Laboratory Medicine in Psychiatry and Behavioral Science

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Laboratory medicine is a complex and changing field, and for the busy clinician, it is difficult to maintain an adequate working knowledge of current concepts and practices in this area -- although this information is essential to excellent patient care. If you as a psychiatrist or behavioral health clinician have found yourself wondering what tests need to be performed before a new medication is initiated, what monitoring is required, or what an out-of-range laboratory value means in the behavioral medicine population, then this book is for you. If you need to remember how to diagnose SIADH or antiphospholipid syndrome or pellagra, or any other behavioral health condition diagnosed wholly or partly by lab testing, then this book is for you.

Laboratory Medicine in Psychiatry and Behavioral Science is the only current book of its kind on the market and the only place where psychiatrists and behavioral health clinicians can find content that is directly related to their work. The author's extensive experience in clinical psychiatry and neuropsychiatry informs not only the choice of tests, but also the rationale for their use. Among other notable features, the book: • Includes information on 168 different laboratory tests and 124 diseases and conditions• Includes a section on laboratory tests pertinent to psychotropic drug initiation and monitoring• Includes an appendix with useful algorithms such as "Ten Rules for a Normal ECG" and "Medical Evaluation for ECT."• Provides information on what patients can expect and how to prepare for specific lab tests (e.g., the need to fast or to refrain from certain drugs or foods) so that clinicians can inform patients fully in advance of testing• Covers current standards of care in monitoring metabolic syndrome and other adverse effects and complications that can arise in psychiatric and behavioral medicine patients• Pays careful attention to ease of access, with standard formatting for each section, and with extensive indexing

Laboratory Medicine in Psychiatry and Behavioral Science is an indispensible compendium of valuable information on laboratory tests and diseases, and is a reference that clinicians will find themselves consulting frequently.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Aaron Plattner, MD (Pine Rest Christian Mental Health Services)
Description: This is a comprehensive reference of laboratory tests and their role in various psychiatric diseases and conditions as well as their use in screening and monitoring different psychotropic medications.
Purpose: It is intended as a reference for psychiatrists of appropriate laboratory tests and other objective tests that may impact the psychiatric presentation of their patient population.
Audience: The target audience includes "psychiatrists and other behavioral health clinicians" who provide care in several different inpatient and outpatient settings. While anyone providing psychiatric care would benefit from this book, likely psychiatrists involved in hospital-based psychiatric care including consult and liaison, emergency room, and inpatient psychiatry would benefit the most.
Features: An introduction outlines the importance of the often overlooked area of laboratory medicine in psychiatry and explains the basic principles behind common tests. The first section provides information on 168 different laboratory tests, including neuroimaging, in a table format that details the type of the test, an explanation of the test, why the test is relevant to psychiatry, indications, reference range, reasons for increased and decreased levels, critical values, interfering factors, preparation of the patient, and cross-references for the conditions found in the next section. The second section continues the table format for 124 diseases and conditions, covering clinical diagnosis and the important laboratory testing detailed in the first section. The third section reviews the screening and monitoring laboratory tests for various psychotropic medications. Three appendixes include a chart of therapeutic and toxic drug levels, additional information on neuroimaging, and more detailed information on cardiac-related tests including algorithms for electrocardiograms and medical evaluation for electroconvulsive shock therapy. References appear at the bottom of each table in each section and at the end of the book. A helpful index concludes the book.
Assessment: This is the single most complete reference on laboratory tests and their role in psychiatry. It is easy to use, very concise, and complete in its entirety. Psychiatrists needs this book, as the assumption is often made that patients are "medically cleared" by the time they are working with psychiatrists, which leads to some complacency on the psychiatrists' part regarding important further laboratory tests. Further, research shows the unacceptably low rates of screening and monitoring for patients taking various psychotropic medications. Some areas of improvement for this book would include adding sections on pediatrics. I would also recommend separating neuroimaging tests and cardiac tests into their own sections instead of including them in the general laboratory tests section.
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Product Details

  • ISBN-13: 9781585623839
  • Publisher: American Psychiatric Publishing, Inc.
  • Publication date: 8/31/2011
  • Edition description: New Edition
  • Pages: 725
  • Sales rank: 717,717
  • Product dimensions: 7.00 (w) x 9.90 (h) x 1.60 (d)

Meet the Author

Sandra A. Jacobson, M.D., is a Senior Scientist at Banner Sun Health Research Institute in Sun City, Arizona. In the past, she worked in Consultation/Liaison Psychiatry and Inpatient and Outpatient Psychiatry at Tufts Medical School and New England Medical Center in Boston, as Director of the EEG Laboratory at Shattuck Hospital in Jamaica Plain, Massachusetts, and in Consultation/Liaison Psychiatry at Brown Medical School and The Miriam Hospital in Providence, RI. She is board certified by the ABPN in Psychiatry, with Added Qualifications in Geriatric Psychiatry, Psychosomatic Medicine, and (formerly) Clinical Neurophysiology (EEG and EMG).

American Psychiatric Publishing

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Table of Contents

Introduction. Laboratory tests. Diseases and conditions. Psychotropic medications: laboratory screening and monitoring. Appendix A: therapeutic and drug levels at a glance. Appendix B: additional information on neuroimaging. Appendix C: additional information on cardiac-related tests. References. Index.

American Psychiatric Publishing

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