Shrink Rap Three Psychiatrists Explain Their Work

ISBN-10: 142140012X

ISBN-13: 9781421400129

Edition: 2011

List price: $21.95
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Description:

Finally, a book that explains all you ever wanted to know about psychiatry!In Shrink Rap, three psychiatrists from different specialties provide frank and informed answers to questions such as:• What is psychotherapy, how does it work, and why don't all psychiatrists do it?• When are medications helpful?• What happens on a psychiatric unit?• Does Prozac make people suicidal?• Why do many doctors not like Xanax?• Why do we have an insanity defense?• Why do people confess to crimes they didn't commit?Based on the authors' hugely popular blog and podcast series, the book engages the concerns of patients, psychiatrists, and the general public alike. Through compelling patient vignettes, Shrink Rap explains how psychiatrists think about and address psychiatric problems, from the mundane (how much to charge) to the controversial (involuntary hospitalization). The authors face the field's shortcomings head on, revealing what other doctors may not admit about practicing psychiatry.Candid and humorous, Shrink Rap is a bird's-eye view of psychiatry, peering into technology, treatments, and the business of the field. If you've ever wondered how to negotiate the complicated mental health arena, let Shrink Rap lead the way toward understanding how psychiatry really works.
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Book details

List price: $21.95
Copyright year: 2011
Publisher: Johns Hopkins University Press
Publication date: 4/21/2011
Binding: Paperback
Pages: 272
Size: 6.00" wide x 9.00" long x 0.65" tall
Weight: 0.858
Language: English

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