Stahl Online is a one-stop shop, covering everything a mental health professional or teacher will ever need to know about neuropsychopharmacology. Comprehensive and regularly updated, Stahl Online provides full access to the entire current portfolio of books by Dr Stephen M. Stahl.
Stahl Online is a one-stop shop, covering everything a mental health professional or teacher will ever need to know about neuropsychopharmacology. Comprehensive and regularly updated, Stahl Online provides full access to the entire current portfolio of books by Dr Stephen M. Stahl.
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Mental health professionals routinely make treatment decisions without necessarily having an overarching perspective about optimal next steps. This important new book provides them with reader-friendly, pragmatic strategies to approach clinical problems as testable hypotheses. It discusses how to apply concepts based on decision analytic theory using risk-benefit analyses, contingency planning, measurement-based care, shared decision making, pharmacogenetics, disease staging, and machine learning. Readers will learn how these tools can help them craft optimal pharmacological and psychosocial interventions tailored to the needs of an individual patient. The book covers topics such as diagnostic ambiguity, interview technique, applying statistical concepts to individual patients, artificial intelligence, and managing high-risk, treatment-resistant, or demanding and difficult patients. Valuable clinical vignettes are featured throughout the book to illustrate common dilemmas and scenarios where the relative merits of competing treatment options invite a more iterative than definitive approach. For all healthcare professionals who prescribe psychotropic medications.
This brand-new fourth volume in Stahl's Case Studies series presents a selection of clinical case studies in child and adolescent psychopharmacology, taken from Dr. Strawn's clinics and consultations. These cases illustrate common questions that are routinely asked by Dr. Strawn's peers in consultations and which represent dilemmas in the day-to-day practice of pediatric psychopharmacology. Followings a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry speciality certification, cases address multifaceted issues in a relevant and understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging all the complications, issues, decisions, twists and turns along the way.
Worldwide efforts to promote greater lithium use for mood disorders have increased the need for evidence-based guidance addressing key questions related to initiation, monitoring and adverse effect management. This practical handbook provides clinicians with a detailed explanation of lithium's renal journey, how this informs our understanding of polyuria pathogenesis and how medications or hyponatremia can alter lithium clearance. Covering efficacy, pharmacokinetics, toxicity, discontinuation, and use in special patient groups including pregnant and breastfeeding women, older or younger patients, each section also provides a detailed background for its suggested logical approach to managing lithium's renal and other adverse effects. Using the latest data, the book outlines rationales for specific management decisions, and prioritizes options to provide clinical guidance on the best course of action. Colour-coded lists and tables, bulleted text, and diagrams illustrate important points throughout, helping to make information accessible and easy-to-digest. An essential resource for mental health professionals worldwide.
Fully updated, this new edition continues to present information in a clear, illustrative, and concise manner. Replacing both Stahl's Illustrated Antidepressants and Stahl's Illustrated Mood Stabilizers, this concise and illustrated guide examines the full spectrum of symptoms included in mood disorders from mania to depression to mixed states in between, the neurocircuitry underlying these symptoms, and the evidence-based therapeutic targets for treatment. Concepts are illustrated by full-color figures, images, and tables making psychopharmacology concepts within this book easy to master for the visual learner. Non-visual learners can enjoy a shortened text version of complex psychopharmacology concepts. Each chapter builds on previous chapters, synthesizing information from basic biology and diagnostics to building treatment plans and dealing with complications and comorbidities. The interaction between the images and text allows the reader to vividly conceptualize complex pharmacologies and a Suggested Reading section guides readers toward more in-depth learning about particular concepts.
The 2017 International Society for Bipolar Disorders (ISBD) Task Force report on pediatric bipolar disorder (BD) cemented the concept that BD can have onset before the age 18, and that establishing the diagnosis should be based on symptoms of mania or hypomania, while chronic irritability by itself is not sufficient to establish a BD diagnosis [1, 2]. A 2010 study of 1566 patients from six international sites documented that approximately 5% of BD-1 and 5% of BD-2 cases had onset before the age of 20 (Figure 7.1), although the authors noted that only 34.1% of patients were evaluated at onset of their BD, so investigators had to rely on patient recall for two-thirds of the sample.
Acute Mania; Rapid Cycling Bipolar Disorder; Bipolar II Disorder and Bipolar Depression; Bipolar Disorder Prophylaxis, Response Predictors; Unipolar Depression; Suicidality; Aggressive or Impulsive Behavior in Child/Adolescent Patients with Conduct Disorder, in Borderline Personality Disorder or in Patients with Intellectual Disability; Neuroprotective Properties; Elevation of Neutrophil Counts; Mechanisms of Action
As clinical psychopharmacology moves into the twenty-first century, there is an emphasis on rational prescribing practices informed by pharmacokinetic principles and clinical dictates. Publications note that certain oral medications which historically were dosed more than once per day (e.g. most antipsychotics including clozapine) have comparable efficacy with nightly (QHS) dosing for the majority of patients [1–3].
