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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 | |