Shrink Rap: Three Psychiatrists Explain Their Work
272Shrink Rap: Three Psychiatrists Explain Their Work
272Paperback
-
PICK UP IN STORECheck Availability at Nearby Stores
Available within 2 business hours
Related collections and offers
Overview
In Shrink Rap, three psychiatrists from different specialties provide frank answers to questions such as:
• What is psychotherapy, how does it work, and why don't all psychiatrists do it?• When are medications helpful?• What happens on a psychiatric unit?• Can Prozac make people suicidal?• Why do many doctors not like Xanax?• Why do we have an insanity defense?• Why do people confess to crimes they didn't commit?
Based on the authors' hugely popular blog and podcast series, this book is for patients and everyone else who is curious about how psychiatrists work. Using compelling patient vignettes, Shrink Rap explains how psychiatrists think about and address the problems they encounter, from the mundane (how much to charge) to the controversial (involuntary hospitalization). The authors face the field's shortcomings head-on, revealing what other doctors may not admit about practicing psychiatry.
Candid and humorous, Shrink Rap gives a closeup view of psychiatry, peering into technology, treatments, and the business of the field. If you've ever wondered how psychiatry really works, let the Shrink Rappers explain.
Product Details
ISBN-13: | 9781421400129 |
---|---|
Publisher: | Johns Hopkins University Press |
Publication date: | 06/01/2011 |
Pages: | 272 |
Product dimensions: | 5.90(w) x 8.90(h) x 0.70(d) |
Age Range: | 18 Years |
About the Author
Annette Hanson, MD, is an assistant professor of psychiatry at the University of Maryland School of Medicine and Johns Hopkins University School of Medicine. Drs. Miller and Hanson are coauthors of Shrink Rap: Three Psychiatrists Discuss Their Work.
Steven Roy Daviss, M.D., also on the faculty at the University of Maryland, is a hospital-based psychiatrist and medical informatician and is chair of the Department of Psychiatry at Baltimore Washington Medical Center. He is the co-creator of Shrink Rap, a blog by psychiatrists for psychiatrists, and My Three Shrinks, a podcast series about psychiatry.
Table of Contents
Introduction 1
A Note about Our "Patients" and Our "Doctors" 4
Chapter 1 Melissa and Oscar: Getting Help 5
What are the different types of mental health professionals?
What is a psychiatrist?
What is a forensic psychiatrist?
When a patient should see a psychiatrist rather than a primary care doctor
What is split treatment?
When a patient should see a psychiatrist for psychotherapy
When is split treatment better than care with only a psychiatrist?
Chapter 2 Josh: A Walk through the System 21
The psychiatric evaluation and the mental status exam
The importance of outside informants
What is a chemical imbalance?
How psychiatric diagnoses are determined
Involuntary commitment to a psychiatric unit
What are a patient's rights during hospitalization?
Chapter 3 The Brandt Family: Why People Seek Care 42
For psychiatric disorders
When life gets hard and stress causes symptoms
For psychiatric symptoms caused by medical illnesses
For maladaptive personality styles
For addictive or compulsive behaviors
For suicidal thoughts or behaviors
For insight and education
Chapter 4 Tara: Let's Talk 61
What is psychotherapy?
What are some different types of psychotherapy?
How psychiatrists learn to become psychotherapists
How are research studies conducted on psychotherapy as a treatment?
What people talk about in psychotherapy
What the psychiatrist does in psychotherapy
Privacy and confidentiality in the therapeutic relationship: on keeping secrets and minding HIPAA
Special exceptions: child custody subpoenas and the Patriot Act
Self-disclosure by the therapist
How long should treatment last?
Chapter 5 Josh Revisited: "Ask Your Doctor to Prescribe" 82
How psychiatric medications are (sort of) classified
How a doctor chooses a medication
Informed consent
Complementary and alternative treatments
How doctors dose medications
What happens when conventional treatments don't work?
Why psychiatrists don't like Xanax
Addictive medications in the treatment of the psychiatric patient
Chapter 6 Becca: When Things Go Wrong 99
Difficulties with communication and poor patient-doctor fit
Recovered memory therapy
Disorders induced by the psychiatrist
When psychotherapy is inappropriately used as the only treatment
Side effects and adverse reactions from medications
Black box warnings
Antidepressants and suicide in young people and how the FDA decides on black box warnings
Boundary violations
Therapists who exploit patients
Chapter 7 Eddie: A Child at Risk 122
Health care proxies, advance directives, and medical decision making for the dying patient
Informed consent and medical decisions for minors
Juvenile delinquency and the legal system
Custody evaluations: who gets the child?
Chapter 8 Eddie: The Prison Patient 135
Specialty mental health courts and compelled treatment
Interrogation and why criminals confess
Psychopaths versus sociopaths and whether they can be treated
The insanity defense
What becomes of the insanity acquittee?
Psychiatric care in jail and in prison
Civil commitment of sex offenders
Chapter 9 Mitchell: Hospital-based Psychiatry 158
What happens in the Emergency Department?
Finding a hospital bed for a psychiatric patient: insurance approval and bed availability
What happens during a psychiatric hospitalization?
Patient education, family involvement, and therapy
The agitated patient: restraint, seclusion, and forced medications
Shock treatments, or electroconvulsive therapy (ECT)
Bargaining for beds: insurance (again) and how psychiatric beds get allocated
Electronic health records
Day hospitals, or partial hospitalization programs
The consultation-liaison psychiatrist
Chapter 10 Sharon: The Business of Psychiatry 183
Psychiatrists and insurance networks: how it all works
The missed appointment: no-shows and late cancellations
Preventing lawsuits
Providing safe environments for violent patients
When the patient assaults the psychiatrist
Changes in the patients ability to pay for care
Influences of the pharmaceutical industry
Happy birthday! Gifts from patients
Chapter 11 Things We Argue About 201
Health care reform and how we allocate our treatments
What constitutes a psychiatric disorder: diagnostic criteria in the DSM age
Psychiatric disabilities and deciding who deserves special accommodation
Psychiatric disabilities in the workplace, from pilots to presidents
Medications with addictive potential
Medical marijuana for psychiatric disorders
Complementary and alternative treatments
The recovery model
Chapter 12 The Future of Psychiatry 221
More than just medicines and psychotherapy: VNS, DBS, and rTMS
Just beginning: genetics, brain structure and function, and neuroplasticity
Psychopharmacogenetics: scientific gains that will lead to treatments based on each patient's biology
Acknowledgments 227
Sources and Suggested Reading 231
About the Authors 239
Index 247
What People are Saying About This
One of the most useful books I’ve read about mental illnesses—and as the father of a son with a severe mental disorder, I’ve read just about all of them. It demystifies our complicated medical and legal system, explaining everything from 'chemical imbalances' to involuntary commitment procedures to the most recent advances in brain mapping. If you have a mental disorder, love someone who has one, or are a doctor, therapist, social worker, lawyer, judge, or criminal justice professional, you need to read this book.—Pete Earley, New York Times bestselling author of CRAZY: A Father’s Search through America’s Mental Health Madness
In the too-often confusing and fractured world of mental health services, Shrink Rap is a ready resource for patients and their families looking for more insight into the range of services available and how they are delivered.—Keith Ablow, M.D., psychiatrist, Fox News contributor, and coauthor of The 7: Seven Wonders to Change Your Life
In the too-often confusing and fractured world of mental health services, Shrink Rap is a ready resource for patients and their families looking for more insight into the range of services available and how they are delivered.
Keith Ablow, M.D., psychiatrist, Fox News contributor, and coauthor of The 7: Seven Wonders to Change Your Life
One of the most useful books I’ve read about mental illnesses—and as the father of a son with a severe mental disorder, I’ve read just about all of them. It demystifies our complicated medical and legal system, explaining everything from 'chemical imbalances' to involuntary commitment procedures to the most recent advances in brain mapping. If you have a mental disorder, love someone who has one, or are a doctor, therapist, social worker, lawyer, judge, or criminal justice professional, you need to read this book.
Pete Earley, New York Times bestselling author of CRAZY: A Father’s Search through America’s Mental Health Madness