Psychiatric Care of the Medical Patient

Edited by Barry S. Fogel, MD, MBA, Professor of Psychiatry, Harvard Medical School and Brigham and Women's Hospital, and Edited by Donna B. Greenberg, MD, Program Director, Psychiatric Oncology Service, Massachusetts General Hospital and Harvard Medical School

Barry S. Fogel, MD is a graduate of the UCSF School of Medicine; he also holds advanced degrees in mathematics and in management. He was a resident in neurology in the Harvard-Longwood program and a resident in psychiatry at Stanford; he is certified by the ABPN in neurology and psychiatry and by the UCNS in behavioral neurology and neuropsychiatry. Together with the late Dr. Alan Stoudemire he re-defined and popularized the concept of medical psychiatry in a series of articles and books. In 1988 he co-founded the American Neuropsychiatric Association. His work experience includes directing a medical psychiatric inpatient unit, leading the psychiatric service at a state hospital, consulting to healthcare systems, and working as an expert witness.

Donna B. Greenberg, MD is a graduate of University of Rochester School of Medicine. She completed residencies in internal medicine at Boston City Hospital and in psychiatry at the Massachusetts General Hospital. She completed the fellowship in psychosomatic medicine at MGH. She is certified by the ABIM in Internal Medicine and the ABPN in Psychiatry. She has practiced and taught medical psychiatry and psychiatric oncology at the Massachusetts General Hospital and Harvard Medical School for over 30 years, with a special focus on the education of medical students.

Ruchi Aggarwal, MD
Department of Psychiatry & Biobehavioral Sciences
David Geffen School of Medicine
University of California-Los Angeles
Los Angeles, CA

Sherese Ali, MD
Department of Psychiatry
University of Toronto Faculty of Medicine
Toronto, Ontario, Canada

Stephanie Assuras, PhD
Department of Psychiatry
Harvard Medical School; and
Department of Neurology
Brigham and Women's Hospital
Boston, MA
David J. Axelrod, MD, JD
Department of Medicine
Jefferson Internal Medicine Associates
Philadelphia, PA

Aditya Bardia, MD, MPH
Department of Medicine
Harvard Medical School; and
Massachusetts General Hospital Cancer Center
Boston, MA

Scott R. Beach, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Madeleine Becker, MD
Department of Psychiatry and Human Behavior
Jefferson Medical College
Thomas Jefferson University Hospital
Philadelphia, PA

Philip A. Bialer, MD
Department of Psychiatry
Weill Cornell Medical College; and
Memorial Sloan Kettering Cancer Center
New York, NY

Donald R. Bodner, MD
Department of Urology
Case Western Reserve University School of Medicine
Cleveland, OH
Robert J. Boland MD
Department of Psychiatry and Human Behavior
Warren Alpert School of Medicine at Brown University
Providence, RI

David Borsook, MD, PhD
Department of Neurology
Massachusetts General Hospital
Boston, MA

Megan Brennan, MD
Bassett Healthcare Network
Cooperstown, NY

Harold Bronheim, MD
Departments of Psychiatry and Medicine
Icahn School of Medicine at Mount Sinai
New York, NY

Richard P. Brown, MD
Department of Psychiatry
Columbia University College of Physicians and Surgeons
New York, NY

Thomas Markham Brown, MD
South Texas Veterans Health Care System
San Antonio, TX

T. H. Eric Bui, MD, PhD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Lucienne A. Cahen, MD
Department of Psychiatry
Massachusetts General Hospital and
Division of Behavioral and Mental Health
Spaulding Rehabilitation Hospital
Boston, MA

Deborah A. Cahn-Weiner, PhD
Department of Neurology
University of California-San Francisco
San Francisco, CA

Gayun Chan-Smutko, MS, CGC
Center for Cancer Risk Center
Massachusetts General Hospital
Boston, MA

Meredith E. Charney, PhD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA
Keira Chism, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University Hospital
Philadelphia, PA
Eva H. Chittenden, MD
Department of Medicine
Massachusetts General Hospital; and
Harvard Medical School
Boston, MA

Harvey Max Chochinov, MD, PhD, FRCPC
Department of Psychiatry
University of Manitoba Faculty of Medicine
Winnipeg, Manitoba, Canada

Amit Chopra, MD
Department of Psychiatry
West Penn Allegheny Health System
Pittsburgh, PA

Heidi Christianson, PhD
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin
Milwaukee, WI

Lewis M. Cohen, MD
Department of Medicine
Tufts University School of Medicine; and
Baystate Medical Center
Springfield, MA

Ariel Dalfen, MD, FRCPC
Department of Psychiatry
University of Toronto Faculty of Medicine; and
Perinatal Mental Health Program
Mount Sinai Hospital
Toronto, Ontario, Canada

Hillary G. D'Amato
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Diane de Camps Meschino, MD, BSc(H), FRCPC
Department of Psychiatry
University of Toronto Faculty of Medicine; and
Women's College Hospital
Toronto, Ontario, Canada

Lex Denysenko, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University Hospital
Philadelphia, PA
Kimiko Domoto-Reilly, MD
Department of Neurology
Massachusetts General Hospital
Boston, MA
Robert L. Doyle, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Amelia Dubovsky, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Stanley H. Ducharme, PhD
Department of Psychology
Boston University
Boston, MA

Margaret Dundon, PhD
VHA National Center for Health Promotion and Disease Prevention
Buffalo, NY

Shawn Fagan, MD
Department of Surgery
Massachusetts General Hospital
Boston, MA

Marc D. Feldman, MD
Department of Psychiatry
University of Alabama School of Medicine
Tuscaloosa, AL

Howard Field, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University Hospital
Philadelphia, PA

Barry S. Fogel, MD, MBA
Department of Psychiatry
Harvard Medical School; and
Brigham and Women's Hospital
Boston, MA

Gregory L. Fricchione, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Wendy Froehlich-Santino, MD
Departments of Psychiatry & Behavioral Science and Pediatrics
Stanford University School of Medicine
Stanford, CA

Anna M. Georgiopoulos, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA
Patricia L. Gerbarg, MD
Department of Psychiatry
New York Medical College
Valhalla, NY

Michael J. Germain, MD
Department of Medicine
Tufts University School of Medicine; and
Baystate Medical Center
Springfield, MA
Richard J. Goldberg, MD
Department of Psychiatry and Human Behavior
Warren Alpert School of Medicine at Brown University
Providence RI

Richard T. Goldberg, EdD
Department of Psychiatry
Massachusetts General Hospital and
Division of Behavioral and Mental Health
Spaulding Rehabilitation Hospital
Boston, MA

Michael G. Goldstein, MD
VHA National Center for Health Promotion and Disease Prevention
Providence, RI

Jeffrey S. Gonzalez, PhD
Departments of Medicine and Epidemiology & Population Health
Albert Einstein College of Medicine
Bronx, NY

Cheryl Gore-Felton, PhD
Department of Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Stanford, CA

Tristan Gorrindo, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Jeremy Goverman, MD
Department of Surgery
Massachusetts General Hospital
Boston, MA

Stephen A. Green, MD
Department of Psychiatry
Georgetown University School of Medicine
Washington, DC

Donna B. Greenberg, MD
Department of Psychiatry
Harvard Medical School; and
Program Director, Psychiatric Oncology Service
Massachusetts General Hospital
Boston, MA

Joseph A. Greer, PhD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Gregory M. Gressel, MD
Department of Obstetrics, Gynecology & Reproductive Sciences
Yale University School of Medicine
New Haven, CT

Sophie Grigoriadis, MD, MA, PhD, FRCPC
Department of Psychiatry
University of Toronto Faculty of Medicine; and
Women's Mental Health Program
University Health Network
Toronto, Ontario, Canada

Tracey M. Guthrie, MD
Department of Psychiatry and Human Behavior
Warren Alpert School of Medicine at Brown University
Providence, RI

Scott D. Haltzman, MD
David Lawrence Center
Naples, FL

James C. Hamilton, PhD
Department of Psychology
University of Alabama
Tuscaloosa, AL

Ashley S. Hart, PhD
VA Boston Healthcare System
Boston, MA

Mehrul Hasnain, MD
Department of Psychiatry
Memorial University of Newfoundland
Waterford Hospital
St. John's, Newfoundland, Canada

Eric P. Hazen, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Krystal A. Hedge
Department of Psychology
University of Alabama
Tuscaloosa, AL

Thomas W. Heinrich, MD
Department of Psychiatry and Behavioral Medicine; and
Department of Family and Community Medicine
Medical College of Wisconsin
Milwaukee, WI

Paul J. Helmuth, MD
Valley Medical Associates
Springfield, MA

Seth D. Herman, MD
Department of Physical Medicine & Rehabilitation
Spaulding Rehabilitation Hospital; and
Massachusetts General Hospital
Boston, MA

Douglas H. Hughes, MD
Department of Psychiatry
Boston University School of Medicine
Boston, MA

Daniel P. Hunt, MD
Department of Medicine
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Alana Iglewicz, MD
Department of Psychiatry
University of California-San Diego
San Diego, CA

Kelly Irwin, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Mary Lou Jackson, MD
Department of Ophthalmology
Harvard Medical School; and
Massachusetts Eye and Ear Infirmary
Boston, MA

Natalie L. Jacobowski, MD
Department of Psychiatry
Vanderbilt University School of Medicine
Nashville, TN

Andres M. Kanner, MD
Department of Neurology
University of Miami Miller School of Medicine
Miami, FL

Nasser Karamouz, MD
Department of Psychiatry
Massachusetts General Hospital and
Division of Behavioral and Mental Health
Spaulding Rehabilitation Hospital
Boston, MA

Suzanne Karl
Department of Psychiatry and Behavioral Sciences
Memorial Sloan-Kettering Cancer Center
New York, NY

Gabor I. Keitner, MD
Department of Psychiatry
The Warren Alpert School of Medicine at Brown University; and
Rhode Island Hospital
Providence RI
Shahram Khoshbin, MD
Department of Neurology
Harvard Medical School; and
Brigham and Women's Hospital
Boston, MA

Phillip M. Kleespies, PhD
Department of Psychiatry
Boston University School of Medicine; and
VA Boston Healthcare System
Boston, MA

Danielle N. Ko, MBBS, LLB
Department of Medicine
Massachusetts General Hospital; and
Harvard Medical School
Boston, MA

Robert M. Kohut Jr, MD
Department of Urology
Case Western Reserve University School of Medicine
Cleveland, OH
Susan G. Kornstein, MD
Institute for Women's Health
Virginia Commonwealth University School of Medicine
Richmond, VA

Richard Kradin, MD
Pulmonary/Critical Care Unit
Center for Psychoanalytical Studies
Massachusetts General Hospital; and
Department of Medicine and Pathology
Harvard Medical School
Boston, MA

M. Alexandra Kredlow
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Elisabeth J. Shakin Kunkel, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University
Philadelphia, PA

W. Curt LaFrance Jr, MD, MPH
Departments of Psychiatry and Neurology
The Warren Alpert School of Medicine at Brown University; and
Rhode Island Hospital
Providence RI

Norman B. Levy, MD
Department of Psychiatry
State University of New York-Downstate Medical Center
Brooklyn, NY

Joseph A. Locala, MD
Division of Medicine and Psychiatry
University Hospitals Case Medical Center; and
Department of Psychiatry
Case Western Reserve University School of Medicine
Cleveland, OH

Steven E. Locke, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Elizabeth W. Loder, MD, MPH
Department of Neurology
Brigham and Women's Hospital
Boston, MA

Joseph Z. Lux, MD
Department of Psychiatry
New York University School of Medicine; and
Bellevue Hospital Center
New York, NY

José R. Maldonado, MD, FAPM, FACFE
Department of Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Stanford, CA

Paul Malloy, PhD
Department of Psychiatry & Human Behavior
The Warren Alpert School of Medicine at Brown University
Providence, RI

Vaughn L. Mankey, MD
West Lake Hills, TX
Michael Marcangelo, MD
Department of Psychiatry and Behavioral Neurosciences
Pritzker School of Medicine at the University of Chicago
Chicago, IL

Christine Marchionni, MD
Department of Psychiatry and Human Behavior
Temple University Episcopal Campus
Philadelphia, PA

Dimitri Markov, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University Hospital
Philadelphia, PA

Cynthia A. Mascarenas, PharmD
South Texas Veterans Health Care System
San Antonio, TX

Scott McGinnis, MD
Department of Neurology
Brigham and Women's Hospital; and
Massachusetts General Hospital
Boston, MA

Mario F. Mendez, MD, PhD
Department of Psychiatry & Biobehavioral Sciences; and
Department of Neurology
David Geffen School of Medicine
University of California-Los Angeles
Los Angeles, CA

Cynthia W. Moore, PhD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

George T. Moses, DO, FAPA
Zanesville, OH

Shamim H. Nejad, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA
Aaron P. Nelson, PhD
Department of Psychiatry
Harvard Medical School;
Department of Neurology
Brigham and Women's Hospital
Boston, MA

Christian J. Nelson, PhD
Department of Psychiatry and Behavioral Sciences
Memorial Sloan-Kettering Cancer Center
New York, NY

Caitlin M. Nevins
The California School of Professional Psychology
San Francisco, CA

Patricia J. O'Malley, MD
Department of Emergency Medicine
Massachusetts General Hospital
Boston, MA

Laura Ortiz-Terán, PhD, MD
Department of Neurology
Beth Israel Deaconess Medical Center
Boston, MA

Gregory J. O'Shanick, MD, DFAPA
Center for Neurorehabilitation Sevices
Richmond, VA

Olu Oyesanmi, MD, MPH
ECRI Institute
Plymouth Meeting, PA

Lawrence Park, MD
Food and Drug Administration
Washington DC

David L. Perez, MD
Departments of Neurology and Psychiatry
Harvard Medical School; and
Brigham and Women's Hospital
Boston, MA

Pedro E. Pérez-Cruz, MD, MPH
Department of Medicine
Massachusetts General Hospital
Harvard Medical School
Boston, MA; and
Departmento Medicina Interna, Facultad de Medicina
Pontificia Universidad Católica de Chile, Santiago, Chile

John R. Peteet, MD
Department of Psychiatry
Harvard Medical School;
Brigham and Women's Hospital; and
Dana Farber Institute
Brookline, MA

Donn A. Posner, PhD
Department of Psychiatry and Human Behavior
The Warren Alpert School of Medicine at Brown University
Providence RI

Terry Rabinowitz, MD, DDS
Department of Psychiatry
University of Vermont School of Medicine
Burlington, VT

Shreya Raj, MD
Departments of Psychiatry and Neurology
Brigham and Women's Hospital
Boston, MA

David B. Reuben, MD
Department of Geriatric Medicine
UCLA Medical Center
Santa Monica, CA

Jarrett W. Richardson, MD
Department of Psychiatry & Psychology
Mayo Clinic College of Medicine
Rochester, MN

David Ring, MD, PhD
Department of Orthopedic Surgery
Massachusetts General Hospital
Boston, MA

Fernando A. Rivera, MD
Department of Medicine
Mayo Clinic Medical Center
Jacksonville, FL

Gail Erlick Robinson, MD, DPsych, FRCPC
Departments of Psychiatry and Obstetrics/Gynecology
University of Toronto Faculty of Medicine; and
Women's Mental Health Program
University Health Network
Toronto, Ontario, Canada

Andrew J. Roth, MD
Department of Psychiatry and Behavioral Sciences
Memorial Sloan-Kettering Cancer Center
New York, NY

Steven A. Safren, PhD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Shirlene Sampson, MD
Department of Psychiatry
Mayo Clinic College of Medicine
Rochester, MN

Rani A. Sarkis, MD
Department of Neurology
Harvard Medical School; and
Brigham and Women's Hospital
Boston, MA

David B. Sarwer, PhD
Departments of Psychiatry and Surgery
The Edwin and Fannie Gray Hall Center for Human Appearance and
Center for Weight and Eating Disorders; and
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA

Jeremiah M. Scharf, MD, PhD
Departments of Psychiatry and Neurology
Brigham and Women's Hospital; and
Massachusetts General Hospital
Boston, MA

Lidia Schapira, MD
Department of Medicine
Massachusetts General Hospital Cancer Center
Boston, MA

Allen D. Seftel, MD
Departments of Surgery and Urology; and
MD Anderson Cancer Center at Cooper University Health Care
Marlton, NJ

Lawrence F. Seltzer, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Linda C. Shafer, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Kristen M. Shannon, MS, CGC
Center for Cancer Risk Center
Massachusetts General Hospital
Boston, MA
Richard J. Shaw, MD
Departments of Psychiatry & Behavioral Science and Pediatrics
Stanford University School of Medicine
Stanford, CA

Robert L. Sheridan, MD
Department of Surgery
Shriners Hospital for Children; and
Massachusetts General Hospital
Boston, MA

John L. Shuster, MD
Department of Psychiatry
Vanderbilt University School of Medicine
Nashville, TN
David A. Silbersweig, MD
Department of Psychiatry and Institute of the Neurosciences
Harvard Medical School; and
Brigham and Women's Hospital
Boston, MA

Naomi M. Simon, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA
Christopher L. Sola, DO
Department of Psychiatry and Psychology
Mayo Clinic College of Medicine
Rochester, MN

David Spiegel, MD
Department of Psychiatry and Behavioral Sciences
Stanford University School of Medicine
Stanford, CA

Jacqueline C. Spitzer, MSEd
Center for Weight and Eating Disorders; and
Department of Psychiatry
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, PA

Hans Steiner, MD
Departments of Psychiatry & Behavioral Science and Pediatrics
Stanford University School of Medicine
Stanford, CA

Erin Sterenson, MD
Olmsted Medical Center
Rochester, MN

Frederick J. Stoddard Jr., MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Kimberly Stoner, MD
Departments of Medicine and Psychiatry
Medical College of Wisconsin
Milwaukee, WI

Alan Stoudemire, MD
Department of Psychiatry
Emory University School of Medicine
Atlanta, GA

Craig B.H. Surman, MD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Robert Swift, MD, PhD
Department of Psychiatry and Human Behavior
The Warren Alpert Medical School of Brown University; and
The Center for Alcohol and Addiction Studies
Providence VA Medical Center
Providence, RI

Jennifer J. Thomas, PhD
Department of Psychiatry
Harvard Medical School; and
Massachusetts General Hospital
Boston, MA

Mayanka Tickoo, MD
Department of Medicine
Tufts University School of Medicine
Boston, MA

Lara N. Traeger, PhD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Hong-Phuc T. Tran, MD
Department of Geriatric Medicine
UCLA Medical Center
Santa Monica, CA

Nils R. Varney, PhD, ABPP
United States Naval Beaufort Hospital
Port Royal, SC

W. Victor Vieweg, MD*
Department of Psychiatry and Internal Medicine
Virginia Commonwealth University School of Medicine
Richmond, VA

Ana-Maria Vranceanu, PhD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA
Jennifer Wallis, PhD
Department of Ophthalmology
Harvard Medical School; and
Massachusetts Eye and Ear Infirmary
Boston, MA

Tal E. Weinberger, MD
Department of Psychiatry and Human Behavior
Thomas Jefferson University Hospital
Philadelphia, PA

Sarah R. Weintraub, PhD
VA Boston Healthcare System
Boston, MA

C. Donald Williams, MD, CGP
Yakima, WA

Linda M. Worley, MD
Department of Medicine
Good Samaritan Clinic
Little Rock, AR

Monique V. Yohanan, MD, MPH
Milliman Care Guidelines
San Francisco, CA

Mary C. Zeng, MD
Department of Psychiatry
Massachusetts General Hospital
Boston, MA

Sidney Zisook, MD
Department of Psychiatry
University of California-San Diego
San Diego, CA

"Psychiatric Care of the Medical Patient, Third Edition has set a new standard for texts in this area. Fundamentally the book is a true compendium of what the Psychosomatic Psychiatrist must have. It is impossible for a clinician to remember all of this data so it is mandatory that such a book be at their fingertips!" - Thomas N. Wise, MD, Professor of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD "

"The third edition of Psychiatric Care of the Medical Patient extends the philosophy that guided the first two editions: that Medical Psychiatry is a distinct subspecialty taking advantage of physicians' full breadth of psychiatric capabilities combined with detailed knowledge of one or more medical-surgical specialties. This is a landmark textbook that should be on the shelf of every physician who cares for patients with comorbid mental and medical disorders." - James R. Rundell, MD, Professor of Psychiatry and Psychology, Mayo Clinic, Rochester, MN "