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Psychiatric Care of the Medical Patient
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Table of Contents

Contributors
Part I: Diagnostic Methods
1. Principles of Medical Psychiatry
Donna B. Greenberg and Barry S. Fogel

2. Physical and Neurological Examination
Barry S. Fogel

3. Neuropsychological Assessment
Aaron P. Nelson and Stephanie Assuras

4. Screening Tests and Rating Scales
Barry S. Fogel

5. Laboratory Tests
Kim Stoner

6. Laboratory Evaluation of Endocrine Disorders in Patients with Neuropsychiatric Symptoms
Fernando Rivera, Shirlene Sampson, Christopher Sola, and Susan G. Kornstein

7. Neuroimaging in Psychiatry: The Clinical-Radiographic Correlate
David L. Perez, Laura Ortiz-Terán, and David A. Silbersweig

8. Clinical Neurophysiology in Medical Psychiatry
Rani A. Sarkis and Shahram Khoshbin

9. Neuropsychiatry of Primary Sleep Disorders
Amit Chopra and Jarrett W. Richardson

Part II. Therapeutic Modalities

10. Psychotherapeutic Principles and Techniques
Stephen A. Green

11. Family Therapy in Chronic Medical Illness
Gabor I. Keitner

12. Parent Guidance for Medically Ill Parents
Vaughn L. Mankey and Cynthia W. Moore

13. Group Psychotherapy for Medically Ill Populations
Cheryl Gore-Felton and David Spiegel

14. Cognitive-Behavioral Therapies
Lara N. Traeger and Joseph A. Greer

15. Non-Adherence to Treatment
Joseph A. Greer, Paul J. Helmuth, Jeffrey S. Gonzalez, and Steven A. Safren

16. Hypnosis in Psychosomatic Medicine
José R. Maldonado

17. Mind Body Medicine
Gregory L. Fricchione

18. Spiritual and Religious Issues in Medical Illness
Gregory L. Fricchione and John R. Peteet

19. Technology in Treatment and Physician-Patient Communication
Steven E. Locke and Tristan Gorrindo

20. Psychiatry and Physical Medicine & Rehabilitation
Nasser Karamouz, Richard T. Goldberg, Lucienne A. Cahen and Seth D. Herman

Part III. Pharmacologic and Other Somatic Treatments

21. Psychopharmacology in the Medical Patient
Thomas Markham Brown, Alan Stoudemire*, and Barry S. Fogel

22. Pharmacokinetics of Psychotropic Drugs in the Context of General Medical Illness
Cindy Mascarenas and Barry S. Fogel

23. Medically Significant Side Effects of Psychotropic Drugs
Thomas Markham Brown

24. Neurostimulation: ECT, VNS, rTMS, and DBS
Lawrence Park

25. Acute Pain Management and Psychopharmacology in the Medically Ill
Robert J. Boland, Monique V. Yohanan, and Richard J. Goldberg

26. Pharmacologic and Other Somatic Treatments of Nausea and Vomiting
Danielle N. Ko and Eva H. Chittenden

27. Pharmacologic and Other Somatic Treatments of Dyspnea
Pedro E. Pérez-Cruz and Eva H. Chittenden

28. Therapeutic Nutrients, Herbs, and Hormones
Patricia L. Gerbarg and Richard P. Brown

Part IV. Major Symptoms and Syndromes

29. Grief, Complicated Grief and Bereavement-Related Depression
Alana Iglewicz and Sidney Zisook

30. Acute and Chronic Reactions to Trauma
T.H. Eric Bui, M. Alexandra Kredlow, Meredith E. Charney, Mary C. Zeng, and Naomi M. Simon

31. Anxiety in the Medically Ill
Richard J. Goldberg, Donn A. Posner, and Donna B. Greenberg

32. Eating Disorders
Megan Moore Brennan, Jennifer J. Thomas, and Caitlin M. Nevins

33. Primary Sleep Disorders in Medical and Neurological Patients
Amit Chopra and Jarrett Richardson

34. Medical and Psychiatric Aspects of Chronic Fatigue Syndromes and Apathy
Linda M. Worley and Donna B. Greenberg

35. Sexual Dysfunction
Donna B. Greenberg, Barry S. Fogel, and Linda Shafer

36. Chronic Pain
David Borsook

37. Excessive Illness Behavior
James C. Hamilton, Krystal A. Hedge, and Marc D. Feldman

38. Treatment of Addictions and Related Disorders
Robert Swift

39. Evaluating and Managing Suicide Risk and Violence Risk in the Medical Setting
Phillip M. Kleespies, Douglas H. Hughes, Sarah R. Weintraub, and Ashley S. Hart

40. Personality Disorders in the Medical Setting
Barry S. Fogel

Part V. Neuropsychiatric Disorders

41. Delirium
José R. Maldonado

42. Dementia
Scott McGinnis

43. Epilepsy and Seizures
W. Curt LaFrance Jr and Andres M. Kanner

44. Diagnosis and Treatment of Headache
Elizabeth W. Loder

45. Traumatic Brain Injury
Gregory J. O' Shanick, Nils Varney, and George T. Moses

46. Frontal Systems and Dysfunctions
Kimiko Domoto-Reilly, Paul Malloy, Deborah A. Cahn-Weiner, and Thomas Markham Brown

47. Movement Disorders
Shreya Raj and Jeremiah M. Scharf

48. Neuropsychiatric Aspects of Focal Neurological Disease: Cerebrovascular Disease and Multiple Sclerosis
Ruchi Aggarwal and Mario F. Mendez

49. Brain Tumor
Donna B. Greenberg

50. Attention Deficit Hyperactivity Disorder in Medical Illness
Anna M. Georgiopoulos and Craig B.H. Surman

51. The Psychiatric Care of Medical Patients with Autism
Robert L. Doyle

Part VI. Medical Specialties

52. Psychiatric Care of the Patient with Heart Disease
W. Victor Vieweg and Mehrul Hasnain

53. Multi-dimensional Behavioral Medicine Strategies: Management of Tobacco Use and Obesity
Michael G. Goldstein and Margaret Dundon

54. Psychiatric Aspects of Pulmonary Disease
Richard Kradin

55. Neuropsychiatric Manifestations of Endocrine Disorders
Shirlene Sampson, Christopher L. Sola, and Erin Sterenson

56. Gastroenterology
Donna B. Greenberg

57. Psychiatric Care of the Oncology Patient
Donna B. Greenberg

58. Hematologic Disorders
Madeleine Becker, David J. Axelrod, Keira Chism, Tal E. Weinberger, Dimitri Markov, Lex Denysenko, Christine Marchionni, Olu Oyesanmi, Howard Field, and
Elisabeth J. Shakin Kunkel

59. End-Stage Renal Disease and Its Treatment: Dialysis and Transplantation
Gregory M. Gressel, Norman B. Levy, Michael J. Germain, and Lewis M. Cohen

60. Infectious Diseases
Scott R. Beach

61. Rheumatic Disease, Autoimmune Disorders, and Allergy
Sherese Ali

62. Dermatology
Joseph A. Locala

63. HIV and AIDS
Philip A. Bialer and Joseph Z. Lux

64. Medical Genetics
Kristen M. Shannon and Gayun Chan-Smutko

Part VII. Women's Health

65. Gynecologic Surgery, Pelvic Pain, and Other Relevant Issues
Gail Erlick Robinson, Diane de Camps Meschino

66. Infertility, Pregnancy Loss, and Abortion
Gail Erlick Robinson

67. Hormones and Mood
Gail Erlick Robinson and Sophie Grigoriadis

68. Pregnancy and Postpartum
Diane de Camps Meschino, Ariel Dalfen, and Gail Erlick Robinson

Part VIII. Surgical Specialties

69. General Surgery and Anesthesia
Frederick J. Stoddard Jr., Robert L. Sheridan, and Lawrence F. Seltzer

70. Psychiatric Management of Behavioral Syndromes in Intensive Care Units
Robert J. Boland, Michael G. Goldstein, Scott D. Haltzman, and Tracy M. Guthrie

71. Ophthalmology
Mary Lou Jackson and Jennifer Wallis

72. Otolaryngology
Harold Bronheim

73. Aesthetic Surgery
David B. Sarwer and Jacqueline C. Spitzer

74. Transplantation
Thomas W. Heinrich, Michael Marcangelo, and Heidi Christianson

75. Burns
Shamim Nejad, Amelia Dubovsky, Kelly Irwin, Jeremy Goverman, and Shawn Fagan

76. Urology and Andrology
Andrew J. Roth, Suzanne Karl, and Christian J. Nelson

77. Psychosocial Aspects of Hand Arm Illness and Other Orthopedic Problems
Ana-Maria Vranceanu, David Ring, and Donna B. Greenberg

78. Sexual and Psychological Aspects of Rehabilitation After Spinal Cord Injury
Robert M. Kohut Jr., Allen D. Seftel, Stanley H. Ducharme, and Donald R.Bodner

Part IX. Children and Adolescents

79. Psychiatric Assessment of the Physically Ill Child
Wendy Froehlich-Santino, Hans Steiner, and Richard J. Shaw

80. Adaptation of Psychiatric Drug Treatments to Children and Adolescents
Eric P. Hazen

81. Death and Grief Counseling for Children and Adolescents
Patricia J. O'Malley, Hillary G. D'Amato, and Frederick J. Stoddard Jr.

Part X. Medical Psychiatry in the Evolving System of Care

82. Second Medical Opinions in the Era of Personalized Medicine
Mayanka Tickoo, Aditya Bardia, and Lidia Schapira

83. The Continuum of Chronic Care: Nursing Homes, Assisted Living, Home Care
Hong-Phuc T. Tran and David B. Reuben

84. End-of-life Issues
John L. Shuster, Harvey Max Chochinov, and Natalie L. Jacobowski

85. Capacity, Competency, and Consent in Medical Psychiatry
Barry S. Fogel

86. Objective Psychiatric Assessment and Management of Chronic Disability Syndromes
C. Donald Williams

87. Telepsychiatry
Terry Rabinowitz

88. Practice Guidelines, Performance Measurement, and Incentives
Daniel P. Hunt


Index

About the Author

Barry S. Fogel, MD is a graduate of the UCSF School of Medicine. He was a resident in neurology in the Harvard-Longwood program and a resident in psychiatry at Stanford; he is certified by the ABPN in neurology and psychiatry and by the UCNS in behavioral neurology and neuropsychiatry. Together with the late Dr. Alan Stoudemire he re-defined and popularized the concept of medical psychiatry in a series of articles and books. In 1988 he co-founded
the American Neuropsychiatric Association.

Donna B. Greenberg, MD is a graduate of University of Rochester School of Medicine. She completed residencies in internal medicine at Boston City Hospital and in psychiatry at the Massachusetts General Hospital. She completed the fellowship in psychosomatic medicine at MGH. She is certified by the ABIM in Internal Medicine and the ABPN in Psychiatry. She has practiced and taught medical psychiatry and psychiatric oncology at the Massachusetts General Hospital and Harvard
Medical School for over 30 years, with a special focus on the education of medical students.

Reviews

"Psychiatric Care of the Medical Patient, Third Edition has set a new standard for texts in this area. Fundamentally the book is a true compendium of what the Psychosomatic Psychiatrist must have. It is impossible for a clinician to remember all of this data so it is mandatory that such a book be at their fingertips!" --Thomas N. Wise, MD, Professor of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD
"The third edition of Psychiatric Care of the Medical Patient extends the philosophy that guided the first two editions: that Medical Psychiatry is a distinct subspecialty taking advantage of physicians' full breadth of psychiatric capabilities combined with detailed knowledge of one or more medical-surgical specialties. This is a landmark textbook that should be on the shelf of every physician who cares for patients with comorbid mental and medical
disorders." --James R. Rundell, MD, Professor of Psychiatry and Psychology, Mayo Clinic, Rochester, MN
"This is a must-have reference for all clinicians who work with patients with medical and psychiatric comorbidity, whether they are medical or psychosomatic psychiatrists, combined trained psychiatrists (internal medicine, family medicine, neurology, child/adolescent), or medical providers. The editors and chapter authors are leading experts in their fields, and many have training and expertise beyond their psychiatric specialties. This lends an invaluable
perspective to this well-thought-out and comprehensive book." --Doody's Health Sciences Book Review

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