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Rapid psychiatry PDF

182 Pages·2010·0.9 MB·English
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Rapid Psychiatry Rapid Psychiatry Clare Oakley SpecialtyRegistrarinForensicPsychiatry BirminghamandSolihullMentalHealthFoundationTrust Amit Malik ConsultantPsychiatrist HampshirePartnershipNHSTrust Second Edition Thiseditionfirstpublished2010,(cid:1)2010byC.OakleyandA.Malik Previouseditions:2004 BlackwellPublishingwasacquiredbyJohnWiley&SonsinFebruary2007.Blackwell’spublishing programmehasbeenmergedwithWiley’sglobalScientific,TechnicalandMedicalbusinesstoform Wiley-Blackwell. Registeredoffice:JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussex, PO198SQ,UK Editorialoffices: 9600GarsingtonRoad,Oxford,OX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 111RiverStreet,Hoboken,NJ07030-5774,USA Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowto applyforpermissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteat www.wiley.com/wiley-blackwell. Therightoftheauthorstobeidentifiedastheauthorsofthisworkhasbeenassertedinaccordancewiththe Copyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted, inanyformorbyanymeans,electronic,mechanical,photocopying,recordingorotherwise,exceptas permittedbytheUKCopyright,DesignsandPatentsAct1988,withoutthepriorpermissionofthepublisher. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynot beavailableinelectronicbooks. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.Allbrand namesandproductnamesusedinthisbookaretradenames,servicemarks,trademarksorregistered trademarksoftheirrespectiveowners.Thepublisherisnotassociatedwithanyproductorvendor mentionedinthisbook.Thispublicationisdesignedtoprovideaccurateandauthoritativeinformationin regardtothesubjectmattercovered.Itissoldontheunderstandingthatthepublisherisnotengagedin renderingprofessionalservices.Ifprofessionaladviceorotherexpertassistanceisrequired,theservicesofa competentprofessionalshouldbesought. LibraryofCongressCataloging-in-PublicationData Oakley,Clare. Rapidpsychiatry/ClareOakley,AmitMalik.–2nded. p.;cm.–(Rapidseries) ISBN978-1-4051-9557-7 1.Briefpsychotherapy–Handbooks,manuals,etc.I.Malik,Amit.II.Title. III.Series:Rapidseries. [DNLM:1.MentalDisorders–Handbooks.2.Psychiatry–methods–Handbooks. WM34O11r2010] RC480.55.H532010 616.89’14–dc22 2010015125 ISBN:9781405195577 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Setin7.5/9.5ptFrutiger-LightbyThomsonDigital,Noida,India. PrintedinMalaysia 1 2010 v Contents Preface,ix Acknowledgements,x ListofAbbreviations,xi IntroductiontoPsychiatry Summary,3 Signsandsymptoms,4 Psychiatrichistory,7 Mentalstateexamination,9 Classificationsystemsformentaldisorders,11 Assessmentofsuiciderisk,12 Deliberateself-harm,13 Suicide,15 Multidisciplinaryteam,16 Ethicalissues,17 MentalCapacityAct,18 AdultsWithIncapacity(Scotland)Act2000,19 Mentalhealthlegislation,20 DifferentialDiagnosis Theanxiouspatient,27 Thedepressedpatient,28 Theelatedpatient,29 Thehallucinatingpatient,30 Thepatientwithobsessions/compulsions,31 Theunresponsivepatient,32 GeneralAdultPsychiatry Anxietydisorders-agoraphobia,35 Anxietydisorders-generalisedanxietydisorder,36 Anxietydisorders-socialphobia,37 Anxietydisorders-specificphobia,38 Chronicfatiguesyndrome,39 Dissociativedisorders,41 Eatingdisorders-assessment,42 Eatingdisorders-anorexianervosa,43 Eatingdisorders-bulimianervosa,45 Mooddisorders-bipolaraffectivedisorder,46 Mooddisorders-depression,49 Obsessive-compulsivedisorder,51 Personalitydisorders,53 vi Contents Postnatalmentaldisorders-postnatalblues,56 Postnatalmentaldisorders-postnataldepression,57 Postnatalmentaldisorders-puerperalpsychosis,58 Reactionstostressfulevents-abnormalgriefreactions,59 Reactionstostressfulevents-acutestressdisorders,60 Reactionstostressfulevents-adjustmentdisorder,61 Reactionstostressfulevents-post-traumaticstressdisorder,62 Schizophrenia,64 Somatisationdisorder,67 Substancemisuse-assessment,68 Substancemisuse-alcohol,70 Substancemisuse-illicitdrugs,72 Neuropsychiatry Epilepsy,77 Headinjuryandassociatedpsychiatricsequelae,79 Huntington’sdisease,80 Motorneurondisease,81 Multiplesclerosis,82 Parkinson’sdisease,83 Syphilis,84 Wilson’sdisease,85 ChildandAdolescentPsychiatry Specialconsiderationsforassessment,89 Attachmentanddevelopment,90 Attentiondeficithyperactivitydisorder,92 Childabuse,93 Conductdisorder,94 Otherpsychiatricdisordersofchildhoodandadolescence,95 OldAgePsychiatry Specialconsiderationsforassessment,99 Delirium,100 Dementia,102 Depression,105 Verylate-onsetschizophrenia,107 PsychiatryofLearningDisability Learningdisability,111 Autism,113 Down’ssyndrome,115 Geneticdisorders,116 Contents vii ForensicPsychiatry Specialconsiderationsforassessment,119 Violenceandmentaldisorder,120 Riskassessment,121 Structureofforensicservices,122 Legaltermsandcriminalproceedings,123 Psychotherapy Specialconsiderationsforassessment,127 Cognitive-behaviouraltherapy,128 Psychodynamicpsychotherapy,129 Supportivepsychotherapy,130 Psychopharmacology Introduction-generalpointsonprescribing,133 Antidepressants-selectiveserotoninreuptakeinhibitors,134 Antidepressants-tricyclicantidepressants,135 Antidepressants-monoamineoxidaseinhibitors,136 Antidepressants-others,137 Antipsychotics-atypicals,138 Antipsychotics-typicals,139 Antipsychotics-clozapine,140 Anxiolytics,141 ADHDmedication,142 Electroconvulsivetherapy,143 Dementiamedication,145 Hypnotics,146 Medicationforalcoholdependence,147 Medicationforopioiddependence,148 Moodstabilisers-carbamazepine,149 Moodstabilisers-lithium,150 Moodstabilisers-sodiumvalproate,152 Rapidtranquillisation,153 Appendices Culture-specificdisorders,157 Eponymoussyndromes,158 Physicaldisorders-psychologicalconsequences,160 Medication-psychologicalconsequences,161 Glossary

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This pocket guide is a must for all clinical medical students and junior doctors and provides an excellent revision tool in the run-up to exams. It is also perfect for when working on the psychiatric attachment, as it covers many of the conditions encountered on the wards, in clinics, and in general
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