Clinical Assessments in Psychiatry

Author: Rajesh R. Tampi
Publisher: Lippincott Williams & Wilkins
ISBN: 9781451153316
Release Date: 2012-03-28
Genre: Medical

This book contains case vignettes and discussions to help residents, fellows, and practitioners maximize their competency in performing clinical assessments in psychiatry. Derived from a highly successful course at Yale University, the book focuses on the key clinical skills emphasized by the American Board of Psychiatry and Neurology in residency training and on the oral board examination. These skills include physician-patient relationship; psychiatric interview, including mental-status exam; case presentations; live patient; case formulation; differential diagnosis; and treatment interventions. Dr. Tampi's training in the U.S., U.K., and India enables him to cross cultures around the globe. A companion website will contain videos demonstrating interview skills and patient assessments.

Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health

Author: Lee Baer
Publisher: Springer Science & Business Media
ISBN: 1597453870
Release Date: 2009-10-03
Genre: Psychology

Psychiatric clinicians should use rating scales and questionnaires often, for they not only facilitate targeted diagnoses and treatment; they also facilitate links to empirical literature and systematize the entire process of management. Clinically oriented and highly practical, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an ideal tool for the busy psychiatrist, clinical psychologist, family physician, or social worker. In this ground-breaking text, leading researchers provide reviews of the most commonly used outcome and screening measures for the major psychiatric diagnoses and treatment scenarios. The full range of psychiatric disorders are covered in brief but thorough chapters, each of which provides a concise review of measurement issues related to the relevant condition, along with recommendations on which dimensions to measure – and when. The Handbook also includes ready-to-photocopy versions of the most popular, valid, and reliable scales and checklists, along with scoring keys and links to websites containing on-line versions. Moreover, the Handbook describes well known, structured, diagnostic interviews and the specialized training requirements for each. It also includes details of popular psychological tests (such as neuropsychological, personality, and projective tests), along with practical guidelines on when to request psychological testing, how to discuss the case with the assessment consultant and how to integrate information from the final testing report into treatment. Focused and immensely useful, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an invaluable resource for all clinicians who care for patients with psychiatric disorders.

Workplace Based Assessments in Psychiatry

Author: Amit Malik
Publisher: RCPsych Publications
ISBN: 1908020067
Release Date: 2011
Genre: Medical

It has now been four years since significant changes were made to the way psychiatric trainees A skills are assessed. Much teaching, learning and assessment now occurs in the workplace in real clinical time and situations with the key emphasis being on outcome as reflected by the performance of the doctor. This book outlines the workplace-based assessments that are required by the current competency-based psychiatry curriculum. It has been updated, taking into account the four years A experience gained since these assessments began. The authors explore the theory and practice of various different assessment methods such as case-based discussions, long-case and short-case evaluations, patient satisfaction, directly observed practice, changes in MRCPsych examinations and multi-source feedback. This book will be essential reading for psychiatric trainers and trainees.

Cultural Assessment in Clinical Psychiatry

Author: Group for the Advancement of Psychiatry
Publisher: American Psychiatric Pub
ISBN: 1585627674
Release Date: 2008-08-13
Genre: Medical

Culture permeates human activity the world over. In today's technological "global village," people from very different cultures are interacting more closely and more often than ever -- making it critical for clinicians to understand and incorporate cultural dimensions into their daily practices. This volume offers a contemporary pragmatic understanding of how culture is inextricably intertwined with mental health and mental illness. In Chapter 1, the 17-member GAP Committee on Cultural Psychiatry begins by discussing the history (particularly within the last two decades) and scope of culture in clinical psychiatry. In Chapter 2, the authors describe 11 selected cultural variables that strongly influence clinical work: ethnic identity, race, gender and sexual orientations, age, religion, migration and country of origin, socioeconomic status, acculturation and acculturative processes, language, dietary influences, and education. In Chapter 3, the authors present a brief history and detailed analysis of the Cultural Formulation, the newest instrument for ensuring thorough clinical assessments, explaining its clinical use based on DSM-IV guidelines. In Chapter 4, the authors integrate the 11 cultural variables described in Chapter 2 with the use of the Cultural Formulation described in Chapter 3, producing an extraordinary cross-section of case vignettes: How the son of Irish Catholic immigrants struggles to reconcile old-country traditions with life in modern American society The sometimes painful and always complex process and outcomes of acculturation for a Pakistani Muslim family who had come to the United States for only a temporary period but ended up staying permanently Diagnosing social phobia in an Asian American, whose traditional reticence must be viewed within the context of Asian culture Loss of country of origin and family ties as catalysts leading to significant behavioral changes and severe depressive symptoms in an African immigrant tribesman from Kenya and the cultural context of his recovery The interplay of gender, age, and religion with developmental issues, personality organization, and symptom development for a "good Catholic girl" The existential, interpersonal, and clinical experiences of a Protestant minister from predominantly Catholic Ecuador, who came to the United States as pastor of an Hispanic church in a predominantly white city In Chapter 5, the authors conclude with a summary and suggestions regarding the complex issues raised by a thorough cultural assessment. Enhanced by a detailed index, this powerful work meets the significant -- and rapidly growing -- need for psychiatrists and other mental health professionals to understand the role of culture in psychiatry and to integrate this knowledge into their practice so that they can provide the most comprehensive and useful care to their patients.

Psychiatric Interviewing and Assessment

Author: Rob Poole
Publisher: Cambridge University Press
ISBN: 9781316614037
Release Date: 2017-07-31
Genre: Medical

Interviewing and assessment are integral to the practice of psychiatry, and this book helps psychiatrists and other mental health professionals develop the skills needed to gain the right information to make diagnostic formulations and build therapeutic relationships with their patients. The text examines common dilemmas and problems in an engaging and accessible way, and the use of case studies relates the principles discussed to identifiable psychiatric settings. This new edition has been revised and expanded to reflect changes in clinical practice in recent years. New chapters have been added covering the assessment of neurodevelopmental disorders, fragmented interviews and 'impossible' clinical situations such as the assessment of intoxicated patients and rhetorical interviews. Essential reading for all mental health professionals, the practical grounding in real-world clinical experience will benefit trainee psychiatrists, experienced clinicians, nurses, social workers and physician associates.

Psychiatric Diagnosis and Classification

Author: Mario Maj
Publisher: Wiley
ISBN: 0471496812
Release Date: 2002-04-22
Genre: Medical

This book provides an overview of the strengths and limitations of the currently available systems for the diagnosis and classification of mental disorders, in particular the DSM-IV and the ICD-10, and of the prospects for future developments. Among the covered issues are: * The impact of biological research * The diagnosis of mental disorders in primary care * The usefulness and limitations of the concept of comorbidity in psychiatry * The role of understanding and empathy in the diagnostic process * The ethical, legal and social aspects of psychiatric classification Psychiatric Diagnosis & Classification provides a comprehensive picture of the current state of available diagnostic and classificatory systems in psychiatry and the improvements that are needed.

Clinical Child Psychiatry

Author: William M. Klykylo
Publisher: John Wiley & Sons
ISBN: 9781119967705
Release Date: 2012-03-23
Genre: Medical

Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others say they are undiagnosed, undertreated, and are a large burden on society. The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. Clinical Child Psychiatry fills the need for an objective, clinically relevant source to dispel this confusion.

Preventing Patient Suicide

Author: Robert I. Simon
Publisher: American Psychiatric Pub
ISBN: 9781585629473
Release Date: 2010-08-24
Genre: Medical

Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

Rutter s Child and Adolescent Psychiatry

Author: Sir Michael J. Rutter
Publisher: John Wiley & Sons
ISBN: 9781444358711
Release Date: 2011-08-24
Genre: Medical

Rutter’s Child and Adolescent Psychiatry has become an established and accepted textbook of child psychiatry. Now completely revised and updated, the fifth edition provides a coherent appraisal of the current state of the field to help trainee and practising clinicians in their daily work. It is distinctive in being both interdisciplinary and international, in its integration of science and clinical practice, and in its practical discussion of how researchers and practitioners need to think about conflicting or uncertain findings. This new edition now offers an entirely new section on conceptual approaches, and several new chapters, including: neurochemistry and basic pharmacology brain imaging health economics psychopathology in refugees and asylum seekers bipolar disorder attachment disorders statistical methods for clinicians This leading textbook provides an accurate and comprehensive account of current knowledge, through the integration of empirical findings with clinical experience and practice, and is essential reading for professionals working in the field of child and adolescent mental health, and clinicians working in general practice and community pediatric settings.

Psychiatric Clinical Skills

Author: David S Goldbloom
Publisher:
ISBN: 1770523782
Release Date: 2009-03
Genre: Psychology

"Psychiatric Clinical Skills is a succinct, hands-on introduction to the art of diagnostic interviewing, the mental health professional's primary assessment tool. The authors present a practical, step-by-step guide to interviewing, from the first contact with a patient to giving the patient a summary of what you have learned." -- Page 4 of cover.

Handbook of Child and Adolescent Psychiatry Clinical Assessment and Intervention Planning

Author: Saul Isaac Harrison
Publisher: Wiley
ISBN: 0471193305
Release Date: 1998-02-13
Genre: Psychology

This volume contains information on assessing, diagnosing and treatment planning for the range of psychiatric and psychologic problems children and adolescents may experience during their development. It includes in-depth coverage of these issues and also includes "decision trees" for some topics, which are brief flowcharts for practitioners to follow when assessing patients for suspected problems.

Positive Psychiatry

Author: Edited by Dilip V. Jeste M.D.
Publisher: American Psychiatric Pub
ISBN: 9781585624959
Release Date: 2015-04-28
Genre: Medical

While there are a number of books on positive psychology, Positive Psychiatry is unique in its biological foundation and medical rigor and is the only book designed to bring positive mental health ideas and interventions into mainstream psychiatric research, training, and clinical practice. After an overview describing the definition, history, and goals of positive psychiatry, the contributors—pioneers and thought leaders in the field—explore positive psychosocial factors, such as resilience and psychosocial growth; positive outcomes, such as recovery and well-being; psychotherapeutic and behavioral interventions, among others; and special topics, such as child and geriatric psychiatry, diverse populations, and bioethics. The book successfully brings the unique skill sets and methods of psychiatry to the larger positive health movement. Each chapter highlights key points for current clinical services, as practiced by psychiatrists, primary care doctors, and nurses, as well as those in allied health and mental health fields. These readers will find Positive Psychiatry to be immensely helpful in bringing positive mental health concepts and interventions into the clinical arena.

Clinical Assessment of Malingering and Deception Third Edition

Author: Richard Rogers
Publisher: Guilford Press
ISBN: 9781606237632
Release Date: 2008-05-21
Genre: Psychology

Widely regarded as the standard reference in the field, this book provides essential tools for understanding and assessing malingering and other response styles in forensic and clinical contexts. An integrating theme is the systematic application of detection strategies as conceptually grounded, empirically validated methods that bridge different measures and populations. Special topics include considerations in working with children and youth. From leading practitioners and researchers, the volume reviews the scientific knowledge base and offers best-practice guidelines for maximizing the accuracy of psychological and psychiatric evaluations.

Review of Clinical Psychiatry and the Law

Author: Robert I. Simon
Publisher: American Psychiatric Pub
ISBN: 0880483776
Release Date: 1992
Genre: Medical

In keeping with previous volumes in this series, this latest edited collection addresses emerging legal pressure points in clinical psychiatric practice. Supported by recent references to case law, case vignettes, and useful assessment tools, this volume offers guidelines to clinicians on such issues as establishing an appropriate standard of disclosure in informed consent, dealing with the problem of dual loyalties, assessing patient suicide risk, and following proper procedure in the event a patient does commit suicide.

Clinical Manual for Assessment and Treatment of Suicidal Patients

Author: John A. Chiles
Publisher: American Psychiatric Pub
ISBN: 158562683X
Release Date: 2008-05-20
Genre: Medical

The cornerstone of any intervention approach with suicidal patients is the recognition and treatment of psychiatric disorders. For many patients, however, treating the mental illness is not enough -- that is, suicidal behavior is not necessarily reduced by treatments that target those illnesses. Something more is needed. In this provocative and insightful work, Drs. Chiles and Strosahl offer a concrete, practical framework to fill this gap. In doing so, they challenge one of the chief underlying assumptions of traditional approaches to suicide assessment and treatment -- that suicidal behavior can be predicted and controlled. In its place, they propose a new conceptualization of suicidality -- as learned, reinforced problem-solving behaviors that an individual uses when all other options seem to have failed. Rather than focusing on risk prediction and management, interventions in this learning model target the problems that the suicidal behavior is being used to solve. The assumption is that a patient's suicidal behavior represents his or her best attempt at that moment in time to deal with life's difficulties. The clinician's initial task is therefore not to judge or criticize but rather to acknowledge the struggle and pain the patient is experiencing and to help the patient begin to explore other ways of dealing with the overwhelming troubles. Efforts to reduce suicidal risk are accomplished by techniques that maximize individual autonomy and encourage positive behaviors -- the person's unique resources for addressing and modifying the suicidal behavior. Designed to be used both for personal instruction and as a training manual, this comprehensive guide Presents an evidence-based model for understanding and treating suicidal behavior in all its forms. Features self-evaluation exercises to help clinicians develop an enhanced awareness of their own emotional reactions, moral/religious responses, and personal values about suicidality. Provides interactive checklists and patient assessment tools designed for easy use by the typical clinician in daily practice. Includes case vignettes and narratives highlighting key assessment and intervention principles. In Clinical Manual for the Assessment and Treatment of Suicidal Patients, the authors -- a psychiatrist and clinical psychologist -- have combined their diverse training and disciplinary backgrounds to create a workable approach to dealing with suicidal patients. Much more than merely an academic text on suicide, this thought-provoking handbook provides detailed guidance and a true sense of what to do to help suicidal patients. Practitioners in all domains of health care -- clinicians, residents, therapists, and graduate students in psychiatry, psychology, social work, and nursing -- will benefit from this valuable and accessible work.