Functional somatic syndromes are defined as physical syndromes without an organic disease explanation, demonstrable structural changes, or established biochemical abnormalities. This book reviews the state of scientific and clinical understanding of the nine most common functional somatic syndromes. For each syndrome, expert contributors provide a brief historical perspective, a current definition, a case presentation, confirmatory and contradictory research findings, a discussion of the leading pathogenetic hypotheses, and guidelines for diagnosis and treatment. Chapters offer advice for the determination of disability of patients with these medically unexplained disorders, while describing both medical and psychiatric interventions. Stressing the importance of a sound therapeutic relationship as a basis for treatment, this is an invaluable resource for professionals in primary care and many other disciplines.

Learn how a patient's behavior can factor into the prognosis of medically unexplainable illness! The Psychopathology of Functional Somatic Syndromes examines the link between mental illness and physical syndromes that lack organic disease explanations, including chronic fatigue syndrome, fibromyalgia, premenstrual dysphoria, irritable bowel, and Gulf War illness. The author has evaluated the best research work of the past 20 years to determine the association between psychopathology and functional illness, the biological gradient between somatic and psychological symptoms, and the manifestations of dysfunctional coping. The Psychopathology of Functional Somatic Syndromes challenges recent conceptualizations of functional somatic syndromes as brain disorders connected to affective spectrum disorder, serotonin deficiency, cerebral hypoperfusion or abnormal hypothalamic-pituitary-adrenal function and highlights the importance of abnormal illness behavior, sexual victimization, and maladaptive coping for the production and maintenance of these disorders. The Psychopathology of Functional Somatic Syndromes explores observations on the neurobiology and the personality abnormalities of patients made from structured data collected over a period of several years. It describes modern perceptions of functional somatic syndromes and how they have evolved into a tightly knit family of self-standing syndromes with a common core. The book examines the correlation between the burden of psychopathology and the physical features of these illnesses; reviews advances made in the appraisal of the neuroanatomy, neuropsychology, and neurochemistry of functional syndromes; and focuses on the connection between measurable dimensions of personality, coping, and illness behavior and the prognosis of medically unexplainable illnesses. The Psychopathology of Functional Somatic Syndromes examines: psychiatric morbidity brain perfusion post-traumatic stress in Gulf War illness the spectrum of mood disorders the hypothalamatic-pituitary-adrenal axis the sexual victimization of patients and much more! The Psychopathology of Functional Somatic Syndromes is an essential resource for psychiatrists and psychologists working in outpatient practice.

From the author of Fickle comes a dark, fast-paced tale of suspense that will appeal to fans of classic and contemporary noir alike. A playboy lawyer plunges from the roof of a Boston hotel. A Rhode Island strip club owner is found dead in pool of his own vomit. Both men were spotted, shortly before their deaths, with a mysterious woman who left behind a trail of filterless cigarettes, purple lipstick, and French perfume. And both men helped perpetrate an incident, years earlier, in Dorchester, Massachusetts, in which an angry group of five flipped the car of a criminally negligent driver, leaving the kid behind the wheel disfigured and brain damaged. To any outside observer, the two deaths seem like isolated incidents, even accidents. But Boston homicide cop-on-the-rise Marina Papanikitas can’t shake the gnawing feeling that there’s a more sinister force at play. Eager, dogged, and determined to prove her worth, Papanikitas realizes that not only are these murders linked, they’re merely the tip of the iceberg in one vengeful femme fatale’s plot to systematically eliminate every last member of the original Dorchester Five. "Noir fans should enjoy the twists and turns that echo such genre classics as Double Indemnity and The Asphalt Jungle.”—Publishers Weekly on Fickle

Perfect for fans of Caroline Kepnes’s You and the thrillers of S.J. Watson, Peter Manus has written a twisting noir mystery that Booklist calls, “An incredibly daring novel and a complete success.” The distance between what you see and what you believe can be the distance between life and death. On a winter night in Boston, a man falls to his death in front of a subway train. The sole witness, a shaken young woman, explains to the police how the man shoved her aside as he made his way to the tracks. But when her blog turns up on the dead man's computer, the cops begin to look for other connections. Was the man a cyber-stalker, charmed to the point of desperation by the irreverent musings of a noir-obsessed blogger? Or are the connections between subway jumper and innocent bystander more complicated? This dark and intricate tale of obsession and deception is told in the form of a blog written by an elusive narrator known only by her online name, "l.g. fickel." Deep into the night, every night, fickel blogs about "Mr. Suicide" and the ensuing police investigation with an eerie prescience. She is joined in her blog chats by a loyal group of obsessives, all of whom share with fickel a passion for the dark art of noir. Is fickel's tale that of an innocent woman frantically trying to figure out how her blogging has enmeshed her in a murder spree, or is she a manipulator, playing the part of sexy, hip, young thing as she grinds out her revenge on those she feels have betrayed her?

Functional somatic syndromes are defined as physical syndromes without an organic disease explanation, demonstrable structural changes, or established biochemical abnormalities. This book reviews the state of scientific and clinical understanding of the nine most common functional somatic syndromes. For each syndrome, expert contributors provide a brief historical perspective, a current definition, a case presentation, confirmatory and contradictory research findings, a discussion of the leading pathogenetic hypotheses, and guidelines for diagnosis and treatment. Chapters offer advice for the determination of disability of patients with these medically unexplained disorders, while describing both medical and psychiatric interventions. Stressing the importance of a sound therapeutic relationship as a basis for treatment, this is an invaluable resource for professionals in primary care and many other disciplines.

Published in collaboration with American Journal of Therapeutics, Therapeutic Advances in Hospital Medicine: Focus on the Older Adult is a concise, practical reference that helps you provide optimal care to geriatric patients in the hospital setting. Ideal for hospitalists, geriatricians, nurse practitioners, and physician assistants, this easy-to-read monograph presents expert advice on effectively managing common conditions seen in this growing patient population. Discusses common geriatric hospital presentations such as congestive heart failure, complicated urinary tract infections, symptomatic hyponatremia, orthostatic hypotension, delirium, chronic pain, and insomnia. Includes a section on medication management that addresses the issues of overdose and conflicting prescriptions that arise from multiple medical conditions. Highlights important therapeutic advances in caring for patients with anticoagulant-induced bleeding and diabetes. Covers improved interdisciplinary collaboration for perioperative care, nutritional support, and advanced care planning. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Life-Threatening Effects of Antipsychotic Drugs describes in detail more than 20 life-threatening effects associated with antipsychotics, presents the best available data on their incidence and case fatality, and gives comprehensive advice on diagnosis, management and preventive strategies. In addition, the book discusses the benefit of antipsychotic medication in a range of therapeutic indications, and demonstrates the gain in life-expectancy associated with clozapine use in severe mental illness despite its serious, potentially life-threatening adverse effects.

Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle-these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders. For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: * Is at risk of dying or becoming severely disabled.* Requires an immediate therapeutic intervention for a potentially life-threatening condition.* Needs to be transferred to an emergency medicine setting.* Requires urgent investigations.* Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting. The guide also provides risk stratification for major complications-from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism-enabling readers to determine the need for a transfer of the patient to an emergency medicine setting. A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists. Clinicians working in today's busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.