Chapter
Chapter 2 Assessing capacity in the medically ill: I don't want to!
Please assess competency in this patient
Clinical decision-making and treatment
Chapter 3 The difficult patient encounter: understanding what just happened
Manipulative Help-Rejecters
Clinical decision-making and treatment
Chapter 4 Psychopharmacology in the medically ill
Typical consult questions
Developing an approach to psychopharmacology in psychosomatic medicine patients
Relevant psychopharmacologic principles
Pharmacodynamics and pharmacokinetics
Gabapentin and pregabalin
Carbamazepine and oxcarbazepine
Other/atypical antidepressants
Anxiolytics and sedatives
Non-benzodiazepine sedative/hypnotic medications
Conventional/first-generation antipsychotics
Atypical/second-generation antipsychotics
Chapter 5 Suicide risk assessment
2. Denial of the specific
Clinical decision-making and treatment
Chapter 6 Assessment and management of the violent patient
Clinical decision-making and treatment
Psychopharmacologic management of the agitated, violent patient
Chapter 7 Evaluation and management of delirium
Typical consult questions
Clinical decision-making and treatment
Chapter 8 Management of somatoform disorders
Clinical decision-making and treatment
Clinical decision-making and treatment
Work-up; clinical decision-making and treatment
Clinical decision-making and treatment
Work-up; clinical decision-making and treatment
Chapter 9 Managing factitious disorder and malingering
Clinical decision-making and treatment
Chapter 10 Agitation in patients with dementia
Dementia with Lewy bodies
Physical exam/neuropsychiatric testing/labs/studies
Clinical decision-making and treatment
Medications for agitation in dementia
Cholinesterase inhibitors and memantine
Medications for agitation in Huntington's disease and traumatic brain injury
Chapter 11 Depression and heart disease
Clinical decision-making and treatment
Chapter 12 Management of post-stroke depression
Clinical decision-making and treatment of post-stroke depression
Electroconvulsive therapy
Effect of antidepressants on outcome
Recovery in activities of daily living
Recovery in cognitive function
Psychosocial interventions
Chapter 13 Psychiatric aspects of Parkinson's disease
Overview of Parkinson's disease
Clinical decision-making and treatment
Psychiatric disturbances: background
Work-up for the patient with Parkinson's disease and psychiatric illness
Clinical decision-making and treatment
Specific psychiatric disorders in Parkinson's disease
Mood disorders: background
Depression, apathy, and pseudobulbar affect
Clinical decision-making and treatment
Anxiety disorders: background
Clinical decision-making and treatment
Psychotic disorders: background
Clinical decision-making and treatment
Cognitive disorders: background
Clinical decision-making and treatment
Other psychiatric symptoms in Parkinson's disease: background, work-up, and clinical decision-making and treatment
Behavioral changes and impulse control disorders
Abuse of dopaminergic medications
Chapter 14 Managing depression in traumatic brain injury
Risk factors for post-TBI depression
Clinical features of post-TBI depression
Clinical decision-making and treatment
Chapter 15 Managing psychiatric aspects of seizure disorders
Definitions and classification
1. Does the patient really have seizures?
2. If the patient has epilepsy, what is the type, is the cause known, what is the treatment, and is the epilepsy controlled?
3. What psychiatric symptoms are present, do they represent a psychiatric syndrome, and what is their relationship to seizures (i.e., are the symptoms preictal, postictal, or interictal) and epilepsy treatment?
4. How is the patient handling epilepsy?
5. Are AEDs playing a role in cognitive and psychiatric symptoms?
6. Is the patient suicidal?
7. Was neuropsychological testing completed?
Clinical decision-making and treatment
Psychiatric disorder treatment
Chapter 16 Distress and depression in cancer care
Typical consultation questions
Screening for distress and the Mental Health Evaluation
Physical symptom burden and distress
Pharmacologic treatments for depression in cancer – A cautionary tale
Non-pharmacologic therapies for depression in cancer
Existential and spiritual care
Nutrition and supplements
Chapter 17 Depression in the patient with hepatitis C
Clinical decision-making and treatment
Proposed mechanisms for interferon-induced depression
Pretreatment and the debate over prophylactic medications
Treatment of depression symptoms during IFN therapy
Chapter 18 Psychiatric aspects of AIDS
Typical consult questions
Clinical decision-making and treatment
Psychopharmacology and AIDS psychiatry (12–14)
Psychopharmacology and addictive disorders (12–15)
Psychopharmacology and other psychiatric disorders (12–15) – includes results of OAP Consensus Survey (12) – with examples of medicines and doses
Chapter 19 Managing depression and renal failure
Types and epidemiology of renal disease
Renal replacement therapies
Epidemiology of renal disease and depression
Cause of depression in renal failure
Consequences of depression and renal failure
Clinical decision-making and treatment
Pharmacologic therapy in renal failure
Pharmacokinetic and pharmacodynamic issues in renal failure
Antidepressant medications in renal failure
Nonpharmacologic therapy for depression in renal failure
Chapter 20 Management of psychiatric syndromes due to endocrine and metabolic diseases
Clinical decision-making and treatment
Chapter 21 Management of alcohol withdrawal and other selected substance withdrawal issues
Clinical decision-making and treatment
Sedative/hypnotic withdrawal
Clinical decision-making and treatment
Opioid agonist therapy for patients in the hospital
Opioid-assisted detoxification in the hospital
Methadone and buprenorphine drug interactions
Symptomatic detoxification
Chapter 22 Managing depression in pregnancy
Epidemiology of depression during pregnancy and the post-partum period
Consequences of depressive disorders in the perinatal period
Clinical decision-making and treatment
Nonpharmacologic treatments
Antidepressants and lactation
Alternative options for depression treatment in the perinatal period
Treatment with mood stabilizers and antipsychotics in the perinatal period
Role of healthcare providers
Chapter 23 Psychiatric aspects of organ transplantation
Clinical decision-making and treatment
c. Post-transplant period
Chapter 24 Preoperative psychiatric evaluation for bariatric surgery
Psychometric evaluation of bariatric surgery candidates
Pre-operative and post-operative adherence
Chapter 25 Psychiatric care at the end of life: hospice and palliative medicine
Clinical decision-making and treatment
Chapter 26 Demoralization in the medical setting
Clinical decision-making and treatment
Chapter 27 Psychotherapy for the hospitalized medically ill patient
Role disputes and interpersonal deficits
Clinical decision-making and treatment
Chapter 28 Children’s reactions and consequences of illness and hospitalization and transition of care from pediatric to adult settings
Clinical decision-making and treatment
Transition from pediatric to adult care