Psychiatric patients have an increased rate of morbidity and mortality due to physical illnesses. Distressingly, psychiatrists fail to recognize these comorbid medical illnesses in nearly half of all cases. All too often, the physical illness may be causing or exacerbating the psychiatric symptoms. Furthermore, the psychiatric condition itself and iatrogenic complications of medication or other treatments can result in serious medical pathology.
Until now, most psychiatrists have deferred the general medical care of their patients to other practitioners. Yet because psychiatrists are uniquely positioned to provide health care that bridges somatic and mental conditions, they are increasingly being called on to ensure that their patients also receive adequate medical care.
This breakthrough text responds to that call to action from a perspective unique in the literature: It focuses on the medical complications of psychiatric illnesses, rather than the more typical psychiatric complications of medical illnesses.
This concise yet comprehensive book is intended for practitioners who treat adult medical patients. It is divided into two main sections: Ã Health Care of Psychiatric Patients, organized by recommendations for routine medical management and reproductive health, focuses on the general health care maintenance of psychiatric patients with medical illnesses. Also discussed are the unique reproductive health needs of psychiatric patients, who are often at increased risk of coercive or abusive sexual relationships, rape and other sexual assaults, unplanned pregnancy, pregnancy complications, and sexually transmitted diseases.Ã Psychiatric Disorders, organized by diagnostic groupings, focuses on those psychiatric disorders -- affective, anxiety, and somatoform disorders and dementia; schizophrenia and other psychotic disorders; Munchausen's syndrome and other factitious disorders; self-injurious behavior; eating disorders; and alcohol and drug abuse -- that most clearly can have medical complications.
Using extensive notes and tables throughout, these distinguished contributors have created far more than just another compendium of medical illnesses that can present with psychiatric symptoms. Here you'll find a practical, detailed roadmap that will be welcomed not only by students, residents, and clinicians working with adult psychiatric patients who develop medical complications, but also by practitioners who manage psychiatric patients in a general medical practice.
Publisher: American Psychiatric Association Publishing
Number of pages: 228
Weight: 376 g
Dimensions: 229 x 150 x 13 mm
Those who do not practice consultation-liaison psychiatry regularly will likely find this text to be an effective tool with which they may better assess and treat their patients, exactly as the authors of the book intended. The consultation-liaison psychiatrist may utilize this text as a teaching tool, whether he is teaching residents, students, or internists. The tremendous scope of medical illness in psychiatric patients makes it difficult to cover any one illness in detail, but this text serves as a useful jumping-off point to further explore the specifics of a particular illness from the exhaustive list of references the authors have provided. * Autumn Ning, M.D., Psychosomatics *
Overall, Medical Complications of Psychiatric Illness is a useful contribution to the literature because it highlights the importance of health maintenance as well as the identification and the management of medical problems in psychiatric patients. The book is well written, well referenced, and concise. It is a practical resource for practicing psychiatrists, and it would also be useful for psychiatry residents, medical students, and other mental health staff. In addition, there is sufficient value for primary care physicians and/or hospital physicians who care for psychiatric patients. * Donald M. Hilty, M.D., and Thomas S. Nesbitt, M.D., American Journal of Psychiatry *
Medical Complications of Psychiatric Illness is an important book. It is the first to systematically address the medical comorbidity of patients with psychiatric illness, a critical component of comprehensive care for this vulnerable population. The book is a very useful practical guide for the medical care of psychiatric patients. It is concise and easy to read, and both psychiatrists and primary care providers will be able to use it as a quick reference. * Lydia Chwastiak, M.D., M.P.H., Psychiatric Services *
This is a small, reasonably priced volume that should be in the libraries of all physicians. * Thomas N. Wise, M.D., The Journal of Nervous and Mental Disease *