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 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 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 Psychiatric Presentations of Medical Illness written by R.C.W. Hall and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: When my colleagues and I began the task of assembling this volume, several difficult questions arose: For whom were we writing? Was the purpose to eluci date psychiatric or medical presentation? Should references reflect specific to pical areas, or lead the reader to a more general view of a particular topic? Would a symptom or system approach best serve the reader? Should the volume cover a few areas in detail, or attempt to survey a larger area of knowledge? The present text reflects an attempt to answer these questions. It is designed for the student of medicine who desires a broader understanding of those medi cal illnesses that produce psychiatric aberration. We hope it will be of assis tance to the medical student or house officer studying medicine, neurology, family practice, pediatrics, or psychiatry; as well as to the practicing clinician who wishes a refresher on this subject or a reference for his library. The text is intended to strike a useful balance between medicine and psychiatry by provid ing a list of differentials for specific symptoms or conditions, as well as sugges tions for medical evaluation. References have been chosen which we hope will assist the reader in further study. We have attempted to diversify them and list a spectrum of articles that deal with both academic and practical treatment considerations. The initial volume is divided into four sections that address both a symptom and system approach.
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 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 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 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 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 The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2015-07-29 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the publication of the Institute of Medicine (IOM) report Clinical Practice Guidelines We Can Trust in 2011, there has been an increasing emphasis on assuring that clinical practice guidelines are trustworthy, developed in a transparent fashion, and based on a systematic review of the available research evidence. To align with the IOM recommendations and to meet the new requirements for inclusion of a guideline in the National Guidelines Clearinghouse of the Agency for Healthcare Research and Quality (AHRQ), American Psychiatric Association (APA) has adopted a new process for practice guideline development. Under this new process APA's practice guidelines also seek to provide better clinical utility and usability. Rather than a broad overview of treatment for a disorder, new practice guidelines focus on a set of discrete clinical questions of relevance to an overarching subject area. A systematic review of evidence is conducted to address these clinical questions and involves a detailed assessment of individual studies. The quality of the overall body of evidence is also rated and is summarized in the practice guideline. With the new process, recommendations are determined by weighing potential benefits and harms of an intervention in a specific clinical context. Clear, concise, and actionable recommendation statements help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. The new practice guideline format is also designed to be more user friendly by dividing information into modules on specific clinical questions. Each module has a consistent organization, which will assist users in finding clinically useful and relevant information quickly and easily. This new edition of the practice guidelines on psychiatric evaluation for adults is the first set of the APA's guidelines developed under the new guideline development process. These guidelines address the following nine topics, in the context of an initial psychiatric evaluation: review of psychiatric symptoms, trauma history, and treatment history; substance use assessment; assessment of suicide risk; assessment for risk of aggressive behaviors; assessment of cultural factors; assessment of medical health; quantitative assessment; involvement of the patient in treatment decision making; and documentation of the psychiatric evaluation. Each guideline recommends or suggests topics to include during an initial psychiatric evaluation. Findings from an expert opinion survey have also been taken into consideration in making recommendations or suggestions. In addition to reviewing the available evidence on psychiatry evaluation, each guideline also provides guidance to clinicians on implementing these recommendations to enhance patient care.
Download or read book Behavioral Emergencies for the Emergency Physician written by Leslie S. Zun and published by Cambridge University Press. This book was released on 2013-03-21 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.
Download or read book Clinical Guide to Mental Disability Evaluations written by Liza Gold and published by Springer Science & Business Media. This book was released on 2013-01-11 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disability evaluations are the most common clinical mental health evaluations conducted for nontreatment purposes. They place mental health professionals in the role of communicating information that is typically confidential to administrative and legal systems. Unfortunately, mental health professionals receive little to no training in conducting assessments that focus on disability and disability management, and often do not understand the implications and risks of providing this information, especially without conducting what are often specialized evaluations. Clinical Guide to Mental Health Disability Evaluations is geared for general mental health practitioners, providing them with the basic information needed to competently provide the various types of disability evaluations. It also provides enough information to inform forensic mental health providers in conducting more specialized evaluations.
Download or read book Medical Mimics of Psychiatric Disorders written by Irl Extein and published by American Psychiatric Publishing. This book was released on 1986 with total page 216 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.
Download or read book Psychiatric Presentations of Medical Illness written by R C W Hall and published by . This book was released on 1980-12-31 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychological Masquerade written by Robert L. Taylor MD and published by Springer Publishing Company. This book was released on 2007-02-27 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: When faced with a patient whose psychological symptoms may stem from an organic, or medical, condition rather than psychology, how does the practitioner determine exactly which is the true case? To facilitate this process and give psychologists, social workers, and nurses a useable guide to assessment, Robert Taylor created Psychological Masquerade and has updated it to be the most complete handbook you will ever need in the field. New chapters on violent behavior, amnesia and dementia, sex obsession, and Munchausen-by-Proxy fill out the guide and numerous case studies help clarify diagnostic criteria and provide a welcome hands-on approach to caring for clients in this delicate balance. As a further enhancement of the text as assessment tool, self-tests for hypothetical cases are included as are specific clinical tests that aid in clue gathering. This is the perfect clinical guide for any practitioner who is likely to come into contact with psychological masquerade among their clients and will be a welcome addition to the practitioner's toolbox.
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:
