Managing Metabolic Abnormalities In The Psychiatrically Ill

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Managing Metabolic Abnormalities in the Psychiatrically Ill

Author : Evelyn McElroy
Publisher : American Psychiatric Pub
Page : 330 pages
File Size : 51,9 Mb
Release : 2007-04-02
Category : Medical
ISBN : 9781585626380

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Managing Metabolic Abnormalities in the Psychiatrically Ill by Evelyn McElroy Pdf

Patients with mental and substance use disorders have shown higher rates of morbidity and mortality from medical illnesses than the general population, and physicians are also increasingly aware of adverse effects of psychiatric medications on metabolic and cardiovascular health. In light of these problems, this book addresses an important unmet need of patients with mental disorders -- namely, the lack of integration of general medical care with psychiatric care and the related problem of barriers to collaboration and communication among health care providers. Managing Metabolic Abnormalities in the Psychiatrically Ill is the first book to provide a current review of the relationships among psychiatric illnesses, metabolic abnormalities, and treatment, focusing on how clinicians can tailor care to those doubly-afflicted patients. The book integrates research findings into practical clinical guidelines that spell out what psychiatrists need to know when their patients with mental illness suffer from -- or are at risk of developing -- obesity, diabetes, cardiovascular disease, or the metabolic syndrome. The contributors address those risks that need to be considered in the overall context of treatment, background risks of medical illnesses associated with specific psychiatric disorders themselves, and the means of applying these data to treatment recommendations, monitoring, and clinical practice. Among the specific topics addressed are: Potential effects of psychotropics on appetite, body weight, and metabolic parameters in obese patients, and the potential effects of anti-obesity agents on psychotic, manic, and depressive syndromes Increased risk of type 2 diabetes among individuals with psychotic and mood disorders due to neurobiological changes and behavioral effects associated with these disorders Greater risk for cardiovascular disease among the mentally ill, stressing the importance of mental health providers understanding cardiovascular risk classification and modification strategies An association between dysregulation of glucose and lipid metabolism and the related risk of type 2 diabetes during treatment with any of the eight second-generation antipsychotics currently available in the United States Guidance in choice of medications and appropriate monitoring strategies for hyperlipidemia, along with recognition of which antipsychotics pose the greatest risk and an understanding of the common dyslipidemia patterns seen with their use Chapters include key clinical concepts, quick-reference tables, and extensive references, and a final chapter provides an assessment tool for evaluating patients' metabolic risk. Together, the chapters in this book constitute an authoritative clinical guide that enables psychiatrists to better integrate the treatment of patients' mental disorders with their metabolic conditions.

Metabolic Syndrome and Psychiatric Illness: Interactions, Pathophysiology, Assessment and Treatment

Author : Scott D Mendelson
Publisher : Academic Press
Page : 224 pages
File Size : 49,8 Mb
Release : 2007-12-19
Category : Psychology
ISBN : 0080556523

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Metabolic Syndrome and Psychiatric Illness: Interactions, Pathophysiology, Assessment and Treatment by Scott D Mendelson Pdf

Metabolic syndrome is a set of risk factors that includes: abdominal obesity, a decreased ability to process glucose (insulin resistance), dyslipidemia (unhealthy lipid levels), and hypertension. Patients who have this syndrome have been shown to be at an increased risk of developing cardiovascular disease and/or type 2 diabetes. Metabolic syndrome is a common condition that goes by many names (dysmetabolic syndrome, syndrome X, insulin resistance syndrome, obesity syndrome, and Reaven's syndrome). This is the first book to fully explain the relationships between psychiatric illness, Metabolic Syndrome, diet, sleep, exercise, medications, and lifestyle choices. Metabolic Syndrome is a major risk factor in Major Depression, Alzheimer's Disease, Sleep Disorders, Sexual Dysfunction, Fibromyalgia, and several other illnesses of psychiatric significance. Conversely, some psychiatric illnesses tend to predispose patients to Metabolic Syndrome. Of further interest is the fact that some of the medications used in the treatment of psychiatric illnesses have been found to cause or exacerbate Metabolic Syndrome. The author here provides basic information about what genetic predispositions, medical conditions, and lifestyle choices make Metabolic Syndrome more likely to occur. Among the contributing factors that are discussed are genetics, habitual intake of high glycemic index carbohydrates, fructose, saturated fats, trans fatty acids, vitamins, micronutrients, obesity, smoking, and lack of exercise. The author describes the actual mechanisms by which Metabolic Syndrome progresses and causes damage in the body, including the action of insulin and the pathophysiology of insulin resistance. Details are provided on what occurs in the liver, pancreas, muscle, fat cells, and immune system as Metabolic Syndrome progresses. New findings are presented on fat cells, including the fact that they are beginning to be considered as endocrine cells. There is a substantive discussion of leptin, which is one of the important adipocytokines. Also carbohydrate, 'bad fats', inflammation, oxidative damage, over-stimulation of the 'fight or flight' system, and high levels of the stress hormone cortisol can actually cause the manifestations of Metabolic Syndrome. These explanations set the stage for an explanation of the inter-relationships between Metabolic Syndrome, psychiatric illness, dementia and effects of not only diet and life choices, but also the effects of psychiatric medications. Finally, there is an important and unique section on the relationship between Metabolic Syndrome and various psychiatric illnesses, and how they exacerbate each other. The significance of Metabolic Syndrome in Major Depression, Bipolar Affective Disorder, Schizophrenia, fibromyalgia and Polycystic Ovary Disease is vast and it is important to realise the effects of psychiatric medications on Metabolic Syndrome. The author discusses antidepressants, mood stabilizers and the new atypical antipsychotics. There are dramatic differences among medications in the way they affect Metabolic Syndrome and pharmaceutical companies will want to promote patient awareness with this book.

Neurobiology of Bipolar Disorder

Author : Joao Quevedo,Andre Ferrer Carvalho,Eduard Vieta
Publisher : Academic Press
Page : 472 pages
File Size : 49,7 Mb
Release : 2020-11-25
Category : Medical
ISBN : 9780128191835

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Neurobiology of Bipolar Disorder by Joao Quevedo,Andre Ferrer Carvalho,Eduard Vieta Pdf

The Neurobiology of Bipolar Disorder: Road to Novel Therapeutics combines the basic neurobiology of bipolar disorder with discussions of the most recent advances in research, including the interacting pathways implicated in the pathophysiology of bipolar disorder, genetic approaches and the pharmacogenomics of bipolar disorder. The basic foundational understanding of the neurobiology underlying the disorder, along with a comprehensive summary of the most recent advances in research combine to aid advanced students and researchers in their understanding of bipolar disorder management using novel and fast-acting pharmaceutical and neuromodulatory approaches. Aids readers in understanding bipolar disorder in the context of NIMH Research Domain Criteria (RDoC) recommendations Covers a range of existing and potential pharmacologic and non-pharmacologic treatment options, from lifestyle adjustments to novel therapeutics Synthesizes a discussion of the cellular and molecular mechanisms underlying symptoms with clinical aspects of bipolar disorder

Pharmacological Treatment of Mental Disorders in Primary Health Care

Author : World Health Organization
Publisher : World Health Organization
Page : 80 pages
File Size : 53,9 Mb
Release : 2009
Category : Medical
ISBN : 9789241547697

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Pharmacological Treatment of Mental Disorders in Primary Health Care by World Health Organization Pdf

This manual attempts to provide simple, adequate and evidence-based information to health care professionals in primary health care especially in low- and middle-income countries to be able to provide pharmacological treatment to persons with mental disorders. The manual contains basic principles of prescribing followed by chapters on medicines used in psychotic disorders; depressive disorders; bipolar disorders; generalized anxiety and sleep disorders; obsessive compulsive disorders and panic attacks; and alcohol and opioid dependence. The annexes provide information on evidence retrieval, assessment and synthesis and the peer view process.

American Psychiatric Association Practice Guidelines

Author : American Psychiatric Association
Publisher : American Psychiatric Publishing
Page : 368 pages
File Size : 46,7 Mb
Release : 1996
Category : Medical
ISBN : 0890423067

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American Psychiatric Association Practice Guidelines by American Psychiatric Association Pdf

The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.

Diagnostic and Management Guidelines for Mental Disorders in Primary Care

Author : World Health Organization
Publisher : Hogrefe Publshing
Page : 114 pages
File Size : 45,8 Mb
Release : 1996
Category : Mental illness
ISBN : UOM:39015040696414

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Diagnostic and Management Guidelines for Mental Disorders in Primary Care by World Health Organization Pdf

"This book gives helpful guidelines on diagnosis for primary care physicians. It also provides guidelines on what to say to patients and their families, how to give them counselling, what medication to prescribe, and when to consult a specialist. In short, this volume presents the knowledge of mental health science in an easily understandable form for practitioners (both physicians and others) at the primary health care level." "Two Versions of ICD-10 Chapter V Primary Care Version (ICD-10 PC) are presented here: (1) a concise version for those with medical training and prescription responsibility; (2) a brief version for primary care staff with other medical training. The primary care versions of the mental disorders classification were designed by an international group of general practitioners, family physicians, mental health workers, public health experts, social workers, psychiatrists and psychologists with a special interest in mental health problems in primary health care providers. After two rounds of revision, the classification system was field tested in more than 40 countries by over 500 primary care physicians to assess its relevance, ease of use and reliability."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Behavioral Neurogenetics

Author : John F. Cryan,Andreas Reif
Publisher : Springer Science & Business Media
Page : 637 pages
File Size : 52,7 Mb
Release : 2012-05-04
Category : Medical
ISBN : 9783642278594

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Behavioral Neurogenetics by John F. Cryan,Andreas Reif Pdf

This book covers a wide array of topics relevant to behavioral genetics from both a preclinical and clinical standpoint. Indeed in juxtaposing both areas of research the reader will appreciate the true translational nature of the field. Topics covered range from technical advances in genetic analysis in humans and animals to specific descriptions of advances in schizophrenia, attention disorders, depression and anxiety disorders, autism, aggression, neurodegeneration and neurodevelopmental disorders. The importance of gene-environment interactions is emphasised and the role of neuroimaging in unravelling the functional consequences of genetic variability described. This volume will be valued by both the basic scientist and clinician alike who may use it as a detailed reference book. It will also be of use to the novice to the field, to whom it will serve as an in-depth introduction to this exciting area of research.

Obesity, An Issue of Nursing Clinics, E-Book

Author : Angela Golden
Publisher : Elsevier Health Sciences
Page : 217 pages
File Size : 46,6 Mb
Release : 2021-11-10
Category : Medical
ISBN : 9780323835237

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Obesity, An Issue of Nursing Clinics, E-Book by Angela Golden Pdf

Obesity, An Issue of Nursing Clinics, E-Book

Diabetes Management in Primary Care

Author : Jeff Unger
Publisher : Lippincott Williams & Wilkins
Page : 617 pages
File Size : 48,6 Mb
Release : 2013-01-07
Category : Medical
ISBN : 9781451178425

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Diabetes Management in Primary Care by Jeff Unger Pdf

Diabetes Management in Primary Care, 2nd Edition serves as an evidence-based guide for primary care physicians, residents, and medical students in managing patients with diabetes. This text covers all aspects of outpatient care for adults and adolescents with diabetes. You’ll find comprehensive coverage of the latest therapeutic, behavioral, and surgical options to successfully manage diabetic patients within the primary care setting. Diabetes Management in Primary Care is based upon patient centered strategies and customized care. Whether the patient has prediabetes or advanced long-term complications such as retinopathy or chronic kidney disease, providers of all specialties and all levels of care will gain insight into safe, effective and rationale intensification of one’s care. Complex co-existing disorders such as cancer, severe clinical obesity, polycystic ovary syndrome, severe insulin resistance, hypoglycemia awareness autonomic failure, steroid induced hyperglycemia and sleep disorders are discussed in vibrant detail. Diabetes Management in Primary Care is the first medical text book to address many of the topics listed below. One of the most anticipated chapters discusses the importance of incorporating cultural diversity into one’s treatment plan. New to this edition: · Access to the companion website that includes the fully searchable text for quick reference · ADA/IDF screening algorithms included to allow for faster determinations · Discussion of new agents for Type II diabetes to keep you updated on the most recent therapies available, including new long acting basal insulin and incretin mimetics and drugs in the R and D pipeline. · Questions that patients want answered including: “When will diabetes be cured?” · Examination of the relationship between obesity, sleep disorder and diabetes · Detailed discussion of the relationship between cancer and diabetes · The importance of becoming a culturally diverse clinician · The politics of diabetes management in the US · Updated guidelines for the diagnosis and management of polycystic ovary syndrome · Useful forms to streamline and document practice including: patient history, physical exam, complication surveillance, laboratory tests, and diabetes patient education This is the tablet version which does not include access to the supplemental content mentioned in the text.

Comorbidity of Mental and Physical Disorders

Author : N. Sartorius,R.I.G. Holt,M. Maj
Publisher : Karger Medical and Scientific Publishers
Page : 202 pages
File Size : 40,6 Mb
Release : 2014-11-26
Category : Medical
ISBN : 9783318026047

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Comorbidity of Mental and Physical Disorders by N. Sartorius,R.I.G. Holt,M. Maj Pdf

This publication presents evidence about the magnitude and severe consequences of comorbidity of mental and physical illnesses from a personal and societal perspective. Leading experts address the huge burden of co-morbidity to the affected individual as well as the public health aspects, the costs to society and interaction with factors stemming from the context of socioeconomic developments. The authors discuss the clinical challenge of managing cardiovascular illnesses, cancer, infectious diseases and other physical illness when they occur with a range of mental and behavioral disorders, including substance abuse, eating disorders and anxiety. Also covered are the organization of health services, the training of different categories of health personnel and the multidisciplinary engagement necessary to prevent and manage comorbidity effectively. The book is essential reading for general practitioners, internists, public health specialists, psychiatrists, cardiologists, oncologists, medical educationalists and other health care professionals.

The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
Page : 226 pages
File Size : 53,6 Mb
Release : 2018-01-11
Category : Medical
ISBN : 9780890426821

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The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder by American Psychiatric Association Pdf

The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD.

Essentials of Interventional Cancer Pain Management

Author : Amitabh Gulati,Vinay Puttanniah,Brian M. Bruel,William S. Rosenberg,Joseph C. Hung
Publisher : Springer
Page : 530 pages
File Size : 48,8 Mb
Release : 2018-12-28
Category : Medical
ISBN : 9783319996844

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Essentials of Interventional Cancer Pain Management by Amitabh Gulati,Vinay Puttanniah,Brian M. Bruel,William S. Rosenberg,Joseph C. Hung Pdf

This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients’ quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients’ needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows.

The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
Page : 220 pages
File Size : 49,9 Mb
Release : 2016
Category : Antipsychotic drugs
ISBN : 9780890426777

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The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia by American Psychiatric Association Pdf

The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.

Psychiatric Care in Severe Obesity

Author : Sanjeev Sockalingam,Raed Hawa
Publisher : Springer
Page : 357 pages
File Size : 52,5 Mb
Release : 2016-12-16
Category : Medical
ISBN : 9783319425368

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Psychiatric Care in Severe Obesity by Sanjeev Sockalingam,Raed Hawa Pdf

This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

Psychoradiology, An Issue of Neuroimaging Clinics of North America, Ebook

Author : Qiyong Gong
Publisher : Elsevier Health Sciences
Page : 145 pages
File Size : 52,7 Mb
Release : 2019-12-03
Category : Medical
ISBN : 9780323708876

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Psychoradiology, An Issue of Neuroimaging Clinics of North America, Ebook by Qiyong Gong Pdf

This issue of Neuroimaging Clinics of North America focuses on Psychoradiology, and is edited by Dr. Qiyong Gong. Articles will include: Clinical Strategies and Technical Challenges in Psychoradiology; Resting State Functional MRI for Psychiatry; Magnetic Resonance Spectroscopy for Psychiatry; Psychoradiology of Major Depression; Psychoradiological Biomarkers for Psychopharmaceutical Effects; Implementing Imaging into Clinical Routine Screening for Psychosis; Imaging of Autism; Individual-specific Analysis for Psychoradiology; Interventional Psychoradiology: Imaging Guided Therapeutic Intervention of Neuropsychiatric Disorders; Imaging-based Subtyping for Psychiatric Syndromes; Imaging of Post-Traumatic Stress Disorder; Imaging of Schizophrenia; and more!