Tag Archives: PsychiatryOnline

PsychiatryOnline’s October Book of the Month: Clinical Manual of Pediatric Psychosomatic Medicine

October brings access to a free PDF version of this featured book from the APPI Bookstore:  Clinical Manual of Pediatric Psychosomatic Medicine, by Richard J. Shaw, M.B., B.S., and David R. DeMaso, M.D.

The mental health assessment and treatment of youngsters with physical symptoms and illnesses commonly pose unique and often complex challenges to clinicians. Clinical Manual of Pediatric Psychosomatic Medicine is the only complete text on the subject, describing an integrative approach to behavioral health problems in children and adolescents who are physically ill, have emotional illness masquerading as physical illness, and have comorbid emotional and physical conditions that complicate the management of each. It brings together information regarding consultation-liaison or psychosomatic work with children into a succinct guide that provides the practitioner with pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children, and it features a set of unique templates to help guide clinical assessment and management.

The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including coping strategies for family members; psychopharmacology; and techniques such as medical hypnosis to help children prepare for procedures. Among the book’s other helpful features are:

* Templates with specific questions for both general psychiatric assessment and specific issues, such as pre-transplant assessment, treatment adherence, and somatoform disorders
* Intensive coverage of pediatric pain assessment and management, including the use of adjunctive psychiatric medications to treat children with chronic pain
*Unique considerations tailored to each topic, such as anxiety symptoms related to specific physical conditions and end-of-life strategies for cancer patients* Consideration of legal and forensic issues, including consent, confidentiality, and assessment for parenting capacity
* An abundance of quick-reference tables—including psychopharmacological agents used in a wide range of conditions, with indications, doses, and side effects—and flow charts describing step-by-step approaches to pain and somatoform disorders

This practical manual is useful to a wide range of professionals who work with children and adolescents in medical settings. And because psychosomatic medicine has recently received subspecialty status with the American Board of Psychiatry and Neurology, it offers an excellent resource for board examinations.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to Clinical Manual of Pediatric Psychosomatic Medicine as a PDF download for the month of October.

PsychiatryOnline’s August Book of the Month: The Difficult-to-Treat Psychiatric Patient

August brings access to a free PDF version of this featured book from the APPI Bookstore:

The Difficult-to-Treat Psychiatric Patient, edited by Mantosh J. Dewan, M.D., and Ronald W. Pies, M.D.

Why do some psychiatric patients fail to get better, even when in the care of competent clinicians?

Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more than $40 billion annually, and as many as 40% of patients with depression have a treatment-refractory form of the illness.

This clinical guide starts where standard textbooks end, focusing on clinical strategies to be used after all basic treatment options, such as medication and psychotherapy, have failed. In this book expert contributors address the sequential clinical steps in treating difficult-to-treat psychiatric patients by offering a blend of evidence-based clinical recommendations, detailed case vignettes, treatment algorithms, and—when necessary to go beyond the reach of evidence—the clinical wisdom of leaders in the field.

The chapters in this user-friendly, practical guide are organized by major disorder. Each chapter offers concrete recommendations on what to do when the usual first steps in therapy are ineffective, including evidence for biopsychosocial treatments alone versus in combination, generic versus specific therapies, and literature reviews and the latest expert wisdom. A sampling includes:

* The management of the complex and often refractory bipolar disorder, which involves replacing or combining lithium treatment with anticonvulsants or atypical antipsychotic agents with adjuncts such as benzodiazepines, thyroid hormone, and electroconvulsive therapy, but also—above all—with careful attention to the therapeutic alliance.

* The importance of combined therapeutic modalities for patients with schizophrenia—especially given managed care’s cost-cutting strategies, which deprive many schizophrenic patients of effective treatment modalities such as family therapy or early use of an atypical antipsychotic.

* Combination treatments for anxiety, with medications adjusted over time as symptoms wax and wane, and early and appropriate interventions to mitigate internal and external environmental stressors.

* The emphasis on common sense, optimism, a sense of humor, and an iron constitution as the most important tools for clinicians wishing to work with the most severely ill patients with borderline personality disorder.

* The importance of individual differences in biological vulnerability, emotionality and expressiveness, cognitive schemas and beliefs, prior traumatic experience, resilience, and coping strategies for successful treatment of posttraumatic stress disorder.

Packed with up-to-date information of immediate relevance, this volume will prove invaluable in both classroom and clinical practice, for everyone from beginning interns and residents to experienced psychiatric and medical practitioners and social workers.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to The Difficult-to-Treat Psychiatric Patient as a PDF download for the month of August.


PsychiatryOnline’s July Book of the Month: Clinical Manual of Women’s Mental Health

July brings access to a free PDF version of this featured book from the APPI Bookstore: Clinical Manual of Women’s Mental Health by Vivien K. Burt, M.D., Ph.D., and Victoria C. Hendrick, M.D.

This comprehensive update of the popular second edition of the authors’ Concise Guide to Women’s Mental Health provides the latest evidence-based medical and psychiatric facts related to the assessment and treatment of women with psychiatric disorders—particularly as women pass through reproductive transitions or experience hormonal challenges—reviewing the ways in which these times are integral to gender-sensitive case formulations, diagnoses, and treatment planning.

The Manual emphasizes evidence-based medicine and reflects the authors’ expanding clinical experience. Key features include:
* Extensively revised chapters on the use of psychiatric medications during pregnancy and breast-feeding, abortion and contraception, and the use of hormones during menopause.
* A meticulous review of the use of psychopharmacological agents to treat women at important reproductive transition points.
* Numerous and thorough references and citations from the latest peer-reviewed journals.
* More than 50 carefully annotated tables and charts—especially those on the use of psychiatric medications in pregnancy and breast-feeding.
* Summary passages that enable readers to quickly gain access to important evidence-based data that will inform their practice.

Asserting that a multidisciplinary, comprehensive approach—one that incorporates both psychotherapy and careful attention to social needs—is integral to successful treatment, the authors of Clinical Manual of Women’s Mental Health discuss the latest data on women’s mental health, including premenstrual dysphoric disorder, hormonal contraception and effects on mood, mood/anxiety/psychotic disorders during pregnancy and postpartum, the effect of breast-feeding on the treatment of postpartum disorders, perimenopause and menopause, postmenopause, psychological implications of infertility, abortion and miscarriage, female-specific cancers, and gender issues in the treatment of mental illness.

Easily accessed by clinicians at every level of medicine, psychiatry, obstetrics-gynecology, psychology, and social work, the Clinical Manual of Women’s Mental Health is best used as an ancillary text for students, interns, residents, and graduated clinicians and researchers in psychiatry, family medicine, internal medicine, internal medicine subspecialties, and obstetrics-gynecology.

Finally, lay women with psychiatric conditions who wish to better understand how they can make wise decisions regarding their care and well-being as they face important issues such as pregnancy, breast-feeding, and hormone therapy will welcome this updated edition of the Clinical Manual of Women’s Mental Health.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to Clinical Manual of Women’s Mental Health as a PDF download for the month of July.


June Book of the Month in Psychiatry Online: Clinical Manual for Management of Bipolar Disorder in Children and Adolescents

June brings access to a free PDF version of this featured book from the APPI Bookstore:  Clinical Manual for Management of Bipolar Disorder in Children and Adolescents by Robert A. Kowatch, M.D., Mary A. Fristad, Ph.D., ABPP, Robert L. Findling, M.D., and Robert M. Post, M.D.

Written in response to the growing body of knowledge surrounding pediatric bipolar illness and the underlying biological, environmental, and psychosocial influences that exacerbate symptoms and behavior, this manual provides clinically useful information about diagnosis and management and is a comprehensive collection of empirical evidence, case studies, and the growing number of evidence-based reports on pediatric bipolar disorder over the past five years.  Also included are several chapters provided by Dr. Mary Fristad and her team at The Ohio State University—experts in family and psychosocial aspects of pediatric bipolar disorder. Her contributions, along with vast clinical evidence and the expertise provided by Drs. Kowatch, Findling, and Post, help paint an accurate picture of everything from age onset to the effectiveness of various therapies.

In this manual, clinicians can refer to the following tools:

* A clinical description of childhood and adolescent bipolar disorder
* Management strategies for the patient including daily mood charting
* Current medication strategies and tactics
* Ways to help patients through the educational system
* Resources for clinicians, parents and patients
* A review of the future directions for childhood and adolescent bipolar disorder

The many new developments in the field of pediatric bipolar disorder are affirming what this manual emphasizes—that a combination of family and cognitive-behavior therapy can work in tandem with medical treatments to help young bipolar disorder patients achieve a more balanced life and a greater chance of controlling this illness later in life. The manual demonstrates how the medical community has shifted from asking, “Does bipolar disorder really exist in children and adolescents” to “How can we best predict, diagnose and treat this serious medical disorder” through a review of 25 years of study and insight.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to Clinical Manual for Management of Bipolar Disorder in Children and Adolescents as a PDF download for the month of June.

May Book of the Month in Psychiatry Online

May brings access to a free PDF version of this featured book from the APPI Bookstore:  Stress-Induced and Fear Circuitry Disorders edited by Gavin Andrews, M.D., Dennis S. Charney, M.D., Paul J. Sirovatka, M.S., and Darrel A. Regier, M.D., M.P.H.

As disorders in which stress or fear play major roles present an increasing need for psychiatric care around the world, this volume summarizes current research to determine whether a specific group of stress-induced and fear-based disorders form a distinct syndrome independent from other anxiety disorders such as obsessive-compulsive disorder or generalized anxiety. Intended to suggest DSM-V revisions regarding the classification of these disorders, Stress-Induced and Fear Circuitry Disorders reflects findings that may lead to more refined treatments for these specific anxiety disorders based on a better understanding of the biological and environmental factors that contribute to their development and symptoms.

Thirty contributors, all international authorities on this group of mental illnesses, clarify how these disorders develop and what factors contribute to symptomatology. Focusing on posttraumatic stress disorder, panic disorder and agoraphobia, social phobias, and specific phobia, the authors explore the possibility of linking the classification and etiology of these conditions by showing that they may be closely related in terms of brain pathophysiology. In addition to assessing the stability of disorders across patient lifespans and determining whether they form a cohesive and distinct group, the authors examine shared etiologies and biopsychosocial correlates, as well as aspects unique to each disorder. Among the book’s specific insights:

* How minority populations, particularly African Americans, are differentially affected by these disorders.
* The neuronal mechanisms of normal fear and anxiety, including how changes in the genetics of the serotonin system can increase the risk of anxiety.
* The role of cognition in symptom presentation and treatment, revealing cognitive biases that favor the processing of threat-related information.
* The contribution of stress and psychosocial factors, such as peer victimization and childhood sexual abuse.
* The use of neuroimaging to analyze neural structure and function for each of the four disorder groups.
* How neurochemistry and neuroendocrine markers may aid in classification of anxiety disorders.
* The contribution of substance abuse to the pathophysiology of these disorders.

Given the importance of changes to DSM for professional education and public health, this book offers important new ways of thinking about stress-induced and fear-based disorders. It not only allows researchers to more accurately assess their diagnostic classifications, but also can help clinicians more effectively communicate with patients regarding the nature of their illness and the importance of adhering to treatment regimens.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to Stress-Induced and Fear Circuitry Disorders as a PDF download for the month of May.

April Book of the Month in Psychiatry Online

April brings access to a free PDF version of this featured book from the APPI Bookstore: Textbook of Violence Assessment and Management edited by Robert I. Simon, M.D., and Kenneth Tardiff, M.D., M.P.H.

Evaluating and treating patients with violent ideations and behaviors can be frustrating, anxiety-provoking, and even dangerous, as errors in judgment can lead to disastrous consequences. Textbook of Violence Assessment and Management is a comprehensive textbook on assessing the potentially violent patient for mental health clinicians on the front lines of patient care.

The editors have assembled a distinguished roster of contributors who, in 28 practical chapters, combine evidence-based medicine with expert opinion to address the topic of patient violence in all its diversity of presentation and expression. Dr. Simon is Director of the Program in Psychiatry and Law at Georgetown University School of Medicine, as well as the author or co-author of more than two dozen books. Dr. Tardiff, Professor of Psychiatry and Public Health at the Payne Whitney Clinic, The New York Hospital—Cornell Medical Center, is the author of The Concise Guide to Assessment and Management of Violent Patients, an introduction to aggression management now in its second edition.

Violence is both endemic to our society and epidemic in our age. Skilled assessment and management of violence is therefore critical for mental health professionals involved in patient care. Textbook of Violence Assessment and Management includes many features designed to instruct and support these clinicians. For example:

*Takes the mental health professional from evaluation and assessment to treatment and management of patients who are or may become violent.
* The 28 chapters address the diversity of clinical settings, patient demographics, psychopathology and treatment modalities, making this work useful as both a textbook and a reference that clinicians can consult as needed for particular cases.
* End-of-chapter “Key Points” highlight the most important concepts and conclusions, allowing students to review and consolidate their learning and practicing professionals to locate critical information quickly.
* Clinical case examples abound, providing rich and nuanced perspectives on patient behavior, evaluation and management.
* The textbook includes a separate chapter on evaluating patients from different cultures, a competency that becomes more crucial as patient populations become more diverse.


Increasing numbers of veterans are diagnosed with PTSD and traumatic brain injury. Campus tragedies such as Virginia Tech are fresh in our collective memory. This text is both timely and necessary—not just for mental health professionals and their patients, but for the families and communities whose safety depends upon competent professional judgment.

You can access the Book of the Month from the home page, at PsychiatryOnline.com.

You’ll have access to Textbook of Violence Assessment and Management as a PDF download for the month of April.

March Book of the Month from Psychiatry Online

March brings access to a free PDF version of this featured book from the APPI Bookstore: Resident’s Guide to Clinical Psychiatry edited by Lauren B. Marangell, M.D.

The resident’s job is as challenging as it is critical to patient care, and perhaps no specialty is as daunting to the beginning clinician as psychiatry. This book is designed to provide the tools residents need to quickly assess and competently treat patients with psychiatric illnesses and those with secondary psychiatric symptoms. Though comprehensive, the guide is also concise, compact, and practical. Diagnostic evaluation checklists and DSM-IV-TR criteria, and treatment interventions are described in detail, with accompanying drug dosage tables and comparison charts.

The book begins–just as the doctor-patient interaction commences–with the assessment interview. Subsequent chapters focus on the classes of mental illness, such as anxiety disorders, personality disorders, and psychotic disorders. In each chapter, Dr. Lauren B. Marangell, lead author of Concise Guide to Psychopharmacology and an expert on the psychopharmacology of mood disorders, distills the most current and essential diagnostic and treatment information residents need to maintain a high quality of care.

Features of the book:
* Both the entire volume and individual chapters are structured to lead the resident smoothly from assessment to treatment, without oversimplifying or sacrificing patient care.
* A wealth of easy-to-read tables, charts, and checklists focuses reader attention on the most important material, ensuring accuracy and making information retrieval easier. Much of the material is presented using bullet points for quick recognition to accommodate busy residents.
* In addition to chapters on central topics such as mood disorders and dementia, chapters on consultation-liaison psychiatry, emergency psychiatry, child and adolescent psychiatry, and electroconvulsive therapy and device-based treatments are included.
* Features include a comprehensive list of commonly used acronyms, as well as a listing of generic and trade/brand names for frequently prescribed medications.

You can access the Book of the Month from the home page, at PsychiatryOnline.com. You’ll have access to Resident’s Guide to Clinical Psychiatry as a PDF download for the month of March.

Featured Book: “Clinical Manual for Evaluation and Treatment of Sleep Disorders”

As subscribers to PsychiatryOnline, Pepperdine University Libraries get access each month to a free PDF version of a featured book from the APPI Bookstore. February’s book is Clinical Manual for Evaluation and Treatment of Sleep Disorders by Martin Reite, M.D., Michael Weissberg, M.D., and John R. Ruddy, M.D.

The book’s 13 chapters offer a concise, step-by-step method of differential diagnosis for some of the most common sleep complaints encountered in today’s professional clinical practices. And, unlike most other clinical textbooks, its small size gives it a broad accessibility.

The manual begins with an overview of sleep physiology and pathology, including eight common laboratory procedures and three major diagnostic nomenclatures for sleep disorders. Each of the chapters that follow provides an overview of symptoms, tests, and various behavioral and pharmacologic treatments for a wide range of sleep conditions, including insomnias, breathing disorders, parasomnias, and several common medical disorders that are often associated with sleep complaints. The latter chapters discuss sleep disorders in distinct patient demographics-specifically children, women (during pregnancy, the postpartum period, and menopause) and the increasing population of older adults. The book concludes with a chapter devoted to pharmacologic interventions, detailing the use of and clinical issues associated with 25 different types of drugs.

Additional benefits of the manual include:
* A ‘Pearls and Pitfalls’ section of bulleted facts at the beginning of each chapter
* Figures, tables, and helpful takeaways (such as a differential diagnosis decision tree and patient questionnaires) in many chapters
* An appendix of 65 frequently used abbreviations related to sleep complaints and disorders
* Patient handouts that include sleep tips and information on insomnia, abdominal breathing, delayed sleep phase syndrome, melatonin and light treatments, sleep walking, and jet lag

You can access the Book of the Month from the home page, at PsychiatryOnline. You’ll have access to Clinical Manual for Evaluation and Treatment of Sleep Disorders as a PDF download for the month of February.

December Book of the Month from Psychiatry Online

As subscribers to PsychiatryOnline, Pepperdine University Libraries  get access each month to a free PDF version of a featured book from the APPI Bookstore.  December’s book is Transforming Mental Health Services: Implementing the Federal Agenda for Change edited by Howard H. Goldman, M.D., Ph.D., Jeffrey A. Buck, Ph.D., and Kenneth S. Thompson, M.D.

This compendium of 17 articles addresses the goals set forth by the President’s New Freedom Commission on Mental Health in its 2003 report, Achieving the Promise: Transforming Mental Health Care in America. The report represents the first time since the Carter Administration that such a high-level group evaluated U.S. mental health care. The report painted a dismal picture of the nation’s mental health system, saying the system was so broken that it was “beyond simple repair.” The Commission said that current services focused on “managing disabilities” rather than helping patients achieve a meaningful life in their communities. It also stated that mental health service providers ignored the preferences of consumers and their families.

The articles in Transforming Mental Health Services: Implementing the Federal Agenda for Change, originally published between 2006 and 2009 in Psychiatric Services (journal of the American Psychiatric Association), offer recommendations to assist adults with serious mental illness and children with serious emotional disturbances. They include a series of reforms in which the emphasis is on recovery as an achievable goal, and the need for a person-centered orientation in service delivery. There is also discussion of the reasons many service providers resist using a recovery orientation and how this can be remedied.

Transforming Mental Health Services: Implementing the Federal Agenda for Change consists of updates of papers written by the Commission’s subcommittees addressing issues fundamental to those living with mental illness. It is organized into four sections:

* The first focuses on the interface between mental health and general health, and on employment, housing, and Medicaid financing.
* The second continues addressing financing and Medicaid as well as issues related to school mental health, recovery, transformation of data systems, and acceleration of research.
* The third includes reports from four states with transformation initiatives designed to ensure that consumers have a strong voice in the development of recovery-oriented services.
* The final section describes progress five years after the President’s Commission Report and concludes with a proposal by the current director of the Center for Mental Health Services for a public health model of mental health care for the 21st century.

This compilation of articles serves as a resource for frontline care providers, facility administrators and advocates as well as for state policy makers who wish to present a convincing case that change is happening and that the recommendations can be tr anslated into effective policies. Although consumers and their families will receive support for their perception that service providers ignore their needs, they will also be encouraged that change for the better is coming to the U.S. mental health care system.

You can access the Book of the Month from the home page, at PsychiatryOnline.com. You’ll have access to Transforming Mental Health Services as a PDF download for the month of December.

Psychiatry Online Book of the Month for November

As subscribers to PsychiatryOnline, Pepperdine University Libraries  get access each month to a free PDF version of a featured book from the APPI Bookstore.  The November book is Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V, edited by Joel E. Dimsdale, M.D., F.A.P.M., Yu Xin, M.D., Arthur Kleinman, M.D., Vikram Patel, Ph.D., William E. Narrow, M.D., M.P.H., Paul J. Sirovatka, M.S., and Darrel A. Regier, M.D., M.P.H.

Sometimes described as “the nemesis of the primary care physician,” somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this ill-defined category of disease.

Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. The broad range of experience and specialization results in a compendium that addresses both theoretical and practical issues presented in somatoform disorders. For the researcher, the book offers a thorough and critical overview of the research landscape, surveying and synthesizing the available literature from around the world on all aspects of the disorder. Acknowledging the unique challenges presented in studying such a heterogeneous collection of disorders, the authors identify specific gaps in the research literature. Somatic Presentations of Mental Disorders also addresses controversial issues of nosology in advance of the publication of DSM-V.

Despite its utility for researchers, the book primarily serves as an invaluable reference and resource for the practitioner. Organized with the clinician in mind, Somatic Presentations of Mental Disorders surveys the latest data on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on this difficult topic, the authors thoroughly explore the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. Aimed at both primary care and mental health practitioners, the book addresses crucial issues for effective diagnosis and treatment, including:

  • Comorbidity and association with anxiety and depressive disorders
  • Unique insights into cultural factors affecting the presentation and treatment of somatic disorders around the globe
  • The prevalence of misdiagnosis, and contemporary diagnostic tools and techniques to help avoid a missed organic diagnosis
  • The complicated interrelationsh ip of somatoform disorders and substance abuse
  • The efficacy of various treatment modalities, including pharmacology and cognitive behavioral therapy
  • Collaboration between primary care and mental health providers to maximize treatment outcomes

Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-have both for researchers in the field and for clinicians with somatizing patients.

You can access the Book of the Month from the home page, at PsychiatryOnline.com. You’ll have access to Somatic Presentations of Mental Disorders as a PDF download for the month of November.