About this book
Linking the medical and psychological components of a patient’s condition, facilitating communication among patients, doctors, families, and hospital systems, consultation-liaison work has emerged as one of the most challenging of psychiatric skills. The Handbook of Consultation-Liaison Psychiatry takes a practical biopsychosocial approach to helping readers navigate this complex terrain.
The authors and their 17 colleagues emphasize the flexibility CL practice demands, the team setting it entails, and the clinical and empathy skills it requires. Early chapters trace the roots of psychosomatic medicine and consultation-liaison psychiatry, the nature of psychiatric diagnosis, and explain the clinical, educational, administrative, and research functions of CL psychiatry, and walk the reader through the basics of psychiatric consultation. They discuss common reasons for psychiatric consultation and the immediate management of urgent conditions such as agitation and suicidal behavior. From there, chapters feature case vignettes, practice guidelines, and specific information on topics as varied as postpartum depression, withdrawal symptoms, and chronic pain. And in keeping with this real-world orientation, contributors identify cultural issues, analyze ethical concerns, and flag the potential conflicts of interest that practitioners must recognize and prevent for successful practice.
Highlights of the coverage:
- Foundations of the field—origins of CL psychiatry, an evolutionary, gene-environment interactional model of psychiatric illness, reasons for consultation, empirical findings on CL psychiatry.
- A downloadable Consultation Database that automatically generates consultation reports.
- Psychiatric conditions—anxiety, depression, psychosis, somatoform disorders, pain, PTSD, substance abuse, delirium and dementia.
- Medical settings and issues—ICU, palliative care, emergency care, outpatient, ethical issues, competency, emergency hold.
- Special populations—children/adolescents, geriatric patients, immune-compromised patients, kidney and liver diseased patients, pregnant patients.
- Key techniques—interviewing, psychopharmacology, detoxification, relaxation methods (including hypnosis), and more.
With this depth and scope, the Handbook offers a wealth of insights and ideas to psychiatrists, primary care physicians, psychiatric and primary care residents, medical students, behavioral medicine specialists, and others who are interested in managing emotional aspects of medical patients, and providing biopsychosocial care. Its accessibility makes it an outstanding text for advanced students in health psychology and behavioral medicine, and a reliable reference for professionals in related health fields.
Psychiatrists, behavioral medicine/medical psychologists, neuropsychologists; trainees in consultation-liaison psychiatry (psychiatry residents, psychology interns, nurses), psychiatry residents in their consultation-liaison rotation; psychology graduate and postgraduate students in their behavioral medicine/health psychology courses and rotations; medical students in their psychiatry rotation
- Social work
Table of contents
- Part I: Nature and Evolution of CL Psychiatry.- Consultation-Liaison Psychiatry and Psychosomatic Medicine.- The Functions of CL Psychiatry.- The Why and How of Psychiatric Consultation.- Evidence Based Literature Evaluation in Consultation-Liaison Psychiatry.- Common Reasons for Consultation and their Management.-
- Part II: Psychiatric Syndromes in Consultation-Liaison Psychiatry.- Basic Foundations of Diagnosis, Psychiatric Diagnosis, and Final Common Pathway Syndromes.- Delirium, Dementia, Alcohol Intoxication and Withdrawal Syndromes.- Anxiety and Anxiety Syndromes, Acute Stress & PTSD.- Depression, Mania, and Mood Syndromes.- Psychosis.- Chronic Pain.- Substance Use Problems.- Psychological Factors Affecting Medical Conditions, Somatoform Disorders, Conversion, Dissociation, and Factitious Syndromes.- Somatization, Hypochondriasis, and Somatization Disorder.- Patient’s Personality, Personality Types and Traits, and Disorders.-
- Part III: Special Patients and Settings in Consultation-Liaison Psychiatry.- The Acutely Ill Patient and ICU Setting.- The Chronic Patient/Palliative Care Settings/The Dying Patient.- Consultation-liaison Psychiatry in the Outpatient Setting.- The Kidney Impaired Patient.- The Immune-Compromised Patients- HIV and Organ Transplantation.- The Liver Impaired Patient.- The Cross-Cultural Patient: Cultural Aspects of Consultation-Liaison Psychiatry.- Obstetrics and Gynecology Patients: Menstrual Cycle, Pregnancy and Postpartum Related Psychiatric Disorders.- Children and Adolescents.- The Geriatric Patient.- The Emergency Department Setting.-
- Part IV: Special Techniques in Consultation-Liaison Psychiatry.- Interviewing in Consultation-Liaison Psychiatry.- Systems Understanding and Intervention, Ethical Issues.- Special Procedures: Intravenous Sedative Interviews, Hoover Test, Hypnosis.
"... a remarkably complete and useful desktop book … should be required reading for most clinicians whose practice involves the interface of psychiatric and hospital-based medicine … a useful text for virtually all psychiatrists and psychiatric residents … exceedingly valuable for hospital attending and primary care physicians who do not have ready access to psychiatric consultants, particularly in the emergency department setting…." -Mark H. Fleisher, M.D., University of Nebraska College of Medicine, Omaha