiatric illnesses. It will be of great interest to clinicians at all levels and specialities. Highly recommended.—Dinesh Bhugra, CBE, PhD, MBBS, FRCP, FRCPE, FRCPsych, MA, MSc, MPhil; President, British Medical Association (2018-2019); President, World Psychiatric Association (2014-2017); President, Royal College of Psychiatrists (2008-2011)


The Textbook of Medical Psychiatry is designed to review the overlap of medical/neurologic and psychiatric illness and then to assist medical and psychiatric practitioners in the development of approaches to systematic assessment and intervention for these patients. The book is an important contribution to the literature since it defines the multiple components of psychiatric presentations and their potential and often real interactions/connections with co-existing medical and neurologic conditions. Inherent in this book is the implication that psychiatric presentations are intimately connected to many physical disorders that cannot be overlooked as patients are assessed and then assisted in the healing process.—Roger G. Kathol, M.D., President, Cartesian Solutions, Inc. and Adjunct Professor of Psychiatry, University of Minnesota


Combined or co-occurring medical and psychiatric illnesses are critically important in both general and specialty medical care. Through case examples, developing a differential diagnosis and clinical reasoning, and reviewing the evidence-based approaches for management and treatment, this textbook will be the standard in the field. Drs. Summergrad, Silbersweig, Muskin, Querques and colleagues from general and subspecialty medical and psychiatric disciplines, have provided clinicians with an incredibly thorough, well-organized, clearly written and useful textbook. It is a major and significant contribution that is very much needed and appreciated.—Michelle B. Riba, MD, MS, DFAPA, FACLP; Professor, Department of Psychiatry, University of Michigan; Director, Consultation-Liaison Fellowship; Director, PsychOncology Program, University of Michigan Rogel Cancer Center; Associate Director, University of Michigan Comprehensive Depression Center


Psychiatry became a separate medical specialty two centuries ago, but never strayed very far from its roots. It's impossible to be a competent doctor without knowing a great deal of psychiatry—or to be a competent psychiatrist without being a really good doctor. Medical illness can mimic or cause all sorts of psychiatric problems and vice-versa. The first step in every differential diagnosis in psychiatry must be to rule out medical illness. A substantial minority of patients in general medical practice present with emotional problems. And the bulk of psych meds—80 percent—are prescribed not by psychiatrists, but by primary care docs. Sadly, patients with combined medical and psychiatric problems are often neglected by, and get the worst care from, both specialties. This vital book beautifully bridges this yawning gap. It will enrich the practice of medical doctors from all the specialties and of mental health workers from all the disciplines. I think it should become required reading for all medical students. It has my highest recommendation.—Allen Frances, M.D., Professor & Chair Emeritus, Department of Psychiatry, Duke University; Chair, DSM-IV Task Force; Author, Saving Normal


Although the etymology of psychiatrist is physician of the soul, the psychiatrist is first and foremost physician. To be fully informed and conversant in the psychiatric manifestations of medical illness, to have at the ready knowledge of the way medical disease can mimic psychiatric disorder and to be expert in how derangements of thought, emotion and behavior can be signals of medical disorder are essential to being a psychiatrist. Moreover the need for this expertise is surging with the growing demand for care of psychiatric symptoms and disorders and the increasing reliance on behavioral health integration into primary healthcare settings to meet this need. This volume delivers the content to meet this need with authority and breadth and will prepare and support colleagues at the forefront of this expanding collaborative interface for our field.—Jerrold F. Rosenbaum, M.D., Chief of Psychiatry, Massachusetts General Hospital; Stanley Cobb Professor of Psychiatry, Harvard Medical School

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