Rapid Psychiatry PDF
Preview Rapid Psychiatry
Editorial Advisor Dr Peter Raven Psychiatry Allison Hibbert Alice Godwin Frances Dear Rapid Psychiatry RAPID PSYCHIATRY Allison Hibbert Alice Godwin Frances Dear Allof RoyalFreeandUniversityCollegeMedicalSchool UniversityCollegeLondon London EDITORIAL ADVISOR Peter Raven SERIESEDITOR Amir H.Sam RoyalFreeandUniversityCollegeMedicalSchool UniversityCollegeLondon London (cid:1)2004A.Hibbert,A.Godwin,F.DearandP.Raven PublishedbyBlackwellPublishingLtd BlackwellPublishing,Inc.,350MainStreet,Malden,Massachusetts 02148-5020,USA BlackwellPublishingLtd,9600GarsingtonRoad,OxfordOX42DQ,UK BlackwellPublishingAsiaPtyLtd,550SwanstonStreet,Carlton,Victoria 3053,Australia TherightoftheAuthorstobeidentifiedastheAuthorsofthisWorkhas beenassertedinaccordancewiththeCopyright,DesignsandPatentsAct 1988. Allrightsreserved.Nopartofthispublicationmaybereproduced, storedinaretrievalsystem,ortransmitted,inanyformorbyanymeans, electronic,mechanical,photocopying,recordingorotherwise,exceptas permittedbytheUKCopyright,DesignsandPatentsAct1988,without thepriorpermissionofthepublisher. Firstpublished2004 LibraryofCongressCataloging-in-PublicationData Hibbert,Allison. RapidPsychiatry/AllisonHibbert,AliceGodwin,FrancesDear. p.;cm.—(Rapidseries) ISBN1-4051-1324-3 1.Briefpsychotherapy—Handbooks,manuals,etc. [DNLM:1.MentalDisorders—Handbooks.2.Psychiatry—methods— Handbooks.WM34H624r2004]I.Godwin,Alice.II.Dear,Frances. III.Title.IV.Series. RC480.55.H532004 ISBN1-4051-13243 AcataloguerecordforthistitleisavailablefromtheBritishLibrary Setin7.5/9.5ptFrutiger byKolamInformationServicesPvt.Ltd,India PrintedandboundinIndiabyReplikaPressPvt.Ltd CommissioningEditor:VickiNoyes EditorialAssistant:NicolaUlyatt ProductionEditor:LornaHind ProductionController:KateCharman ForfurtherinformationonBlackwellPublishing,visitourwebsite: http://www.blackwellpublishing.com Thepublisher’spolicyistousepermanentpaperfrommillsthatoperate asustainableforestrypolicy,andwhichhasbeenmanufacturedfrom pulpprocessedusingacid-freeandelementarychlorine-freepractices. Furthermore,thepublisherensuresthatthetextpaperandcoverboard usedhavemetacceptableenvironmentalaccreditationstandards. Contents v Preface,viii S Foreword,ix T N Listofabbreviations,x E Rapidseriesmnemonic,xii T Section1:Psychiatrichistoryandmentalstateexamination N Summary,3 Psychiatrichistory,4 O Mentalstateexamination,6 C Minimentalstateexamination,10 Assessmentofaneatingdisorder,11 Alcoholhistory,12 Assessmentofsuiciderisk,16 Section2:Differentialdiagnosis Theanxiouspatient,21 Thedepressedpatient,22 Theelatedpatient,23 Thehallucinatingpatient,24 Thepanickingpatient,25 Thepatientwithobsessionsand/orcompulsions,26 Thethinpatient,27 Thepatientwhoovereats,28 Theunresponsivepatient,29 Section3:Adultpsychiatricdisorders Introductiontoadultpsychiatricdisorders,33 Oldagepsychiatry,34 Abnormalgriefreactions,35 Acutestressdisorders,36 Adjustmentdisorder,37 Agoraphobia,38 Anorexianervosa,39 Bipolaraffectivedisorder,41 Bulimianervosa,43 Chronicfatiguesyndrome,44 Deliberateself-harm,46 Delirium,48 Dementia,50 Depression,53 Dissociative/conversiondisorders,56 Epilepsy,58 Generalisedanxietydisorder,59 Huntington’sdisease,60 Contents vi S Klinefelter’ssyndrome,61 Motorneuronedisease,62 T Multiplesclerosis,63 N Obsessionsandcompulsions,64 E Parkinson’sdisease,65 Personalitydisorders,66 T Postnatalblues,68 N Postnataldepression,69 Post-traumaticstressdisorder,70 O Premenstrualsyndrome,72 C Psychosexualdisorders,73 Puerperalpsychosis,75 Schizophrenia,76 Socialphobia,80 Somatoformdisorder,81 Specificphobia,83 Substancemisuse,85 Substancemisuse–alcohol,89 Suicide,91 Syphilis,92 Wilson’sdisease,93 Section4:Childpsychiatricdisorders Introduction,97 Childdevelopment,98 Attentiondeficitdisorderwithorwithouthyperactivity,101 Childhoodautism,102 Conductdisorders,104 Eliminationdisorders–enuresis,106 Eliminationdisorders–encopresis(non-organic),107 Learningdisability,108 Otherchildpsychiatricconditions,111 Section5:Physicaltreatments Introduction–generalpointsonprescribing,115 Antidepressants–serotoninreuptakeinhibitors,116 Antidepressants–tricyclicantidepressants,117 Antidepressants–monoamineoxidaseinhibitors,118 Antipsychotics,119 Anxiolytics,121 Careprogrammeapproachandthemulti-disciplinaryteam,122 Centralnervoussystemstimulantmedication,123 Cognitive–behaviouraltherapyandpsychologicaltherapies,124 Electroconvulsivetherapy,127 Moodstabilisers–lithium,129 Moodstabilisers–sodiumvalproate,131 Moodstabilisers–carbamazepine,132 Contents vii Seriousadverseeffectsofpsychiatricdrugs,133 S Treatmentofpsychiatricemergencies,134 T N Appendices Culture-specificdisorders,139 E Eponymoussyndromes,140 T ForensicpsychiatryandtheMentalHealthAct,143 N Physicaldisorderswithpsychologicalconsequences,149 O Glossary C Preface viii WewouldliketothankourfamiliesandourfriendsattheRoyalFreeHospital SchoolofMedicinefortheircontinuedsupport. WewouldespeciallyliketothankDrRavenforhisencouragement,guidanceand expertise. July2003 RoyalFreeHospital,London,UK A.H. A.G. F.D. Foreword ix Ithasbeenagreatprivilegetobeinvolvedintheproductionofthisinnovative undergraduatetextbookinpsychiatry.Whenoneofthestudentsattachedtomy clinicalfirmfirstsuggestedtheconceptofaseriesofspecialisttextbookswritten bystudents,forstudents,myreactionwasamixtureofcuriosityandscepticism. Luckily,acombinationofAmirSam’spowersofpersuasionandmycuriosity overcamemyscepticism.TogetherwithAmirSam,theauthorsofthisbookare amongtheverybeststudentsofpsychiatryIhaveeverhadthepleasuretoteach. Intheprocessofeditingthisbook,Ihavelearnedahugeamountaboutteaching psychiatry,especiallyaboutthewaythatpsychiatryasasubjectisperceivedby students.Ifyouareastudentthinkingofbuyingthistextbook,ithasthegreat advantagethatitpresentsthecurriculumfromthestudent’spointofview.Itpays particularattentiontoexplainingthosetopicswhichstudentsfindespecially difficult,withoutlosingtheemphasisonthoseconditionswhichclinicians considertobeimportant. Duringtheproductionofthisbook,Ihaveseenthetransformationofthese authorsfromstudentstodoctors.Needlesstosay,theyusedthedraftsofthis booktorevisepsychiatryfortheirfinalexams,andtheyallpassedwithflying colours! Ihopethatyouwilllearnasmuchfromreadingthisbookaswealldidfrom producingit. PeterRaven January2004
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