American Psychiatric Press Inc.

The use of neuroimaging studies in psychiatry is explodingAand offers tremendous potential for practicing clinicians. Yet if you're like many psychiatrists, you're sometimes uncertain about which studies to use in specific situations. Until now, you've had to sort through the only information availableAtechnical reviews in the literatureAfor guidance. But no more. Essentials of Neuroimaging for Clinical Practice is an all-in-one resource that explains how to use these powerful techniques to improve outcomes. It demystifies neuroimaging with clear, concise, and practical advice on using today's most advanced applications in the diagnostic workup of patients. This practical clinical guide will help you achieve a solid understanding of the full range of neuroimaging modalities: -Structural techniques such as computed tomography (CT) and magnetic resonance imaging (MRI) -Functional techniques such as positron emission tomography (PET), single photon emission computed tomography (SPECT), functional magnetic resonance imaging (fMRI), and magnetic resonance spectroscopy (MRS) -Other techniques such as electroencephalography (EEG)Aincluding quantitative EEG and event-related potentialsAand magnetoencephalography. For each modality, you'll find: -A basic review of the techniqueAtrace the development of each modality, and become familiar with its underlying technology. -Guidance on when to use itAlearn which techniques are best to use in specific clinical situations. -Tips for ordering studiesAdiscover how to write up orders to obtain the most accurate and detailed information from each study, including when to use contrast and how to determine the best acquisition parameters. -A look at its future potential in practice and researchAexplore the current capabilities of each modality and the most promising strategies for improving diagnostic results. Filled with examples of real-life imaging studies, Essentials of Neuroimaging for Clinical Practice is a must-have tool for all practicing psychiatrists and psychologists. In addition, it will serve as an excellent clinical guide for residentsAand an outstanding text for courses in clinical neuroimaging for psychiatrists.

First published in 1992, Fundamentals of Psychiatric Treatment Planning outlines an approach that quickly became the definitive standard for writing treatment plans. Developed by clinical psychiatrist James A. Kennedy, this practical, intuitive method organizes psychiatric problems into seven categories: psychological impairment, social skills, violence, activities of daily living, substance abuse, medical impairment, and ancillary impairment. Treatment plans are developed using information gathered with the Kennedy Axis V, an instrument that has proven more successful than both the Global Assessment of Functioning (GAF) scale and the Brief Psychiatric Rating Scale (BPRS) in establishing baselines and determining outcome measures. Fundamentals of Psychiatric Treatment Planning serves as a powerful, highly effective tool that -Promotes a cohesive approach. By using a consistent approach to planning, the clinical team works in concert toward uniform goals and outcomes. -Helps staff gather critical information to improve outcomes. For establishing baselines and determining outcome measures, the Kennedy Axis V instrument has proven more successful than both the GAF and the BPRS. -Includes many examples to help staff write their own plans. Rich with real-life examples to guide staff, including problem names and descriptions, treatment modalities, and samples of individual plans for each of the seven problem categories. In addition to the Kennedy Axis V questionnaire, Fundamentals of Psychiatric Treatment Planning includes blank forms for treatment planning and tabbed sections to allow for quick reference. New features in the second edition include the integration of nursing care plans into master treatment plans, new systematic steps for building goals and modalities, refinements to the questionnaire, and the introduction of online support via the authorAs website. With its readily adaptable, uniform approach to a complex subject, Fundamentals of Psychiatric Treatment Planning, Second Edition, is a powerful, highly effective planning tool for all members of the clinical staff.

In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventionsAventuring beyond the current DSM paradigm and DSM-IV framework. This thought-provoking volumeAproduced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug AbuseArepresents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book -Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system. -Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda. -Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur. -Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disordersAsuggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality. -Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment. -Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines. This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionalsAfood for thought and further research that will be relevant for years to come.

Sleep disorders medicine has only recently come of age, as getting enough sleepAand getting restful sleepAhas become more elusive than ever in todayAs fast-paced world. Despite being one of the most common complaints among psychiatric patients (170 sleep disorders are now identified), sleep disorders are still not included in most medical or health careArelated curricula. The third edition of this truly Apocket-sizedA volume fills that void. Designed to provide the clinician with a practical approach to the differential diagnosis and effective treatment of sleep complaints and disorders and an up-to-date summary of sleep disorders medicine, this compact volume from American Psychiatric Publishing's Concise Guides series shows clinicians how to use a conceptual framework and decision trees to facilitate diagnosis. In just eight easy-to-read chapters, the authors present the latest research and practice on sleep disorders. After an overview that includes diagnostic nomenclature, laboratory procedures, and how to use a sleep disorders center, -Chapters 2A5 discuss individual sleep disorders, each organized by presenting complaints, clinical presentation, incidence, etiology and pathophysiology, laboratory findings, differential diagnosis, and treatment (behavioral, medical, and surgical techniques). Topics include virtually every aspect of -Sleep physiology and pathology, e.g., sleep architecture, sleep and immune function, circadian rhythms, dreams and nightmares, and sleep deprivation -Insomnia (occasional insomnia alone occurs in about 27%, and chronic insomnia in about 9%, of the U.S. population) related to substance abuse, shift work sleep disorder, restless legs syndrome, and sleep apnea -Excessive sleepiness disorders, e.g., narcolepsy; hypersomnias associated with sleep-related breathing disorders; nocturnal hypoxemia; and periodic hypersomnias, including Kleine-Levin syndrome, menstruation-associated hypersomnia, and periodic limb movements disorder -Parasomnias associated with rapid eye movement (REM) sleep, sleep paralysis, sleepwalking and sleep terrors, bruxism, muscle cramps, and central nervous system (CNS) parasomnias such as vascular headaches -Chapter 6 details the symptoms of specific medical conditions (e. g., cardiac and CNS diseases, Epstein-Barr virus, arthritis, anorexia nervosa, and AIDS) behind disordered sleep and psychiatric disorders behind both insomnia and excessive daytime sleepiness. -Chapter 7 covers pharmacological treatments (sedative-hypnotics from benzodiazepines to melatonin and alternative medications). -Chapter 8 concludes with thought-provoking discussions of sleep problems in children from infancy through adolescence, the elderly, and women (in pregnancy, premenstrual syndrome, and menopause). Thoroughly referenced and illustrated, this fascinating work is intended for students, educators, and clinicians everywhere as they face the increasingly widespread challenge of successfully diagnosing and treating sleep disorders.

Understanding the complex pharmacological changes that occur with ageing is critical to informed prescribing, yet much of today's practice in geriatric prescribing continues to be based on anecdotal evidence and case report data instead of controlled research studies. Navigating the vast database in geriatric psychopharmacology is a daunting task at best, leaving many clinicians overwhelmed and confused, and opening the door to potentially dangerous consequences for some of the most fragile patients. In this text, three experienced pharmacologists provide a practical "how to" guide to clinical geriatric prescribing, drawing upon their own first-hand clinical experience and their reading of the literature in geriatric psychopharmacology.

Anxiety disorders are at once among the most disabling and the most prevalent of the psychiatric disordersAmore common than either mood or substance use disorders. Often misdiagnosed and undertreatedAperhaps because it is often difficult for patients to seek help and for caregivers to appreciate the morbidity of anxiety disordersAthese disorders account for a staggering one-third of all costs related to psychiatric disorders. This one-stop resource for both clinicians and researchers details not only the rigorous diagnostic schemas, underlying sophisticated psychobiological models, and effective pharmacotherapy and psychotherapy interventions developed during the past few decades but also the latest advances in this diverse field. Presenting the work of an unprecedented 77 U.S. and international experts, this 10-part textbook begins with an in depth discussion of the history, classification, preclinical models, concepts (evolutionary, cognitive, and psychodynamic), and combined treatment of anxiety disorders. -For clinicians, this exceptional reference then covers the phenomenology, etiology, psychotherapy, and pharmacotherapy of every major anxiety disorder: generalized anxiety disorder, mixed anxiety-depressive disorder, obsessive-compulsive and related disorders, panic disorder, social phobia, specific phobia, posttraumatic stress disorder (PTSD), and acute stress disorder. Also included are the latest theoretical and clinical issues that cut across all anxiety disorders. -For researchers, this densely packed volume shows that the study of anxiety disorders is indisputably one of the most interesting and rewarding areas of contemporary medical research, requiring the integration of data from disparate fields (such as neuroanatomy, neurochemistry, cognitive dysfunctions, and genetic and environmental studies) into powerful and sophisticated modelsAmodels that move us toward better understanding and more effective treatment of these complex disorders. For example, animal models of fear conditioning provide fascinating parallels with clinical phenomena such as posttraumatic stress disorder. Similarly, functional brain imaging demonstrates that pharmacotherapy and psychotherapy for obsessive-compulsive disorder produce similar changes in the brain. The authors conclude by discussing anxiety disorders in relation to special populations, such as children, adolescents, and seniors; different medical settings; substance abuse; and culture and society, including economic costs and consumer considerations. This remarkable compendium of studies at the cutting edge of anxiety disorder research and clinical practice will be welcomed by psychiatric and medical clinicians, researchers, and educators as a uniquely valuable reference, and by other mental health care professionals who are interested in the latest developments in understanding and treating these important disorders.

For most of human history, life expectancy was remarkably stable at about 30A40 years. Within the past 150 years, however, medical advances have virtually doubled that number. The worldAs elderly population is growing at 2.4% per year, faster than the rest of the population, with disproportionate increases expected to continue as newer and better treatments are found that minimize the disabilities associated with advanced age. Key to improving the health and quality of life of the elderly is understanding and treating the brain diseases and behavioral disorders that become highly prevalent with age. Geriatric neuropsychiatry is an integrative specialty that draws from many diverse fields, including psychiatry, neurology, neuroscience, and geriatrics. It provides expertise on how to distinguish normal age-related changes from those of disease and disordered brain function. Edited by two eminent practitioners and educators, this wide-ranging textbookAs 41 chapters are divided into five major sections: -Introduction to Geriatric NeuropsychiatryAIntroduces the field, including the epidemiology of aging and its array of interacting and accumulating disadvantages, the neurobiology of aging, and the neurobiological basis of behavior -Neuropsychiatric Assessment of the ElderlyADescribes how to ensure early, accurate diagnoses, using both the fundamental cognitive skills evaluation and the more in-depth neuropsychological evaluation; age-associated memory impairment (AAMI) and its biological bases; anatomic imaging of age-related changes in brain morphology; and the latest imaging techniques that allow visualization of brain function in vivo -Neuropsychiatric Aspects of Psychiatric Disorders in the ElderlyACovers everything from affective and anxiety disorders, substance abuse, and psychoses that start late in life to sleep disorders, delirium, pain, contemporary personality psychology, mental retardation, and aggression -Neuropsychiatric Aspects of Neurological Disease in the ElderlyAFocuses on diseases such as nondegenerative dementing disorders, AlzheimerAs and ParkinsonAs diseases, hyperkinetic movement disorders, stroke, epilepsy, and traumatic brain injury, concluding with medical illnesses and therapies -Principles of Neuropsychiatric Treatment of the ElderlyADiscusses the effect of age in geriatric neuropsychopharmacology, psychopharmacology, ECT, psychosocial therapies, neuropsychiatry in nursing homes, genetic interventions, rehabilitation, ethical issues, and competency and related forensic issues Exhaustively researched and annotated, the American Psychiatric Press Textbook of Geriatric Neuropsychiatry, Second Edition provides a definitive core reference for psychiatry and neurology residents, particularly those pursuing a specialty in geriatrics, and for graduate students in psychology, neuropsychology, and related fields.