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

Afflictions of the body can lead to disruptions in mental health. This is a foundation of integrative medicine and a person-centred approach in health care. Syphilis may be the classic historical trope for this observation, but the reality is that there are countless more medical conditions which have psychiatric significance and every psychiatrist must be fully equipped with this knowledge to enhance the effectiveness of our efforts to achieve an accurate understanding of the aetiology of the syndromes we encounter in our clinical practice. This volume offers an exemplary guide to this critically important interface; it is comprehensive, packed with clinically relevant guidance, and beautifully presented. Highly recommended for any psychiatrist who believes that the mind and body are inseparable.—Vikram Patel

Finally, a resource that lucidly describes medical diseases that cause psychiatric symptoms, and psychiatric diseases that cause physical ailments. The discussion of the overlap between these is the best I have read and will serve as a resource for psychiatrists, neurologists, and generalists for some time to come. It is a credit to the authors and the profession that this book is coming out now.—Dr. Allan H. Ropper, M.D., Professor of Neurology Harvard Medical School, Executive vice chair, Department of neurology Brigham, and Women's Hospital, Author of How the Brain Lost its Mind: Sex, Hysteria, and the Riddle of Mental Illness

Textbook of Medical Psychiatry is a handsomely written, scholarly and informative description of the overlap between psychiatric and other medical conditions, differential diagnosis and treatment approaches. Challenging the mind/brain duality, this book provides the scaffolding for addressing the myriad presentations that a clinician might encounter to determine whether the patient is evincing psychiatric symptoms that are a treatment side effect, a response to an illness, a complication of the accompanying medical condition or primarily psychiatric. Divided into four sections, it contains a section describing the clinical approaches leveraged by psychiatrists, internists and neurologists to generate robust differential diagnoses. A second section describes common co-occurring psychiatric symptoms among medical or neurological conditions and a third focuses on major psychiatric diagnostic categories with chapters that are erudite treatises on topics ranging from Neurocognitive Disorders to Neurodevelopmental Disorders. A final section covers pain, sleep and somatoform conditions. The utility of this engaging book is enhanced by a panoply of excellent tables such as Selected Neuropsychiatric Complications of Agents Used in Cancer Treatment and Cytochrome P450 Isoenzymes: Some Effects on Cardiac and Psychotropic Agents. Textbook of Medical Psychiatry is a must-read book for the trainee and seasoned clinician alike.—Maria A. Oquendo, M.D., Ph.D.

This book makes itself essential for efficiently learning information pertinent to patients with specific comorbidities. The in-depth yet specifically relevant content skillfully captures the needs of both a clinical and academic audience. Many books are relevant from either one perspective or the other; however, this book manages to bring them together seamlessly, both educating and making an argument for doing away with the remaining rift between psychiatry and medicine.—Hannah EH Williams, M.D., Doody's Book Reviews