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Psychiatry: a Clinical Handbook Provides All the Essential Information Required for a Psychiatry Successful Psychiatry Rotation Psychiatry: a clinical handbook provides all the essential information required for a Psychiatry successful psychiatry rotation. Written by two recently qualified junior doctors and a consultant psychiatrist, the book offers an exam-centred, reader-friendly style backed up with concise clinical guidance. The book covers diagnosis and management based upon the ICD-10 Classification and the latest NICE guidelines. For every psychiatric condition: • the diagnostic pathway is provided with suggested phrasing for sensitive questions • the relevant clinical features to look out for in the mental state examination are listed Psychiatry • a concise definition and basic pathophysiology / aetiology is outlined. Self-assessment questions are provided at the end of each chapter. A chapter is dedicated A Clinical Handbook A Clinical Handbook to OSCE scenarios to aid practising with colleagues in preparation for exams. SBA questions with detailed answers written by a Consultant Psychiatrist are also provided. Printed with an attractive full colour design, the book includes mnemonics, clinical photos, diagrams, OSCE tips and key fact boxes. Psychiatry: a clinical handbook is exactly the type of book medical students, junior doctors and psychiatry trainees need to help develop a strong psychiatric understanding. Pre-publication reviews from medical students: This looks good – I like the layout and clarity. It’s user-friendly and covers the important stuff.” (4th year student, Leicester) “I really enjoyed this new textbook. It’s a simple revision tool that has just enough information to prepare quickly before an OSCE. I like the mnemonics used throughout, Azam, Qureshi & Kinnair and the use of the MSE in each of the chapters is a clever idea and really helps to put these patients into a clinical context.” (5th year student, Norwich) “Great book at the perfect level of detail for medical students! A must buy for students hoping to improve their knowledge of key psychiatry conditions and be prepared for OSCEs.” (3rd year student, Cardiff) Also in the Clinical Handbook series: Psychiatry Psychiatry: a clinical handbook provides all the essential information required for a successful psychiatry rotation. Written by two recently qualified junior doctors and a www.scionpublishing.com consultant psychiatrist, the book offers an exam-centred, reader-friendly style backed up with concise clinical guidance. Oncology & M. Azam The book covers diagnosis and management based upon the ICD-10 Classification and the latest NICE guidelines. For every psychiatric condition: • the diagnostic pathway is provided with suggested phrasing for sensitive questions Haematology • the relevant clinical features to look out for in the mental state examination are listed A Clinical Handbook • a concise definition and basic pathophysiology / aetiology is outlined. A Clinical Handbook Self-assessment questions are provided at the end of each chapter and an entire chapter is dedicated to OSCE scenarios to aid practising with colleagues. Printed with an attractive full colour design, the book includes mnemonics, clinical photos, diagrams, OSCE tips and key fact boxes. Psychiatry: a clinical handbook is exactly the type of book medical students, junior doctors and psychiatry trainees need ISBN 978-1-907-90481-3 to help develop a strong psychiatric understanding. M. Qureshi Pre-publication reviews from medical students: “I really like the book – I think it covers everything in an appropriate amount of detail …. The style is also good – it’s easy to follow and to understand, and the addition of OSCE tips is really useful.” Al-Sukaini, Sanderson & Azam “I like the mnemonics used throughout, and I think the use of the MSE in each of the chapters is a clever idea and really helps to put these patients into a clinical context.” “Great book at the perfect level of detail for medical students! A must buy for students hoping to improve their knowledge of key psychiatry conditions and be prepared for OSCEs.” Also available D. Kinnair A. Al-Sukaini ISBN 978-1-907-90481-3 B. Sanderson M. Azam 9 781907 904813 9 781907 904813 www.scionpublishing.com © Scion Publishing Ltd, 2016 Contents First published 2016 All rights reserved. No part of this book may be reproduced or transmitted, in any form or Preface ..............................................................................................................................................................................vii by any means, without permission. Acknowledgements .............................................................................................................................................. viii A CIP catalogue record for this book is available from the British Library. Abbreviations ...............................................................................................................................................................ix ISBN 978 1 907904 81 3 Outline of the book ..................................................................................................................................................xi Scion Publishing Limited 1 Introduction to psychiatry ....................................................................................................................1 The Old Hayloft, Vantage Business Park, Bloxham Road, Banbury OX16 9UX, UK www.scionpublishing.com 2 Assessment in psychiatry .......................................................................................................................9 2.1 Psychiatric history taking ........................................................................................................... 10 Important Note from the Publisher 2.2 Mental state examination .......................................................................................................... 17 The information contained within this book was obtained by Scion Publishing Ltd from sources believed by us to be reliable. However, while every effort has been made to ensure its accuracy, no responsibility for loss or injury whatsoever occasioned to any person acting 3 Mood disorders ............................................................................................................................................ 26 or refraining from action as a result of information contained herein can be accepted by the 3.1 Overview of mood disorders ................................................................................................... 27 authors or publishers. 3.2 Depressive disorder ....................................................................................................................... 29 3.3 Bipolar affective disorder ........................................................................................................... 36 Readers are reminded that medicine is a constantly evolving science and while the authors and publishers have ensured that all dosages, applications and practices are based on 4 Psychotic disorders ................................................................................................................................... 43 current indications, there may be specific practices which differ between communities. 4.1 Overview of psychosis ................................................................................................................. 44 You should always follow the guidelines laid down by the manufacturers of specific 4.2 Schizophrenia .................................................................................................................................... 46 products and the relevant authorities in the country in which you are practising. Although every effort has been made to ensure that all owners of copyright material 5 Neurotic, stress-related and somatoform disorders .................................................... 54 have been acknowledged in this publication, we would be pleased to acknowledge in 5.1 Overview of anxiety disorders ............................................................................................... 55 subsequent reprints or editions any omissions brought to our attention. 5.2 Generalized anxiety disorder .................................................................................................. 58 5.3 Phobic anxiety disorders ............................................................................................................ 62 Registered names, trademarks, etc. used in this book, even when not marked 5.4 Panic disorder ..................................................................................................................................... 67 as such, are not to be considered unprotected by law. 5.5 Post-traumatic stress disorder ................................................................................................ 70 5.6 Obsessive–compulsive disorder ........................................................................................... 74 5.7 Medically unexplained symptoms ...................................................................................... 78 6 Eating disorders .......................................................................................................................................... 85 6.1 Anorexia nervosa ............................................................................................................................. 86 6.2 Bulimia nervosa ...............................................................................................................................
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