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Massachusetts General Hospital Handbook of General Hospital Psychiatry


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Table of Contents

1. Beginnings: Psychosomatic Medicine and Consultation Psychiatry in the General Hospital
2. Approach to Psychiatric Consultations in the General Hospital
3. The Doctor-Patient Relationship
4. The Psychiatric Interview
5. Functional Neuroanatomy and the Neurologic Examination
6. Limbic Music - The Band Plays On
7. Psychological and Neuropsychological Assessment
8. Diagnostic Rating Scales and Laboratory Tests
9. Depressed Patients
10. Delirious Patients
11. Patients with Neurocognitive Disorders
12. Psychotic Patients
13. Anxious Patients
14. Patients with Alcohol Use Disorder
15. Patients with Substance Use Disorders
16. "Psychosomatic Conditions”: Somatic Symptom and Related Disorders, Functional Somatic Syndromes, and Deception Syndromes
17. Patients with an Eating Disorder
18. Pain Patients
19. Patients with Seizure Disorders
20. Patients with Cerebrovascular Disease and Traumatic Brain Injury
21. Patients with abnormal movements
22. Patients with Infectious or Inflammatory Neuropsychiatric Impairment
23. Catatonia, Neuroleptic Malignant Syndrome, and Serotonin Syndrome
24. Patients with Disordered Sleep
25. Sexual Disorders or Sexual Dysfunction
26. The Psychiatric Management of Patients with Cardiac Disease
27. Patients with Renal Disease
28. Patients with Gastrointestinal Disease
29. Organ Failure and Transplantation
30. Patients with Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome
31. Patients with Cancer
32. Burn Patients
33. Chronic Medical Illness and Rehabilitation
34. Intensive Care Unit Patients
35. Patients with Genetic Syndromes
36. Coping with Illness and Psychotherapy of the Medically Ill
37. Electroconvulsive Therapy and Neurotherapeutics
38. Psychopharmacology in the Medical Setting
39. Psychopharmacological Management of Children and Adolescents
40. Mind-Body Medicine
41. Chronic Disease and Unhealthy Habits: Behavioral Management
42. Complementary Medicine and Natural Medications
43. Difficult Patients
44. Care of the Suicidal Patient
45. Emergency Psychiatry
46. Care at the End of Life
47. Pediatric Consultation
48. Care of the Geriatric Patient
49. Psychiatric Illness During Pregnancy and the Postpartum Period
50. Culture and Psychiatry
51. Legal Aspects of Consultation
52. Approaches to Collaborative Care and Behavioral Health Integration
53. Physician Well-Being and Coping with the Rigors of Psychiatric Practice
54. Management of a Psychiatric Consultation Service

About the Author

Dr. Theodore A. Stern is the Ned H. Cassem Professor of Psychiatry in the field of Psychosomatic Medicine/Consultation at Harvard Medical School (HMS), Chief Emeritus of The Avery D. Weisman, Psychiatry Consultation Service, and Director of the Thomas P. Hackett Center for Scholarship in Psychosomatic Medicine at the Massachusetts General Hospital (MGH). Dr. Stern has co-authored more than 550 peer-reviewed journal articles and book chapters, and he has edited or authored more than 60 books (including the MGH Handbook of General Hospital Psychiatry, the MGH Psychiatry Update and Board Preparation, Learning About Psychopharmacology, Facing Overweight and Obesity, Facing Pelvic Pain, Facing Memory Loss and Dementia, Facing Serious Mental Illness, and the MGH Study Guide for Psychiatry Exams). Dr. Stern is a Past-President of the Academy of Consultation-Liaison Psychiatry (ACLP) and is the Editor-in-Chief Emeritus of its journal, Psychosomatics (now called Journal of the Academy of Consultation-Liaison Psychiatry). He has won the coveted "Best Teacher Award” from the graduating residents at the MGH/McLean Hospital Psychiatric Residency Training Program, the Cynthia N. Kettyle Teaching Award from the HMS Department of Psychiatry, the MGH Department of Psychiatry's Award for Exceptional Mentorship in the Clinical Realm, a Lifetime Achievement Award from the Society of Liaison Psychiatry, and the Thomas P. Hackett Award from the ACLP (its highest honor).

Dr. Smith was previously a co-editor on this title and has been selected again by Dr. Stern to collaborate on the revision. She is a graduate of the MGH/McLean Adult Psychiatry Residency Program. Following graduation, she remained on staff and, in 2008, was named director of the Acute Psychiatry Service at MGH. It was in this role that she grew her strong interest in medical education, as it allowed her to help guide psychiatric residents, psychology interns and medical students. She previously held the role of program director for the Adult Psychiatry Residency Program.


"This handbook is one of the best on psychiatric care in an inpatient setting that I have reviewed. I would highly recommend it to physicians who work primarily in an inpatient setting." Reviewed by Aaron Plattner, MD (Pine Rest Christian Mental Health Services) Doody's Score: 95, 4 Stars!

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