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This book updates articles previously published in BJPsych Advances to compile a current review of noteworthy subjects in old age psychiatry. It opens with epidemiology, then offers information and advice about a variety of disorders, including rare and unusual dementias. It considers assessment, from cognitive testing and the use of neuroimaging, to newer issues around biomarkers. Turning to treatment and management, the book provides readers with up-to-date evidence-based guidance on common situations that clinicians face, from home assessments to giving advice about driving. It refreshingly discusses self-management and the notion of recovery; it reviews the literature on psychosocial interventions and palliative care; and it tackles delirium and depression. The final chapters explore related legal, ethical, and philosophical issues. Written for old age psychiatrists and trainees, but also relevant to other health and social care workers, this text shows the excitement of old age psychiatry – its importance, breadth, and depth.
This comprehensive work addresses the care and treatment of adults and children who have disorders of intellectual development (also known as intellectual or learning disabilities). It focuses specifically on the interface between intellectual disabilities and genetics, ageing, epilepsy and forensic psychiatry. A whole section is devoted to the diagnosis, assessment and treatment of autism spectrum disorders. Other topics include: comorbid mental health problems; behavioural problems; psychopharmacology; and service provision. There are references to the up-to-date evidence-based literature throughout the text which aims to inform clinical practice. Written by eminent clinicians and experts in their field, the majority of chapters were specially commissioned for this book, whilst a few have previously appeared in the journal Advances in Psychiatric Treatment (now known as BJPsych Advances) and have now been fully updated.
However much policy material is produced, the real function of most child psychiatrists is to assess and treat mental disorders in childhood and adolescence. This is a comprehensive update on the field that will inform the clinical practice of all child and adolescent mental health professionals. The authors bring the medical perspective to bear on psychopathology and demonstrate that our understanding of childhood psychiatric disorders, their origins and their treatments are improving. They write with a particular focus on four contemporary themes - continuity into adult life, the integration of biological and social aetiology, the influence of neuroscience, and the increasing use of research and evidence - and take into account recent changes in DSM-5. Some chapters have been specially commissioned for this book, while previous versions of the others have been published in the journal Advances in Psychiatric Treatment and have now been fully revised and updated in line with the four themes.
Personality disorder used to be a diagnosis of exclusion, a condition deemed 'untreatable'. This situation has been transformed in the past ten years, with a huge expansion of research and clinical interest in personality disorders: what it is like to have a personality disorder, what sort of services are helpful, what treatments work best and what staff need to know. This book provides an expert synthesis of these clinical advances. It covers the nature of personality disorders, assessment, diagnosis and classification, management and a broad range of therapeutic approaches. Written by practitioners with real expertise in the field, the book is equally suitable for psychiatric trainees and more experienced clinicians from the full range of disciplines in mental healthcare. Five chapters have been specially commissioned for this book, while previous versions of the other fifteen chapters have been published in the journal Advances in Psychiatric Treatment - many have been extensively updated by the authors.
Cultural factors play a very important role in the way psychiatric symptoms are presented to clinicians and how clinicians deal with them. This book offers practical advice on the topic for the individual mental health practitioner. It provides an overview of cultural factors in the causation and management of mental health problems and an introduction to cultural competency training for healthcare professionals (now required for all National Health Service staff by the Department of Health). Topics include cross-cultural psychiatric assessment, intellectual disability and ethnicity, cultural aspects of eating disorder, black and minority ethnic issues in forensic psychiatry, treatment of victims of trauma, and ethnic and cultural factors in psychopharmacology. Practising clinicians and other mental health professionals will find this introduction extremely useful in ensuring that clinical teams work together effectively and provide optimal care for their patients, irrespective of ethnicity, culture or religion.
Addiction to psychoactive substances can lead to a range of biological, psychological and social problems, and the clinical management of these issues can often be complex. This book brings together papers from the popular journal Advances in Psychiatric Treatment, which have been updated to give systematic, authoritative and well-referenced accounts of over twenty key clinical topics relating to substance misuse. It is written by practitioners with extensive experience of managing these difficulties, and provides a handy synthesis of clinical, research and policy issues. Taking a very practical focus, the contents will be of use to any practitioner who comes across a patient with an addiction, and in particular to trainees in addiction psychiatry. Topics covered include gambling, all major psychoactive substances, comorbidity with mental health problems, addiction in special populations, including young people, pregnant women and offenders, psychological and pharmacological treatments, and addiction policy.
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