راهنمای بالینی مدیریت درد در روانپزشکی (راهنماهای مختصر)

The Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning for pain. It balances theoretical foundations of pain pathophysiology with applied clinical information, all the while viewing the patient from biological, psychological, and social perspectives in order to tailor treatment to the whole person. This handy portable guide includes numerous tables and illustrations and expands on the author's previous Concise Guide to Pain Management for Psychiatrists to reflect significant advances in the field of pain medicine. It features particularly extensive revisions regarding the use of psychiatric and other adjunctive medications in pain management; includes updated coverage of common psychiatric comorbidities such as depression, anxiety, and personality disorders; and addresses common pain disorders ranging from headache and back pain to pain related to cancer and HIV. The manual includes an extensively revised chapter on pharmacology, fully discusses psychotherapeutic approaches, and covers special techniques such as acupuncture and regional neural blockade. It also offers updated advice on emerging forensic issues, from disability claims to controlled substance diversion.

while Recognizing The Multidisciplinary Nature Of Pain Management, The clinical Manual Of Pain Management In Psychiatry Focuses On The Role Of Mental Health Practitioners In Evaluation And Assessment, Pharmacological Management, Psychotherapeutic Interventions, And Comprehensive Treatment Planning. It Balances Theoretical Foundations Of Pain Pathophysiology With Applied Clinical Information, Providing Guidelines To Psychiatric Differential Diagnosis Of Pain States And Psychiatric Comorbidities Associated With Pain And Integrating Diagnostic And Treatment Approaches. Because Proper Treatment Requires Understanding The Whole Person, The Book Views The Patient From Biological, Psychological, And Social Perspectives. It Stresses The Importance Of Examining Psychological Variables That Can Limit Outcomes And Even Preclude Aggressive Interventional Approaches. The Manual Also Includes Considerations Pertinent To The Elderly, Children, And Cultural Groups.

this Manual Expands On The Author's Previous concise Guide To Pain Management For Psychiatrists To Reflect Significant Advances In The Field Of Pain Medicine. It Updates Trends In Treatment Approaches Along With Our Understanding Of Chronic Pain Conditions, And Presents New Knowledge Of The Biological Substrates Underlying Both Pain And Psychiatric Comorbidities. The Manual Features Particularly Extensive Revisions Regarding The Use Of Psychiatric And Other Adjunctive Medications In Pain Management, Including Expanded Discussion Of Long-term Adverse Effects, Dependence, And Pseudoaddictive Behaviors Involving Opiates And Weak Analgesics. It Also Delineates The Use Of Adjunctive Treatments, Including Evolving Data On The Use Of Antidepressants And Related Medications For Patients With Chronic Pain. Among The Its Practical Benefits, The Book

• Features Updated Coverage Of Common Psychiatric Comorbidities Such As Depression, Anxiety, And Personality Disorders
• Addresses Common Pain Disorders Ranging From Headache And Back Pain To Pain Related To Cancer And Hiv
• Includes An Extensively Revised Chapter On Pharmacology, Familiarizing Readers With The Range Of Pain Medications And Providing Information On Dosages And Side Effects
• Fully Discusses Psychotherapeutic Approaches, Plus Adjunctive Interventions Such As Biofeedback And Hypnosis
• Covers Special Techniques Such As Acupuncture And Regional Neural Blockade
• Offers Updated Advice On Emerging Forensic Issues, From Disability Claims To Controlled Substance Diversion

with Pain Management Issues So Common In Daily Practice, This Handy Portable Guide Is Designed For Quick Reference, Features Numerous Tables And Illustrations, And Is Easily Understandable By Less Experienced Clinicians Or Non-pain Specialists. While Written Expressly For Busy Psychiatrists, It Is Also Useful To Psychologists, Social Workers, And Other Physicians.

doody Review Services

reviewer:michael Joel Schrift, D.o., M.a.(university Of Illinois At Chicago College Of Medicine)
description:this Is An Updated Version Of The Author's concise Guide To Pain Management For Psychiatrists (american Psychiatric Publishing, 2003). The Author Emphasizes The Psychiatrist's Essential Role In Helping To Manage Patients With Pain Disorders. This Update Has Significant Revisions Marking The Advances In This Field. The Author Is A Nationally Recognized Expert In Pain Medicine And This Effort Is A Welcome Addition To The Psychiatric Literature.
purpose:the Purpose Of This Clinical Manual Is To Emphasize The Role Of Psychiatrists In The Evaluation And Assessment Of Patients With Pain As Well As In Their Pharmacologic And Psychotherapeutic Management And Treatment Planning. In Addition, The Author Notes That There Is A Growing Literature Regarding The Biological Substrates Underlying Pain And The Psychiatric Morbidities Which He Wanted To Incorporate In This Updated Manual.
audience:the Intended Audience Includes Psychiatrists Who Participate In The Care Of Patients With Pain. Included Would Be Those Specializing In Psychosomatic Medicine, Neuropsychiatry, And Addiction Psychiatry. Any Mental Health Clinician Who Treats Patient With Pain Would Benefit From Learning The Material Presented In This Clinical Manual.
features:an Introductory Chapter Covers The Origin And Development Of Pain Management And The Role Of The Psychiatrist. The Remainder Cover Topics Such As Sensory Pathways Involved In Pain; Evaluating The Pain Patient; Differential Diagnoses And Comorbidities; Pharmacology Of Pain; Psychotherapy; Special Techniques Such As Acupuncture, Botulinum Toxin; Common Pain Disorders Such As Headache, Backache; Special Populations Such As The Pregnant Patient, The Geriatric Patient; And Forensic Issues Such As Litigation And Pain, Diversion, Disability, And Confidentiality. Each Chapter Ends With Relevant And Timely Citations Of The Scientific Literature. The Tables Are Very Helpful In Summarizing The Material.
assessment:this Is An Excellent And Convenient (small) Manual On The Psychiatric Management Of Pain Patients. Since Acute And Chronic Pain In Patients Is Ubiquitous, All Physicians Need To Learn The Information In This Essential Book.

Contents......Page 6 List of Tables......Page 10 List of Figures......Page 14 Preface......Page 16 1 Introduction......Page 18 Origins and Development of Pain Management......Page 19 Interdisciplinary Pain Medicine......Page 20 Traditional Medical Models of Pain Management Versus the Current Biopsychosocial Paradigm......Page 21 Role of Psychiatrists in Interdisciplinary Pain Medicine......Page 22 References......Page 26 2 Sensory Pathways of Pain and Acute Versus Chronic Pain......Page 28 Pain-Relaying Pathways and Mechanisms......Page 29 Role of the Autonomic Nervous System in Pain......Page 35 Pain-Modulating Processes Within the Nervous System......Page 36 Classifications of Acute and Chronic Pain......Page 42 "Patienthood" as a Psychosocial State: The Patient With Simple Versus Chronic Pain......Page 44 Multiaxial Pain Classification......Page 47 References......Page 48 3 Evaluation of the Pain Patient......Page 52 Conducting an Interview......Page 54 Obtaining the Pain History......Page 55 Pain Assessment Instruments......Page 64 References......Page 77 4 Common Psychiatric Comorbidities and Psychiatric Differential Diagnosis of the Pain Patient......Page 80 Pain Disorder......Page 81 Depression......Page 87 Anxiety......Page 89 Sleep Disorders......Page 91 Substance-Related Disorders......Page 92 Personality Disorders......Page 94 Schizophrenia......Page 95 Key Points......Page 96 References......Page 97 Opiate Analgesics......Page 100 Tramadol......Page 111 Nonopiate Analgesics......Page 112 Cyclooxygenase-2 Inhibitors......Page 113 Antidepressants......Page 114 Anticonvulsant Drugs......Page 121 Considering Treatment Options: Antidepressant, Anticonvulsant, or Both?......Page 123 Antihistamines......Page 127 Benzodiazepines and Anxiolytics......Page 128 Triptans......Page 129 Stimulants......Page 130 Mexiletine......Page 131 N-Methyl-D-Aspartate Antagonists......Page 132 Corticosteroids......Page 133 Muscle Antispasmodics......Page 134 Topical Agents......Page 136 Cannabinoids......Page 137 Key Points......Page 139 References......Page 141 6 Psychotherapy......Page 148 Resistance to Psychotherapy......Page 150 Factors to Be Addressed in Psychotherapy......Page 151 Behavior Therapy......Page 157 Cognitive-Behavioral Therapy......Page 160 Supportive Therapy......Page 164 Marital, Couples, and Family Therapy......Page 165 Group Therapy......Page 167 Adjunctive Interventions......Page 168 Vocational Rehabilitation......Page 173 Key Points......Page 174 References......Page 175 7 Special Techniques in Pain Management......Page 178 Acupuncture......Page 179 Botulinum Toxin (Botox) Injection......Page 181 Anesthesia at the Level of the Spinal Cord......Page 182 Regional Neural Blockade......Page 183 Neurosurgical Techniques......Page 187 Repetitive Transcranial Magnetic Stimulation......Page 189 Role of the Psychiatrist in Pain Management Related to Interventions......Page 190 References......Page 194 Headache......Page 196 Back Pain......Page 203 Nonarticular Pain Disorders......Page 205 Osteoarthritis and Rheumatoid Arthritis......Page 211 Neuropathic Pain......Page 214 Sympathetically Mediated Pain: Complex Regional Pain Syndromes......Page 217 Phantom Limb Pain......Page 219 Cancer and HIV......Page 221 Key Points......Page 224 References......Page 225 Pediatric Patients......Page 230 Geriatric Patients......Page 233 Pregnancy......Page 236 Cultural Issues......Page 237 Substance-Dependent and Substance-Abusing Patients......Page 239 Patients With Terminal Conditions......Page 241 References......Page 246 Litigation and Pain......Page 250 Medication Diversion......Page 251 Opiate Adulteration and Misuse......Page 253 Legal Issues Related to Opioid Prescribing......Page 254 Patient Contracts......Page 255 State and National Prescribing Data Banks......Page 257 Confidentiality......Page 259 Disability Compensation......Page 261 Key Points......Page 264 References......Page 265 A......Page 268 C......Page 270 D......Page 272 E......Page 273 H......Page 274 L......Page 275 N......Page 276 O......Page 277 P......Page 278 S......Page 281 T......Page 283 Z......Page 284

While recognizing the multidisciplinary nature of pain management, the Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning. It balances theoretical foundations of pain pathophysiology with applied clinical information, providing guidelines to psychiatric differential diagnosis of pain states and psychiatric comorbidities associated with pain and integrating diagnostic and treatment approaches. Because proper treatment requires understanding the whole person, the book views the patient from biological, psychological, and social perspectives. It stresses the importance of examining psychological variables that can limit outcomes and even preclude aggressive interventional approaches. The manual also includes considerations pertinent to the elderly, children, and cultural groups.

This manual expands on the author's previous Concise Guide to Pain Management for Psychiatrists to reflect significant advances in the field of pain medicine. It updates trends in treatment approaches along with our understanding of chronic pain conditions, and presents new knowledge of the biological substrates underlying both pain and psychiatric comorbidities. The manual features particularly extensive revisions regarding the use of psychiatric and other adjunctive medications in pain management, including expanded discussion of long-term adverse effects, dependence, and pseudoaddictive behaviors involving opiates and weak analgesics. It also delineates the use of adjunctive treatments, including evolving data on the use of antidepressants and related medications for patients with chronic pain. Among the its practical benefits, the book • Features updated coverage of common psychiatric comorbidities such as depression, anxiety, and personality disorders• Addresses common pain disorders ranging from headache and back pain to pain related to cancer and HIV• Includes an extensively revised chapter on pharmacology, familiarizing readers with the range of pain medications and providing information on dosages and side effects• Fully discusses psychotherapeutic approaches, plus adjunctive interventions such as biofeedback and hypnosis • Covers special techniques such as acupuncture and regional neural blockade• Offers updated advice on emerging forensic issues, from disability claims to controlled substance diversion

With pain management issues so common in daily practice, this handy portable guide is designed for quick reference, features numerous tables and illustrations, and is easily understandable by less experienced clinicians or non-pain specialists. While written expressly for busy psychiatrists, it is also useful to psychologists, social workers, and other physicians.

While recognizing the multidisciplinary nature of pain management, the Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning. It balances theoretical foundations of pain pathophysiology with applied clinical information, providing guidelines to psychiatric differential diagnosis of pain states and psychiatric comorbidities associated with pain and integrating diagnostic and treatment approaches. Because proper treatment requires understanding the whole person, the book views the patient from biological, psychological, and social perspectives. It stresses the importance of examining psychological variables that can limit outcomes and even preclude aggressive interventional approaches. The manual also includes considerations pertinent to the elderly, children, and cultural groups. This manual expands on the author's previous Concise Guide to Pain Management for Psychiatrists to reflect significant advances in the field of pain medicine. It updates trends in treatment approaches along with our understanding of chronic pain conditions, and presents new knowledge of the biological substrates underlying both pain and psychiatric comorbidities. The manual features particularly extensive revisions regarding the use of psychiatric and other adjunctive medications in pain management, including expanded discussion of long-term adverse effects, dependence, and pseudoaddictive behaviors involving opiates and weak analgesics. It also delineates the use of adjunctive treatments, including evolving data on the use of antidepressants and related medications for patients with chronic pain. Among the its practical benefits, the book • Features updated coverage of common psychiatric comorbidities such as depression, anxiety, and personality disorders• Addresses common pain disorders ranging from headache and back pain to pain related to cancer and HIV• Includes an extensively revised chapter on pharmacology, familiarizing readers with the range of pain medications and providing information on dosages and side effects• Fully discusses psychotherapeutic approaches, plus adjunctive interventions such as biofeedback and hypnosis • Covers special techniques such as acupuncture and regional neural blockade• Offers updated advice on emerging forensic issues, from disability claims to controlled substance diversion With pain management issues so common in daily practice, this handy portable guide is designed for quick reference, features numerous tables and illustrations, and is easily understandable by less experienced clinicians or non-pain specialists. While written expressly for busy psychiatrists, it is also useful to psychologists, social workers, and other physicians. Introduction Sensory pathways of pain and acute versus chronic pain Evaluation of the pain patient Common psychiatric comorbidities and psychiatric differential Diagnosis of the pain patient Pharmacology of pain Psychotherapy Special techniques in pain management Common pain disorders Special populations Forensic issues pertaining to pain.