This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis, and catatonia. The syndrome is defined with a clear diagnosis, prognosis, and range of management strategies, differentiated from other similar psychiatric, neurological, and general medical conditions. It challenges accepted doctrines in the classification and biology of the mood disorders and defines melancholia as a treatable mental illness. Described for millennia in medical texts and used as a term in literature and poetry, melancholia was included within early versions of the major diagnostic classificatory systems, but lost favour in later editions. This book updates the arguments for the diagnosis, describes its characteristics in detail, and promotes treatment and prevention. The book offers great hope to those with a disorder too often mis-diagnosed and often fatal. It should be read by all those responsible for the management of patients with mood disorders.

Catatonia is a syndrome of motor dysregulation (mutism, peculiar postures, repetitive speech, negativism and imitative movements), and is found in as many as ten per cent of acutely ill psychiatric inpatients. Although its classification has been controversial, the identification of catatonia is not difficult, but it is often missed, leading to the false notion that the syndrome is rare. Catatonia has various presentations, and may be caused by many neurologic and general medical conditions, most commonly mood disorder. Treatments are well defined, and when used, catatonia has an excellent prognosis. This book, by two leading neuropsychiatrists, describes the features of catatonia, teaches the reader how to identify and treat the syndrome successfully, and describes its neurobiology. Patient vignettes from the authors' practices, and many from the classical literature, illustrate the principles of diagnosing and treating patients with catatonia. It is an essential clinical reference for psychiatrists and neurologists.

This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis, and catatonia. The syndrome is defined with a clear diagnosis, prognosis, and range of management strategies, differentiated from other similar psychiatric, neurological, and general medical conditions. It challenges accepted doctrines in the classification and biology of the mood disorders and defines melancholia as a treatable mental illness. Described for millennia in medical texts and used as a term in literature and poetry, melancholia was included within early versions of the major diagnostic classificatory systems, but lost favour in later editions. This book updates the arguments for the diagnosis, describes its characteristics in detail, and promotes treatment and prevention. The book offers great hope to those with a disorder too often mis-diagnosed and often fatal. It should be read by all those responsible for the management of patients with mood disorders.

In order to accurately describe and diagnose psychiatric illness, practitioners require in-depth knowledge of the signs and symptoms of behavioral disorders. Descriptive Psychopathology provides a broad review of the psychopathology of psychiatric illness, beyond the limitations of the DSM and ICD criteria. Beginning with a discussion of the background to psychiatric classification, the authors explore the problems and limitations of current diagnostic systems. The following chapters then present the principles of psychiatric examination and diagnosis, described with accompanying patient vignettes and summary tables, and related to different diagnostic concerns. A thought-provoking conclusion proposes a restructuring of psychiatric classification based on the psychopathology literature and its validating data. Written for psychiatry and neurology residents, clinical psychologists, behavioral neurologists, clinical psychology students and psychiatric nurse practitioners, it is invaluable to anyone who accepts the responsibility for the care of patients with behavioral syndromes.

Increasingly, psychiatrists make little distinction between psychiatric and neurologic disorders, considering them all as dysfunctions of the central nervous system. This is a practical how to book intended primarily for trainees and practicing clinicians unfamiliar with the relatively new field of neuropsychiatry. It is written as the author might teach the material during clinical rounds and in small group seminars. In a clear and engaging style, he explains what to do and how to do it, giving the rationale for each step, and synthesizing neuropsychiatric principles with practical guidelines for diagnosis and management of adult patients. Many tables are included for quick reference and to help the reader to quickly see the big picture of a given topic. The book covers personality and personality disorders, depression, bipolar disorder, psychiatric disorders, alcohol and substance abuse, epilepsy, traumatic brain injury and stroke, anxiety disorders, obsessive compulsive disorders, headache and violence. It can be used as an introductory text for psychiatric residents, medical students, and others who care for persons with behavioral disorders. It can also be used as a clinical manual or reference by practitioners in psychiatry and neurology.

Catatonia is a syndrome of motor dysregulation found in as many as 10% of acutely ill psychiatric in-patients. Treatments are well defined and catatonia has an excellent prognosis when they are used. Two leading neuropsychiatrists describe the features of catatonia; teach the reader how to identify and treat the syndrome successfully; and describe its neurobiology. Patient case histories from the authors' clinical practices, as well as from classical literature, illustrate the principles of diagnosing and treating patients.