Clinical Manual of Pain Management in Psychiatry

Clinical Manual of Pain Management in Psychiatry

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by Raphael J. Leo
     
 

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While recognizing the multidisciplinary nature of pain management, the Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning. It balances theoretical foundations of pain pathophysiology with

Overview

While recognizing the multidisciplinary nature of pain management, the Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning. It balances theoretical foundations of pain pathophysiology with applied clinical information, providing guidelines to psychiatric differential diagnosis of pain states and psychiatric comorbidities associated with pain and integrating diagnostic and treatment approaches. Because proper treatment requires understanding the whole person, the book views the patient from biological, psychological, and social perspectives. It stresses the importance of examining psychological variables that can limit outcomes and even preclude aggressive interventional approaches. The manual also includes considerations pertinent to the elderly, children, and cultural groups.

This manual expands on the author's previous Concise Guide to Pain Management for Psychiatrists to reflect significant advances in the field of pain medicine. It updates trends in treatment approaches along with our understanding of chronic pain conditions, and presents new knowledge of the biological substrates underlying both pain and psychiatric comorbidities. The manual features particularly extensive revisions regarding the use of psychiatric and other adjunctive medications in pain management, including expanded discussion of long-term adverse effects, dependence, and pseudoaddictive behaviors involving opiates and weak analgesics. It also delineates the use of adjunctive treatments, including evolving data on the use of antidepressants and related medications for patients with chronic pain. Among the its practical benefits, the book • Features updated coverage of common psychiatric comorbidities such as depression, anxiety, and personality disorders• Addresses common pain disorders ranging from headache and back pain to pain related to cancer and HIV• Includes an extensively revised chapter on pharmacology, familiarizing readers with the range of pain medications and providing information on dosages and side effects• Fully discusses psychotherapeutic approaches, plus adjunctive interventions such as biofeedback and hypnosis • Covers special techniques such as acupuncture and regional neural blockade• Offers updated advice on emerging forensic issues, from disability claims to controlled substance diversion

With pain management issues so common in daily practice, this handy portable guide is designed for quick reference, features numerous tables and illustrations, and is easily understandable by less experienced clinicians or non-pain specialists. While written expressly for busy psychiatrists, it is also useful to psychologists, social workers, and other physicians.

Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, DO, MA (Northwestern University Feinberg School of Medicine)
Description: This is an updated version of the author's Concise Guide to Pain Management for Psychiatrists (American Psychiatric Publishing, 2003). The author emphasizes the psychiatrist's essential role in helping to manage patients with pain disorders. This update has significant revisions marking the advances in this field. The author is a nationally recognized expert in pain medicine and this effort is a welcome addition to the psychiatric literature.
Purpose: The purpose of this clinical manual is to emphasize the role of psychiatrists in the evaluation and assessment of patients with pain as well as in their pharmacologic and psychotherapeutic management and treatment planning. In addition, the author notes that there is a growing literature regarding the biological substrates underlying pain and the psychiatric morbidities which he wanted to incorporate in this updated manual.
Audience: The intended audience includes psychiatrists who participate in the care of patients with pain. Included would be those specializing in psychosomatic medicine, neuropsychiatry, and addiction psychiatry. Any mental health clinician who treats patient with pain would benefit from learning the material presented in this clinical manual.
Features: An introductory chapter covers the origin and development of pain management and the role of the psychiatrist. The remainder cover topics such as sensory pathways involved in pain; evaluating the pain patient; differential diagnoses and comorbidities; pharmacology of pain; psychotherapy; special techniques such as acupuncture, botulinum toxin; common pain disorders such as headache, backache; special populations such as the pregnant patient, the geriatric patient; and forensic issues such as litigation and pain, diversion, disability, and confidentiality. Each chapter ends with relevant and timely citations of the scientific literature. The tables are very helpful in summarizing the material.
Assessment: This is an excellent and convenient (small) manual on the psychiatric management of pain patients. Since acute and chronic pain in patients is ubiquitous, all physicians need to learn the information in this essential book.

Product Details

ISBN-13:
9781585626755
Publisher:
American Psychiatric Publishing, Incorporated
Publication date:
05/20/2008
Sold by:
Barnes & Noble
Format:
NOOK Book
Pages:
283
File size:
5 MB
Age Range:
18 Years

Meet the Author

Raphael J. Leo, M.D., is Associate Professor at the State University of New York at Buffalo School of Medicine and Biomedical Sciences; and is a faculty member in both the Department of Psychiatry and the Center for Comprehensive Multidisciplinary Pain Management at Erie County Medical Center in Buffalo, New York.

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Clinical Manual of Pain Management in Psychiatry 5 out of 5 based on 0 ratings. 1 reviews.
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