Integrates psychotherapy, pharmacology, and CAM—across syndromes, settings, and the life span
Includes CourseConnect: Know It. Use It. Test It. – The Smarter Way to Learn and Succeed!
A practice-ready PMHNP text, organized by syndrome—not diagnosis—with clear strategies for comprehensive, patient-centered care. This edition includes clinical cases, treatment algorithms, and expert recommendations grounded in real-world APRN practice. Readers gain skills to integrate medication, therapy, and alternative care methods, with special focus on vulnerable populations, telehealth, and resilience building. Know, use, and test your understanding of course content with CourseConnect—an interactive learning platform included with your print purchase.
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Kathleen R. Tusaie, PhD, PMHCNS/NP-BC, is professor emeritus at the University of Akron and has been in private practice since 1988. Dr. Tusaie is certified as a psychiatric-mental health clinical nurse specialist and psychiatric nurse practitioner by the American Nurse Credentialing Center. She holds certificates in advanced pharmacology, multicultural nursing, eye movement desensitization and reprocessing (EMDR), psychoneuroimumunology, brief psychotherapy, cognitive behavioral therapy, clinical hypnosis, and Bowen family therapy. In addition to the University of Akron, she has taught at the University of Pittsburgh and Pennsylvania State University School of Nursing. Her research has focused on the concept of resilience, and she has published and presented internationally. Dr. Tusaie published an American Journal of Nursing Book of the Year—Fast Facts for the Nurse Psychotherapist—with Jeffrey S. Jones and reviews articles for several scholarly journals.
Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, FNAP, FAANP(H), is Director of the Marian K. Shaughnessy Nurse Leadership Academy and Elizabeth Brooks Ford Professor of Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University (CWRU) in Cleveland, Ohio, where she was dean from 1982 through 1997. In 2020 she was named Distinguished University Professor at CWRU. She earned a BSN (Georgetown University), an MS in psychiatric-mental health nursing (The Ohio State University), a PhD in nursing (New York University), and an MBA from CWRU. Dr. Fitzpatrick has received numerous honors and awards; she was elected a fellow in the American Academy of Nursing in 1981, a fellow in the National Academies of Practice in 1996, and an honorary fellow of the American Association of Nurse Practitioners in 2019. She received the American Journal of Nursing Book of the Year Award 22 times. Dr. Fitzpatrick is widely published in nursing and health care literature. She served as co-editor of the Annual Review of Nursing Research series, volumes 1–26; she previously edited the journals Applied Nursing Research, Nursing Education Perspectives, and Archives of Psychiatric Nursing. She has published several books with Springer Publishing Company, including four editions of the classic Encyclopedia of Nursing Research (ENR).
Contributors
Foreword to the First Edition by Grayce M. Sills, PhD, RN, FAAN
Note on the Fourth Edition
Preface
Resources
Instructor Resources
Student Resources
SECTION I. THE DYNAMIC NATURE OF ADVANCED PRACTICE PSYCHIATRIC MENTAL HEALTH NURSING
Chapter 1. Introduction to the Development of Science, Education, and Credentialing for Psychiatric-Mental Health Advanced Practice Nursing
Chapter 2. Shared Decision-Making: Concordance Between Psychiatric-Mental Health Advanced Practice Registered Nurse and Client
SECTION II. FOUNDATIONS FOR INTEGRATIVE MENTAL HEALTH PRACTICE
Chapter 3. Synergy of Integrative Treatment
Chapter 4. Overview of Psychotherapy
Chapter 5. Overview of Psychopharmacology
Chapter 6. Overview of Complementary, Alternative, and Integrative Approaches
Chapter 7. Stages of Treatment
Chapter 8. Legal and Ethical Decision-Making
SECTION III. INTEGRATIVE MANAGEMENT OF SPECIFIC SYNDROMES
Chapter 9. Integrative Management of Disordered Mood
Chapter 10. Integrative Management of Anxiety-Related Conditions
Chapter 11. Integrative Management of Psychotic Symptoms
Chapter 12. Integrative Management of Sleep Disturbances
Chapter 13. Integrative Management of Disordered Eating
Chapter 14. Integrative Management of Disordered Cognition
Chapter 15. Integrative Management of Disordered Impulse Control
Chapter 16. Integrative Management of Disordered Attention
Chapter 17. Integrative Management of Self-Injurious Behavior
Chapter 18. Integrative Management of Other-Directed Violence
SECTION IV. SPECIAL CONSIDERATIONS
Chapter 19. Integrative Management of Substance Use Disorders and Co-occurring Mental Health Disorders
Chapter 20. Medical Problems and Psychiatric Syndromes
Chapter 21. Integrative Management of Pregnancy During Psychiatric Syndromes
Chapter 22. Forensic Issues and Psychiatric Syndromes
Chapter 23. Telehealth
Chapter 24. LGBTQ+ Issues: Care of Sexual and Gender Minority Patients
SECTION V. MAINTAINING COMPETENCE AND QUALITY
Chapter 25. Increasing Resilience in Psychiatric-Mental Health Advanced Practice Nurses
Chapter 26. Documentation Standards for Psychiatric-Mental Health Advanced Practice Nurses
Chapter 27. Global Perspectives and the Future of Psychiatric-Mental Health Advanced Practice Nursing
Index