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Much of the vast terrain of neurological brain disorders lies beyond our understanding, waiting to be discovered. Complicating our knowledge of and ability to treat these disorders is that they often bring with them a daunting array of psychiatric illnesses. Into this uncharted territory comes Psychiatric Management in Neurological Disease, a practical guide written with the busy clinician in mind. Its wealth of information is organized for ease of use. This comprehensive volume sets forth management principles for a broad range of key representative neurological disorders, each of which presents a distinct psychiatric profile and requires a specific management approach tailored to the nature of the illness and the level of the nervous system affected. Readers will find: -Reviews of recent research findings in specific neurological disorders -Discussions of diagnostic principles and disease aspects relevant to psychiatrists -Surveys of current pharmacological and psychotherapeutic approaches, with explicit information on how to contact and refer patients to support groups -Practical recommendations for helping patientsA families cope with the impact of neurological illnesses. Written by leading practitioners, this concise yet through guide will appeal to a wide audience. General psychiatrists, neuropsychiatrists, and neurologists; geropsychiatrists, gerontologists, and nurses; and physical and occupational therapists and social workers will all find that this timesaving reference pays significant dividends in the quality of care they can offer their patients.
E-Book Content
PSYCHIATRIC MANAGEMENT IN NEUROLOGICAL DISEASE PSYCHIATRIC MANAGEMENT IN NEUROLOGICAL DISEASE Edited by Edward C. Lauterbach, M.D. Washington, DC London, England Note: The authors have worked to ensure that all information in this book concerning drug dosages, schedules, and routes of administration is accurate as of 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 advance, however, therapeutic standards may change. For this reason and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of a physician who is directly involved in their care or the care of a member of their family. Books published by the American Psychiatric Press, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of the Press or the American Psychiatric Association. Copyright © 2000 American Psychiatric Press, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper First Edition 03 02 01 00 4 3 2 1 American Psychiatric Press, Inc. 1400 K Street, N.W. Washington, DC 20005 www.appi.org Library of Congress Cataloging-in-Publication Data A CIP record is on file with the Library of Congress. British Library Cataloguing in Publication Data A CIP record is available from the British Library. Dedicated to the Creator, my parents, and clinicians who take care of patients with neuropsychiatric illnesses This page intentionally left blank Contents Contributors ix Introduction to the Clinical Practice Series Judith H. Gold, M.D., F.R.C.P.C. xi Preface xiii 1 Psychiatric Management Principles in Neurological Disease Edward C. Lauterbach, M.D. 1 2 Parkinson’s Disease Morgan L. Levy, M.D. Jeffrey L. Cummings, M.D. 41 3 Huntington’s Disease Neal G. Ranen, M.D. 71 4 Wilson’s Disease (Progressive Hepatolenticular Degeneration) Edward C. Lauterbach, M.D. 93 5 Fahr’s Syndrome Edward C. Lauterbach, M.D.