Table of Contents

Foreword by Professor John Geddes vi

Preface vii

Acknowledgements viii

Quick guides 1

History-taking checklist 1

Mental State Examination checklist 2

Structure of a psychiatric case presentation 3

1 Getting started, 5

2 The basic psychiatric assessment, 9

3 Diagnosis-specific assessments, 19

4 Risk: harm, self-harm and suicide, 40

5 Completing and communicating the assessment, 47

6 What causes mental health problems?, 55

7 Treatment, 63

8 Psychiatric services and specialties, 82

9 Mood disorders, 92

10 Neurotic, stress-related and somatoform disorders, 103

11 Eating, sleep and sexual disorders, 115

12 Schizophrenia, 124

13 Dementia, delirium and neuropsychiatry, 138

14 Substance misuse, 154

15 Personality disorders, 165

16 Childhood disorders, 172

17 Learning disability (mental retardation), 185

18 Psychiatry in other settings, 193

19 Mental health and the law, 200

Self-assessment answers 205

Appendix 1: ICD-10 classification of psychiatric disorders 209

Appendix 2: Keeping up to date and evidence-based 210

Index 211

About the Author

Gautam Gulati is Honorary Senior Clinical Lecturer in Forensic Psychiatry, University of Oxford, and Consultant Forensic Psychiatrist, Oxford Health NHS Foundation Trust Mary-Ellen Lynall is a Graduate-entry medical student, Magdalen College, University of Oxford, and Retained Lecturer in Neuroscience, Somerville College, University of Oxford Kate Saunders is at the University of Oxford, Department of Psychiatry, Warneford Hospital