As more patients seek information about family risks of
psychiatric illness -- an interest likely to increase as
gene-identification studies are publicized -- most psychiatrists
agree it is their role to discuss these issues but admit they are
ill-prepared to do so. Psychiatric Genetics addresses that need as
the first book to focus on clinical applications of genetics in
psychiatry. It covers issues involved in genetic counseling, the
interpretation of familial and genetic information for clinical
use, information regarding risks associated with specific
psychiatric disorders, risk/benefit considerations related to
medication use during pregnancy, and the ethical and social
implications of psychiatric genetic knowledge and research --
including the prospects for genetic testing.
While other books have been written for the genetics community,
this volume is addressed to practitioners: a clinically relevant
resource that can help them understand the often bewildering flood
of information about genetics -- information difficult to
interpret, let alone integrate into practice -- and enable them to
respond to patients' requests to predict the risk of recurrence of
psychiatric illness or provide information about reproductive and
pregnancy-related issues. Experts from psychiatry, genetic
epidemiology, molecular genetics, genetic counseling, cognitive
psychology, and ethics focus on issues that have received little
attention elsewhere yet are of increasing importance to clinicians.
Written at a level that assumes no particular expertise in
genetics, the book features these immediately applicable benefits:
- It offers a framework for understanding and critically evaluating
the psychiatric genetic research literature, enabling clinicians to
better understand the meaning and limitations of genetic
discoveries when patients raise questions about media reports. - It
provides a resource for clinicians who would like more information
about the role and content of genetic counseling, outlining a
typical counseling session while demonstrating how risks are
estimated and discussed.- It summarizes genetic aspects of major
psychiatric conditions -- from childhood-onset disorders through
psychotic, mood, and anxiety disorders to dementia -- as well as
neuropsychiatric manifestations of other genetic disorders.- It
alerts clinicians to risk/benefit considerations related to
medication use during pregnancy.- It covers the ethical, legal, and
social implications of genetic research and counseling,
illustrating the dilemmas that arise with new advances. Whether
used as a clinical guide, reference, or ancillary text, this book
sets the standard for the application of psychiatric genetic
knowledge in everyday practice. Psychiatrists, mental health
clinicians, and genetic counselors will find it an essential
resource for all patient encounters in which genetic issues
arise.
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