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Medical Illness and Schizophrenia / Edition 2

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Despite growing awareness in the psychiatric community of the multifaceted medical needs of the severely mentally ill, statistics show that as much as 60% of all schizophrenia patients die prematurely from nonpsychiatric medical conditions — in part because many physicians have not yet recognized how to properly treat common diseases and illnesses within this complex patient population. Medical Illness and Schizophrenia, Second Edition, is the only clinical guide to focus exclusively on the treatment of common medical comorbidities among patients with schizophrenia. Like its best-selling predecessor, the book compiles the latest research and clinical information on integrating medical and psychiatric care for the schizophrenia patient.

Twenty-eight physicians and psychiatrists, including editors Jonathan M. Meyer, M.D., and Henry A. Nasrallah, M.D., lend their expertise to this new, expanded edition. In fifteen chapters, this volume covers a wide range of common medical problems — from metabolic and heart conditions, such as cardiovascular disease, hyperlipidemia, obesity and diabetes, to substance abuse and smoking. Each chapter concludes with "Key Clinical Points" that summarize important concepts and ensure reader retention. Additionally, the second edition includes new chapters that touch on some of the most complex clinical issues in the field of schizophrenia treatment today: • Recent trends in the integration of medical and mental healthcare • Behavioral treatments for weight loss in persons with schizophrenia• Treatment of sexual dysfunction among persons treated for schizophrenia• Health outcomes of schizophrenia treatment in children and adolescents• Health outcomes of schizophrenia treatment during pregnancy and breastfeeding

As the only clinical text of its kind, Medical Illness and Schizophrenia, Second Edition, is an invaluable resource for psychiatrists, nurses, healthcare professionals, and psychiatric and clinical residents. The goal of this text has always been to help clinicians recognize schizophrenia as both a brain disorder and a systemic disease with multiple manifestations that go beyond the obvious psychiatric symptoms — and thus take a broader approach to treatment of schizophrenia. This new edition is a comprehensive, practical manual that serves as a reference for the medical management of seriously mentally ill patients across the age spectrum in both inpatient and outpatient settings.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: Individuals with schizophrenia tend to be disadvantaged in numerous ways which impinge upon their range of normal human opportunities. These disadvantages include, but are not limited to, lack of access to care, a brain disease that affects judgment and insight, low socioeconomic status, and adverse reactions to treatments, to list a few. This excellent book, written and edited by clinician-researchers in the field, is a unique and first-rate review of the healthcare problems and needs of those suffering from schizophrenia, which is an enormous public health problem. This second edition is a welcome addition to this important literature.
Purpose: The aim of the book is, according to the editors, "to create a practical manual that can serve as a reference for the medical management of patients with severe mental illness." Indeed, the editors and chapter authors, with this expanded edition, have met their noble goal by helping readers to conceptualize schizophrenia as a "systemic disease with multiple manifestations that go beyond the obvious psychiatric symptoms."
Audience: The target audience includes any mental health or medical professional involved in the care of patients with chronic, severe psychiatric disorders.
Features: Part 1 focuses on public health issues for patients with schizophrenia and includes chapters covering ways to improve healthcare for the seriously mentally ill, excess mortality and morbidity, and medical outcomes related to interventions used in the CATIE study. Metabolic and heart disease is reviewed in part 2, with chapters on obesity, diabetes, hyperlipidemia, cardiovascular disease, behavioral treatments for weight management, and nicotine/tobacco use. Part 3 focuses on special topics such as HIV and hepatitis C, substance abuse, sexual dysfunction, children and adolescents, the elderly, and pregnancy/breast feeding in patients with schizophrenia. Each chapter ends with pertinent and timely references of the scientific literature.
Assessment: This second edition of this superb book on the healthcare problems associated with the diagnosis of schizophrenia is an informative and valuable reference and is essential reading for all psychiatrists involved in the care of patients with this severe psychiatric disorder.
Psychiatric Services
I would highly recommend this book to all physicians, nurses, and trainees who treat patients with schizophrenia, either in the psychiatric or the primary care setting. In addition to its value as a continuing education resource, this volume is a great quick reference when dealing with the myriad medical problems our patients face every day.

(Marie Hobart M.D.)

Every trainee and clinician should have access to this volume. I am glad that our field now has a book called, "Medical Illness and Schizophrenia." The existence of this book signifies unmistakably that "mens sana in corpore sano" is an appropriate guiding principle for any healthcare professional who is involved in the care of patients with schizophrenia. Two "thumbs-up" from me for this book.

(Oliver Freudenreich, M.D)

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Product Details

  • ISBN-13: 9781585623464
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 4/15/2009
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 471
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.00 (d)

Meet the Author

Jonathan M. Meyer, M.D., is Assistant Professor of Psychiatry at the University of California, San Diego, and Staff Psychiatrist at the San Diego VA Medical Center in La Jolla, California.

Henry A. Nasrallah, M.D., is Professor of Psychiatry, Neurology and Neuroscience at the University of Cincinnati College of Medicine in Cincinnati, Ohio.

American Psychiatric Publishing

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Table of Contents

Preface. Part I: Public Health Issues for Schizophrenia Patients. Improving physical health care for patients with serious mental illness. Excessive mortality and morbidity associated with schizophrenia. Medical outcomes from the CATIE schizophrenia study. Part II: Metabolic Disease, Heart Disease, and Related Conditions. Obesity and schizophrenia. Glucose intolerance and diabetes in patients with schizophrenia. Effects of antipsychotics on serum lipids. The spectrum of cardiovascular diseases in patients with schizophrenia. Behavioral treatments for weight management of patients with schizophrenia. Nicotine and tobacco use in patients with schizophrenia. Part III: Special Topics and Populations. HIV and hepatitis C in patients with schizophrenia. Substance abuse and schizophrenia. Sexual dysfunction and schizophrenia. Managing the health outcomes of schizophrenia treatment in children and adolescents. Medical health in aging persons with schizophrenia. Managing health outcomes of women with schizophrenia during pregnancy and breastfeeding. Index.

American Psychiatric Publishing

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