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Women's health, and particularly the impact of hormones, menopause, and contraception on mental health, has long been poorly understood and under-addressed in clinical practice. This pioneering guide offers mental health professionals a vital resource to assess, formulate, and manage the psychological effects of gynaecological hormonal conditions. Drawing on current evidence, UK clinical guidelines, and powerful testimony from experts by experience, the book explores the scientific foundations of hormonal influences on mental wellbeing. It highlights areas where research is lacking and reflects the realities of working within NHS services. Designed for professionals supporting women with menstrual disorders, hormonal contraception use, or peri/post-menopausal symptoms, this guide equips readers to deliver informed, compassionate care. It also addresses healthcare inequalities, particularly for women with severe mental illness who face barriers to accessing sexual health services. Practical, evidence-based, and deeply insightful, this is an essential reference for anyone committed to improving clinical outcomes in women's mental health.
As a psychiatrist, you may be the only medically qualified person available to manage the physical healthcare of a patient in a mental health setting. Do you know how to: Recognise sepsis? Diagnose headache disorders? Manage Type 1 Diabetes? Written by leading experts in medicine, surgery, pharmacy, physiotherapy, primary care, disease prevention and the law, this book contains a wealth of information specifically for psychiatrists about physical healthcare. With full-colour illustrations, there is information about the management of acute illness, infectious diseases, cardiac, respiratory and neurological emergencies, and long-term conditions e.g., endocrine, renal and gastrointestinal disorders. Whether you are an experienced psychiatrist or a trainee or GP, you will find practical guidance about making the 'first response', delivery of routine physical healthcare and referral to colleagues. This book is essential reading to help update your knowledge, help you to make the right decisions, and avoid traps for the unwary.
Critical Review for the MRCPsych is a practical and exam-focused resource to support preparation for the MRCPsych Critical Review paper. Written by the exam panel chair, this essential guide makes research methods and statistics accessible through clinically relevant examples. Complex concepts are explained in plain language and reinforced with psychiatry-focused examples, clear graphs, and easy-to-follow tables, making this ideal for readers without a formal research background. Each chapter is aligned with the MRCPsych Critical Review syllabus and concludes with concise summaries for quick revision. Practice multiple-choice questions throughout the book enable readers to test knowledge, sharpen exam technique, and build confidence. Combining clarity, accessibility, and exam relevance, it is an essential companion for mastering one of the most challenging areas of psychiatric training.
There is a growing need for academic enquiry acknowledging the challenges surrounding successful prescribing for mental health. This book focuses on the act and skills of psychiatric prescribing and its psychosocial context, bringing together differing views on prescribing, assessing the challenges, and identifying useful principles and guidelines together. Covering a multitude of topics including interpreting and handling uncertainty in the clinical evidence, accounting for phases of illness and natural course, collaborating with allied professionals, addressing the meaning of medications, minimising structural barriers to medications; accounting for interactive effects of dietary factors, supplements and alternative remedies, and shared decision-making approaches. Case vignettes and accompanying analysis frame the issues relevant for psychiatric prescribers and offering an approach that strikes a balance between the biological, psychological and social elements of prescribing. For psychiatrists, clinical psychologists and all those involved with the care of patients with mental health conditions.
Unanswered Questions in Psychiatry is a critical yet illuminating exploration of the mysteries that still plague mental health care. Renowned psychiatrist Professor Joel Paris examines the biggest unanswered questions in the field-from the evolutionary roots of mental illness to the limitations of our diagnostic systems, the stalled progress in drug development, and the difficulties of suicide prediction and prevention. With clarity and candour, Professor Paris identifies what we still do not know about psychiatry-and why it matters. This thought-provoking read challenges assumptions and invites fresh thinking about the future of psychiatric practice. A must read for mental health professionals at all levels of training.
This unique book offers a methodical exploration of biological, social, and ethical topics on the treatment (or lack thereof) of psychotic brain disease. Part I provides an empirical engagement with neuroscience and covers the neurobiology and pharmacology of schizophrenia, providing the reader with a current understanding of the disease. Topic areas include anosognosia, community treatments, and early intervention. Part II looks at international policy approaches to schizophrenia featuring topics such as the policy, funding, and historical elements contributing to frequently misguided approaches to severe brain disease, and it explains why some societies won't/can't support human beings with psychotic disease. Part III focuses on neuroethics and asks: 'What is right?' through chapters discussing the concepts of consciousness and free will, as well as the principles of nonmaleficence, beneficence, autonomy, and justice. Collectively the comprehensive approach of this book allows the reader to gain a full understanding of the ethical and clinical complexities in treating schizophrenia.
Specialised perinatal mental health services are crucial in providing the best care for women and their families. An essential guide to perinatal psychiatry, this comprehensive resource is a must-have for psychiatric trainees, consultants, and mental health teams. Written by experts in the specialty, this book fills a critical gap in the field by addressing the specific needs of women during pregnancy and the postnatal period, their infants and families. Covering topics from normal development to rare syndromes, theoretical perspectives to cutting-edge treatments, it offers a thorough overview of perinatal psychiatry, ensuring that clinicians are well-prepared to provide comprehensive care to women and families in need. Part of The College Seminars series, and directly mapped to the MRCPsych curriculum, this book is a key resource for psychiatric trainees.
Girls are facing growing pressures that impact their self-esteem, whilst the pandemic and dominance of social media have made it even more challenging for girls to feel good about their bodies. Dr. Charlotte Markey provides girls aged 9–15 with the tools they need to understand, accept, and appreciate their bodies. She provides all the facts on puberty, mental health, self-care, why diets are bad news, dealing with social media, and everything in-between. Girls will find answers to questions they always wanted to ask, the truth behind many body image myths, advice and inspiration from experts, and real-life stories from girls who share their own experiences. Through this updated and beautifully illustrated guide, Dr. Markey teaches girls how to nurture both mental and physical health to improve their own body image, shows the positive impact they can have on others, and empowers them to go out into the world feeling fearless!
Healthcare organizations face ongoing challenges, including staff shortages, high rates of burnout, and a complex regulatory and financial environment. This book is among the first of its kind to introduce Polyvagal Theory (PVT), and how it explains human behavior under stress. Understanding human responses to stressful situations holds significant value in enhancing patient care and operational efficiency, leading to happier staff, increased productivity and decreased costs. PVT can be widely applied, including in human resources and workplace policies and procedures, providing significant benefit in both direct patient care and business aspects of any health care organization. Exploring the core tenets of PVT, this book equips healthcare providers and organizations with the knowledge to understand and apply this theory effectively. Featuring easy-to-understand exercises which can be applied in any setting, this is an essential guide for all healthcare providers seeking to implement PVT into their policies, procedures, and clinical interventions.
Although mental health is a better understood, more widely discussed topic in our society today, a degree of stigmatization persists, especially in severe cases with links to homelessness, job loss, poverty and human rights. It is also still present in environments such as the workforce, healthcare settings and educational environments, and often internalized by the sufferer themselves. This book provides a philosophical account of what mental illness stigma is, why it persists, what harms it causes to people subject to public stigma or who internalize stigma in themselves, and what can be done about it. It analyzes the process of stigmatization, both public and internalized, in the twenty-first century Western culture, especially in the United States - including the process of stereotyping, the expressive harm of stereotypes, the role of social norms in creating adaptive preferences and shaping behaviour, the moral distancing and status loss involved with social exclusion and dehumanization, and the harm of discrimination.
A manual for those working with addicted populations (from lay counsellors to psychiatrists) for delivering the evidence-based Recovery Resilience Program (RRP). RRP is a person-centered, strength and resiliency-based relapse prevention and recovery-oriented intervention that works in synergy with other models, especially 12-Step programs. Presenting practices that enhance 'recovery resilience' – an individual's capacity to effectively apply coping and self-regulation skills in dealing with cravings, triggers, stress, and high-risk situations without reverting to substance use. The program helps individuals to enhance and use their recovery capital at any stage of recovery, and ultimately reach recovery and life goals. It effortlessly integrates with other evidence-based relapse programs, from the original cognitive-behavioral approaches to the newer mindfulness-based and metacognitive approaches. Written by clinicians who have worked with addicts and their families for many decades, the program is easy-to-implement and very little preparation is necessary with handouts and PowerPoints included in each session.
This sixth volume in Stahl's Case Studies series presents a selection of clinical case studies in forensic psychopharmacology. Focusing on severe syndromes and clinical presentations found in the severely mentally ill who have become justice involved and/or required care in a state or forensic hospital facility, these cases illustrate questions that are routinely asked in psychiatric consultations. Following a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry specialty certification, cases address multifaceted issues in an understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging the complications, issues, decisions, twists and turns along the way.
For decades, psychiatry has focused on initiating treatment—which medication to prescribe, in what dose, and for how long. But what happens when treatment needs to stop? How a medication is stopped is just as important as how it is started, and abrupt discontinuation can lead to unnecessary suffering, relapse, and often preventable withdrawal symptoms. Based on the principles of the bestselling Stahl's Prescriber's Guide, this essential resource provides user-friendly guidance on deprescribing or switching psychotropic medications safely and effectively. 64 medications are presented in a consistent format to facilitate rapid access to deprescribing information. Divided into color coded sections, the book allows the reader to identify key details about when and why to deprescribe, the risks and mechanisms of withdrawal, tapering protocols, cross-titration strategies, and how to distinguish withdrawal symptoms from relapse. Evidence-based recommendations and expert clinical insights make this a must-have manual for all psychiatric prescribers.
According to the WHO in 2024, more than 720,000 people die due to suicide every year. With practical, evidence-based interventions, suicides can be prevented. This book addresses and evaluates those strategies in order to address this global health issue. Written by international experts in the field, this book provides global strategies applicable in both High Income and Low/Middle Income country settings. Chapters cover topics such as decriminalisation, the role of intention, the reasons for the excess of male deaths by suicide in High Income countries, and the relationship between suicide and violence. The book emphasises practicality and accessibility, making it an authoritative guide for practitioners and policy makers around the world. This succinct and evidence-based resource is essential reading for those seeking to develop and implement global suicide prevention strategies.
This book offers a moral and political analysis of the social position of people living with dementia. It takes a relational egalitarian view on the demands of justice, reflecting on what would be required for our society to become one in which we relate to members of this group as equals. By making several contributions to the legal and political philosophy of dementia care, the author uses a novel framework to underpin several public policy recommendations, aimed at remedying the injustices those living with the condition face. Whilst doing so, she takes care not to overlook the legislative and economic barriers to achieving an ideal, dementia-inclusive society, and considers ways in which they might be overcome. Providing public policy insights while furthering scholarship on justice, equality, and capability, this is a timely and novel book that speaks to some of the most urgent questions facing contemporary ageing societies.
Neurosurgery is seen as 'inaccessible' to those on the outside, even though collaboration with a variety of non-neurosurgeons is essential to advancing the field. Thus, this book answers important questions for those interested in surgery of the brain: What is the current state of affairs? Where is the field going? And, importantly, how can I be involved? A work of far-reaching appeal, this book explores the evolution and future of brain surgery, detailing key technologies that have and will shape the field of neurosurgery. Readers are led on a journey covering over five thousand years of neurosurgical history, from trepanation in Neolithic France to the understanding of neuroanatomy and finally the technological leaps in the 20th and 21st centuries. Advances such as artificial intelligence, nanotechnology, microscopy, robotics are discussed by the world's leading experts, providing non-neurosurgical readers with a framework for how they can be involved in this thrilling field.
As body image research continues to expand, it can be difficult for clinicians and researchers to know how to choose the most appropriate measures to assess and treat patients. This handbook provides a comprehensive and well-organized catalogue of existing body image and related measures, detailing their descriptions, psychometric properties, and recommended applications, enabling readers to easily identify the most suitable tools for their studies or clinical work. It also offers guidance on adapting these measures for diverse cultural contexts, ensuring assessments are culturally relevant and sensitive. The book features step-by-step instructions on how to administer, score, and interpret each measure, with real-world examples that make it highly practical and accessible. With its focus on accuracy, cultural sensitivity, and ease of application, this handbook is invaluable for researchers, counselors, educators, and health professionals focused on body image.