Author: Leaman Ralph

This comprehensive text covers all the anxiety disorders found in the latest DSM and ICD classifications. Written by two internationally recognized authorities in the field, it provides detailed information about seven principal disorders, including anxiety in the medically ill. For each disorder, the book covers diagnostic criteria, epidemiology, etiology and pathogenesis, clinical features, natural history, and differential diagnosis; and describes treatment approaches, both psychological and pharmacological. The authors have thoroughly surveyed the scientific literature of the past two decades, and have added insights from history, philosophy, and the arts. At once scholarly and clinically relevant, this is a definitive reference for psychiatrists at all levels. It will also be of interest to other mental health professionals, and to many physicians in other specialties.

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Expands and refines the psychosomatic approach in clinical practice Psychosomatic medicine has developed methods to increase diagnostic accuracy and improve targeted therapeutic approaches in all fields of medicine. In this context, clinimetrics, the science of clinical measurements, provides unprecedented opportunities for psychosomatic assessment. This volume illustrates how this approach can be translated into everyday practice complementing and improving the medical interview. The most sensitive and reliable clinical methods are presented for evaluating specific psychosocial aspects of disease, i.e. childhood adversities, life events and chronic stress, lifestyle, sexual function, subclinical and affective disturbances, personality, illness behavior, well-being and family dynamics. Each chapter provides practical illustrations as to how crucial information can be obtained with specific methods individualized according to the patients’ needs. A hyperlink is provided to a website that contains many of the instruments assessed in the volume. This book enables the reader to understand the value of the psychosomatic approach in clinical practice. It is intended to expand and refine the skills of clinicians who work in general and specialized medicine and psychiatry, whether physicians, psychologists or other health professionals.

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After reviewing the relevant treatment literature, the authors detail how to assess and treat PTSD using a cognitive-behavioral approach. Co mplete instructions are given for planning treatment, as well as for i ntroducing the patient to the various interventions. Nine exposure and stress management techniques are then detailed, including imaginal ex posure (trauma reliving), in vivo exposure, relaxation training, thoug ht-stopping, cognitive restructuring, covert modeling, and role-playin g. Enhancing the books clinical utility are numerous case examples il lustrating how to implement the techniques, as well as explanations of how to cope with common problems and complications in treatment. The final chapter presents detailed outlines of three suggested treatment programs.

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