The field of emergency mental health care is evolving rapidly. In addition to continued widespread use of the traditional consultation model, in which psychiatrists provide on-call assistance to emergency department physicians, specialized psychiatric emergency services (PESs) are available in many cities, and newer models of integrated community psychiatric emergency care are being developed and implemented. With the spread of AIDS, the aging of the population, and the popularity of recreational substances of abuse, the scope and complexity of the field have increased as well. Emergency Psychiatry provides a snapshot of the current state of the art of this fast-paced discipline.

Readers of this volume will find - Survey of the major service models used in emergency psychiatry: the consultation model, the specialized PES model, and newer community models (crisis hospitalization, mobile teams, crisis residences)- Principles of triage of patients presenting to an emergency department with psychiatric problems, including a discussion of instruments used to assess psychosocial and cognitive functioning- Guidelines for assessing risk of suicide or violence- Standards for behavioral management of agitation and aggression aimed at reestablishing inner and outer controls for the patient in the least coercive manner- Discussion of legal and regulatory issues affecting emergency room practice- Guidance on application of psychotherapeutic technique to interviewing patients in crises so as to communicate concern, elicit cooperation and essential information about the patient's state, and foster an alliance that facilitates appropriate treatment

Psychiatric emergencies can occur at any time and in any setting; for this reason, every mental health clinician should be familiar with the principles of crisis management and the cutting-edge issues surrounding the provision of emergency psychiatric care. Intended for psychiatrists, psychiatric and emergency medicine residents, and all mental health practitioners, this book offers an accessible guide to current practice and thought in this exciting field.

The subject of personality-what makes each of us unique and different from one another-has long been a topic of universal fascination. From a medical perspective, research on personality disorders has expanded with the advent of standardized diagnostic systems. This continuing and increased activity and progress in the field spurred the development of this third edition of The American Psychiatric Association Publishing Textbook of Personality Disorders. With an emphasis on updating the information most relevant to clinicians, this new edition features contributions from established experts in the field as well as a new generation of scientists. Dozens of tables, illustrative figures, and real-life case examples summarize the vast data that continue to accumulate in five key areas: * Clinical concepts, including theories of personality disorders, as well as their manifestations, assessment, and diagnosis. This opening section also describes the Alternative DSM-5 Model for Personality Disorders in detail.* Risk factors for, and the etiology and impact of, personality disorders. This section of the book examines data on prevalence, sociodemographics, and levels of functional impairment associated with personality disorders. It offers both a developmental and a genetic/neurobiological perspective and describes the symptomatic and functional outcomes of personality disorders.* Treatment options across therapeutic modalities. A new, cutting-edge chapter argues for the early identification of borderline psychopathology in children and young adolescents, in an effort to prevent full-blown disorder later in life. Additional chapters delve into an array of individual psychotherapies, pharmacotherapeutic options, and group, family, and couples therapies. Guidance on forming and maintaining a therapeutic alliance and on avoiding boundary violations in treating patients with personality disorders is provided.* Special problems, populations, and settings, including suicide, substance use disorders, antisocial behavior, personality pathology in general medical settings, and personality disorders among active-duty military.* The usefulness of translational research to deepen understanding of the biopsychosocial nature of the personality disorders, particularly borderline personality disorder. This comprehensive textbook is an essential resource for clinicians looking to stay on the vanguard of a rapidly growing field.

Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module III: Structured Clinical Interview for Personality Disorders (Including Personality Disorder–Trait Specified) provides a comprehensive assessment of each of the six specific personality disorders of the Alternative Model. It features clear guidance through the new diagnosis of Personality Disorder–Trait-Specified and elucidates when this diagnosis is applicable. The module concludes with a global assessment of the level of personality functioning and includes a survey of all the personality disorder diagnoses in the module. Module III can be used independently or in combination with any of the following SCID-5-AMPD modules: • Module I dimensionally assesses self and interpersonal functioning using the Level of Personality Functioning Scale. • Module II dimensionally assesses the five pathological personality trait domains and their corresponding 25 trait facets. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

The Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) meets a timely need. The Alternative Model for Personality Disorders in DSM-5 has ushered in a consensus and an upswing in research that has shifted from a categorical diagnosis of personality disorders toward a dimensional approach. Before now, no interview-based procedure has been available for applying the Alternative Model. Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module I: Structured Clinical Interview for the Level of Personality Functioning Scale is devoted to the linchpin of dimensional assessment—self and interpersonal functioning—using the Level of Personality Functioning Scale. Module I provides both a global functioning score and an innovative, detailed assessment of all four domains of functioning (Identity, Self-Direction, Empathy, and Intimacy) and their corresponding subdomains. Module I can be used independently or in combination with any of the following SCID-5-AMPD modules: • Module II dimensionally assesses the five pathological personality trait domains and their corresponding 25 trait facets. • Module III comprehensively assesses each of the six specific personality disorders of the Alternative Model, as well as Personality Disorder–Trait-Specified. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

The New Personality Self -portrait  is the only guide to personality types based on  the American Psychiatric Association's  just-published official diagnostic system -- the DSM  -IV -- and written by one of today's  leading personality researchers. A long-time  backlist bestseller in its previous edition, it has now  been completely updated to include all the  fascinating new information about how we become who we  are-and how we can change. The self-test in  The New Personality Self -portrait is  already used extensively in mental health and  business settings. It reveals a profile so personal,  so accurate, that it's as individual as a  fingerprint. Readers discover their unique mix of 14  distinct personality styles -- and learn how those  traits impact their relationships, work and home  life. Fascinating case histories show each style in  action, with tips on how to live and work with  every type, and exercises for turning  vulnerabilities into strengths -- plus warnings about when  individual differences develop into personality  disorders.

Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Module II: Structured Clinical Interview for Personality Traits focuses on the dimensional assessment of the five pathological personality trait domains in the Alternative Model and their corresponding 25 trait facets. This comprehensive review of the trait domains (Negative Affectivity, Detachment, Antagonism, Disinhibition, and Psychoticism) identifies multiple areas of personality variation and provides a visual profile of trait facets across the trait domains. Module II can be used independently or in combination with any of the following SCID-5-AMPD modules: • Module I dimensionally assesses self and interpersonal functioning using the Level of Personality Functioning Scale. • Module III comprehensively assesses each of the six specific personality disorders of the Alternative Model, as well as Personality Disorder–Trait-Specified. Also available is the User's Guide for the SCID-5-AMPD: the essential tool for the effective use of any SCID-5-AMPD module. This companion guide provides instructions for each SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will benefit from the myriad applications and insights offered by the SCID-5-AMPD.

Expertly designed, the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is a semistructured diagnostic interview that guides clear assessment of the defining components of personality pathology as presented in the DSM-5 Alternative Model. The paramount tool for the use of SCID-5-AMPD, the User's Guide for the SCID-5-AMPD provides readers with an essential manual to effectively understand and use any SCID-5-AMPD module. Integrating an overview of the DSM-5 Alternative Model, this companion guide provides instructions for every SCID-5-AMPD module and features completed samples of all modules in full, with corresponding sample patient cases and commentary. The modular format of the SCID-5-AMPD allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. The User's Guide for the SCID-5-AMPD fully explicates each module-available individually or in customized sets: * Module I is devoted to the dimensional assessment of self and interpersonal functioning using the Level of Personality Functioning Scale.* Module II focuses on the dimensional assessment of the five pathological personality trait domains and corresponding 25 trait facets. * Module III is a comprehensive assessment of each of the six specific personality disorders of the DSM-5 Alternative Model, as well as Personality Disorder-Trait-Specified, and includes a global assessment of the level of personality functioning. Trained clinicians with a basic knowledge of the concepts of personality and personality psychopathology will find the SCID-5-AMPD a valuable tool in the assessment and study of personality disorders.

In an original integration of the medical model and therapeutic community approaches to hospital milieu treatment, Oldham and Russakoff present both a systematic theory for acute hospital treatment and its practical application, spelled out in great detail without lowering the high level of their narrative to a cookbook approach to treatment.

Now four decades old, cognitive-behavior therapy (CBT) is one of the most heavily researched& mdash;and effective& mdash;forms of psychotherapy, useful in treating both psychiatric and medical disorders.

In this compact, richly detailed volume, 13 distinguished contributors show how CBT's primary focus of identifying and changing maladaptive patterns of information processing and related behaviors is fully compatible with biological theories and treatments and can be combined with pharmacotherapy to optimize treatment results in clinical practice. In five chapters that illustrate the broadening reach and scope of CBT, these experts discuss "Schizophrenia"& mdash;Shows clinicians how to incorporate the strengths of CBT into their daily practices for treating patients with schizophrenia. CBT methods (e.g., thought recording, examining the evidence, activity scheduling, graded task assignments, psychoeducation) can help relieve both positive and negative symptoms, reduce the stigma associated with the illness, improve depression and anxiety, and increase social skills. "Bipolar I disorder"& mdash;Focuses on a concerted effort to educate the patient about bipolar disorder, which helps patients and families develop an "early warning" system and be prepared with interventions to forestall relapse. CBT methods also teach patients how to reduce common psychosocial stressors and adhere to their prescribed medications. "Computer-assisted CBT"& mdash;Discusses an exciting new frontier that has already found excellent levels of patient acceptance and can reduce the amount of clinician time required for successful treatment. Using virtual reality and other technologies, computer-assisted CBTenhances therapy by providing interactive methods of learning and rehearsing CBT skills and by illustrating problem-solving methods with multimedia scenarios. "CBT for treating physical illnesses"& mdash;Details the positive benefits for CBT in many different types of medical disorders, such as coronary artery disease, diabetes, and multiple sclerosis. CBT can help change negative automatic thoughts ("What's the use& #63;"), reduce anxiety and depression, and ultimately help the patient develop adaptive beliefs, identify and mobilize inherent strengths, and maximize healthy behavioral strategies. "CBT for children and adolescents"& mdash;Reviews the robust effects for CBT in children and adolescents with anxiety disorders and depression and demonstrates how these methods can be used in clinical practice. Findings from numerous studies demonstrate that CBT is effective in individual, group, and family formats and can also be used to reduce vulnerability to depression in adolescents who are at risk.

This exceptional volume enriches our understanding of the strengths of CBT and provides new opportunities for helping patients. As such, it will be welcomed by clinicians and students alike.

Sleep and wakefulness are fundamental behavioral and neurobiological states that characterize all higher animals, including human beings.

Concise yet comprehensive, "Sleep Disorders and Psychiatry," the latest volume in American Psychiatric Publishing's popular "Review of Psychiatry" Series, presents the cumulative experience of 12 experts who talk about what sleep is and why sleep is essential to maintaining good health, summarizing the major categories of sleep disorders and detailing how virtually every psychiatric disorder and a wide variety of medical illnesses adversely affect sleep.

"Sleep Disorders and Psychiatry" is the ideal companion to busy psychiatric clinicians because it is Comprehensive, covering all information of particular relevance to psychiatric clinicians. Enhanced by numerous tables and illustrations that make it easy to understand and reference while & ldquo;on the go& rdquo; during everyday practice. Clearly structured and easy to understand, with chapters organized according to the major categories of sleep disorders most likely to be encountered in psychiatric clinical practice.

The fascinating introduction discusses the functions of sleep and the consequences of sleep deprivation, including the complex neurobiology of circadian rhythms, sleep and wakefulness, the clinical assessment and management of sleep and circadian rhythm disorders, and the pros and cons of tools for taking an accurate history. Each of the six subsequent chapters in "Sleep Disorders and Psychiatry" follows the same format by detailing the definitions and clinical description, epidemiology, etiology and pathogenesis, and treatment for a major category of sleep disorder: insomnia, sleep apnea, narcolepsy and syndromes of central nervous system--mediated sleepiness, restless legs syndrome, parasomnias, and circadian rhythm sleep disorders.

Further, "Sleep Disorders and Psychiatry" provides psychiatrists with the tools necessary to embark upon exciting collaborations with specialists from other areas of clinical medicine (psychologists, pulmonologists, neurologists and surgeons). Given the importance of behavioral and psychopharmacologic interventions in managing sleep disorders, psychiatrists can often make valuable contributions to the care of medically ill patients with these conditions.

Abundantly referenced and illustrated, "Sleep Disorders and Psychiatry" is the ultimate practical resource for busy clinicians interested in the broad and growing field of sleep disorders.