This book contains easy-to-use summaries, web resources, checklists, flowcharts, and worksheets found here - all designed to teach the process of psychiatric consultation. Intended as a companion guide to comprehensive but encyclopedic textbooks in psychosomatic medicine, this concise volume combines medication updates with ?how-to? strategies for the psychiatric treatment of patients with cardiovascular, hepatic, renal, pulmonary disease and gastrointestinal symptoms. Chapters are arranged by organ-system, e.g., The Patient With Kidney Disease, The Cardiovascular Patient, for easy reference. Each chapter summarizes the literature, emphasizing diagnostic and treatment considerations for patients with psychiatric symptoms and medical illnesses. Individual chapters cover delirium, pregnancy (a standalone monograph on the treatment of psychiatric illness in pregnancy), HIV, hepatitis C, steroid-induced psychiatric syndromes, and organ transplants.
ContributorsPrefaceAcknowledgmentsDedicationChapter 1. The Delirious PatientChapter 2. The Patient With Hepatic Disease, Alcohol Dependence, and Altered Mental StatusChapter 3. The Patient With Cardiovascular DiseaseChapter 4. The Patient With Kidney DiseaseChapter 5. The Patient With Pulmonary DiseaseChapter 6. The Patient With GI Symptoms and Psychiatric DistressChapter 7. The Obstetrics PatientChapter 8. The Patient Using SteroidsChapter 9. The HIV-Infected PatientChapter 10. The Patient With Hepatitis CChapter 11. A Primer on Solid Organ Transplant PsychiatryChapter 12. Assessing Decisional Capacity and Informed Consent in Medical Patients: A Short, Practical GuideChapter 13. Psychological Issues in Medical Patients: Autonomy, Fatalism, and Adaptation to IllnessChapter 14. When Patients Ask About the Spiritual: A PrimerChapter 15. The Seriously Ill Patient: Physician Factors in the Doctor-Patient Relationship: A Short, Practical GuideChapter 16. Epilogue: The Physician as ComforterAppendix 1: American Psychiatric Association Guidelines for Assessing the Delirious Patient: ChecklistAppendix 2: Worksheet for Organizing Medical Chart Information: The Initial Psychiatric ConsultationAppendix 3: Decision Tree for Psychiatric Differential Diagnosis of Medically Ill PatientsAppendix 4: "VINDICTIVE MADS": Differential Diagnosis of Mental Status ChangesAppendix 5: A Short, Practical Guide to Treating Dementia-Related Behavioral Problems in the Medical SettingAppendix 6: A Guide to Herbal Supplements in the Medical SettingAppendix 7: Worksheet for Diagnosing and Comparing Serotonin Syndrome and Neuroleptic Malignant SyndromeAppendix 8: Delirium Rating Scale-Revised-98Appendix 9: The Confusion Assessment Method (CAM) InstrumentAppendix 10: Memorial Delirium Assessment Scale (MDAS)Appendix 11: Risk Factors for Torsades de PointesAppendix 12: Guidelines for Adult Psychotropic Dosing in Renal FailureAppendix 13: Commonly Used Drugs With Sedative-Hypnotic PropertiesAppendix 14: Electroconvulsive Therapy in Medical Illness: Practice Guidelines of the American Psychiatric AssociationAppendix 15: Diagnosing Depression in the Medically IllAppendix 16: Screening Worksheet for Bipolar Spectrum DisordersAppendix 17: Neuropsychiatric Effects of Electrolyte and Acid-Base ImbalanceAppendix 18: Worksheet for Monitoring Patients Receiving Atypical AntipsychoticsAppendix 19: Case Vignettes and Study GuideIndex
