Psychiatry for Primary Care Physicians

Psychiatry for Primary Care Physicians

by Larry S., Ed. Goldman Ed., David S. Brody, Thomas N. Wise
     
 

Guide helps primary care physicians treat the whole patient. As the main point of contact between patients and the medical system, primary care physicians represent the first line of defense in recognizing patients' mental health problems. But while an estimated 25 percent of primary care patients suffer from significant mental disorders, most primary care

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Overview

Guide helps primary care physicians treat the whole patient. As the main point of contact between patients and the medical system, primary care physicians represent the first line of defense in recognizing patients' mental health problems. But while an estimated 25 percent of primary care patients suffer from significant mental disorders, most primary care physicians are not prepared to deal with these types of problems. Psychiatry for Primary Care Physicians, Second Edition, provides a practical resource to integrate essential psychiatric care into the clinical primary care setting. This easy-to-use guide addresses the most common adult mental health problems in primary care, covering assessment, diagnosis, treatment, and prevention of psychiatric conditions. Logically organized by condition, each chapter is co-written by a psychiatrist and a practicing primary care physician so you get a specialist's knowledge tailored to your actual practice climate. Filled with tables, case studies, and checklists, most chapters cover relevant epidemiology, differential diagnosis, and referral issues. Special sections also explain various diagnostic models and screening tools. Building on the strengths that made the first edition a Brandon/Hill selection and one of DPI's "250 Best Books of the Year," Psychiatry for Primary Care Physicians, Second Edition, has added new chapters on psychological frameworks, development, emergencies in psychiatry, childhood disorders, women's health disorders, geropsychiatry, and resources in psychiatric care. This revised and updated second edition responds to the heightened awareness of the number of significant psychiatric conditions seen in primary care settings and the additional pressure on the primary care practitioner (PCP) to assess and manage them. Chapters cover relevant epidemiology, differential diagnosis, management strategies to be employed by the PCP, and specific criteria for patient referr

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Editorial Reviews

Doody's Review Service
Reviewer: John Claro Onate, BS, MD (Rush University Medical Center)
Description: This book serves as a guide for primary care providers to develop better understanding of and treatment skills for psychiatric disorders.
Purpose: The authors provide a source of knowledge of psychiatry for providers who lack formal training in psychiatry. Primary care doctors are having more demands to handle all aspects of care, so they are a primary target of this book. Educating the primary care giver on the evaluation and assessment of mental status and the psychiatric review of systems is very important. This book gives a comprehensive review of psychiatry for the primary care provider.
Audience: It is written for residents in Internal Medicine, Family Medicine, and Pediatrics, as well as General Practitioners. This book would be good for nurse practitioners and physician assistants as well. Psychiatric residents would benefit from reading this book as well, to learn ways to collaborate with primary care doctors.
Features: The book covers a very broad range of psychiatric practice, with very good chapters on assessment / evaluation and psychiatric aspects of common medical illnesses. All major Axis I disorders are covered in reasonable detail. Personality disorders, character and temperament were noticeably absent.
Assessment: This is an excellent source for primary care providers. I think this book would work best in a clinical setting or training setting with a psychiatrist or dual-trained Internal Medicine-Psychiatrist working with a primary care attending in an integrated clinic. This book presents a good review of the assessment of mental status; however, supervision and discussion of cases are essential. As a resident in a combined Internal Medicine and Psychiatry program, I feel that the book is an excellent starting point for a primary care provider interested in developing one's ability to provide mental health care.
Albert Liebman
This book is one of what we can expect to be a new genre of books that will attempt to address the education of primary care physicians on the subject of psychiatry. The goal is to improve the ability of primary care physicians to diagnose and manage their patients' psychiatric problems in the office setting. It is the editors' intent to accomplish this goal by supplying psychiatric information that appears in specialty or subspecialty journals not read by "busy primary care practitioners." This is a book that can also be useful to medical and psychiatric residents. It is readable and is packed with succinct, state-of-the-art psychiatric information. The contributors are physicians, mostly psychiatrists, well-chosen for their expertise in the specific areas which they address in the book. Organization falls into three sections. The first two chapters address issues of psychiatric assessment and diagnosis. The next 12 chapters each address specific mental disorders by DSM-IV categories. The last four chapters address special topics as the "difficult patient," special issues of certain groups, somatic therapies, and psychotherapy. A unique feature of the book is the profuse use of bulleted tables, which read much like lecture slides. The detail in the tables can serve as a reference source for the practitioner. This book contains authoritative, state-of-the-art psychiatric information usable as a reference source on office psychiatry for the primary care practitioner. A recent publication (1998) of a book with similar intent is the MGH Guide to Psychiatry in Primary Care. The MGH book is organized by presenting symptom or problem, stressing the "Approachto the Patient," perhaps a more practical format in primary care. However, in this area of medical care, at the junction of medicine and psychiatry, primary care doctors may also benefit through the mentoring and support that can come from a collaborative mode of care with psychiatrists within their clinic setting.

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Product Details

ISBN-13:
9781579474102
Publisher:
AMA Press
Publication date:
11/01/2003
Edition description:
New Edition
Pages:
491
Product dimensions:
7.00(w) x 10.00(h) x 1.00(d)

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