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Doody's Review ServiceReviewer: Stephen Pierrel, PhD (Baylor College of Medicine)
Description: As one of the newest additions to the growing field of books on behavioral health in primary care, this text mainly focuses on primary care psychiatry. The broader landscape of behavioral medicine is given relatively less focus.
Purpose: This book is designed to provide practical, office-based knowledge and strategies on psychiatric and behavioral medicine issues common to primary care settings. These objectives are largely met.
Audience: The editors intend this book for primary care professionals including physicians, behavioral medicine providers and educators, physician assistants, and nurse practitioners and nurses. The best fit is with residents in primary care fields and advanced practice (PA and NP) professionals in primary care. The editors, a psychiatrist and a family physician, are collaborating faculty in a family medicine residency program.
Features: This text is divided into three sections. The first section, taking more than half of the book, is devoted to psychiatric disorders in primary care. The descriptive material is taken primarily from the DSM-IV but goes further by describing treatment options. The section on behavioral medicine in primary care makes up about one-fifth of the book and delves into such important areas as cardiovascular risk reduction and includes critical pathways for management over time of such common components as hypertension and weight reduction. The final fifth of the book covers psychosocial treatments in primary care. This area, a difficult one to adequately develop in primary care training settings, which could have its own text, is filled with practical ideas on crisis management and counseling techniques. The widely used stage of change paradigm by Prochaska and DiClemente is well described.
Assessment: This text is a useful addition to the bookshelf of any primary care residency training program. It would also find a home in both physician assistant and nurse practitioner programs in the primary care area. It complements the rapidly expanding literature base found in primary care journals and texts in other fields.