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Introduction | |
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A Note about Our �Patients� and Our �Doctors� | |
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Melissa and Oscar: Getting Help | |
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What are the different types of mental health professionals? | |
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What is a psychiatrist? | |
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What is a forensic psychiatrist? | |
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When a patient should see a psychiatrist rather than a primary care doctor | |
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What is split treatment? | |
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When a patient should see a psychiatrist for psychotherapy | |
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When is split treatment better than care with only a psychiatrist? | |
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Josh: A Walk through the System | |
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The psychiatric evaluation and the mental status exam | |
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The importance of outside informants | |
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What is a chemical imbalance? | |
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How psychiatric diagnoses are determined | |
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Involuntary commitment to a psychiatric unit | |
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What are a patient's rights during hospitalization? | |
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The Brandt Family: Why People Seek Care | |
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For psychiatric disorders | |
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When life gets hard and stress causes symptoms | |
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For psychiatric symptoms caused by medical illnesses | |
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For maladaptive personality styles | |
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For addictive or compulsive behaviors | |
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For suicidal thoughts or behaviors | |
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For insight and education | |
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Tara: Let's Talk | |
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What is psychotherapy? | |
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What are some different types of psychotherapy? | |
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How psychiatrists learn to become psychotherapists | |
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How are research studies conducted on psychotherapy as a treatment? | |
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What people talk about in psychotherapy | |
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What the psychiatrist does in psychotherapy | |
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Privacy and confidentiality in the therapeutic relationship: on keeping secrets and minding HIPAA | |
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Special exceptions: child custody subpoenas and the Patriot Act | |
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Self-disclosure by the therapist | |
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How long should treatment last? | |
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Josh Revisited: �Ask Your Doctor to Prescribe� | |
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How psychiatric medications are (sort of) classified | |
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How a doctor chooses a medication | |
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Informed consent | |
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Complementary and alternative treatments | |
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How doctors dose medications | |
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What happens when conventional treatments don't work? | |
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Why psychiatrists don't like Xanax | |
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Addictive medications in the treatment of the psychiatric patient | |
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Becca: When Things Go Wrong | |
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Difficulties with communication and poor patient-doctor fit | |
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Recovered memory therapy | |
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Disorders induced by the psychiatrist | |
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When psychotherapy is inappropriately used as the only treatment | |
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Side effects and adverse reactions from medications | |
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Black box warnings | |
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Antidepressants and suicide in young people and how the FDA decides on black box warnings | |
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Boundary violations | |
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Therapists who exploit patients | |
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Eddie: A Child at Risk | |
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Health care proxies, advance directives, and medical decision making for the dying patient | |
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Informed consent and medical decisions for minors | |
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Juvenile delinquency and the legal system | |
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Custody evaluations: who gets the child? | |
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Eddie: The Prison Patient | |
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Specialty mental health courts and compelled treatment | |
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Interrogation and why criminals confess | |
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Psychopaths versus sociopaths and whether they can be treated | |
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The insanity defense | |
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What becomes of the insanity acquittee? | |
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Psychiatric care in jail and in prison | |
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Civil commitment of sex offenders | |
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Mitchell: Hospital-based Psychiatry | |
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What happens in the Emergency Department? | |
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Finding a hospital bed for a psychiatric patient: insurance approval and bed availability | |
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What happens during a psychiatric hospitalization? | |
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Patient education, family involvement, and therapy | |
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The agitated patient: restraint, seclusion, and forced medications | |
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Shock treatments, or electroconvulsive therapy (ECT) | |
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Bargaining for beds: insurance (again) and how psychiatric beds get allocated | |
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Electronic health records | |
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Day hospitals, or partial hospitalization programs | |
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The consultation-liaison psychiatrist | |
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Sharon: The Business of Psychiatry | |
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Psychiatrists and insurance networks: how it all works | |
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The missed appointment: no-shows and late cancellations | |
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Preventing lawsuits | |
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Providing safe environments for violent patients | |
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When the patient assaults the psychiatrist | |
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Changes in the patients ability to pay for care | |
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Influences of the pharmaceutical industry | |
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Happy birthday! Gifts from patients | |
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Things We Argue About | |
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Health care reform and how we allocate our treatments | |
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What constitutes a psychiatric disorder: diagnostic criteria in the DSM age | |
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Psychiatric disabilities and deciding who deserves special accommodation | |
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Psychiatric disabilities in the workplace, from pilots to presidents | |
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Medications with addictive potential | |
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Medical marijuana for psychiatric disorders | |
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Complementary and alternative treatments | |
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The recovery model | |
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The Future of Psychiatry | |
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More than just medicines and psychotherapy: VNS, DBS, and rTMS | |
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Just beginning: genetics, brain structure and function, and neuroplasticity | |
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Psychopharmacogenetics: scientific gains that will lead to treatments based on each patient's biology | |
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Acknowledgments | |
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Sources and Suggested Reading | |
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About the Authors | |
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Index | |