Stuart C. Yudofsky

H. Florence Kim

What is neuropsychiatry? This remarkable volume answers that question -- and more. Neuropsychiatry, which focuses on assessment and diagnostic issues at the interface of psychiatry and neurology, is enjoying a renaissance, largely because of the technological innovations detailed in these five chapters. Here, 11 recognized experts have assembled an overview of the essential techniques, current research, and future trends in neuropsychiatric assessment, focusing on clinical applications for psychiatry patients. This eminently practical work begins with the cornerstone of any neuropsychiatric assessment, the physical examination and the medical and psychiatric history. Included here is a head-to-toe compendium of important signs and symptoms to elicit, along with the differential diagnoses of neuropsychiatric disorders to consider when faced with a particular constellation of signs and symptoms. Subsequent chapters discuss The critical importance of the neuropsychological examination, traditionally administered by neuropsychologists and thus often overlooked by psychiatrists in routine workups of their patients. Topics addressed include the clinical approach to the interview process, fixed- and flexible-battery approaches to assessment, interpretation pitfalls, and future trends. The authors illustrate how this essential tool can reveal the major cognitive domains that may be involved in neuropsychiatric disorders and show how specific patterns of deficits in certain domains may help determine a neuropsychiatric diagnosis. The relevance of electrophysiological testing, an underused but invaluable resource, to neuropsychiatric disorders. The authors discuss standard, topographic, and quantitative electroencephalography; cerebral evoked potentials, and polysomnography, providing recommendations for the application of these tools in certain clinical situations (e.g., cognitive decline, rapid-cycling bipolar disorder) and projections for broader uses of electrophysiological testing in the future. The key importance of laboratory testing, especially in view of the complex array of neurological and medical illnesses that may underlie the symptoms of neuropsychiatric patients. The lack of consensus guidelines for the use of conventional laboratory testing, chest X rays, and electrocardiograms in screening patients with neuropsychiatric symptoms continues to constrain our ability to help these patients. The potential of today's increasingly sophisticated neuroimaging approaches -- from structural and functional magnetic resonance imaging and magnetic resonance spectroscopy to diffusion tensor imaging and positron emission tomography -- to reveal the brain and its pathways with unprecedented clarity. The authors provide a fascinating overview of the techniques involved and the current research findings in schizophrenia, major affective disorder, and obsessive-compulsive disorder. Intended to bring us closer to our goals of early detection of, more specific treatments for, and, ultimately, prevention of psychiatric illness, this in-depth yet concise volume on the research and practice of neuropsychiatry will find a wide audience among students, residents, and clinicians.

Neuropsychiatric Assessment

Robert E. Hales

This densely informative textbook comprises 40 scholarly, authoritative chapters by an astonishing 89 experts and combines junior and senior authors alike to enhance the rich diversity and quality of clinical perspectives. The editors have added a chapter on interpersonal therapy and updated all chapters to include the latest references and research findings. Selected chapters have been completely rewritten by new authors. This wide-ranging reference is divided into four main parts: the theoretical bases of psychiatry, from genetics and normal development to various psychiatric assessment tools; psychiatric disorders, including those usually first diagnosed in infancy, childhood, or adolescence; the latest treatments, from psychopharmacology and electroconvulsive therapy to hypnosis and various types of psychotherapy; and special clinical topics such as suicide, violence, women's mental health, cultural psychiatry, the law and psychiatry, and ethics and psychiatry.

The American Psychiatric Publishing Textbook of Clinical Psychiatry

Part psychiatric textbook and part self-help manual for patients and clients, Fatal Flaws reviews comprehensively the course, treatment, genetics, biology, psychology, and destructive consequences of hysterical (histrionic), narcissistic, antisocial, paranoid, obsessive-compulsive, addictive, borderline, and schizotypal personality disorders.

Navigating Destructive Relationships with People with Disorders of Personality and Character

Fatal Flaws

Patrick W. Corrigan

Cognitive rehabilitation is a relatively young and rapidly changing field that extends beyond the amelioration of symptoms and control of dysfunctional behavior in the treatment of neuropsychiatric disorders. Instead, it emphasizes identifying and building on patients' strengths, and ultimately facilitating the acquisition of the cognitive-behavioral skills needed to improve quality of life. Cognitive Rehabilitation for Neuropsychiatric Disorders is a useful tool for clinicians who work with patients who have cognitive disabilities associated with neuropsychiatric conditions. A distinguished group of scientist practitioners share their up-to-date expertise on "normal" cognitive function and the concept of cognitive rehabilitation. Comprehensive in scope, the book covers a wide range of practical issues in cognitive rehabilitation. Cognitive Rehabilitation for Neuropsychiatric Disorders presents an exceptional overview of the current knowledge about cognitive function and dysfunction, as well as the therapeutic strategies used to restore function that is lost as the result of central nervous system (CNS) disorders. Delving into a new subject area, this volume aims to aid the clinician in choosing treatment options that are relevant, respectful, and effective for patients with cognitive problems resulting from CNS disorders. Environmental requirements for setting up rehabilitation programs and the uses and potential of progressive techniques such as video and computer equipment are explored. Four models that serve as frameworks for organizing and developing treatment strategies are discussed, and detailed information is provided on what is known about cognitive deficits in depression, psychiatric disorders, and social anxiety.

Cognitive Rehabilitation for Neuropsychiatric Disorders

Today's busy trainees and practitioners can now turn to this economical new paperback-- Essentials of Clinical Psychiatry, which provides a unique synopsis of the most important material--20 of the original 40 chapters--included within the fourth edition of the classic The American Psychiatric Publishing Textbook of Clinical Psychiatry. A condensed and efficient companion to the Textbook, this book provides essential updates to the clinical material in a size amenable to reading and referencing. A remarkable team of 51 distinguished experts have created a compelling reference reflecting a biopsychosocial approach to patient treatment that is at once exciting and accessible. Here, these contributors have distilled the essence of their work into 20 skillfully crafted chapters--including three new chapters on the clinical treatment of children and adolescents--updating key clinical information related to a variety of settings (e.g., inpatient, partial hospitalization, outpatient, and rehabilitation programs). Carefully organizing their chapters around three broad areas, from normal development and assessment methods to diagnostic information and finally to treatment, these authors update and summarize Â• Normal child and adolescent development, the psychiatric interview, psychiatric history, and mental status examinationÂ• A broad spectrum of psychiatric disorders that affect infants, children, adolescents, adults, and seniors (e.g., delirium and dementia disorders; substance abuse; schizophrenia; mood, anxiety, somatoform, factitious, dissociative, adjustment, sexual and gender identity, personality, sleep, eating, and impulse-control disorders)Â• The latest treatments, including psychopharmacology and electroconvulsive therapy; psychoanalysis, psychoanalytic psychotherapy, and supportive psychotherapy; and treatment of children and adolescents Combining the efforts of junior and senior authors has further enhanced the effectiveness of this new abridged version. The resulting blend of new research insights and fresh, expanded perspectives with considerable wisdom and vast research and clinical experience enriches the diversity and quality of the material and increases its appeal to readers at all levels of educational and clinical experience. A broad, integrated knowledge of both psychology and neuroscience is the essence of psychiatric practice and the ideal basis for treatment decisions. Essentials of Clinical Psychiatry delivers core knowledge to psychiatry residents and practitioners alike and will also prove useful to physicians in other fields (e.g., family practice, internal medicine, pediatrics, neurology) and interested laypersons.

Essentials of Clinical Psychiatry

Jude Berman

Written and edited by an international group of experts including 39 new authors, the third edition of the American Psychiatric Press Textbook of Neuropsychiatry is now compatible with DSM-IV and has been revised to provide psychiatrists, neurologists, neuropsychologists, internists, and residents with the latest developments in research, clinical practice, and diagnostic technology. This is a study guide to the textbook.

Study Guide to the American Psychiatric Press Textbook of Neuropsychiatry

People can become stuck in many ways and for a wide variety of reasons, explains the author of Fatal Pauses, that rare book that both clinicians and general readers can benefit from and enjoy. Novelistic in its depictions of composite patients but clear-eyed in its analysis, the book offers a "3-D method" of addressing "stuck"-ness, which is defined as "not stopping something that is bad for us" or "not starting and staying with something that is good for us." The process of discovering why one is stuck, deciding to become unstuck, and then asserting the discipline required to do so is brought to vivid life by one of the most respected psychiatrists of our day. The book's structure is logical and engaging: The Am I Stuck? Scale can be self-administered by general readers or administered by clinicians to their patients. This first chapter sets the stage for what follows. The 3-D method of getting unstuck is presented in a systematic, easy-to-comprehend manner that begins with a brief overview and proceeds to more detailed instructions and insights. Riveting case examples make up the heart of the book. They are not mere summaries but consist of thorough and detailed clinical descriptions that provide context, in addition to extensive dialogue and analysis. Several of these cases are divided into multiple chapters, providing a comprehensive clinical picture to help both mental health professionals and lay readers increase their understanding of being "stuck." A range of categories or "stuck"-ness is addressed, including being trapped by career choices, limited by obesity, paralyzed by an unsatisfying marriage, incapacitated by addiction, and imprisoned by the need to please. Of special note is the case example of a young man whose interpersonal relationships have gradually, but progressively, become reduced to computer-based encounters. The author's examination of this individual's fixation on video games and virtual realities and his escape from this cyberprison through treatment is both timely and compelling. Finally, the author provides an evolutionary and neurobiological overview of how we become "stuck," which helps the reader grasp the underpinnings of this behavior and learn how to become "unstuck." Written in a warm and disarming style, Fatal Pauses will find a home in clinicians' libraries,waiting rooms, and on family room bookshelves.

Getting Unstuck Through the Power of No and the Power of Go

Fatal Pauses

Featuring case vignettes from nearly 30 years of Dr. Yudofsky's clinical practice and incorporating the knowledge of gifted clinicians, educators, and research scientists with whom he has collaborated throughout that time, Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character uniquely captures the rapidly increasing body of clinical and research information about people with severe and persistent personality and character disorders. Within these pages, the author brings to life the psychopathologies of personality and character disorders through vivid vignettes based on composites of his many patients and their most important relationships -- while meticulously changing the identifying facts and relevant details to protect confidentiality. Covering the clinical course, treatment, genetics, biology, psychology, and destructive consequences of hysterical (histrionic), narcissistic, antisocial, paranoid, obsessive-compulsive, addictive, borderline, and schizotypal personality disorders, Fatal Flaws stands out in the literature for these powerful reasons: It is written for an unusually broad audience, from mental health students and trainees of all disciplines, to highly experienced clinicians, to patients who suffer from or are in destructive relationships with people with personality disorders. It is a hybrid -- part psychiatric textbook for clinicians and part self-help manual for patients and clients with personality and character disorders. It is designed to supplement treatment by providing patients with practical, evidence-based information about personality disorders and character flaws. It is particularly valuable to patients who are in psychotherapy, in part, because they are entangled in destructive relationships with people with disorders of personality and/or character. It is written in the first person, with the author directly communicating with a patient who either has a personality or character disorder or is in an important relationship with a person who has such a disorder. It is useful for people who are uncertain whether they or their loved ones have personality or character disorders, and who want to know more about these conditions and their treatments before making a decision about securing the help of a mental health professional. Fatal Flaws: Navigating Destructive Relationships With People With Disorders of Personality and Character is a compelling volume that provides the essential information and a realistic sense of the clinical experience required to inform, orient, and support novice mental health professionals and seasoned practitioners alike as they face the ongoing challenges of treating patients or clients with personality or character disorders. It should also prove to be an invaluable resource for those who wish practical and effective help in understanding and changing their destructive relationships with people who have severe and persistent disorders of personality and/or character.

Stuart C. Yudofsky

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