Psychosomatic Medicine

Edited by Kurt Ackerman and Andrea Dimartini

Pittsburgh Pocket Psychiatry Series

Focused, yet comprehensive review of a complex subject, including: historical background, pragmatic guidelines based on the literature and extensive clinical experience.
Contributing authors have both broad-ranging knowledge and expertise unique to their subject area.
Extensive use of tables and bulleted lists to facilitate access to key clinical information
Key points highlighted in each chapter to emphasize important subject material
Use of Exercises to aid self-assessment
Includes Suggested Readings, which incorporate text references and sources for additional learning

Psychosomatic Medicine

Edited by Kurt Ackerman and Andrea Dimartini

Pittsburgh Pocket Psychiatry Series

Description

Psychosomatic Medicine (PM) is a rapidly developing subspecialty of psychiatry focusing on psychiatric care of patients with other medical disorders. PM specialists diagnose and manage psychiatric symptoms in a variety of medical settings, optimize their patients' medical care, and expand understanding regarding the role of psychological factors in health and disease. PM practitioners may function as psychiatric consultants in hospital-based wards, primary providers in med-psych units, or collaborative practitioners integrated with inpatient and outpatient medical teams. PM practitioners strive to stay current with the latest research and practice guidelines in a burgeoning field involving complex interactions and combinations of illnesses. To address these challenges, this book provides practical instruction from PM clinicians, educators and researchers, covering core clinical concepts routinely used in practice.

Psychosomatic Medicine serves as an educational resource covering salient psychosomatic medicine topics for trainees and colleagues in psychiatry and other medical specialties. A history of PM contextualizes the field, and an overview of psychiatric consultation in the general medical setting emphasizes specifics of psychosomatic interviewing, physical examination, and collaboration with primary medical services. The remaining chapters cover the diagnosis and management of conditions commonly encountered by the psychosomatic psychiatrist: assessment and treatment of psychiatric disorders in a medical setting; assessment of decisional capacity; use of psychotropic medication in medically-compromised patients; management of delirium, cognitive and somatoform disorders; psychiatric manifestations of neurologic and other general medical conditions; emergent complications of psychiatric medication and illicit substance use; and special topics pertinent to PM. Finally, future directions in PM are explored in fascinating detail.

Psychosomatic Medicine

Edited by Kurt Ackerman and Andrea Dimartini

Pittsburgh Pocket Psychiatry Series

Introduction
1. History of Psychosomatic Medicine and Consultation-Liaison Psychiatry

2. Psychiatric Consultation in the Inpatient General Medical Setting

Psychiatric Diagnosis and Management in the General Medical Setting
3. Mood Disorders and Insomnia in the General Medical Setting

4. Anxiety in the General Medical Setting

5. Somatic Symptom and Related Disorders

6. Psychopharmacology in the General Medical Setting

7. Management of Agitation in the General Medical Setting

8. Strategies to Improve Coping and Manage Maladaptive Behaviors in the General Medical Setting

9. Assessment of Decision-Making Capacity

Psychiatric Presentations Associated with Neurologic and Other Medical Conditions
10. Delirium

11. Neurocognitive Disorders in the General Medical Setting

12. Psychiatric Presentations Associated with Neurologic Illness

13. Psychiatric Presentations Associated with Organ Failure and Systemic Illness

Emergent Complications of Medication and Substance Use
14. Catatonia, Neuroleptic Malignant Syndrome, and Serotonin Syndrome

15. Toxidromes: Toxicology and the Psychiatric Patient

16. Substance Intoxication and Withdrawal States in the General Medical Setting

Special Topics in Psychosomatic Medicine
17. Perinatal Psychiatry

18. Psycho-Oncology

19. Organ Transplant Psychiatry

20. Psychiatric Evaluation and Management of Pain

21. Psychiatry in Palliative Care

22. Future Directions in Psychosomatic Medicine

Psychosomatic Medicine

Edited by Kurt Ackerman and Andrea Dimartini

Pittsburgh Pocket Psychiatry Series

Author Information

Kurt Ackerman, MD, PhD is an Assistant Professor of Psychiatry at the University of Pittsburgh School of Medicine and Fellow of the Academy of Psychosomatic Medicine. He serves as Medical Director of Adult Mood and Anxiety Services, and Behavioral Health IT, at Western Psychiatric Institute and Clinic of UPMC. His research has focused on clinical applications of psychoneuroimmunology. Current interests include development of educational tools, order sets, and clinical pathways for treatment of psychiatric issues in a general medical setting.

Contributors:

Michael Gary Abesamis, MD
Department of Emergency Medicine/Medical Toxicology
University of Pittsburgh School of Medicine
Pittsburgh, PA

Kurt D Ackerman, MD, PhD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Pierre N. Azzam, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Bradford Bobrin, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Traci D'Almeida, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Ann Louise DiBarry, PMHCNS-BC
Western Psychiatric Institute and Clinic of UPMC
Pittsburgh, PA

Andrea DiMartini, MD
Western Psychiatric Institute and Clinic of UPMC
Starzl Transplant Institute
Departments of Psychiatry and Surgery
University of Pittsburgh School of Medicine
Pittsburgh, PA

Mary Amanda Dew, PhD
Western Psychiatric Institute and Clinic of UPMC
Departments of Psychiatry, Psychology and Epidemiology
University of Pittsburgh School of Medicine
Pittsburgh, PA

Christopher R. Dobbelstein, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Jacqueline Dunbar-Jacob, R.N., Ph.D.
School of Nursing
University of Pittsburgh
Pittsburgh, PA

Mary G. Fitzgerald, MSN, PMHCNS-BC
Western Psychiatric Institute and Clinic of UPMC
Pittsburgh, PA

Jody Glance, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Priya Gopalan, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Ghennady V. Gushchin, MD, PhD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Christopher R. Hope, MD, MHA
Western Psychiatric Institute and Clinic of UPMC
Pittsburgh, PA

Robert H. Howland, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Robert Hudak, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Julie A. Hugo, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Rolf G. Jacob, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Abhishek Jain, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Francis E. Lotrich, MD, PhD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Kevin Patterson, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Donna M. Posluszny, PhD
Biobehavioral Oncology Program
University of Pittsburgh Cancer Institute of UPMC
University of Pittsburgh School of Medicine
Pittsburgh PA

Alin J. Severance, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry
University of Pittsburgh School of Medicine
Pittsburgh, PA

Ellen M. Whyte, MD
Western Psychiatric Institute and Clinic of UPMC
Department of Psychiatry and Department of Physical Medicine and Rehabilitation
University of Pittsburgh School of Medicine
Pittsburgh, PA

Psychosomatic Medicine

Edited by Kurt Ackerman and Andrea Dimartini

Pittsburgh Pocket Psychiatry Series

Reviews and Awards

"From common symptoms such as anxiety, depression, insomnia and agitation to specific disease entities where psychiatric disorders commonly coexist, this book offers the clinician a guide to effective and evidence based management. Psychosomatic Medicine should be on the desk or in the pocket of all clinicians, whether a seasoned practitioner or a resident." -- Thomas N. Wise, M.D., Professor of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD

"This is a small and portable handbook packed with the latest information on commonly encountered psychosomatic medicine topics. It summarizes current scientific literature and condenses it down to need-to-know basics. Its standardized format, easy-to-reference tables, and eloquent conciseness make it incredibly easy to use. Clinicians and trainees in psychiatric and medical practice will find this a valuable tool." -- Heather Huang, Doody's