treatment refractory schizophrenia a clinical conundrum

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Treatment Refractory Schizophrenia

Author : Peter F. Buckley
ISBN : 9783642452574
Genre : Medical
File Size : 77. 69 MB
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Schizophrenia is often associated with an inadequate response to pharmacological and non-pharmacological treatments. How to treat patients who have an unsatisfactory response to anti-psychotics, including clozapine - which is unequivocally the most powerful antipsychotic medication for this recalcitrant population - remains a clinical conundrum. A range of adjunctive medications have been tried with mixed results; there has also been renewed interest in the role of neuromodulatory strategies, electroconvulsive therapy, and cognitive and vocational approaches. Perhaps a bright spot for the future lies in the evolution of pharmacogenetic approaches for individualized care. In this book, leading experts from Europe, Australia and the Americas provide a timely appraisal of treatments for the most severely ill schizophrenia patients. This clinically focused book is informed by the latest research on the neurobiology and treatment of schizophrenia. It is comprehensive in scope, covering current treatment options, various add-on approaches, and a range of psychosocial treatments. The contributors are respected experts who have combined their clinical experience with cutting-edge research to provide readers with authoritative information on fundamental aspects of clinical care for schizophrenia.

Schizophrenia Advances And Current Management An Issue Of Psychiatric Clinics Of North America

Author : Peter F. Buckley
ISBN : 9780323446334
Genre : Medical
File Size : 54. 81 MB
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This issue of the Psychiatric Clinics, edited by Dr. Peter F. Buckley, examines advances and current management in the treatment of Schizophrenia. The topics covered in this issue include, but are not limited to: Duration of Untreated Psychosis (DUP) and Longitudinal Perspectives on DUP; Neuroinflammation and Schizophrenia; Emerging Treatments for Schizophrenia; Treatment-Resistant Schizophrenia; Comorbidities and Schizophrenia; Recovery from Schizophrenia; and the latest in schizophrenia research.

Care Of The Mentally Disordered Offender In The Community

Author : Alec Buchanan
ISBN : 9780198804567
Genre : Medical
File Size : 87. 98 MB
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The thoroughly revised second edition of Care of the Mentally Disordered Offender in the Community is a comprehensive, evidence-based guide to the latest developments in the social context, management, and treatment of offenders in mental health care. In recent years there has been significant changes in the public perception of crime and the mentally ill offender, enhanced by research into causal links between violence and mental illness, and the increased publicity of the risk mentally disordered offenders could pose to the community. These, and other various factors, have significantly increased service development and research into psychological and pharmacological treatments and the rate of re-offending. Over three sections this essential guide explores key topics for discussion in the field. Part One critically examines the social, administrative and clinical context within which care is given in the modern day. Part Two discusses treatment and the evaluation of risk when determining the most appropriate treatment, whilst Part Three explores psychiatric services and their relationship with other agencies. Fully updated to ensure new areas for discussion are included, this book includes new chapters on relevant debates in the field such as US provision for the mentally disordered leaving prison, community management of sexual offending, the relationships between care and coercion, and the treatment of personality disorders. Written and edited by a global team of experts in the field, this book provides readers with useful insight into the social, clinical, and institutional contexts of this complex and relevant issue.

Complex Clinical Conundrums In Psychiatry

Author : Kuppuswami Shivakumar
ISBN : 9783319703114
Genre : Medical
File Size : 23. 42 MB
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This book provides the readers with a series of complex cases that are organized by psychiatric disorder. Written by experts in the field, the cases offer insight on how to navigate care in delicate situations while considering preexisting medical conditions. Topics cover pharmacological concerns in women who are pregnant or nursing, working with dementia patients suffering from HIV, assessing and treating ADHD in special populations, monitoring medication use in patience recovering from Substance Use Disorder, and working with patients suffering from personality disorders. Each chapter offers guidance through the maze of classifications, clinical features, diagnosis and various complex interventions. The book also covers new information on the advances in research and management aspects. Complex Clinical Conundrums in Psychiatry is a valuable resource for psychiatrists, psychologists, family physicians, geriatricians, counselors, social workers, nurses, and all medical professionals working with complex psychiatric patients.

Neuropsychodynamische Psychiatrie

Author : Heinz Böker
ISBN : 9783662477656
Genre : Medical
File Size : 83. 20 MB
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Ist die Psyche nichts als die neuronalen Prozesse im Gehirn? Müssen zentrale mentale Begriffe wie Selbst, Bewusstsein, Unbewusstsein, etc. durch neuronale Mechanismen erklärt werden und die Psychiatrie durch die Neurowissenschaften ersetzt werden? Unser Buch zeigt auf, dass mentale Prozesse und psychische Symptome bei psychiatrischen Erkrankungen wie Schizophrenie, Depression, etc. weder reine geistige noch nur neuronale Prozesse sind. Gehirn ist immer auch schon Umwelt; und es ist die Interaktion der Umwelt-Gehirn-Beziehung, in der psychische Phänomene inklusive ihrer Abnormitäten ihren neuropsychodynamischen Ursprung haben. Der Inhalt Neuropsychodynamische Grundlagen Neurosoziale Auffassung des Gehirns Psychoanalytische Konzepte und deren Weiterentwicklung Neuropsychodynamik psychischer Störungen Therapie auf neuropsychodynamischer Grundlage Neurosoziale und neuropsychodynamische Zukunftsperspektiven Die Herausgeber Prof. Dr. Heinz Böker, Psychiatrische Universitätsklinik Zürich, Zentrum für Depressionen, Angsterkrankungen und Psychotherapie, Zürich, Schweiz. Prof. Dr. Peter Hartwich, Städtische Kliniken Frankfurt am Main-Höchst, Klinik für Psychiatrie und Psychotherapie/Psychosomatik, Akademisches, Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Frankfurt am Main, Deutschland. Prof. Dr. Dr. Georg Northoff, University of Ottawa, Institute of Mental Health Research, Royal Ottawa Mental Health Centre, Ottawa/ON, Canada, Zhejang University, Hangzhou/China, Taipeh Medical University Taipeh/Taiwan.

Defining Psychopathology In The 21st Century

Author : John E. Helzer
ISBN : 1585620637
Genre : Medical
File Size : 35. 27 MB
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Among today's astounding research discoveries, perhaps the most fascinating is the mapping of the human genome and its implications for a vastly improved understanding of how genes affect our physiology and behavior. With that understanding comes a critical need to establish a diagnostic taxonomy for psychiatric illness that is more precise but still clinically relevant. This volume responds to that need. It highlights the shortcomings of current categorical diagnoses, such as those used in DSM-IV, for future research needs in behavioral disorders in general and psychiatric genetics in particular. With a chapter by each distinguished neuroscientist who presented at the 2000 American Psychopathological Association (APPA) meeting, this volume is divided into four sections: Definitional Tensions, which discusses the difficulties with the current categorical diagnostic system; Imaging Psychopathology, which presents research demonstrating how imaging technologies can tremendously improve our illness definitions; Longitudinal Studies, which details what we can learn from epidemiological and other longitudinal studies; and Exploring Alternatives, which discusses the application of dimensional classification systems in genetics research in psychopathology, with a fascinating chapter on using new methodologies for treating subsyndromal or pre-schizophrenia, a taxonomic condition defined herein as "schizotaxia." This unique collection represents a significant step in developing approaches to classification that will lead to more accurate diagnoses and treatments for patients and a broader range of taxonomic options for researchers. As such, it will also be welcomed by psychiatric clinicians and educators, as well as by anyone interested in genetics and how it governs human behavior.

Schizoaffektive Psychosen

Author : Andreas Marneros
ISBN : 9783642838132
Genre : Medical
File Size : 50. 10 MB
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Die steigende Zahl von Publikationen und internationalen Kongressen über die schizoaffektiven Psychosen waren Anlaß, dieses Thema erstmalig ausführlich und umfassend in Buchform darzustellen. Namhafte Wissenschaftler aus dem In- und Ausland vermitteln praktische, klinisch relevante Informationen über die Diagnose, den Verlauf, die Therapie und die Prophylaxe der schizoaffektiven Psychosen. Angesprochen werden auch genetische und soziale Aspekte sowie Zukunftsperspektiven.

Dementia Praecox Oder Gruppe Der Schizophrenien

Author : Eugen Bleuler
ISBN : 3898066169
Genre :
File Size : 58. 21 MB
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Int Integrierte Neurokognitive Therapie Bei Schizophren Erkrankten

Author : Volker Roder
ISBN : 9783642214400
Genre : Medical
File Size : 21. 18 MB
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Die Integrierte neurokognitive Therapie (INT) ist ein Gruppentherapieansatz, der erstmals alle Bereiche der MATRICS-Initiative des NIMH (National Institute of Mental Health, USA) in ein umfassendes Therapiekonzept integriert (MATRICS: Measurement and Treatment Research to improve Cognition in Schizophrenia). Diese Initiative definierte 11 neuro- und sozialkognitive Funktionsbereiche, die für schizophren Erkrankte relevant sind und deren Stärkung eines der wichtigsten Therapieziele sein muss. Die INT basiert auf den kognitiven Unterprogrammen des weitverbreiteten und umfassend evaluierten Integrierten psychologischen Therapieprogamms (IPT). Die INT ist ein ressourcen- und recovery-orientierter Ansatz, der auch die Verbesserung von Therapiemotivation und Selbstwahrnehmung zum Ziel hat. Der Fokus liegt konsequent auf der Gruppendynamik und dem Selbst- und Alltagsbezug der Patienten. Übergeordnetes Ziel ist die Erhöhung der Lebensqualität und -funktionalität und damit die Wiedereingliederung der Patienten in die Gesellschaft. Das vorliegende Manual - ... bietet dem Kliniker einen gut verständlichen Einstieg in die Behandlung von Neuro- und sozialen Kognitionen im Rahmen eines umfassenden und gut aufeinander abgestimmten Therapie- und Behandlungsangebots - ... beschreibt detailliert und gut strukturiert den Aufbau der INT in 4 Modulen - ... veranschaulicht mit zahlreichen Fallbeispielen das therapeutische Vorgehen auch in schwierigen Therapiesituationen - ... enthält umfangreiche und teilweise computergestützte Therapiematerialien, die sich patientenorientiert und vielfältig – auch im Einzelsetting – einsetzen lassen - ... thematisiert in kleineren Einheiten mögliche Indikationsstellungen, eine sorgfältige und individuell abgestimmte Therapieplanung („Fallkonzeption“) und Implementierung der INT Die INT wurde von Therapeuten und Patienten sehr gut angenommen und durch eine internationale, randomisierte Multicenterstudie in Deutschland, Österreich und der Schweiz erfolgreich evaluiert. Das Manual eignet sich hervorragend zur Vorbereitung und Durchführung von Therapiesitzungen.

Mood Disorders

Author : S. Nassir Ghaemi
ISBN : 0781767636
Genre : Medical
File Size : 68. 2 MB
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Thoroughly updated for its Second Edition, this practical guide will aid residents and clinicians in diagnosing and treating the full spectrum of mood disorders. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Ghaemi explains how to accurately diagnose unipolar depression and bipolar disorder and offers specific, detailed, evidence-based recommendations on pharmacotherapy and psychotherapy. Chapters review the pharmacology of all antidepressants, mood stabilizers, and antipsychotics in current use and point out these drugs' advantages and drawbacks in specific clinical situations. Other chapters address clinical problems such as depression, mania, and ADHD in children and the conundrum of schizoaffective disorder. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.

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