Clinical Manual for Assessment and Treatment of Suicidal Patients

Author: John A. Chiles
Publisher: American Psychiatric Pub
ISBN: 9781585626830
Format: PDF, Mobi
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The cornerstone of any intervention approach with suicidal patients is the recognition and treatment of psychiatric disorders. For many patients, however, treating the mental illness is not enough -- that is, suicidal behavior is not necessarily reduced by treatments that target those illnesses. Something more is needed. In this provocative and insightful work, Drs. Chiles and Strosahl offer a concrete, practical framework to fill this gap. In doing so, they challenge one of the chief underlying assumptions of traditional approaches to suicide assessment and treatment -- that suicidal behavior can be predicted and controlled. In its place, they propose a new conceptualization of suicidality -- as learned, reinforced problem-solving behaviors that an individual uses when all other options seem to have failed. Rather than focusing on risk prediction and management, interventions in this learning model target the problems that the suicidal behavior is being used to solve. The assumption is that a patient's suicidal behavior represents his or her best attempt at that moment in time to deal with life's difficulties. The clinician's initial task is therefore not to judge or criticize but rather to acknowledge the struggle and pain the patient is experiencing and to help the patient begin to explore other ways of dealing with the overwhelming troubles. Efforts to reduce suicidal risk are accomplished by techniques that maximize individual autonomy and encourage positive behaviors -- the person's unique resources for addressing and modifying the suicidal behavior. Designed to be used both for personal instruction and as a training manual, this comprehensive guide Presents an evidence-based model for understanding and treating suicidal behavior in all its forms. Features self-evaluation exercises to help clinicians develop an enhanced awareness of their own emotional reactions, moral/religious responses, and personal values about suicidality. Provides interactive checklists and patient assessment tools designed for easy use by the typical clinician in daily practice. Includes case vignettes and narratives highlighting key assessment and intervention principles. In Clinical Manual for the Assessment and Treatment of Suicidal Patients, the authors -- a psychiatrist and clinical psychologist -- have combined their diverse training and disciplinary backgrounds to create a workable approach to dealing with suicidal patients. Much more than merely an academic text on suicide, this thought-provoking handbook provides detailed guidance and a true sense of what to do to help suicidal patients. Practitioners in all domains of health care -- clinicians, residents, therapists, and graduate students in psychiatry, psychology, social work, and nursing -- will benefit from this valuable and accessible work.

Clinical Manual for Assessment and Treatment of Suicidal Patients

Author: John Chiles
Publisher: American Psychiatric Pub
ISBN: 9781585621408
Format: PDF, Docs
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The authors -- a psychiatrist and clinical psychologist -- combine their diverse training and disciplinary backgrounds to create a workable approach to dealing with suicidal patients. Much more than merely an academic text on suicide, this thought-provoking handbook provides detailed guidance and a true sense of what to do to help suicidal patients.

Clinical Manual for the Assessment and Treatment of Suicidal Patients

Author: John A. Chiles
Publisher: American Psychiatric Pub
ISBN: 1615372024
Format: PDF, Docs
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Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.

Clinical Manual of Psychiatry and Law

Author: Robert I. Simon
Publisher: American Psychiatric Pub
ISBN: 9781585626403
Format: PDF, Kindle
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In their latest collaboration, Clinical Manual of Psychiatry and Law, noted forensic psychiatrist Dr. Robert Simon and legal scholar Daniel Shuman, both recipients of the Guttmacher Award, have created a unique, practical reference to enable psychiatrists to transform the impact of the law on their clinical practices from an adversary to a working partner. In lieu of scare tactics or horror stories, Dr. Simon and Professor Shuman clearly explain not only what the law requires and why but how best to integrate its requirements to enhance clinical practice and reduce the risk of successful tort claims. They have written a clear, comprehensible, and accessible volume that will guide practitioners through the thickets of the law and benefit their clinical practices. This volume covers a wide range of topics, from confidentiality, privilege, informed consent and the right to refuse treatment to treatment boundaries, involuntary hospitalization, seclusion and restraint, management of violent as well as suicidal patients, and the additional requirements which apply to the treatment and evaluation of minors or persons with mental disabilities. It also includes the tort (i.e., negligence, intentional harm) claims that arise from a breach of the law's expectations. The content reflects the latest legal precedents concerning such topics as: Establishment of the doctor-patient relationship and liability for damages caused by its breach, including new rulings governing confidentiality and testimonial privileges Case law regarding informed consent -- especially the issue of competency when dealing with minors or persons with mental disabilities New rules and regulations restricting the use of seclusion and restraint Guides to the most recent laws regarding involuntary hospitalization and emergency commitment Insights into recent state court decisions concerning disclosures by therapists of threats of harm by patients against others, including such issues as conflicts between the duty to maintain confidentiality and the duty to protect Reviews of recent legislation proscribing sexual misconduct or prosecuting sexual exploitation of patients under existing rape or sexual assault laws Clinicians will find this wealth of knowledge immediately practical and lawyers will appreciate its in-depth treatment of complex psychiatric issues. With extensive references and a glossary of legal terms, Clinical Manual of Psychiatry and Law deserves a place among the top legal references for mental health professionals.

Emergency Medicine Secrets E Book

Author: Vincent J. Markovchick
Publisher: Elsevier Health Sciences
ISBN: 0323081282
Format: PDF
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Emergency Medicine Secrets, 5th Edition, by Drs. Vincent J. Markovchick, Peter T. Pons, and Katherine M. Bakes, gives you the emergency medicine answers you need for successful emergency medicine care. Featuring new chapters and revised content to bring you completely up to date, this dependable review and reference retains its engaging question-and-answer format. Get the most return for your study time with the proven Secrets® format – concise, easy to read, and highly effective. Skim the "Top 100 Secrets" and "Key Points" boxes for a fast overview of the secrets you must know for success in practice. Enjoy faster, easier review and master the top issues in emergency medicine with mnemonics, lists, quick-reference tables, and an informal tone that sets this review book apart from the rest. Carry it with you in your lab coat pocket for quick reference or review anytime, anywhere. Understand the latest concepts in emergency medicine with all-new chapters such as Evidence-based Rational Use of Diagnostic Imaging, Common Drugs of Abuse, and One Pill Can Kill, plus extensive updates on Asthma • COPD and Pneumonia • Esophagus and Stomach Disorders • Soft-Tissue Infections • Evaluation of Fever in Children Younger than Three • Seizures in Infancy and Childhood • Acute Respiratory Disorders in Children • Evaluation of Child Abuse • Procedural Sedation and Analgesia of the Pediatric Patient • Bites and Stings • Sexual Assault • Third Trimester Complications and Delivery • Abdominal Trauma • Burns • Domestic Violence • EMTALA, JC, and HIPAA • and Medical Oversight and Disaster Management Stay current with thorough updates to both text and references in all chapters, and related websites added to the bibliography.

The Complete Adult Psychotherapy Treatment Planner

Author: Arthur E. Jongsma, Jr.
Publisher: John Wiley & Sons
ISBN: 1118416023
Format: PDF, ePub
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A time-saving resource, fully revised to meet the changing needsof mental health professionals The Complete Adult Psychotherapy Treatment Planner, FifthEdition provides all the elements necessary to quickly andeasily develop formal treatment plans that satisfy the demands ofHMOs, managed care companies, third-party payors, and state andfederal agencies. New edition features empirically supported, evidence-basedtreatment interventions including anger control problems, lowself-esteem, phobias, and social anxiety Organized around 43 behaviorally based presenting problems,including depression, intimate relationship conflicts, chronicpain, anxiety, substance use, borderline personality, and more Over 1,000 prewritten treatment goals, objectives, andinterventions—plus space to record your own treatment planoptions Easy-to-use reference format helps locate treatment plancomponents by behavioral problem or DSM-5 diagnosis Includes a sample treatment plan that conforms to therequirements of most third-party payors and accrediting agenciesincluding CARF, The Joint Commission (TJC), COA, and the NCQA

Crisis Intervention Handbook

Author: Kenneth Yeager
Publisher: Oxford University Press
ISBN: 0190201061
Format: PDF, ePub, Mobi
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Fewer concepts in American society have received more attention recently than the need for skilled crisis intervention. Images of crises inundate internet and newspaper headlines, television screens and mobile devices. As a result of the growing amount of acute crisis events portrayed in the media that impact the lives of the general public, interest in crisis intervention, response teams, management, and stabilization has grown tremendously. Skills and methods to effectively manage acute crisis situations are in high demand. While many claim to understand the rapidly growing demand for effective crisis management, few provide clearly outlined step-by-step processes to educate and guide health and mental health professionals. This is a thorough revision of the first complete and authoritative handbook that prepares the crisis counselor for rapid assessment and timely crisis intervention in the 21st century. Expanded and fully updated, the Crisis Intervention Handbook: Assessment, Treatment, and Research, Fourth Edition focuses on crisis intervention services for persons who are victims of natural disasters, school-based and home-based violence, violent crimes, and personal or family crises. It applies a unifying model of crisis intervention, making it appropriate for front-line crisis workers-clinical psychologists, social workers, psychiatric-mental health nurses, and graduate students who need to know the latest steps and methods for intervening effectively with persons in acute crisis.

Neuropsychological Rehabilitation

Author: Chad A. Noggle, PhD, ABN
Publisher: Springer Publishing Company
ISBN: 082610715X
Format: PDF
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"Neuropsychological Rehabilitation provides useful introductory material and backgroundinformation on various disorders, assessments, and rehabilitative interventions for adult andgeriatric populations...This book is essential for psychologists or clinical neuropsychologists who have a stronginterest in understanding the current medical aspects of neuropsychological rehabilitation."--PsycCRITIQUES This volume disseminates knowledge about the most advanced practices and techniques in the rehabilitation of neuropsychological deficits, covering both specific neuropsychological domains and approaches in neurorehabilitation. It adheres to the philosophy that it is not enough to identify a deficit or diagnose a disease unless doing so helps to direct rehabilitation efforts to improve function. Intended to advance clinical skills, the book goes beyond surface diagnostic practice to foster rehabilitative efforts in response to residual deficits and disease. The volume begins by addressing the foundations of neuropsychology in rehabilitation and discussing, in depth, domain-specific rehabilitation practices, with a focus on functioning. This is followed by a discussion of supplemental applications and practices that go beyond function-specific methodology including neuroimaging and pharmacological agents. Also covered is the role of system/environmental manipulation and transitioning strategies. The final section attends to those presentations/groupings most commonly seen in rehabilitation practice for which there is no prototypical form. Key Features: Presents in depth the most advanced clinical applications for neuropsychological rehabilitation Covers neuropsychological rehabilitation in terms of specific cognitive domains (attention, language, memory) and approaches to and practices in neurorehabilitation (neuroimaging, vocational rehabilitation, pharmacological rehabilitation) Written by the foremost scholars in the field

Anorexia nervosa

Author: Hans-Christoph Friederich
Publisher: Hogrefe Verlag
ISBN: 3840925827
Format: PDF
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Die Behandlung einer Anorexie stellt eine besondere Herausforderung für Therapeuten dar. Die Betroffenen haben eine starke Bindung an ihre Symptomatik und ein ausgeprägtes Autonomiestreben, oft verbunden mit einer fehlenden Krankheitseinsicht. Dies erschwert den therapeutischen Zugang. Hinzu kommen die mit dem Untergewicht verbundenen gravierenden gesundheitlichen Folgen. Das in diesem Band vorgestellte manualisierte psychodynamische Vorgehen wurde zur ambulanten Behandlung der Anorexia nervosa bei erwachsenen Patientinnen entwickelt. Die Wirksamkeit des beschriebenen Therapiekonzepts konnte in einer umfangreichen empirischen Studie belegt werden. Einleitend gibt der Band grundlegende Informationen zum Störungsbild der Anorexia nervosa und erläutert relevante Störungsmodelle und -theorien. Weiterhin werden Hinweise zum diagnostischen Vorgehen gegeben. Anschließend werden die Therapieprinzipien und Behandlungsphasen vorgestellt und praxisnah anhand von Interventionsbeispielen erläutert. Der Behandlungsfokus liegt besonders auf beziehungsdynamischen Aspekten und damit verbundenen zentralen Konfliktthemen. Einen weiteren therapeutischen Fokus stellen typische ich-strukturelle Beeinträchtigungen dar, z.B. in den Bereichen des Affekterlebens und der Affektdifferenzierung, der Impulssteuerung, Selbstwertregulierung und der Wahrnehmung des eigenen Körperbildes. Zwei ausführlichere Fallbeispiele runden den Band ab.

Clinical Manual for Treatment of Schizophrenia

Author: John Lauriello
Publisher: American Psychiatric Pub
ISBN: 1585623946
Format: PDF, ePub
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Clinical Manual for the Treatment of Schizophrenia provides a uniquely multicultural and supremely patient-centered perspective on schizophrenia's core symptoms, its psychosocial effects, and its psychopharmacological and psychotherapeutic management.