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.