While recognizing the multidisciplinary nature of pain
management, the Clinical Manual of Pain Management in Psychiatry
focuses on the role of mental health practitioners in evaluation
and assessment, pharmacological management, psychotherapeutic
interventions, and comprehensive treatment planning. It balances
theoretical foundations of pain pathophysiology with applied
clinical information, providing guidelines to psychiatric
differential diagnosis of pain states and psychiatric comorbidities
associated with pain and integrating diagnostic and treatment
approaches. Because proper treatment requires understanding the
whole person, the book views the patient from biological,
psychological, and social perspectives. It stresses the importance
of examining psychological variables that can limit outcomes and
even preclude aggressive interventional approaches. The manual also
includes considerations pertinent to the elderly, children, and
cultural groups.
This manual expands on the author's previous Concise Guide to
Pain Management for Psychiatrists to reflect significant advances
in the field of pain medicine. It updates trends in treatment
approaches along with our understanding of chronic pain conditions,
and presents new knowledge of the biological substrates underlying
both pain and psychiatric comorbidities. The manual features
particularly extensive revisions regarding the use of psychiatric
and other adjunctive medications in pain management, including
expanded discussion of long-term adverse effects, dependence, and
pseudoaddictive behaviors involving opiates and weak analgesics. It
also delineates the use of adjunctive treatments, including
evolving data on the use of antidepressants and related medications
for patients with chronic pain. Among the its practical benefits,
the book - Features updated coverage of common psychiatric
comorbidities such as depression, anxiety, and personality
disorders- Addresses common pain disorders ranging from headache
and back pain to pain related to cancer and HIV- Includes an
extensively revised chapter on pharmacology, familiarizing readers
with the range of pain medications and providing information on
dosages and side effects- Fully discusses psychotherapeutic
approaches, plus adjunctive interventions such as biofeedback and
hypnosis - Covers special techniques such as acupuncture and
regional neural blockade- Offers updated advice on emerging
forensic issues, from disability claims to controlled substance
diversion
With pain management issues so common in daily practice, this
handy portable guide is designed for quick reference, features
numerous tables and illustrations, and is easily understandable by
less experienced clinicians or non-pain specialists. While written
expressly for busy psychiatrists, it is also useful to
psychologists, social workers, and other physicians.
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