Contents
- Front matter
- Chapter 1 Thinking about psychiatry
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- Chapter 1 Thinking about psychiatry
- First thoughts
- What is disease?
- The role of the psychiatrist
- Diagnosis in psychiatry
- Why don’t psychiatrists look at the brain?
- Can psychotherapy change the brain?
- Treating patients against their will
- Perceptions of psychiatry
- Stigma
- Anti-psychiatry
- A brief history of psychiatry
- The future
- Chapter 2 Psychiatric assessment
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- Chapter 2 Psychiatric assessment
- The clinical interview
- Setting the scene
- Interviewing psychiatric patients
- Discussing management
- History
- Mental state examination
- Case summary
- Observations of appearance and behaviour
- Speech
- Abnormal mood
- Asking about depressed mood
- Asking about thoughts of self-harm
- Asking about elevated mood
- Anxiety symptoms
- Asking about anxiety symptoms
- Abnormal perceptions
- Asking about abnormal perceptions
- Abnormal beliefs
- Asking about abnormal beliefs
- Asking about the first-rank symptoms of schizophrenia
- Disorders of the form of thought
- Abnormal cognitive function
- Assessing cognitive function 1
- Assessing cognitive function 2
- Supplementary tests of cerebral functioning
- Insight
- Physical examination
- Some physical signs in psychiatric illness, and possible causes
- Clinical investigation
- Common assessment instruments 1
- Common assessment instruments 2
- Chapter 3 Symptoms of psychiatric illness
- Chapter 4 Evidence-based psychiatry
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- Chapter 4 Evidence-based psychiatry
- Introduction
- Finding and appraising the evidence
- Systematic reviews (SRs) of RCTs
- Randomized controlled trials (RCTs)
- Case–control studies
- Cohort studies
- Diagnostic studies
- Qualitative studies
- Economic studies
- Applying the evidence to patients
- Measuring performance and implementing evidence-based practice
- Chapter 5 Organic illness
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- Chapter 5 Organic illness
- Presentations of organic illness
- Dementia: general overview
- Alzheimer’s disease 1
- Alzheimer’s disease 2
- Alzheimer’s disease 3: pharmacological treatments
- Dementia with Lewy bodies (DLB)
- Fronto-temporal dementia (FTD) (Pick’s disease),
- Vascular dementia
- Prion diseases
- Amnestic disorders
- Normal pressure hydrocephalus (NPH)
- Chronic subdural haematoma (SDH)
- Psychiatric sequelae of CVA
- Psychiatric aspects of head injury
- Psychiatric aspects of epilepsy 1
- Psychiatric aspects of epilepsy 2
- HIV/AIDS and psychiatry 1
- HIV/AIDS and psychiatry 2: clinical presentations
- Neuropsychiatric aspects of CNS infections
- Autoimmune disorders and psychiatry
- Movement disorders in psychiatry
- Parkinson’s disease (PD) and psychiatry
- Huntington’s disease (HD)
- Wilson’s disease (WD)
- Other movement disorders
- Chapter 6 Schizophrenia and related psychoses
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- Chapter 6 Schizophrenia and related psychoses
- Introduction
- Historical views of schizophrenia
- The diagnosis of schizophrenia
- Differential diagnosis of schizophrenia
- Aetiological theories
- Epidemiology of schizophrenia
- Examination of the patient with psychotic symptoms
- Presentations of psychotic illness
- Initial assessment of acute psychosis
- Initial treatment of acute psychosis
- Discharge planning
- Outpatient treatment and follow-up
- Conventional antipsychotics
- Atypical antipsychotics
- Antipsychotic side-effects
- An approach to treatment-resistant schizophrenia (TRS)
- Clozapine 1: general guidelines
- Clozapine 2: starting and stopping
- Clozapine 3: side-effects
- Antipsychotic depot injections
- Disorders related to schizophrenia
- Delusional disorder 1: clinical features
- Delusional disorder 2: differential diagnosis and aetiology
- Delusional disorder 3: assessment and management
- Acute and transient psychotic disorders
- Induced delusional disorder
- Delusional misidentification syndromes
- Chapter 7 Depressive illness
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- Chapter 7 Depressive illness
- Introduction
- Historical perspective
- Diagnosis 1: symptoms
- Diagnosis 2: caseness and subtypes
- Diagnosis 3: other clinical presentations
- Epidemiology
- Aetiology
- Differential diagnosis
- Investigations
- Course and prognosis
- Management principles and outpatient treatment
- Hospital admission
- Treating depressive illness (without psychotic features)
- Treating depressive illness (with psychotic features)
- An approach to treatment-resistant depression
- Atypical depressive episode
- Seasonal affective disorder (SAD)
- Dysthymia (ICD-10)/dysthymic disorder (DSM-IV)
- Antidepressants
- Tricyclic antidepressants (TCAs)
- Monoamine oxidase inhibitors (MAOIs) and reversible monoamine oxidase inhibitors (RIMAs)
- Selective serotonin reuptake inhibitors (SSRIs)
- Other antidepressants 1
- Other antidepressants 2
- ECT 1: background and indications
- ECT 2: problems and treatment course
- ECT 3: work-up and administration
- ECT 4: notes on treatment
- Psychosurgery/neurosurgery for mental disorder (NMD)
- Other physical treatments
- Chapter 8 Bipolar illness
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- Chapter 8 Bipolar illness
- Introduction
- Historical perspective
- Mania/manic episode
- Hypomania/hypomanic episode
- Bipolar spectrum disorder
- Bipolar (affective) disorder 1: classification
- Bipolar (affective) disorder 2
- Bipolar affective disorder 3: management principles
- Other issues affecting management decisions
- Hospital admission
- Treatment of acute manic episodes
- Treatment of depressive episodes
- Prophylaxis
- Psychotherapeutic interventions
- Cyclothymia
- Lithium
- Lithium: adverse effects
- Valproate/valproic acid
- Carbamazepine
- Lamotrigine
- Chapter 9 Anxiety and stress-related disorders
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- Chapter 9 Anxiety and stress-related disorders
- Introduction
- Historical perspective
- Hyperventilation syndrome (HVS)
- Panic disorder 1: clinical features
- Panic disorder 2: aetiological models
- Panic disorder 3: management guidelines
- Agoraphobia
- Simple or specific phobias
- Social phobia
- Generalized anxiety disorder (GAD)
- Obsessive–compulsive disorder (OCD)
- Exceptional stressors and traumatic events
- Acute stress reaction
- Acute stress disorder
- Adjustment disorders
- Normal and abnormal grief reactions
- Post-traumatic stress disorder 1: diagnosis
- Post-traumatic stress disorder 2: management
- Depersonalization (derealization) syndrome
- Chapter 10 Eating and impulse-control disorders
- Chapter 11 Sleep disorders
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- Chapter 11 Sleep disorders
- Introduction
- Normal sleep: stages and cycles
- Assessment of sleep disorders
- Insomnia 1: overview
- Insomnia 2: clinical syndromes
- Insomnia 3: general management strategies
- Hypersomnia 1: overview
- Hypersomnia 2: Narcolepsy/recurrent hypersomnias
- Hypersomnia 3: other intrinsic/extrinsic causes
- Circadian rhythm sleep disorders 1: overview
- Circadian rhythm sleep disorders 2: management
- Parasomnias 1: overview
- Parasomnias 2: arousal disorders (of non-REM sleep)
- Parasomnias 3: nocturnal panic attacks (NP)
- Parasomnias 4: sleep–wake transition disorders
- Parasomnias 5: disorders associated with REM sleep
- Sleep disorders related to psychiatric disorders
- The effects of psychiatric medication on sleep
- The effects of drugs and alcohol on sleep
- Chapter 12 Reproductive psychiatry, sexual dysfunction and sexuality
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- Chapter 12 Reproductive psychiatry, sexual dysfunction and sexuality
- Introduction
- Menstrual-related disorders
- Premenstrual disorders
- Disorders associated with pregnancy
- Disorders related to childbirth
- Sexual dysfunction 1: general principles
- Sexual dysfunction 2: problems common to men and women
- Sexual dysfunction 3: problems specific to women
- Sexual dysfunction 4: problems specific to men
- Disorders of sexual preference 1: general aspects
- Disorders of sexual preference 2: assessment and management
- Transsexualism
- Chapter 13 Personality disorders
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- Chapter 13 Personality disorders
- The concept of personality disorder
- ‘Normal’ personality
- Classification of personality disorder
- Psychopathy and ‘severe’ personality disorder
- Aetiology of personality disorder
- Epidemiology of personality disorder
- Relationship between personality disorder and other mental disorders
- Assessment of personality disorder
- Management of personality disorder 1: general aspects
- Management of personality disorder 2: specific treatments,
- Outcome of personality disorder
- Chapter 14 Old age psychiatry
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- Chapter 14 Old age psychiatry
- Psychiatric illness in older people and psychogeriatrics
- Normal ageing
- Multidisciplinary assessment
- Specific aspects of psychiatric illnesses in the elderly 1: overview and neuroses
- Specific aspects of psychiatric illnesses in the elderly 2: mood disorders
- Specific aspects of psychiatric illnesses in the elderly 3: psychoses
- Other mental health problems in the elderly
- Issues of elder abuse,
- Psychopharmacology in the elderly,
- Services for the elderly,
- The end of life, living wills, and withdrawal of active treatment
- Chapter 15 Substance misuse
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- Chapter 15 Substance misuse
- The psychiatry of substance misuse
- Substance use and misuse
- Substance misuse disorders
- The dependence syndrome
- Stages of change and harm reduction
- Alcohol misuse
- Alcohol as a drug
- Screening for alcohol problems
- Assessment of the patient with alcohol problems
- Giving drinking advice
- Planning treatment in alcohol misuse
- Alcohol withdrawal syndromes
- Management of alcohol withdrawal
- Maintenance interventions in alcohol misuse 1: psychological methods
- Maintenance interventions in alcohol misuse 2: pharmacological methods
- Alcohol misuse disorders 1
- Alcohol misuse disorders 2
- Psychiatric comorbidity
- Wernicke–Korsakoff syndrome
- Medical complications of alcohol misuse
- Illegal drugs
- Street slang associated with drug misuse
- Opiates/Opioids
- Depressants
- Stimulants
- Hallucinogens
- Other drugs
- Assessment of the drug user
- Planning treatment in drug misuse
- Substitute prescribing 1: principles
- Substitute prescribing 2: opiates
- Substitute prescribing 3: benzodiazepines
- Monitoring of maintenance prescribing
- Psychotic illnesses and substance misuse
- Legal issues related to drug and alcohol misuse
- Chapter 16 Child and adolescent psychiatry
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- Chapter 16 Child and adolescent psychiatry
- Introduction
- Assessment 1: principles
- Assessment 2: practice
- Development
- Resilience
- Attachment
- An approach to behavioural problems
- Conduct disorders
- Attention deficit hyperactivity disorder (ADHD)
- Drug treatment of ADHD
- Autism-spectrum disorders (ASD)
- (Gilles de la) Tourette’s syndrome
- Other tic disorders
- Language, learning and motor coordination disorders
- Enuresis
- Encopresis
- Other behavioural disorders
- Anxiety disorders: overview
- Separation anxiety disorder
- Generalized anxiety disorder
- Panic disorder/agoraphobia
- Social phobia, simple phobias and selective mutism
- Post-traumatic stress disorder,
- Obsessive–compulsive disorder (OCD)
- Eating disorders
- Depression in children and adolescents
- Suicide and deliberate self-harm in young people
- Bipolar disorder in children and adolescents
- Psychosis
- Substance abuse in children and adolescents
- Child abuse 1: general issues
- Child abuse 2: the duty of care
- The looked-after-child (LAC)
- Prescribing in children and adolescents,
- Family therapy (FT)
- Parent management training
- Chapter 17 Forensic psychiatry
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- Chapter 17 Forensic psychiatry
- Introduction
- The criminal justice system,,
- Crime
- Homicide
- Violence 1: theoretical background,
- Violence 2,
- Sexual offences 1
- Sexual offences 2
- Other offences
- Mental disorder and offending 1: overview
- Mental disorder and offending 2: specific disorders and offending,,
- Assessing risk of violence,,
- Secure hospitals and units
- Police liaison 1
- Police liaison 2,,
- Court liaison
- Prison psychiatry 1: overview
- Prison psychiatry 2: the role of the psychiatrist,
- Legal provisions for transfer of prisoners to hospital
- Court reports and giving evidence 1
- Court reports and giving evidence 2
- Suggested format for criminal court report
- Overview of the pathways of mentally disordered offenders through the criminal justice and health systems
- Legal provisions for procedures relating to mentally disordered offenders
- Fitness to plead 1: assessment
- Fitness to plead 2: procedures
- Criminal responsibility 1
- Criminal responsibility 2
- Assessing ‘mental state at the time of the offence’
- Chapter 18 Learning disability
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- Chapter 18 Learning disability
- Introduction
- Historical perspective
- Classification
- Impairments, disabilities, and handicaps
- Aetiology
- Establishing the cause
- The process of assessment
- Considering management choices
- Treatment methods
- Down’s syndrome
- Deletions and duplication syndromes
- Autosomal dominant syndromes
- Autosomal recessive syndromes
- X-linked dominant syndromes
- X-linked recessive syndromes
- Sex chromosome disorders
- Non-genetic causes of LD
- Disorders of unknown aetiology
- Pervasive developmental disorders (PDDs)
- Autism
- Epilepsy and LD
- Psychiatric comorbidity in LD
- Behavioural disorders and ‘challenging’ behaviour
- Management of behavioural disorders
- Transition periods
- Family issues
- Chapter 19 Liaison psychiatry
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- Chapter 19 Liaison psychiatry
- Introduction
- Working in the general hospital
- Assessment of depressive and anxiety symptoms
- Assessment of psychotic symptoms and confusion
- Parasuicide assessment
- Management after parasuicide
- Depression in physical illness
- Acute confusional state (delirium)
- Capacity and consent
- Medically unexplained symptoms 1: introduction
- Medically unexplained symptoms 2: clinical presentations
- Medically unexplained symptoms 3: management principles
- Somatization disorder
- Somatoform pain disorder
- Conversion (dissociative) disorders
- Hypochondriasis
- Dysmorphic disorder
- Chronic fatigue syndrome
- Factitious disorder (Munchausen’s syndrome)
- Assessment prior to organ transplantation
- Chapter 20 Psychotherapy
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- Chapter 20 Psychotherapy
- Introduction
- Assessment for psychotherapy
- A brief history of Sigmund Freud
- Other pioneers of psychoanalysis
- Basic psychoanalytical theory
- Defence mechanisms
- Theory of psychosexual development
- Object relations theory
- Psychoanalysis 1
- Psychoanalysis 2
- Psychodynamic psychotherapy
- Group psychotherapy
- Basic learning theory
- Behaviour therapy
- Cognitive behaviour therapy 1
- Cognitive behavioural therapy 2
- Interpersonal psychotherapy
- Dialectical behaviour therapy
- Cognitive analytic therapy
- Solution-focused therapy
- Counselling methods
- Chapter 21 Legal issues
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- Chapter 21 Legal issues
- Introduction
- The development of mental health law
- Consent to treatment
- Treatment without consent
- Common law
- Incapacity Act: England and Wales
- Incapacity Act: Scotland
- Mental Health Act: England and Wales 1
- Mental Health Act: England and Wales 2
- Mental Health Act: England and Wales 3
- Mental Health Act: Scotland 1
- Mental Health Act: Scotland 2
- Mental Health Act: Northern Ireland 1
- Mental Health Act: Northern Ireland 2
- Mental Health Act: Republic of Ireland 1
- Mental Health Act: Republic of Ireland 2
- Issues of confidentiality
- Breaking confidentiality
- Fitness to drive
- DVLA requirements for specific psychiatric conditions
- Chapter 22 Transcultural psychiatry
- Chapter 23 Therapeutic issues
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- Chapter 23 Therapeutic issues
- Medication adherence
- Weight gain with psychiatric medication
- Antipsychotics and diabetes
- Hyperprolactinaemia with antipsychotics
- Sexual dysfunction and psychiatric medication
- Priapism
- Antipsychotic-induced Parkinsonism
- Akathisia
- Tardive dyskinesia (TD)
- Acute dystonic reaction
- Neuroleptic malignant syndrome
- Serotonin syndrome (SS)
- SSRI withdrawal (discontinuation) syndrome
- Hyponatraemia and antidepressants
- Paradoxical reactions to benzodiazepines
- Prescribing in pregnancy
- Prescribing in lactation
- Prescribing for patients with cardiovascular disease
- Prescribing for patients with liver disease
- Prescribing for patients with renal impairment
- Prescribing for patients with epilepsy
- Plasma level monitoring
- Chapter 24 Difficult and urgent situations
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- Chapter 24 Difficult and urgent situations
- Dealing with psychiatric emergencies
- What to do if summoned to a crisis situation/negotiation principles
- Managing suicide attempts in hospital
- Severe behavioural disturbance
- Pharmacological approach to severe behavioural disturbance
- The catatonic patient
- The manipulative patient 1
- The manipulative patient 2
- Issues of child protection
- Patients acting against medical advice 1: guiding principles
- Patients acting against medical advice 2: clinical scenarios
- The mental health of doctors
- Looking after your own mental health
- Chapter 25 Useful resources
- Chapter 26 ICD-10/DSM-IV index
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- Chapter 26 ICD-10/DSM-IV index
- F00–F09 Organic, including symptomatic, mental disorders
- F10–F19 Mental and behavioural disorders due to psychoactive substance abuse
- F20–F29 Schizophrenia, schizotypal, and delusional disorders
- F30–F39 Mood (affective) disorders
- F40–F49 Neurotic, stress-related, and somatoform disorders
- F50–F59 Behavioural syndromes associated with physiological disturbance and physical factors
- F60–F69 Disorders of adult personality and behaviour
- F70–F79 Mental retardation
- F80–F89 Disorders of psychological development
- F90–F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
- The ICD-10 multi-axial system




