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Psychotic Disorders
Comorbidity Detection Promotes Improved Diagnosis And Treatment
- 1st Edition - October 24, 2020
- Editors: André Barciela Veras, Jeffrey P. Kahn
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 6 8 3 0 9 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 8 3 1 0 - 4
A counterintuitive and novel approach to the long-sought goal of subtyping schizophrenia and other psychotic disorders emerges from ongoing research. Five psychosis associated an… Read more
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Request a sales quoteA counterintuitive and novel approach to the long-sought goal of subtyping schizophrenia and other psychotic disorders emerges from ongoing research. Five psychosis associated anxiety and depressive subtypes each help define five corresponding psychosis diagnoses, their fixed false beliefs, and most importantly, their treatments.
These anxiety and depressive comorbidities have long been long overlooked as an understandable hodgepodge of distressing symptoms caused by the pain of psychosis. But these five comorbidities usually precede onset of the psychosis, and their treatment can significantly improve outcome. So, maybe, the causation is the other way around: maybe they are among the underlying contributors to schizophrenia and other psychotic disorders.
The chapter authors expertly detail the data supporting this innovative approach. They provide fictional case studies, DSM-5 diagnostic criteria, specific interviewing approaches for the five comorbidities in psychosis patients, and improved treatment options. Other chapters explore psychoses related to substance use, medical illness and medical treatment, as well as other factors that contribute to psychotic disorders.
This first-of-its-kind reference is a valuable clinical, educational, research and training resource for psychiatrists, psychologists, nurses, social workers, neurologists and anyone interested in the care and treatment of someone with a psychotic disorder.
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Reflects current research, diagnosis, and treatment options for:
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Schizophrenia with Voices and Panic Anxiety
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Obsessive-Compulsive Schizophrenia and Obsessive-Compulsive Disorder
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Persecutory Delusional Disorder and Social Anxiety
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Delusional Depression and Melancholic Depression
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Bipolar I Disorder and Atypical Depression
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Substance Use Psychoses
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Medical Illness and Iatrogenic Psychoses
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Covers treatment options and outcomes with medication and psychotherapy.
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Includes sample patient interview approaches and/or biological tests for each diagnosis.
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Highlights symptoms, quasi-psychotic symptoms and secondary signs of the comorbidities when alone, and when in conjunction with psychosis.
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Reviews diagnosis-specific significance and contributory roles of neurotransmitters, hypofrontality, psychological trauma, and genetics.
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Enhanced eBook version allows access to entire book contents on most devices. Included free with book purchase, or purchase separately.
psychiatrist, neurologists, neuropsychiatrist, psychiatry and neuropsychiatric fellows, psychologist
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Foreword
- Preface
- Disclaimer
- Acknowledgments
- Chapter 1: Introduction: Diagnosing Comorbidity Trees in the Forest of Psychosis
- Abstract
- Definition of Functional Psychosis
- A History of Psychosis Differential Diagnosis
- Current Psychosis Differential Diagnostic Theories
- Evolutionary Theory and the Group of Schizophrenias
- Psychosis and Mixed Comorbidities
- Basic Interview Guidelines for Acutely Psychotic Patients
- Summary: Limitations of Existing Research, Increasing Research Interest
- Chapter 2: Psychotogenesis
- Abstract
- Introduction
- Psychosis in Schizophrenia
- Distinguishing Psychotic Depression and Bipolar Disorder
- Schizoaffective Disorder
- Psychosis in Community Samples
- Psychosis Prodrome
- Schizotypy
- Risk Factors for Psychosis
- Global Genetic Risk Factors
- Other Family Risk Factors
- Environmental Exposures
- Pathophysiology of Psychosis
- Predictors of Psychosis
- Premorbid Abnormalities Support Developmental Origins
- Later Insults Associated with Schizophrenia
- Chapter 3: Obsessive-Compulsive Schizophrenia and Obsessive-Compulsive Disorder
- Abstract
- Introduction
- Schizophrenia
- Obsessive-Compulsive Disorder
- Interview and Assessment Guidelines for Obsessive-Compulsive Disorder Screening in Schizophrenia
- Treatment of Obsessive-Compulsive Schizophrenia
- Fictional Case: Prodromal Obsessive-Compulsive Disorder Preceding Schizophrenia Onset
- Conclusions and future directions
- Chapter 4: Paranoid Schizophrenia With Voices and Panic Anxiety
- Abstract
- Schizophrenia
- Panic Disorder
- Psychosis-Like Symptoms in Non-Psychotic Panic Disorder
- Schizophrenia with Auditory Hallucinations and Comorbid Panic
- Fictional Case
- Interview Technique
- Treatment
- What Might Panic Psychosis Criteria Look Like?
- Summary
- Chapter 5: Persecutory Delusional Disorder and Social Anxiety
- Abstract
- Persecutory Delusional Disorder
- Social Anxiety Disorder
- Social Anxiety Disorder and Comorbidity in Schizophrenia
- Mild Quasi-Psychotic Features in Social Anxiety Disorder
- Social Anxiety Disorder and Persecutory Delusional Disorder: Chronology and Comorbidity
- Case Study Part I (Fictional Case)
- How to Interview
- Case Study Part II: Treatment
- Social Anxiety Disorder and Persecutory Delusional Disorder Treatment
- Social Anxiety Disorder and Persecutory Delusional Disorder
- Summary
- Chapter 6: Delusional Depression and Melancholia
- Abstract
- Psychotic (Delusional) Depression
- Melancholia
- Melancholia: Secondary Signs and Symptoms
- Melancholia and Psychosis: A Continuum?
- Mild Psychosis-like Features in “Nonpsychotic” Cases
- Prepsychotic Onset Comorbidity
- Fictional Case History
- The Psychiatric Interview and Assessment
- The Melancholic Patient’s Interview
- Tools to Screen for Psychotic Depressive Patients
- Case Report Part II: Treatment
- Suicide Risk Assessment
- Diagnostic Syndrome
- Summary
- Chapter 7: Bipolar I Mania and Atypical Depression
- Abstract
- Introduction
- Atypical Depression
- Bipolar I Mania
- Atypical Depression and Psychosis Risk
- Fictional Case
- How to Interview
- Fictional Case: Treatment
- Treatment
- Psychosis and Atypical Depression
- Summary
- Chapter 8: Substance Use Psychosis
- Abstract
- Introduction
- Fictional Case
- Theories to Explain Substance Use Disorder Comorbidity: Self-Medication Versus Addiction Vulnerability Hypothesis
- Substance Use in Schizophrenia and Related Disorders
- Clinical Features and Assessment of Substance Use Disorders in Psychosis
- Treatment for Co-occurring Substance Use Disorders and Psychosis
- Conclusions
- Chapter 9: Psychoses Due to Medical Illness or Iatrogenesis
- Abstract
- Introduction
- Neurobiology and Putative Mechanisms of Organic Psychosis
- Epidemiology
- Classification of Medical Illness-Related Psychosis
- Diagnosis
- Summary
- Index
- No. of pages: 160
- Language: English
- Edition: 1
- Published: October 24, 2020
- Imprint: Saunders
- Paperback ISBN: 9780323683098
- eBook ISBN: 9780323683104
AV
André Barciela Veras
André Barciela Veras, M.D., PhD, is Professor of Psychiatry in the Medical School of the State University of Mato Grosso do Sul. Fruitful research partnerships and meticulous discussions of clinical experience with superb mentors have contributed immensely to the content of this book. His psychosis research papers all reflect all those collaborations. He graduated from the Federal University of Rio de Janeiro, where he also obtained his master’s, doctoral and post-doctoral degrees.
Affiliations and expertise
Department of Psychiatry, University of the State of Mato Grosso do Sul, Campo Grande – MS, BrazilJK
Jeffrey P. Kahn
Jeffrey P. Kahn, M.D. is Clinical Professor of Psychiatry at Weill-Cornell Medical College in Manhattan. This work on psychosis draws from research and clinical experience, and from academic interests in precision diagnosis, anxiety disorders and evolution. His book on evolutionary psychopathology (Angst: Origins of Anxiety and Depression, Oxford, 2012) included a preliminary overview of some ideas described here. He graduated from Swarthmore College and the Columbia University College of Physicians & Surgeons.
Affiliations and expertise
Weill-Cornell Medical College, New York, New York