Psychiatry : a comprehensive board review PDF
Preview Psychiatry : a comprehensive board review
PSYCHI AT RY BOA R D R EV I EW PSYCHIATRY BOAR D R EVIEW EDITED BY Rajesh R. Tampi, MD, MS, DFAPA PROFESSOR OF PSYCHIATRY, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE VICE CHAIRMAN FOR EDUCATION AND FACULTY DEVELOPMENT RESIDENCY PROGRAM DIRECTOR CHIEF OF GERIATRIC PSYCHIATRY INTERIM DIRECTOR, PSYCHIATRY CONSULTATION LIAISON SERVICE METROHEALTH, CLEVELAND, OHIO, USA ASSOCIATE CLINICAL PROFESSOR OF PSYCHIATRY YALE SCHOOL OF MEDICINE NEW HAVEN, CT, USA Kristina Zdanys, MD ASSISTANT PROFESSOR OF PSYCHIATRY GERIATRIC PSYCHIATRY FELLOWSHIP PROGRAM DIRECTOR UCONN HEALTH FARMINGTON, CT, USA Mark Oldham, MD ASSISTANT PROFESSOR OF PSYCHIATRY YALE SCHOOL OF MEDICINE ASSISTANT PROFESSOR OF PSYCHIATRY, YALE SCHOOL OF NURSING MEDICAL DIRECTOR, BEHAVIORAL INTERVENTION TEAM YALE-NEW HAVEN HOSPITAL NEW HAVEN, CT, USA 1 1 Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and certain other countries. Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016, United States of America. © Oxford University Press 2017 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license, or under terms agreed with the appropriate reproduction rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above. You must not circulate this work in any other form and you must impose this same condition on any acquirer. CIP data is on file at the Library of Congress ISBN 978–0 –1 9–0 26555–7 This material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And, while this material is designed to offer accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues are constantly evolving and dose schedules for medications are being revised continually, with new side effects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. The publisher and the authors make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or efficacy of the drug dosages mentioned in the material. The authors and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material. 9 8 7 6 5 4 3 2 1 Printed by WebCom, Inc., Canada TABLE OF CONTENTS Contributors vii 13. Management and Treatment of Neurological Disorders 159 PART I BASIC CONCEPTS IN PSYCHIATRY Tatjana Barisic-Dujmovic Section Editor: Isis Burgos- Chapman PART III CLINICAL PSYCHIATRY 1. Development Through the Life Cycle 3 Section Editor: Rajiv Radhakrishnan, Rachel Wurmser Lily Arora 2. Behavioral and Social Sciences 12 14. Childhood-Onset Disorders 173 Adefolake Akinsanya 3. Epidemiology and Public Policy 18 Waqar Rizvi 15. Psychiatric Presentations Due to Medical Carlos E. Molina Conditions 182 4. Diagnostic Procedures 25 Harvinder Singh, Nery Diaz Ajay Shah, Varma Penumetcha, Rajesh R. Tampi, 16. Substance- Related Disorders 188 Mohsina Ahmed, Rabeea Mansoor, Raman Marwaha, and Juan Young Shirshendu Sinha 5. Clinical Aspects of Psychiatric Disorders 50 17. Schizophrenia and Other Psychotic Disorders 197 Neha Gupta, Ajay Shah, Kamalika Roy, Harvinder Singh, Aarti Gupta Varma Penumetcha, and Mark Oldham 18. Mood Disorders 206 6. Treatment of Psychiatric Disorders 80 Harvinder Singh, Brian Frankel Neha Gupta 19. Anxiety Disorders 215 Ambreen Ghori, Aarti Gupta PART II NEUROLOGY AND 20. Somatic Symptom Disorders and Factitious NEUROSCIENCES Disorders 225 Section Editor: Shirshendu Sinha Harvinder Singh, Juan Young, Isabella Michna 7. Neural Development Through the Life Cycle 89 21. Dissociative Disorders 232 Rajesh R. Tampi, Juan Young, Mohsina Ahmed, David Matuskey Raman Marwaha 22. Sexual Disorders and Gender Dysphoria 235 8. Basic Neurosciences 95 Adefolake Akinsanya Rajesh Tampi 23. Eating Disorders 241 9. Diagnostic Procedures 101 Harvinder Singh Kristina Zdanys 24. Impulse Control Disorders 244 10. Clinical Aspects of Neuropsychiatric Disorders 105 Isabella Michna Shirshendu Sinha, Kristina Zdanys 25. Adjustment Disorders 247 11. Treatment of Neuropsychiatric Disorders 122 Anil Bachu Michael Maksimowski, Rajesh Tampi 26. Personality Disorders 251 12. Diagnostic and Clinical Evaluation of Neurological Waqar Rizvi Disorders and Syndromes 136 27. Diagnostic Procedures 256 Kristina Zdanys, Kamalika Roy, Shirshendu Sinha Anil Bachu v 28. Treatment of Psychiatric Disorders 262 36. Clinical Vignette: Ethics (Capacity Evaluation) 335 Harvinder Singh, Miyun Kang, Sarah de Asis, Tobias Wasser Rajiv Radhakrishnan, Rajesh R. Tampi, Esha Sharma, 37. Clinical Vignette: Delirium 339 Geetha Manikkara, Silpa Balachandran, Mahitha Kolli, Suneela Cherlopalle Filza Hussain 29. Ethics 298 38. Clinical Vignette: Psychosomatics (HIV) 342 Deepti Challagolla Mark Oldham 30. Epidemiology, Biostatistics, and Research Design 305 39. Clinical Vignette: Mood Disorders (With Suicidal Ideation) 346 Mark Oldham Sarah Jillani 31. Interpersonal and Communication Skills 312 40. Clinical Vignette: Personality Disorders 349 Deepti Challagolla Sarah Jillani 32. Systems- Based Practice Issues 316 41. Clinical Vignette: Psychopharmacology Deepti Challagolla (Extrapyramidal Symptoms) 352 33. Factors Affecting Prognosis or Complicating Filza Hussain Treatment 320 42. Clinical Vignette: Schizophrenia 355 Jatinder Chawla, Swapnil Gupta Michael Maksimowski 43. Clinical Vignette: Substance Use Disorders PART IV CLINICAL VIGNETTES (Alcohol) 358 Section Editor: Mallika Lavakumar Shirshendu Sinha 34. Clinical Vignette: Autism Spectrum Disorder 329 Index 363 Adefolake Akinsanya 35. Clinical Vignette: Legal (Competence to Stand Trial) 332 Isabella Michna vi • TABLE Of CONTENTS CONTRIBUTORS Mohsina Ahmed, MD Deepti Challagolla, MD Resident in Psychiatry Attending Psychiatrist MetroHealth Lighthouse Care Center of Conway Case Western Reserve University School Conway, SC, USA of Medicine Cleveland, OH, USA Jatinder Chawla, MBBS, MD Staff psychiatrist Adefolake Akinsanya, MD Manhattan Psychiatric Center Resident in Psychiatry Manhattan, NY, USA MetroHealth Case Western Reserve University School of Medicine Suneela Cherlopalle, MD Cleveland, OH, USA Resident in Psychiatry MetroHealth Lily Arora, MD Case Western Reserve University School of Medicine Clinical Assistant Professor Cleveland, OH, USA Rutgers-New Jersey Medical School Assistant Clinical Professor Newark, NJ, USA Yale University School of Medicine New Haven, CT, USA Anil Bachu, MD Resident in Psychiatry Sarah de Asis, MD MetroHealth Chairman Case Western Reserve University School of Medicine Department of Psychiatry Cleveland, OH, USA Day Kimball Hospital Putnam, CT, USA Silpa Balachandran, MD Assistant Clinical Professor Resident in Psychiatry Yale University School of Medicine MetroHealth New Haven, CT, USA Case Western Reserve University School of Medicine Cleveland, OH, USA Nery Diaz, DO Attending Psychiatrist Tatjana Barisic-Dujmovic, MD Audbon Clinic Attending Psychiatrist Washington Heights Community Services Rogers Memorial Hospital Instructor of Clinical Psychiatry Brown Deer, WI, USA Columbia University New York State Psychiatric Institute Isis Burgos- Chapman, MD, FAPA New York, New York, USA Staff Adult and Geriatric Psychiatrist Cornell Scott Hill Health Center Brian Frankel, MD New Haven, CT, USA Fellow in Addiction Psychiatry Assistant Clinical Professor of Psychiatry Yale School of Medicine Yale School of Medicine New Haven, CT, USA New Haven, CT, USA vii Ambreen Ghori, MD Mallika Lavakumar, MD Resident in Psychiatry Attending Psychiatrist MetroHealth Metrohealth Case Western Reserve University School Assistant Professor of Psychiatry of Medicine Case Western Reserve University School Cleveland, OH, USA of Medicine Cleveland, OH, USA Aarti Gupta, MD Principal Psychiatrist Michael Maksimowski, MD, MA Connecticut Valley Hospital Resident in Psychiatry Middletown, CT, USA MetroHealth Assistant Clinical Professor of Psychiatry Case Western Reserve University School Yale School of Medicine of Medicine New Haven, CT, USA Cleveland, OH, USA Neha Gupta, MD Geetha Manikkara, MD Fellow in Forensic Psychiatry Research Assistant in Psychiatry University of Pennsylvania School of Medicine MetroHealth Philadelphia, PA, USA Cleveland, OH, USA Fellow in Child and Adolescent Psychiatry University of Connecticut School Rabeea Mansoor, MD of Medicine Fellow in Child and Adolescent Psychiatry Farmington, CT, USA Department of Psychiatry Cleveland Clinic Foundation Swapnil Gupta, MBBS, MD Cleveland, OH, USA Assistant Professor Department of Psychiatry Raman Marwaha, MD Yale School of Medicine Attending Psychiatrist Attending Psychiatrist MetroHealth Connecticut Mental Health Center Assistant Professor of Psychiatry New Haven, CT, USA Case Western Reserve University School of Medicine Filza Hussain, MD Cleveland, OH, USA Consultant Psychiatrist Mayo Clinic Health System David Matuskey, MD Eau Claire, WI, USA Associate Research Scientist in Radiology and Biomedical Imaging Sarah Jillani, MD Medical Director, Yale Positron Emission Fellow Child and Adolescent Psychiatrist Tomography (PET) Center Yale Child Study Center, Yale University Assistant Clinical Professor of Psychiatry New Haven, CT, USA Yale School of Medicine New Haven, CT, USA Miyun Kang, MD Department of Psychiatry Isabella Michna, MD Yale School of Medicine Fellow in Forensic Psychiatry New Haven, CT, USA University of Colorado School of Medicine Denver, CO, USA Mahitha Kolli, MD Resident in Psychiatry Carlos E. Molina, MD MetroHealth Resident in Psychiatry Case Western Reserve University School MetroHealth of Medicine Case Western Reserve University School of Medicine Cleveland, OH, USA Cleveland, OH, USA viii • CONTRIBUTORS Mark Oldham, MD Shirshendu Sinha, MBBS Assistant Professor of Psychiatry, Yale School of Medicine Assistant Professor of Psychiatry Assistant Professor of Psychiatry, Yale School of Nursing Mayo Clinic College of Medicine Medical Director, Behavioral Intervention Team Rochester, MN, USA Yale-New Haven Hospital Senior Associate Consultant, Psychiatry New Haven, CT, USA Mayo Clinic Health System Mankato, MN, USA Varma Penumetcha, MD Fellow in Law and Psychiatry Rajesh R. Tampi, MD, MS, DFAPA Yale School of Medicine Professor of Psychiatry New Haven, CT, USA Case Western Reserve University School of Medicine Vice Chairman for Education and Faculty Development Rajiv Radhakrishnan, MBBS, MD Residency Program Director Department of Psychiatry Chief of Geriatric Psychiatry Yale School of Medicine MetroHealth New Haven, CT, USA Cleveland, OH, USA Associate Clinical Professor of Psychiatry Waqar Rizvi, MD Yale School of Medicine Fellow in Child and Adolescent Psychiatry New Haven, CT, USA Yale Child Study Center, Yale University New Haven, CT, USA Tobias Wasser, MD Assistant Professor of Psychiatry Kamalika Roy, MD Yale School of Medicine Fellow in Psychosomatic Medicine New Haven, CT, USA University of Michigan Ann Arbor, MI, USA Rachel Wurmser, MD Resident in Psychiatry Ajay Shah, MD Yale School of Medicine Menninger Department of Psychiatry and Behavioral New Haven, CT, USA Sciences Baylor College of Medicine Juan Young, MD Houston, TX, USA Resident in Psychiatry MetroHealth Esha Sharma, MBBS Case Western Reserve University School of Medicine Research Assistant Cleveland, OH, USA Psychiatric Genetic Epidemiology and Neurobiology Laboratory (PsychGENe Lab) Kristina Zdanys, MD Department of Psychiatry and Behavioral Sciences Assistant Professor of Psychiatry SUNY Upstate Medical University Geriatric Psychiatry Fellowship Program Director Syracuse, NY, USA UConn Health Farmington, CT, USA Harvinder Singh, MD Assistant Professor of Psychiatry St. Luke’s University Health Network Bethlehem, PA, USA Clinical Assistant Professor of Psychiatry (Adjunct) Temple University School of Medicine Philadelphia, PA, USA CONTRIBUTORS • ix
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