Fundamentals of Consultation Liaison Psychiatry: Principles and Practice

Mallika Lavakumar, MD (Editor)
Assistant Professor, Case Western Reserve University, Cleveland, Ohio

Lisa J. Rosenthal, MD (Editor)
Associate Professor, Associate Vice Chair for Clinical Affairs, Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine

Terry Rabinowitz, MD, DDS (Editor)
Professor of Psychiatry and Family Medicine, Larner College of Medicine at the University of Vermont
Director, Psychiatry Consultation Service, University of Vermont Medical Center, Burlington, VT

Series: Psychiatry – Theory, Applications and Treatments
BISAC: MED105000

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Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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Although consultation liaison (CL) psychiatry has been practiced informally for many years, it has been recognized as a psychiatry subspecialty for less than two decades. This textbook addresses the important interface between the wide range of medical or surgical conditions and comorbid psychiatric disorders encountered in most hospital settings as well as outpatient sites. Because many patients admitted to a general hospital may have one or more psychiatric conditions that require attention and treatment to facilitate their recovery, this book will be an essential addition to any CL psychiatrist’s library; it will be equally useful for consultation liaison psychiatry fellows, psychiatry residents, general psychiatrists who are interested in CL psychiatry or who perform psychiatric consultations from time to time, medical students on their CL psychiatry clerkships, psychiatric nurse practitioners, and attending neurologists and neurology residents and fellows.

This book includes chapters that address the most prevalent, as well as rare medical conditions found among hospitalized patients and reviews assessment and treatment of the co-occurring psychiatric condition. For example, the Heart Disease chapter addresses patients’ responses to a new, potentially life-threatening cardiac event, and explains the essential steps and interventions a CL consultant should take to optimize patient care and safety – as well as ways to help the care team to better understand and manage their own stress. Other chapters, among a total of 24, include Women’s Health, Ethical and Legal Issues, and Eating Disorders. In addition, this book covers new areas or ones that are rarely or less comprehensively addressed in other CL texts, among them: Vulnerable Populations (including sections on psychiatric assessment and care of veterans, refugees, prisoners, LGBTQ-identified patients, and elders), Quality and Outcomes, Collaborative Care, and Telepsychiatry.

This text includes more than 60 tables, and each chapter includes five multiple choice study questions with annotated answers. As a stand-alone reference, it is an inclusive, up-to-date, and state-of-the art database for this exciting and essential subspecialty. When paired with its sister text, Fundamentals of Consultation Liaison Psychiatry: Neuropsychiatry, these two volumes will empower readers to more precisely and comprehensively assess and treat medical or surgical patients suffering with one or more psychiatric conditions that may be adversely affecting their health and recovery.
(Imprint: Nova Medicine and Health)

Preface

Acknowledgments

Chapter 1. Quality Measures and Outcomes
Carol L. Alter, MD and David S. Kroll, MD (Department of Psychiatry, Georgetown University, Mindoula Health, Silver Spring, MD, USA and Department of Psychiatry, Harvard University, Brigham and Women’s Hospital, Boston, MA, USA)

Chapter 2. Vulnerable Populations
James K. Rustad, MD, Anne B. Felde, MD, Devendra Thakur, MD and Xavier Jimenez, MD (Mental Health and Behavioral Sciences, White River Junction VA Medical Center, White River Junction, VT, USA, Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA, and others)

Chapter 3. Integrated Care
Jennifer M. Erickson, DO and Anna Ratzliff, MD, PhD (Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA)

Chapter 4. Telepsychiatry
Don M. Hilty, MD, and Phoebe Arbogast, MD (Department of Mental Health, Northern California Veterans Health Care System, Mathur, CA, USA, Department of Psychiatry, Northwestern University, Chicago, IL, USA and others)

Chapter 5. Evaluation
Stephen E. Nicolson, MD, Stephen S. O’Connor, PhD and Alejandro Y. Mendoza, MD (Department of Psychiatry, Beth Israel Deaconess Hospital, Plymouth, MA, USA, Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA, and others)

Chapter 6. Psychotic Disorders
Lisa J. Rosenthal, MD and Abhisek Chandan Khandai, MD (Department of Psychiatry, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA)

Chapter 7. Depressive and Manic Syndromes
Elias A. Khawam and Christopher L. Sola, DO (Department of Psychiatry, Cleveland Clinic, Cleveland, OH, USA, Department of Psychiatry, Cleveland Clinic, Cleveland, OH, USA)

Chapter 8. Anxiety Disorders
Filza Hussain, MD and Jeffrey P. Staab, MD (Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA, Department of Psychiatry and Behavioral Sciences, Mayo Clinic School of Medicine and Science, Rochester, MN, USA)

Chapter 9. Functional Syndromes and Medically Unexplained Symptoms
Xavier F. Jimenez MD (Department of Psychiatry and Psychology, Chronic Pain Rehabilitation Section, and Center for Neurological Restoration, Cleveland Clinic, Cleveland, OH, USA)

Chapter 10. Eating Disorders
Kalam Sutandar, MD, Raed Hawa, MD and Sanjeev Sockalingam, MD (Program for Eating Disorders, Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto, Toronto, ON, CA, Medical Psychiatry Program, Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto, Toronto, ON, CA)

Chapter 11. Sexual Disorders and Essentials of Transgender Health
Benoit Dubé, MD and Linda A. Hawkins, PhD (Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA, Gender & Sexuality Development Clinic, Children’s Hospital of Philadelphia, Philadelphia, PA, USA)

Chapter 12. Heart Disease
Mariana Schmajuk MD and Peter A. Shapiro MD (Department of Psychiatry, Columbia University, New York, NY, USA)

Chapter 13. Lung Disease
Yelizaveta Sher, MD and Manasa Enja, MD (Department of Psychiatry and Behavioral Science, Stanford University School of Medicine, Stanford, CA, USA, Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA)

Chapter 14. Renal Disease
Brenna Rosenberg Emery, MD, Amin Memon, MD, Jacqueline Posada, MD, Catherine Crone, MD and Thomas Wise, MD (Department of Psychiatry and Behavioral Health, George Washington University School of Medicine, Washington, DC, USA, Department of Psychiatry and Behavioral Health, Inova Fairfax Hospital, George Washington University School of Medicine, Washington, DC, USA, and others)

Chapter 15. Gastrointestinal and Liver Disease
Hermioni Lokko Amonoo, MD, Ashwini Nadkarni, MD and David Gitlin, MD (Department of Psychiatry, Harvard University, Boston, MA, USA)

Chapter 16. Endocrine Disease
Benjamin S. Cooley, MD, and David R. Diaz, MD (Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA)

Chapter 17. Oncology
Marie Tobin, MD and Holly Shiao, MD (Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA)

Chapter 18. Rheumatological Disease
Aaron Pinkhasov, MD and Wai Tan Di, MD(Department of Behavioral Health, Stony Brook University, Stony Brook, NY, USA, Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA)

Chapter 19: Surgery and Critical Care
Caitlin Adams, MD and Sophia Wang, MD (Department of Psychiatry, Midtown Mental Health, Eskenazi Hospital, Indianapolis, IN, USA, Department of Psychiatry, Indiana University, Indianapolis, IN, USA)

Chapter 20. Transplantation
Paula C. Zimbrean, MD (Department of Psychiatry, Yale University, New Haven, CT, USA)

Chapter 21. Women’s Health
Nicole Shirvani, MD and Lilian Gonsalves, MD (Behavioral Health Department, Asante Physician Partners, Medford, Oregon, USA, Department of Psychiatry and Psychology, Cleveland Clinic Foundation, Cleveland, Ohio, USA)

Chapter 22. Pediatrics
Britt A. Nielsen, PsyD, Raman Marwaha, MD and Manasa Enja, MD (Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA, Department of Psychology, Case Western Reserve University, Cleveland, OH, USA, Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA, and others)

Chapter 23. Palliative Care
Jeanne M. Lackamp MD and Clare C. Mitchell PhD (Department of Psychiatry, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA)

Chapter 24. Ethical and Legal Issues
Jonathan Lee, MD, Yelizaveta Sher, MD and Laura Roberts, MD (Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA)

Index

"This superb two volume compendium of Fundamentals of Consultation Liaison Psychiatry is comprehensive, thorough,  and extremely well-written. It provides cutting edge clinical and research topics with multiple choice review  questions and detailed answers at the end of each chapter, making it very engrossing , practical and helpful.  The thoughtfully organized lineup of chapters in the Principles and Practice volume, including quality and outcomes, collaborative care , vulnerable populations and telepsychiatry, provide a  very current and relevant blueprint for all psychiatrists and mental health professionals.  Written and edited by an all-star multidisciplinary team of nationally and internationally known experts in consultation liaison psychiatry this book set is among the best in the field. An invaluable text for all clinicians -- trying to bridge the mind-body divide in medicine." - Michelle Riba, MD, MS, Professor, University of Michigan, Department of Psychiatry; Past President, American Psychiatric Association

Keywords: Consultation Liaison Psychiatry, Consultation-Liaison Psychiatry, C-L Psychiatry, Hospital Psychiatry, Psychosomatic Medicine, Consultation Psychiatry, psychiatric consultation, Medical-Surgical Psychiatry, Medical Surgical Psychiatry, Med-Surg Psychiatry, psychiatric collaborative care, Collaborative Care Psychiatry

Audience:
· Consultation-Liaison Psychiatrists
· Consultation-Liaison Psychiatry fellows
· Psychiatry residents
· General psychiatrists interested in CLP or who may provide psychiatric consultations from time to time
· Lay persons or groups with an interest in CLP
· Medical students rotating on a Consultation-Liaison Psychiatry (CLP) service
· Neurologists interested in CLP
· Neuropsychiatrists
· Physician Assistant students rotating on a CLP service
· Physician Assistants, especially those caring for patients on medical or surgical units in a general hospital
· Psychiatric Nurse Practitioners
· Psychologists, especially those who are hospital-based
· Some persons or family members impacted by one or more CLP interventions

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