The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology. This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient. Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.

'Complex patients' are a sizeable population who generally require disproportionate attention for their management and respond poorly to treatment. Their systemic medical, psychiatric and personal needs have a tendency to drain or exceed the capabilities of those who treat them whilst overutilizing health care resources. As this patient population grows, we move ever closer to a crisis in health care delivery. This volume presents an innovative team-based approach for assessing and managing diagnostically complex and management intensive patients. The physician-led 'Medical-Psychiatric Coordinating Physician (MPCP)' model not only improves patient treatment, but also provides for the containment of costs by reducing redundancy and curbing excess in the use of services. Other benefits include improved diagnostic accuracy and decision making, as well as better communication among physicians and allied health professionals. This book is essential reading for psychiatrists, primary care physicians, and physicians, directors and administrators working in multidisciplinary specialty clinics.

This book is a practical guide in understanding how to prevent HIV transmission, to recognize risk behaviors, and to add something else to their repertoires. It aims to empower clinicians and provide a sense of security and competence with the recognition and understanding of some of the psychiatric illnesses that complicate and perpetuate the HIV pandemic that continue to persist throughout every area of the world despite the magnitude of the progress that has transformed the illness from a rapidly fatal to chronic illness that is no longer life-limiting. Missing in most of the literature on HIV is the subtle, and sometimes not so subtle, contribution of psychiatric symptoms, psychiatric illness, and risk behaviors that drive the pandemic and serve as catalysts for new infections. This practical guide provides state-of-the-art understanding of not only prevention but also a way to recognize risk behaviors, psychiatric symptoms, and psychiatric illnesses that will demystify and decode the sometimes enigmatic and frustrating reasons for nonadherence with diagnostic procedures and life-saving treatments and care. All behaviors and pathology are covered as well as the resources and treatments available. The goal of this text is to refresh knowledge on the current state of psychiatric illness management among people living with HIV, to provide a concise volume on the psychiatric aspects of HIV prevention and treatment that substantially impact the overall care of the patient, and to help understand the psychiatric catalysts of the pandemic Written by experts in the field, HIV Psychiatry: A Practical Guide for Clinicians provides enduring guidance to medical and other professionals caring for complicated clinical patients as they face ongoing challenges in working with persons with HIV and AIDS.

The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology. This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient. Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.

With the book Borderline Personality Disorder in Older Adults: Emphasis on Care in Institutional Settings, Drs. Hategan, Bourgeois, and Xiong address an often underappreciated clinical problem that is likely increasing with the aging of the population. Geriatric patients with borderline personality disorder, like their younger counterparts, experience social and relationship challenges, comorbid psychiatric illness (including but not limited to substance use disorders), comorbid systemic illness, and are high utilizers of medical and social services. With the aging of the population worldwide, more older patients with chronic/progressive illnesses are to be found in various institutional settings such as skilled nursing facilities, rehabilitation units, and residential care, as well as in the general hospital. However, these patients' habitual patterns of behavior (including affective dyscontrol, externalizing of blame, "splitting" the external world into groups who are "all good" and "all bad") make the compromises and need for collectivity in institutional settings more challenging than for any other easily defined and demarcated patient group. The Editors have assembled a large team of authors and co-authors to produce a clinical handbook that addresses the clinical, social, and administrative needs of this particular group of patients. They include an overview of the development of the diagnosis of borderline personality disorder over several issues of the Diagnostic and Statistical Manual of Mental Disorders classification system; the epidemiology and comorbidity, personality and aging, clinical diagnosis and productive use of psychometrics; clinical interventions including psychotherapy, psychopharmacology and advanced somatic treatments; and chapters devoted to medical-legal matters, systems of care, therapeutic alliance, and palliative care approaches. In all chapters, the authors have endeavored to focus specifically on the challenges posed for the patient, the clinician, and the larger system for geriatric patients with borderline personality disorder. The authors and the editors hope that this volume summarizes the current clinical literature pertinent to the care of this population, with a focus on clinical encounters, clinical decision making, and techniques for interventions with patients and clinical systems of care to enhance the opportunities for favorable clinical outcomes for these patients, who typically have difficulty coping with the major existential challenges of old age, infirmity, and mortality. Greater awareness of borderline personality disorder in this population and greater clinician attunement to its understanding and management may serve the patient and the care system in this regard.