Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-Effectiveness is a multi-authored systematic review of the medical literature from 1984 to 2007 relevant to the cost-effectiveness of all kinds of psychotherapy. It also reviews the stigma associated with psychiatric illness and its true cost to society. Mental illness is the leading cause of disability around the globe, according to the World Health Organization, and nearly half of the population will suffer from at least one psychiatric disorder in their lifetime. This book examines attitudes undermining the provision of psychiatric care including psychotherapy and the resulting lack of treatment leading to increased morbidity and mortality. The studies reviewed demonstrate that appropriate psychotherapeutic treatment contributes to better outcomes overall. Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-Effectiveness concludes that psychotherapy works for many conditions, is cost-effective, can at times provide significant cost-offset in other medical and hospital expenses, and is not abused by those persons not truly in need.

Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-effectiveness

Health, Fitness & Dieting

Susan G. Lazar

Psychology & Counseling

American Psychiatric Publishing, Inc.

Disaster Psychiatry: Readiness, Evaluation, and Treatment is the first clinical guide dedicated specifically to equipping mental health professionals with the knowledge they need to respond usefully and effectively when disaster strikes. Using a biopsychosocial model, the book explains the mental health implications of disasters and clearly outlines treatment paths and interventions based on peer-reviewed scientific literature and the firsthand experiences of psychiatrists, psychologists, and social workers who have dedicated their time and expertise to the cause of alleviating suffering in the aftermath of traumatic events. Experts in disaster psychiatry from two organizations the Group for the Advancement of Psychiatry (GAP) and Disaster Psychiatry Outreach (DPO) have collaborated to create this manual, which provides in-depth information on best practices clearly presented for ease of use by psychiatric clinicians preparing for or responding to disasters. The authors have conducted an extensive review of the literature on survivors of traumatic events, ranging from individuals with posttraumatic stress in the aftermath of World War II to victims of the earthquake that rocked Haiti in 2010. Written specifically for the clinical community, Disaster Psychiatry: Readiness, Evaluation, and Treatment is a must for the libraries of psychiatrists, psychologists, and nurses working in disaster settings, as well as medical educators and residents.

Disaster Psychiatry: Readiness, Evaluation, and Treatment

Frederick J. Stoddard

Mental Health

Incest is a social problem of major proportions affecting the lives of one in six American women. This collection of contributions from the most distinguished experts in the field examines the clinical presentations of adult patients who have suffered childhood incestuous experiences. This book explores the connections between incest and somatoform disorders disturbances of the self problems in cognitive functioning borderline psychopathology the dissociative disorders posttraumatic symptoms vulnerability to revictimization

Incest-Related Syndromes of Adult Psychopathology

Richard P. Kluft

In a world of multiple treatments for psychiatric illness, the beginning therapist may have a limited psychoanalytic background in psychodynamic treatment modalities. Psychodynamic psychotherapy can be an important part of the clinician's therapeutic armamentarium. "Concise Guide to Psychodynamic Psychotherapy" introduces the clinician to the concepts and techniques of psychoanalytic psychotherapy. The guide is written from the perspective of the conscientious skilled clinician. With case vignettes included in each chapter, this text is expressly written for clinicians who seek the most helpful treatments for the pain and suffering of their patients with psychiatric illness. Chapter 1 includes an introduction that reviews the focus of psychodynamic psychotherapy. This chapter describes the setting of psychodynamic psychotherapy by discussing the length of treatment and how often sessions should be held; and suggests techniques of psychodynamic psychotherapy evaluation. It provides guidelines for beginning the evaluation, such as the number and length of evaluation sessions, and describes methods for collecting data during the evaluation. The psychodynamic assessment and selection criteria are also covered in this chapter. Chapter 3 reviews techniques for beginning treatment. Teaching the patient about the goals and process of psychodynamic psychotherapy is important to the successful beginning of the psychotherapy. This chapter talks about education and learning. After the patient has begun to understand the process of treatment, the therapist will, over time. become somewhat less verbally active in order to hear more about how the patient organizes his or her psychological world. Abstinence and free association are also covered. Resistance and defense refer to the forces within the patient that oppose the aims of treatment. Every patient is ambivalent about getting well. Chapter 4 takes a look at resistance and defence by focusing on the defense mechanisms. Chapter 5 examines transference in psychodynamic psychotherapy, the different forms, working with transference in psychotherapy, and erotic and aggressive trensferences in psychotherapy. Countertransference is the topic of Chapter 6. Beginning with a definition of countertransference, this chapter covers concordant and complementary countertransference, countertransference and borderline personality disorder. The clinical use of dreams in dynamic psychotherapy offers the psychiatrist many opportunities to assist the patient in developing an understanding of how the mind works. Chapter 7 shows how dream analysis can be an important vehicle in helping the patient develop skills in ongoing self-inquiry. There comes a time when the patient and the psychiatrist agree to end the treatment. Chapter 8 shows how to know when the end is near, provides guidelines regarding the tasks involved with the termination phase, and suggests how to handle unsuccessful treatment. Chapter 9 takes a look at practical problems that may arise when a therapist uses psychodynamic psychotheapy. Tips on office decor; questions about fees and medical insurance; and advice on what to do when patients call between sessions, scheduling vacations, and handling suicidal patients are just a few of the issues discussed. Chapter 10 reviews the use of brief psychotherapy. Brief psychotherapy is now a necessary part of every clinician's skills. Selection, treatment, termination and techniques are discussed. Borderline, schizoid and narcissistic personality disordered patients constitute a difficult and challenge population both for the beginning therapist and the seasoned clinician. Chapter 11 provides guidelines for treating such individuals. Chapter 12 focuses on the role of supportive psychotherapy in helping the patient reestablish his or her previous best level of functioning. This chapter discusses selection of patients who can benefit from this approach, and techniques to use when administering supportive psychotherapy.

Concise Guide to Psychodynamic Psychotherapy (Concise Guides)

robert-j-ursano-stephen-m-sonnenberg-susan-lazar

Today's practice of psychiatric administration is totally different from that in past years because of the vast changes sweeping the health care and behavioral health care sectors. Reflecting these changes, this completely revamped second edition contains all-new chapters by 68 contributors (most new to this edition).
This definitive textbook provides the practitioner and student of administration in behavioral healthcare with an up-to-date compendium focused on five central issues that represent the framework of the debate that will guide the evolution of behavioral health care during the next few years An overview of the evolving behavioral health system, from the rich legacy of the community mental health movement mandated by federal legislation in the 1960s to today's paradigm, which is instead driven by the marketplace phenomena of managed care, information systems, and consumer empowerment. Core and new administrative psychiatry concepts and new roles for behavioral health players, including organizational theories, leadership requirements, planning models, and information system solutions, as well as new models of program evaluation and quality management and innovations in training and human resource development. How selected behavioral health systems are changing and the trend toward integrated systems, addressing the challenge of delivery system configuration and integrated service delivery as the system evolves from cost-based fee for service to managed care settings, as well as important new roles for psychiatric administrators in behavioral health network establishment and maintenance, staffing, capitated financing, population-based care, and outcome management. A comprehensive overview of the current system, from hospitals (including VA and military services) to county mental health departments, child and family service agencies, and HMOs, with new roles for everyone -- psychiatrists, administrators, and mental health clinicians as well as consumers and their families -- in the consumer-focused health care systems of the future. Law and ethics, which includes prisons and civil law issues and considers the special challenge of working within a field where innovation, science, and the marketplace are running well ahead of the legal and bioethics communities.
Offering an in-depth study of areas never before covered, this extensively referenced volume concludes with a discussion of future issues in administrative psychiatry, as the "disruptive technologies" that forced the restructuring of banking, automobile manufacturing, consumer electronics, and other industries start to have an impact on health care.
Broad in appeal as well as scope, this unique reference will find a worldwide audience -- from administrators facing the challenges of designing and administering a cost-efficient, effective care system to trainees studying for certification, and nearly everyone in between: from social workers to medical directors, staff psychiatrists, nurses, and middle managers of private and public psychiatric hospitals and behavioral health managed care organizations.

Textbook of Administrative Psychiatry: New Concepts for a Changing Behavioral Health System

This workbook contains 400 board-type multiple-choice questions from the annual FOCUS Self-Assessment Examinations that can help psychiatrists prepare for examinations and identify areas for further study. The questions, developed by the FOCUS self-assessment board, are consistent in form and process with the questions used by high-stakes examinations. They cover important clinical areas of psychiatric practice and closely follow the American Board of Psychiatry and Neurology (ABPN) outline of topics for the recertification examination in psychiatry. The FOCUS Psychiatry Review is designed to test current knowledge and its clinical application. The workbook is flexible in format, allowing readers to use the educational approach that works best for them. Readers can review resource materials prior to answering questions, or they can use the workbook to review the references listed in the critiques after scoring test sections. The workbook will be useful for anyone committed to lifelong learning in the field psychiatric residents, practicing psychiatrists, and psychiatrists preparing for examinations. APA is accredited by ACCME to provide continuing medical education for physicians. APA designates this educational activity for a maximum of 50 AMA PRA Category 1 CreditsTM. Physicians should claim credit commensurate with the extent of their participation in the activity. Program end date: July 2012

Focus Psychiatry Review: 400 Self-Assessment Questions

Medical Books

Medicine

Sometimes described as the nemesis of the primary care physician, somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this category of disease. Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. Organized with the practitioner in mind, the book surveys the latest research on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on the topic, Somatic Presentations of Mental Disorders explores the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. The contributions of international experts provide unique insights into cultural factors affecting the presentation and treatment of somatic disorders globally. In addition to providing an invaluable reference for clinicians in many disciplines, the book identifies specific gaps in the research literature, and addresses issues of nosology in advance of the publication of DSM-V. Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-read for clinicians with somatizing patients.

Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V

Darrel A. Regier

Paul J. Sirovatka

Arthur Kleinman

Yu, Xin

William E. Narrow

Joel E. Dimsdale

Vikram Patel

Nothing less than the future of psychiatric diagnosis is at stake as the American Psychiatric Association undertakes the process of research, evaluation, and analysis that will eventuate in publication of DSM-V in 2012. This new collection, Dimensional Approaches in Diagnostic Classification: Refining the Research Agenda for DSM-V, transcends the current categorical definitions set forth in DSM-III and DSM IV and suggests ways of incorporating more quantitative concepts into DSM-V. 
 The proceedings of a conference convened by the APA, in collaboration with the World Health Organization and the U.S. National Institutes of Health, the book explores a dimensional approach to diagnosing substance dependence, major depressive episode, psychosis, anxiety disorders, developmental psychopathology, and personality disorders. The authors present a critical appraisal of dimensional approaches in diagnostic classification and an examination of categories and dimensions in clinical and research contexts. 
 Clinicians and researchers in the United States and the international psychiatric community will discover, in these pages, the beginnings of a new, quantitative methodology that will transform diagnosis and represents the next stage in the evolution of DSM.

Dimensional Approaches in Diagnostic Classification: Refining the Research Agenda for DSM-V

John E. Helzer

This volume summarizes current research to determine whether a specific group of stress-induced and fear-based disorders form a distinct syndrome independent from other anxiety disorders. Intended to contribute to DSM-V revisions regarding classification of these disorders, Stress-Induced and Fear Circuitry Disorders reflects findings that may lead to more refined treatments for these conditions based on a better understanding of the biological and environmental factors that contribute to their development. Thirty international authorities clarify how these disorders develop and what factors contribute to symptomatology. Focusing on posttraumatic stress disorder, panic disorder and agoraphobia, social phobia, and specific phobia, the authors explore the possibility of linking the classification and etiology of these conditions by showing that they may be closely related in terms of brain pathophysiology. Specific coverage ranges from consideration of the disorders among minorities to the effects of stress and psychosocial factors, to the contribution of substance abuse. By offering important new ways of thinking about these disorders, the book not only allows researchers to more accurately assess these diagnostic classifications but also can help clinicians more effectively communicate with patients regarding the nature of their illness and its treatment.

Stress-induced and Fear Circuitry Disorders: Refining the Research Agenda for DSM-V

Dennis S. Charney

Gavin Andrews

Generalized anxiety disorder (GAD) and major depression (MD) form the largest group of common mental disorders. These two conditions often occur together, and emerging evidence suggests several similarities between them. As we move toward revising the Diagnostic and Statistical Manual of Mental Disorders for DSM-V, Diagnostic Issues in Depression and Generalized Anxiety Disorder: Refining the Research Agenda for DSM-V explores the nosologic relationship between GAD and MD. This book acts as a guidepost for the entire DSM process. It reviews recent scientific advances in our understanding of the interrelationship between GAD and MD, summarizes the body of evidence into a few broad conclusions, and reflects on the implications of these findings for future nosologic efforts. The contributing authors review conceptual issues and empirical data from a variety of perspectives, including genetics, biology, treatment, development, course, predictors, disability, and psychosocial stressors. Diagnostic Issues in Depression and Generalized Anxiety Disorder develops operationalized criteria for nosologic decisions that enable clinicians to bridge the gap between data and diagnostic recommendations. Not only does the methodology of investigating an active interchange between empirical and conceptual perspectives shed new light on the relationship between GAD and MD, but it also carries implications for the rest of DSM-V.

Diagnostic Issues in Depression and Generalized Anxiety Disorder: Refining the Research Agenda for Dsm-v

David Goldberg

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