Download or read book The Medical Evaluation of Psychiatric Patients written by R.F. Klein and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the fascinations of psychiatry is that it is amenable to many different approaches. In seeking to account for mental disorder, for example, it is pos sible to explore the meaning and significance of symptoms in the psychody namic sense, to examine the social determinants of illness, or to adopt an es sentially biological viewpoint in investigating links between physiological and psychological dysfunction .. As a clinical discipline it may be practiced in the community, in the specialized clinic or hospital, or shoulder-to-shoulder with other medical practitioners in the general hospital. This richness and diversity are at once a strength and a weakness, attracting practitioners with a wide range of talents and interests, yet sometimes leading to polarizations and false an titheses. The so-called "medical model" of psychiatry has come under a good deal of attack, and deservedly so when claiming an exclusive provenance over all types and aspects of mental disorder. What cannot be gainsaid, however, is the central role of medicine in relation to many parts of the field, and the success in terms of understanding and therapy that has resulted from medicine's in volvement. Nor can it be doubted, after the most cursory acquaintance with the physically or mentally ill, that the relationship between these two forms of suffering is often so close and so mutually reinforcing that distinctions are drawn somewhat arbitrarily. This last is perhaps the cardinal reason for the alliance between medicine and psychiatry.
Download or read book The Medical Evaluation of Psychiatric Patients written by R. F. Klein and published by . This book was released on 2014-01-15 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Medical Evaluation of Psychiatric Symptoms written by Eric G. Meyer and published by Springer Nature. This book was released on 2023-08-04 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every DSM-5 diagnosis includes an exclusion criterion that the disorder is not better explained by a medical condition. Meeting this criterion can be difficult for a variety of reasons. The psychiatric signs and symptoms of medical disorders are not commonly emphasized in medical textbooks. Further, illness scripts for medical diagnoses do not often overlap with psychiatric disorders, making it difficult to know what medical conditions should be ruled out. For example, irritability is a common symptom in polycystic ovarian disorder, but PCOS is rarely on the differential for irritability. Similarly, while hypothyroidism is commonly linked to the illness script of depression, patients with MDD may be just as likely to have diabetes - an infrequently considered diagnosis for depression. “Buzzword” medical conditions that are commonly prioritized in medical student training can negatively influence classic illness scripts. While such diagnostic possibilities make for good multiple-choice questions, they are frequently rare and may inadvertently undermine important common possibilities. For example, a patient with chest pain in the context of anxiety is more likely to have asthma, acute coronary syndrome, or even a pulmonary embolism than pheochromocytoma. In a recent white paper issued by the American Psychiatric Association, it has urged psychiatrists to better advocate for patients with severe mental illness who often lack access to primary care. But some psychiatrists may be unfamiliar with physical exam maneuvers and medical review of systems (ROS) questions. Complex medical systems may delegate the physical exam to physicians outside of psychiatry, or there may be a temptation to rely on the emergency room’s “medical clearance” as a “medical rule-out.” Both can result in decreased familiarity with physical exam techniques previously mastered as part of medical school. A cursory review of the physical exam maneuvers and concise symptom-based medical ROS lists can alleviate some of these concerns. This book is intended to provide psychiatrists and physicians who routinely evaluate psychiatric symptoms with the tools needed to rule out medical conditions that could be causing those symptoms. It will start with an introduction that reviews why the text is needed and potential larger gaps in training that might contribute to the necessity for such a text. Each chapter thereafter will focus on a specific symptom. Each symptom will be defined to ensure accuracy. Then a differential of common medical conditions that can cause that psychiatric symptom will be provided. For each diagnosis key history, physical exam, laboratory, and radiologic findings will be provided that help rule the condition out. Screening tools that can help rule out medical etiologies will also be provided. Where available, positive predictive values (PPVs) will be provided to help users understand the likelihood that a negative finding or result indicated that a medical disorder is not present. While individual aspects of this text exist in other formats, the comprehensive nature of our approach, descriptions of psychiatric symptoms to means of ruling out potential medical etiologies, is not currently available to providers. This text will assist providers in ruling out medical etiologies of common psychiatric symptoms, ensuring patients are diagnosed correctly. Such an improvement has the potential to dramatically improve patient outcomes.
Download or read book Evaluation of the Psychiatric Patient written by Seymour L. Halleck and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: A few months before the final manuscript of this book was sent to the publisher, Dr. Karl A. Menninger died, shortly before his ninety seventh birthday. Thus, when I sat down to write this preface, he was very much on my mind. I remembered that it had been almost forty years since he wrote A Manual for Psychiatric Case Study, not one of his well-known but probably the most practical of his books. The psycho analytically trained part of me began to wonder what had motivated me to write a book on a topic so similar to that which had earlier drawn the attention of my revered teacher. There is no pressing need for another book on psychiatric evaluation; furthermore, evaluation is a very diffi cult subject to write about in a straightforward way. Whatever my unconscious motivations may have been, I hope they were less significant than those of which I was aware. I wrote this book mainly as part of an effort to reverse certain trends in psychiatric educa tion. In the last decade psychiatrists have increasingly been trained in an environment that emphasizes brief evaluation of patients and de emphasizes teaching about the complexity of human behavior and ex perience. Trainees no longer study psychiatric evaluation in a systematic manner. They take fewer intensive histories, fill out forms instead of describing the patient's mental status, and, with rare exceptions, are not taught how to conceptualize biological and psychosocial interactions.
Download or read book Essentials of Psychiatric Assessment written by Mohamed Ahmed Abd El-Hay and published by Routledge. This book was released on 2018-05-30 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: A psychiatric assessment is a structured clinical conversation, complemented by observation and mental state examination, and supplemented by a physical examination and the interview of family members when appropriate. After the initial interview, the clinician should be able to establish whether the individual has a mental health problem or not, the nature of the problem, and a plan for the most suitable treatment. Essentials of Psychiatric Assessment provides the resident or beginning psychiatrist with a complete road map to a thorough clinical evaluation.
Download or read book Psychiatric Care of the Medical Patient written by Barry S. Fogel and published by Oxford University Press. This book was released on 2015-05-28 with total page 1813 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Psychiatric Care of the Medical Patient brings a classic reference text into the twenty-first century. It combines critical scholarship with the voice of expert clinicians who work at the interface of psychiatry with medical specialties. It is meant to be read for pleasure as well as consulted as a reference. The editors have worked with the authors to bring a consistent perspective to the book - one that sees the medical psychiatrist as an agent for bringing a more comprehensive perspective to medical care. Even seasoned and knowledgeable practitioners will find much that is new to them in this book. The volume covers topics in depth that other books in the field may not cover at all, such as the use of herbal and nutritional therapies for medical-psychiatric symptoms and syndromes, and the choice of questionnaires to supplement history-taking. It looks at old topics in a new way: The chapter on the physical examination applies psychometric considerations to the Babinski sign, describes the method and application of quantitative bedside olfactory testing, and discusses smartphone apps to improve the sensitivity of the examination. Psychiatric Care of the Medical Patient, 3rd Edition provides concepts and information to facilitate the dialogue between psychiatrists and general medical specialists - minimizing psychiatric jargon and speaking in the common language of caring and curious physicians.
Download or read book Final Report Medical Evaluation Research Project Napa and Metropolitan State Hospitals written by and published by . This book was released on 1987 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Medical Model in Mental Health written by Ahmed Samei Huda and published by Oxford University Press. This book was released on 2019-05-16 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.
Download or read book Systematic Psychiatric Evaluation written by Margaret S. Chisolm and published by JHU Press. This book was released on 2012-09-07 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians. -- Arnold E. Andersen, M.D., The University of Iowa College of Medicine
Download or read book Can Emergency Medicine Practitioners Predict Disposition of Psychiatric Patients Based on a Brief Medical Evaluation written by and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Psychiatric Interview written by Allan Tasman and published by John Wiley & Sons. This book was released on 2013-05-10 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The patient interview is at the heart of psychiatric practice. Listening and interviewing skills are the primary tools the psychiatrist uses to obtain the information needed to make an accurate diagnosis and then to plan appropriate treatment. The American Board of Psychiatry and Neurology and the Accrediting Council on Graduate Medical Education identify interviewing skills as a core competency for psychiatric residents. The Psychiatric Interview: Evaluation and Diagnosis is a new and modern approach to this topic that fulfils the need for training in biopsychosocial assessment and diagnosis. It makes use of both classical and new knowledge of psychiatric diagnosis, assessment, treatment planning, and doctor–patient collaboration. Written by world leaders in education, the book is based on the acclaimed Psychiatry, Third Edition, by Tasman and Kay et al., with new chapters to address assessment in special populations and formulation. The psychiatric interview is conceptualized as integrating the patient’s experience with psychological, biological, and environmental components of the illness. This is an excellent new text for psychiatry residents at all stages of their training. It is also useful for medical students interested in psychiatry and for practicing psychiatrists who may wish to refresh their interviewing skills.
Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
Download or read book Practice Guideline for Psychiatric Evaluation of Adults written by American Psychiatric Association and published by . This book was released on 1995 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Diagnostic and Statistical Manual of Mental Disorders DSM 5 written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2021-09-24 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medical Psychiatry written by Mary Ann L. C. Barnovitz and published by Lippincott Williams & Wilkins. This book was released on 2007-08-01 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quick-reference pocket handbook will help psychiatrists recognize and manage the wide variety of medical problems seen in psychiatric patients in emergency, inpatient, and outpatient settings. Coverage includes common medical symptoms, conditions and emergencies; HIV/AIDS and other infectious diseases; emergent neurologic conditions; neuropsychiatric disorders; drug-induced syndromes; adverse effects of psychotropic drugs; psychotropic physical health monitoring guidelines and management; psychotropics during pregnancy and breastfeeding; psychoactive herbs; and suicide and violence risk assessment. Tables and management algorithms allow quick, easy access to clinical recommendations and guidelines. Appendices outline the initial psychiatric interview, the mental status examination, the neurologic examination, and neuropsychological testing.
Download or read book Trends in Mental Health Evaluation written by Elizabeth Warren Markson and published by Free Press. This book was released on 1976 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Systematic Psychiatric Evaluation written by Margaret S. Chisolm and published by JHU Press. This book was released on 2012-10-22 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Two Johns Hopkins psychiatrists explain the Perspectives approach to evaluating patients with psychiatric disorders. The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians.
