American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders: Compendium 2006 Reviews

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American Psychiatric Association (APA) Practice Guidelines provide recommendations to help psychiatrists make treatment decisions that are supported by the best available evidence, including from current research and expert consensus. The guidelines are developed by expert work groups, who review available evidence using an explicit methodology. Iterative drafts undergo wide review by other experts, allied organizations, and the APA membership. Every guideline is also reviewed and approved for publication by the APA Assembly and Board of Trustees. This process balances the conclusions of scientific research with the practical experience of professionals working in the field. In addition to providing recommendations that may improve patient care, the guidelines may be used for education by medical students and residents, psychiatrists seeking recertification, other mental health professionals, and the general public. Researchers may use the guidelines to identify important clinical questions for which more research could be expected to improve treatment decision making. The thirteen Practice Guidelines are -Psychiatric Evaluation of Adults, Second Edition -Delirium -Alzheimer's Disease and Other Dementias of Late Life -HIV/AIDS -Substance Use Disorders, Second Edition -Schizophrenia, Second Edition -Major Depressive Disorder, Second Edition -Bipolar Disorder, Second Edition -Panic Disorder -Acute Stress Disorder and Posttraumatic Stress Disorder -Eating Disorders, Third Edition -Borderline Personality Disorder -Suicidal Behaviors These guidelines help you -Understand clinical features and symptoms -Make a confident differential diagnosis -Evaluate interventions commonly used to treat specific disorders -Select the appropriate site of service -Educate the patient and family -Assess the efficacy and risks of available medications -Develop an individualized treatment plan Interactive continuing medical education programs for many of the individual practice guidelines are available on the APA's web site (www.psych.org/cme). Each program offers AMA PRA Category 1 CreditsA that are accepted by the APA and the American Medical Association. The American Board of Psychiatry and Neurology (ABPN) has reviewed the APA Practice Guidelines CME Program and has approved it as part of a comprehensive lifelong learning program, which is mandated by the American Board of Medical Specialties as a necessary component of maintenance of certification.

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Providing essential recordkeeping and risk-reduction tools that every psychotherapy practice needs, this highly practical resource is now in a fully updated fourth edition. It is ideal for new practitioners who want to hit the ground running and for seasoned pros who want to streamline their paperwork and clinical efficiency. Presented are methods for assuring informed consent and documenting treatment planning and progress; advice on structuring fees, billing, coping with managed care, and marketing; forms and guidelines to facilitate HIPAA compliance; links to useful websites; and much more. More than 60 reproducible forms and handouts--in a ready-to-use, large-size format--can be copied from the book or customized and printed from the accompanying CD-ROM.

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This book contains Quick Reference Guides (QRGs) to all of the published APA Practice Guidelines. QRGs are created by abstracting the crucial information from the text of the full guideline, with greatest emphasis placed on retaining the material most directly relevant to the treatment decision making, and are intended for day-to-day work with patients.
This compendium contains 13 Quick Reference Guides:

• Acute Stress Disorder and Posttraumtic Stress Disorder
• Alzheimer’s Disease and Other Dementias of Late Life
• Borderline Personality Disorder
• Bipolar Disorder
• Delirium
• Eating Disorders
• HIV/AIDS
• Major Depressive Disorder
• Panic Disorder
• Psychiatric Evaluation of Adults
• Schizophrenia
• Substance Use Disorders
• Suicide

Each guide is derived from the full text of a practice guideline developed by the American Psychiatric Association (APA) and published originally in The American Journal of Psychiatry. The purpose of these QRGs is to facilitate clinical use of APA’s practice guidelines by physicians. Although the practice guidelines provide detailed recommendations for treatment and comprehensively describe the evidence to support those recommendations, their length and text format do not allow for easy use in the psychiatrist’s day-to-day work with patients.
Crucial information is abstracted from the full guideline to ensure that the QRG closely follows the wording of the parent guideline. The abstracted text is then shortened further, with greatest emphasis placed on material most directly relevant to treatment decision making. Thus, material about diagnosis, epidemiology, and other background information is not included. Similarly, because of constraints on length, most of the information regarding treatment for special populations is excluded. The QRG is reviewed and approved by the Executive Committee for Practice Guidelines.
Central to proper use of these QRGs is recognition that they do not stand alone. The psychiatrist using them should be familiar with the full-text practice guideline on which each QRG is based. For clarification of a recommendation or for a review of the evidence supporting a particular strategy, the psychiatrist will find it helpful to return to the guideline. With rare exception the QRG faithfully reflects the content of the guideline. Exceptions are specifically noted in the QRG.
Each quick reference guide presents the major recommendations and their sequencing with enough detail to be both clinically helpful and practical to use.

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The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines Description

Provides clinical descriptions, diagnostic guidelines, and codes for all mental and behavioral disorders commonly encountered in clinical psychiatry. The book was developed from chapter V of the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The clinical descriptions and diagnostic guidelines were finalized after field testing by over 700 clinicians and researchers in 110 institutes in 40 countries, making this book the product of the largest ever research effort designed to improve psychiatric diagnosis. Every effort has been made to define categories whose existence is scientifically justifiable as well as clinically useful. The classification divides disorders into ten groups according to major common themes or descriptive likeness, a new feature, which makes for increased convenience of use. For each disorder, the book provides a full description of the main clinical features and all other important but less specific associated features. Diagnostic guidelines indicate the number, balance, and duration of symptoms usually required before a confident diagnosis can be made. Inclusion and exclusion criteria are also provided, together with conditions to be considered in differential diagnosis. The guidelines are worded so that a degree of flexibility is retained for diagnostic decisions in clinical work, particularly in the situation where provisional diagnosis may have to be made before the clinical picture is entirely clear or information is complete.

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Helps with complex prescribing needs

The evidence base for drug treatments in psychiatry ranges from meta-analyses and randomised controlled clinical trials to single case reports, and from NICE guidelines to individual SPCs.  Where do you look for information when transferring a patient from one drug to another?  Where do you find a clear overview when dealing with a complex patient (e.g, with co-morbid epilepsy or liver disease or HIV infection)?   Where can you seek advice on prescribing psychotropics during pregnancy?  The Maudsley Prescribing Guidelines in Psychiatry! The leading clinical reference for handling prescribing problems as encountered in daily practice and for formulating prescribing policy. 

Evidence-based and written by experts

This book is the essential guide for anyone responsible for prescribing, dispensing or administering drugs for patients with mental health disorders.  All the evidence has been reviewed and summarized succinctly by an expert team of psychiatrists and pharmacists. 

New content and improved format

This new edition makes greater use of tables and boxes to facilitate quick reference and includes new sections on cytochrome-mediated interactions and psychiatric side effects of non-psychotropic drugs.

Clinically relevant

Chapters address plasma monitoring, schizophrenia, bipolar disorder, depression and anxiety, children and adolescents, substance abuse and special patient groups.  Each section has a full reference list.  The book covers prescribing drugs outside their licensed indications and their interaction with substances such as alcohol, nicotine and caffeine.

Useful for all levels of experience

Trainees will gain important information regarding the rational, safe and effective use of medications for patients with mental illness.  Experienced clinicians will find excellent guidance regarding more complex issues that they may not encounter regularly. 

Why the Maudsley Prescribing Guidelines in Psychiatry?

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Testifying in Court: Guidelines and Maxims for the Expert Witness Reviews

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Testifying in court can be a challenging experience. Novices who are unfamiliar with the judicial environment can feel insecure about many aspects of their testimony, from the language they use to the clothes they wear. Even experienced expert witnesses can be flustered by a skillful lawyer's cross-examination.

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