Clinical Manual of Pain Management in Psychiatry This page intentionally left blank Clinical Manual of Pain Management in Psychiatry Raphael J. Leo, M.D. Associate Professor, State University of New York at Buffalo School of Medicine and Biomedical Sciences; Department of Psychiatry and Center for Comprehensive Multidisciplinary Pain Management Erie County Medical Center Buffalo, New York Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% discount; please contact APPI Customer Service at
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[email protected] for a price quote. Copyright © 2007 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 11 10 09 08 07 5 4 3 2 1 First Edition Typeset in Adobe’s Formata and AGaramond. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard, Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data Leo, Raphael J., 1962– Clinical manual of pain management in psychiatry / by Raphael J. Leo.—1st ed. p. ; c