A Case-Based Approach to Emergency Psychiatry

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Autor: Katherine Maloy

ISBN: 9780190250843

Editura: Oxford University Press

Anul publicării: 2016

Pagini: 224

Categoria: Psychiatry

DESCRIERE

Working in an emergency department as a psychiatrist or mental health clinician requires an ability to gain a patient's rapport, establish a differential diagnosis, assess risk and make disposition decisions in a fast-paced and potentially chaotic setting. Patients may be medically ill, agitated, intoxicated, or suicidal, and resources for treatment may be difficult to access. A Case-Based Approach to Emergency Psychiatry provides the emergency department clinician with vivid and complex cases, discussed by psychiatrists who work daily in the emergency setting, that illustrate basic principles of assessment, diagnosis and treatment. These challenging and complex cases are based on the years of experience of the authors combined with current evidence-based practices and discussion. Risk assessment, psychosis, mood disorder, substance abuse, ethics, forensic issues, and personality disorders are discussed, along with child and adolescent, geriatric, and developmental disabilities. Special attention is also paid to alternatives to inpatient care, short-term crisis intervention, and the interface between medical and psychiatric illnesses. The case-based format allows the authors to link aspects of the clinical presentation to discussion and literature review in a memorable and compelling format.

Illustrates key concepts through vivid, complex cases that combine the authors' years of experience with current evidence-based practices
Offers practical, applicable information to help general emergency department clinicians manage psychiatric emergencies
Contains in-depth coverage of a wide range of important topics, including extensive discussion of forensic and ethical issues

Table of Contents
Introduction
Contributors
Chapter 1: Anxiety, Trauma and Hoarding
Katherine Maloy
Chapter 2: Mood Disorders: Clinical Examples and Risk Assessment
Jennifer Goldman
Chapter 3: Evaluating Suicide Risk in Psychotic Disorders
Katherine Maloy and Yona Silverman
Chapter 4: Evaluating Violence Risk in Psychotic Disorders
Abigail L. Dahan and Jessica Woodman
Chapter 5: Medical and Neurologic Syndromes
Jonathan Howard, Miriam Zincke, Anthony Dark, Bem Atim
Chapter 6: Substance Abuse: Intoxication and Withdrawal
Joe Kwon, Emily Deringer, Luke Archibald
Chapter 7: Evaluating the Geriatric Patient
Dennis Popeo
Chapter 8: Borderline and Narcissistic Personality Disorders
Wiktoria Bielska, Gillian Copeland
Chapter 9: Psychiatric Emergencies in Children and Adolescents
Ruth Gerson, Fadi Haddad
Chapter 10: Developmental and Autism Spectrum Disorders in Adults
Katherine Maloy
Chapter 11: Ethical and Legal Issues
Amit Rajparia
Chapter 12: Forensic Issues
Jennifer A. Mathur, Wiktoria Bielska, Rebecca Lewis, Bipin Subedi
Chapter 13: Short-Term Crisis Intervention and Mobile Crisis Evaluation
Adria Adams, Camilla Lyons, Madeline O'Brien
Chapter 14: Somatization and Consulting to the Medical Emergency Department
Lindsay Gurin
Chapter 15: Psychodynamic Issues in Psychiatric Emergency Evaluation
Daniel J. Zimmerman
Chapter 16: Use of Language Interpretation
Bipin Subedi, Katherine Maloy
Chapter 17: The Homeless Patient
Katherine Maloy

Author Information

Edited by Dr Katherine Maloy, Associate Director and Assistant Clinical Professor,, Bellevue Comprehensive Psychiatric Emergency Program and NYU School of Medicine

Dr. Katherine Maloy is the Associate Director of Bellevue Hospital's Comprehensive Psychiatric Emergency Department. She trained at New York University's Adult Psychiatry Residency and completed her medical degree at the State University of New York Downstate School of Medicine. Dr. Maloy is a Clinical Assistant Professor at New York University School of Medicine.

Contributors:

Contributors

Adria N. Adams, PsyD
Clinical Director, Interim Crisis Clinic
CPEP/Bellevue Hospital
NYU Clinical Faculty
New York University
New York, NY, USA

Luke Archibald, MD
NYU Clinical Assistant Professor of Psychiatry
Unit Chief, Bellevue Hospital 20 East Dual Diagnosis
New York University School of Medicine
New York, NY, USA

Bem Atim, MD
Psychaitry Resident
New York University School of Medicine
New York, NY, USA

Wiktoria Bielska, MD
Assistant Clinical Professor
New York University School of Medicine
Attending Psychiatrist
Bellevue Hospital Comprehensive Psychiatric Emergency Program (CPEP)
New York, NY, USA

Jillian Copeland, MD, MBA
Chief Resident, Department of Psychiatry
New York University
New York, NY, USA

Abigail L. Dahan, MD, FAPA
Clinical Assistant Professor
Department of Psychiatry
New York University School of Medicine
New York, NY, USA

Anthony Dark MD
Attending Psychiatrist, Comprehensive Psychiatric Emergency Program
Bellevue Hospital Center
Clinical Assistant Professor, School of Medicine
New York University Langone Medical Center
New York, NY, USA

Emily Deringer, MD
Clinical Assistant Professor, Department of Psychiatry
New York University School of Medicine
Attending Psychiatrist
Bellevue Comprehensive Psychiatric Emergency Program (C. P. E. P.)
New York, NY, USA

Ruth S. Gerson, MD
Director, Bellevue Hospital Children's Comprehensive Psychiatric Emergency Program
Clinical Assistant Professor, Department of Child and Adolescent Psychiatry
New York University School of Medicine
New York, NY, USA

Jennifer Goldman, MD
Attending Psychiatrist
Bellevue Medical Center
Clinical Assistant Professor, Department of Psychiatry
New York University Medical Center
New York, NY, USA

Lindsay Gurin, MD
Resident, Combined Psychiatry/Neurology Program
Departments of Psychiatry and Neurology
New York University School of Medicine
New York, NY, USA

Fadi Haddad, MD
Director of Child Psychiatric Emergency Services
Bellevue Hospital Center
Clinical Assistant Professor, Department of Child and Adolescent Psychiatry
New York University School of Medicine
New York, NY, USA

Jonathan Howard, MD
Assistant Professor of Neurology and Psychiatry
New York University
New York, NY, USA

Joe Kwon, MD
Attending Psychiatrist
Bellevue Hospital Center
Assistant Clinical Professor
New York University Department of Psychiatry
New York, NY, USA

Rebecca Lewis, MD
Clinical Assistant Professor of Psychiatry
New York University School of Medicine
New York, NY, USA

Camilla Lyons, MD, MPH
Clinical Assistant Professor, Department of Psychiatry
New York University School of Medicine
New York, NY, USA

Jennifer A. Mathur, PhD
Clinical Director, Comprehensive Psychiatric Emergency Program (CPEP) Forensic Evaluation Service, Bellevue Hospital Center
Clinical Assistant Professor, Department of Psychiatry
New York University School of Medicine
New York, NY, USA

Katherine Maloy, MD
Associate Director
Bellevue Comprehensive Psychiatric Emergency Program (CPEP)
Assistant Clinical Professor
New York University Department of Psychiatry
New York, NY, USA

Madeleine O'Brien, MD
Clinical Instructor, Department of Psychiatry
New York University School of Medicine
New York, NY, USA

Dennis M. Popeo, MD
Associate Professor of Psychiatry
New York University School of Medicine
New York, NY, USA

Amit Rajparia, MD
Director, Psychiatric Emergency Services
Bellevue Hospital Center
Clinical Associate Professor of Psychiatry
New York University School of Medicine
New York, NY, USA

Yona Heettner Silverman, MD
Psychiatry Resident
New York University School of Medicine
New York, NY, USA

Bipin Subedi, MD
Program Director, Forensic Psychiatry Fellowship
Clinical Assistant Professor, Department of Psychiatry
New York University School of Medicine
Attending Psychiatrist, Forensic Psychiatry Service
Bellevue Hospital Center
New York, NY, USA

Jessica Woodman, MD
Psychiatry Resident
New York University School of Medicine
New York, NY, USA

Daniel J. Zimmerman, MD
Psychiatrist in Private Practice
Clinical Instructor, Department of Psychiatry
New York University
New York, NY, USA

Miriam Tanja Zincke, MD, MPH
Bellevue CPEP attending
New York University
New York, NY, USA