Clare Oakley is Specialty Registrar in Forensic Psychiatry, Birmingham and Solihull Mental Health Foundation Trust, UK Amit Malik is Consultant Psychiatrist, Hampshire Partnership NHS Trust, UK

• Preface, ix Acknowledgements, xList of Abbreviations, xiIntroduction to PsychiatrySummary, 3Signs and symptoms, 4Psychiatric history, 7Mental state examination, 9Classification systems for mental disorders, 11Assessment of suicide risk, 12Deliberate self-harm, 13Suicide, 15Multidisciplinary team, 16Ethical issues, 17Mental Capacity Act, 18Adults With Incapacity (Scotland) Act 2000, 19Mental health legislation, 20Differential DiagnosisThe anxious patient, 27The depressed patient, 28The elated patient, 29The hallucinating patient, 30The patient with obsessions/compulsions, 31The unresponsive patient, 32General Adult PsychiatryAnxiety disorders - agoraphobia, 35Anxiety disorders - generalised anxiety disorder, 36Anxiety disorders - social phobia, 37Anxiety disorders - specific phobia, 38Chronic fatigue syndrome, 39Dissociative disorders, 41Eating disorders - assessment, 42Eating disorders - anorexia nervosa, 43Eating disorders - bulimia nervosa, 45Mood disorders - bipolar affective disorder, 46Mood disorders - depression, 49Obsessive-compulsive disorder, 51Personality disorders, 53Postnatal mental disorders - postnatal blues, 56Postnatal mental disorders - postnatal depression, 57Postnatal mental disorders - puerperal psychosis, 58Reactions to stressful events - abnormal grief reactions, 59Reactions to stressful events - acute stress disorders, 60Reactions to stressful events - adjustment disorder, 61Reactions to stressful events - post-traumatic stress disorder, 62Schizophrenia, 64Somatisation disorder, 67Substance misuse - assessment, 68Substance misuse - alcohol, 70Substance misuse - illicit drugs, 72NeuropsychiatryEpilepsy, 77Head injury and associated psychiatric sequelae, 79Huntington.s disease, 80Motor neuron disease, 81Multiple sclerosis, 82Parkinson.s disease, 83Syphilis, 84Wilson's disease, 85Child and Adolescent PsychiatrySpecial considerations for assessment, 89Attachment and development, 90Attention deficit hyperactivity disorder, 92Child abuse, 93Conduct disorder, 94Other psychiatric disorders of childhood and adolescence, 95Old Age PsychiatrySpecial considerations for assessment, 99Delirium, 100Dementia, 102Depression, 105Very late-onset schizophrenia, 107Psychiatry of Learning DisabilityLearning disability, 111Autism, 113Down.s syndrome, 115Genetic disorders, 116Forensic PsychiatrySpecial considerations for assessment, 119Violence and mental disorder, 120Risk assessment, 121Structure of forensic services, 122Legal terms and criminal proceedings, 123PsychotherapySpecial considerations for assessment, 127Cognitive-behavioural therapy, 128Psychodynamic psychotherapy, 129Supportive psychotherapy, 130PsychopharmacologyIntroduction - general points on prescribing, 133Antidepressants - selective serotonin reuptake inhibitors, 134Antidepressants - tricyclic antidepressants, 135Antidepressants - monoamine oxidase inhibitors, 136Antidepressants - others, 137Antipsychotics - atypicals, 138Antipsychotics - typicals, 139Antipsychotics - clozapine, 140Anxiolytics, 141ADHD medication, 142Electroconvulsive therapy, 143Dementia medication, 145Hypnotics, 146Medication for alcohol dependence, 147Medication for opioid dependence, 148Mood stabilisers - carbamazepine, 149Mood stabilisers - lithium, 150Mood stabilisers - sodium valproate, 152Rapid tranquillisation, 153AppendicesCulture-specific disorders, 157Eponymous syndromes, 158Physical disorders - psychological consequences, 160Medication - psychological consequences, 161Glossary

Clare Oakley is Specialty Registrar in Forensic Psychiatry, Birmingham and Solihull Mental Health Foundation Trust, UK Amit Malik is Consultant Psychiatrist, Hampshire Partnership NHS Trust, UK

• Preface, ix Acknowledgements, xList of Abbreviations, xiIntroduction to PsychiatrySummary, 3Signs and symptoms, 4Psychiatric history, 7Mental state examination, 9Classification systems for mental disorders, 11Assessment of suicide risk, 12Deliberate self-harm, 13Suicide, 15Multidisciplinary team, 16Ethical issues, 17Mental Capacity Act, 18Adults With Incapacity (Scotland) Act 2000, 19Mental health legislation, 20Differential DiagnosisThe anxious patient, 27The depressed patient, 28The elated patient, 29The hallucinating patient, 30The patient with obsessions/compulsions, 31The unresponsive patient, 32General Adult PsychiatryAnxiety disorders - agoraphobia, 35Anxiety disorders - generalised anxiety disorder, 36Anxiety disorders - social phobia, 37Anxiety disorders - specific phobia, 38Chronic fatigue syndrome, 39Dissociative disorders, 41Eating disorders - assessment, 42Eating disorders - anorexia nervosa, 43Eating disorders - bulimia nervosa, 45Mood disorders - bipolar affective disorder, 46Mood disorders - depression, 49Obsessive-compulsive disorder, 51Personality disorders, 53Postnatal mental disorders - postnatal blues, 56Postnatal mental disorders - postnatal depression, 57Postnatal mental disorders - puerperal psychosis, 58Reactions to stressful events - abnormal grief reactions, 59Reactions to stressful events - acute stress disorders, 60Reactions to stressful events - adjustment disorder, 61Reactions to stressful events - post-traumatic stress disorder, 62Schizophrenia, 64Somatisation disorder, 67Substance misuse - assessment, 68Substance misuse - alcohol, 70Substance misuse - illicit drugs, 72NeuropsychiatryEpilepsy, 77Head injury and associated psychiatric sequelae, 79Huntington.s disease, 80Motor neuron disease, 81Multiple sclerosis, 82Parkinson.s disease, 83Syphilis, 84Wilson's disease, 85Child and Adolescent PsychiatrySpecial considerations for assessment, 89Attachment and development, 90Attention deficit hyperactivity disorder, 92Child abuse, 93Conduct disorder, 94Other psychiatric disorders of childhood and adolescence, 95Old Age PsychiatrySpecial considerations for assessment, 99Delirium, 100Dementia, 102Depression, 105Very late-onset schizophrenia, 107Psychiatry of Learning DisabilityLearning disability, 111Autism, 113Down.s syndrome, 115Genetic disorders, 116Forensic PsychiatrySpecial considerations for assessment, 119Violence and mental disorder, 120Risk assessment, 121Structure of forensic services, 122Legal terms and criminal proceedings, 123PsychotherapySpecial considerations for assessment, 127Cognitive-behavioural therapy, 128Psychodynamic psychotherapy, 129Supportive psychotherapy, 130PsychopharmacologyIntroduction - general points on prescribing, 133Antidepressants - selective serotonin reuptake inhibitors, 134Antidepressants - tricyclic antidepressants, 135Antidepressants - monoamine oxidase inhibitors, 136Antidepressants - others, 137Antipsychotics - atypicals, 138Antipsychotics - typicals, 139Antipsychotics - clozapine, 140Anxiolytics, 141ADHD medication, 142Electroconvulsive therapy, 143Dementia medication, 145Hypnotics, 146Medication for alcohol dependence, 147Medication for opioid dependence, 148Mood stabilisers - carbamazepine, 149Mood stabilisers - lithium, 150Mood stabilisers - sodium valproate, 152Rapid tranquillisation, 153AppendicesCulture-specific disorders, 157Eponymous syndromes, 158Physical disorders - psychological consequences, 160Medication - psychological consequences, 161Glossary

Clare Oakley is Specialty Registrar in Forensic Psychiatry, Birmingham and Solihull Mental Health Foundation Trust, UK Amit Malik is Consultant Psychiatrist, Hampshire Partnership NHS Trust, UK

• Preface, ix Acknowledgements, xList of Abbreviations, xiIntroduction to PsychiatrySummary, 3Signs and symptoms, 4Psychiatric history, 7Mental state examination, 9Classification systems for mental disorders, 11Assessment of suicide risk, 12Deliberate self-harm, 13Suicide, 15Multidisciplinary team, 16Ethical issues, 17Mental Capacity Act, 18Adults With Incapacity (Scotland) Act 2000, 19Mental health legislation, 20Differential DiagnosisThe anxious patient, 27The depressed patient, 28The elated patient, 29The hallucinating patient, 30The patient with obsessions/compulsions, 31The unresponsive patient, 32General Adult PsychiatryAnxiety disorders - agoraphobia, 35Anxiety disorders - generalised anxiety disorder, 36Anxiety disorders - social phobia, 37Anxiety disorders - specific phobia, 38Chronic fatigue syndrome, 39Dissociative disorders, 41Eating disorders - assessment, 42Eating disorders - anorexia nervosa, 43Eating disorders - bulimia nervosa, 45Mood disorders - bipolar affective disorder, 46Mood disorders - depression, 49Obsessive-compulsive disorder, 51Personality disorders, 53Postnatal mental disorders - postnatal blues, 56Postnatal mental disorders - postnatal depression, 57Postnatal mental disorders - puerperal psychosis, 58Reactions to stressful events - abnormal grief reactions, 59Reactions to stressful events - acute stress disorders, 60Reactions to stressful events - adjustment disorder, 61Reactions to stressful events - post-traumatic stress disorder, 62Schizophrenia, 64Somatisation disorder, 67Substance misuse - assessment, 68Substance misuse - alcohol, 70Substance misuse - illicit drugs, 72NeuropsychiatryEpilepsy, 77Head injury and associated psychiatric sequelae, 79Huntington.s disease, 80Motor neuron disease, 81Multiple sclerosis, 82Parkinson.s disease, 83Syphilis, 84Wilson's disease, 85Child and Adolescent PsychiatrySpecial considerations for assessment, 89Attachment and development, 90Attention deficit hyperactivity disorder, 92Child abuse, 93Conduct disorder, 94Other psychiatric disorders of childhood and adolescence, 95Old Age PsychiatrySpecial considerations for assessment, 99Delirium, 100Dementia, 102Depression, 105Very late-onset schizophrenia, 107Psychiatry of Learning DisabilityLearning disability, 111Autism, 113Down.s syndrome, 115Genetic disorders, 116Forensic PsychiatrySpecial considerations for assessment, 119Violence and mental disorder, 120Risk assessment, 121Structure of forensic services, 122Legal terms and criminal proceedings, 123PsychotherapySpecial considerations for assessment, 127Cognitive-behavioural therapy, 128Psychodynamic psychotherapy, 129Supportive psychotherapy, 130PsychopharmacologyIntroduction - general points on prescribing, 133Antidepressants - selective serotonin reuptake inhibitors, 134Antidepressants - tricyclic antidepressants, 135Antidepressants - monoamine oxidase inhibitors, 136Antidepressants - others, 137Antipsychotics - atypicals, 138Antipsychotics - typicals, 139Antipsychotics - clozapine, 140Anxiolytics, 141ADHD medication, 142Electroconvulsive therapy, 143Dementia medication, 145Hypnotics, 146Medication for alcohol dependence, 147Medication for opioid dependence, 148Mood stabilisers - carbamazepine, 149Mood stabilisers - lithium, 150Mood stabilisers - sodium valproate, 152Rapid tranquillisation, 153AppendicesCulture-specific disorders, 157Eponymous syndromes, 158Physical disorders - psychological consequences, 160Medication - psychological consequences, 161Glossary