2nd Edition

When Psychological Problems Mask Medical Disorders, Second Edition A Guide for Psychotherapists

By James Morrison Copyright 2016

    Widely regarded as a standard clinical resource, this book helps practitioners think outside the mental health box and recognize when a client may need a medical evaluation. Part I provides an accessible overview of symptoms that can be observed in a standard mental status examination and may point to medical illness. Engaging case vignettes and interviewing pointers help readers hone their diagnostic skills. Part II presents concise facts--including basic medical information and physical and mental symptoms--on more than 60 diseases and syndromes. An easy-to-read chart in Part III cross-tabulates all of the disorders and symptoms for quick reference and comparison.

    New to This Edition
    *Reflects more than 15 years of advances in medical and mental health knowledge.
    *Updated throughout for DSM-5.
    *Additional medical disorders: celiac disease, traumatic brain injury, heavy-metal toxicity, and others.
    *Updated links to further reading on each health condition.

    Winner (First Place)--American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category

    Introduction
    I. A Review of Symptoms
    The Need for Evaluation
    Observing the Mental Status
    Appearance and Behavior
    Mood (Affect)
    Speech
    Content of Thought
    Intellectual Resources
    Insight and Judgment
    Personality Change
    Diagnostic Principles
    II. 66 Disorders
    Adrenal Insufficiency
    AIDS
    Altitude Sickness
    Amyotrophic Lateral Sclerosis
    Antidiuretic Hormone, Inappropriate Secretion
    Brain Abscess
    Brain Tumor
    Cancer
    Carcinoid Syndrome
    Cardiac Arrhythmias
    Celiac Disease
    Cerebrovascular Accident (Stroke)
    Chronic Obstructive Lung Disease
    Congestive Heart Failure
    Cryptococcosis
    Cushing's Syndrome
    Diabetes Mellitus
    Epilepsy
    Fibromyalgia
    Heavy-Metal Toxicity
    Herpes Encephalitis
    Homocystinuria
    Huntington's Disease
    Hyperparathyroidism
    Hypertensive Encephalopathy
    Hyperthyroidism
    Hypoparathyroidism
    Hypothyroidism
    Kidney Failure
    Klinefelter's Syndrome
    Liver Failure
    Lyme Disease
    Ménière's Syndrome
    Menopause
    Metachromatic Leukodystrophy
    Migraine
    Mitral Valve Prolapse
    Multiple Sclerosis
    Myasthenia Gravis
    Neurocutaneous Disorders
    Normal-Pressure Hydrocephalus
    Parasitism
    Parkinson's Disease
    Pellagra
    Pernicious Anemia
    Pheochromocytoma
    Pneumonia
    Polycystic Ovary Syndrome
    Porphyria
    Postoperative Delirium
    Premenstrual Syndrome
    Prion Disease
    Progressive Supranuclear Palsy
    Protein Energy Malnutrition
    Pulmonary Thromboembolism
    Rheumatoid Arthritis
    Sensory Deficit
    Sickle-Cell Disease
    Sleep Apnea
    Substance Intoxication and Withdrawal
    Syphilis
    Systemic Infection
    Systemic Lupus Erythematosus
    Thiamine Deficiency
    Traumatic Brain Injury
    Wilson's Disease
    III. Symptom Summaries

    Biography

    James Morrison, MD, is Affiliate Professor of Psychiatry at Oregon Health and Science University in Portland. HIs long career includes extensive experience in both the private and public sectors. With his acclaimed practical books--including DSM-5-TR Made Easy; Diagnosis Made Easier, Third Edition; The First Interview, Fourth Edition; and others--Dr. Morrison has guided hundreds of thousands of mental health professionals and students through the complexities of clinical evaluation and diagnosis.

    "This factual, current, and well-written guide is necessary reading for all clinicians who desire to sharpen their diagnostic skills. Morrison addresses the problems presented by psychiatric patients who may suffer from medical disorders, helping the clinician make sense of symptom presentations that are often confusing and on occasion mysterious and baffling. With tables, lists, and detailed explanations, this book establishes order and method in the examination of the complex patient. This second edition carries on the quality of the first, but is greatly enhanced by more information, new insights and clinical revelations, and a pragmatic interpretation of the latest findings."--Rodrigo A. Muñoz, MD, Department of Psychiatry, University of California, San Diego; past president, American Psychiatric Association

    “The ability to differentiate medical and psychological sources of psychological symptoms is a core competency in case formulation and treatment planning. Morrison's succinct book helps clinicians with this critical task better than any other. The book is cross-indexed so information is rapidly available. It is replete with case examples and interesting historical references, and benefits from Morrison's wit and humor. An outstanding contribution.”--Tracy D. Eells, PhD, Department of Psychiatry and Behavioral Sciences, University of Louisville

    "The second edition of this authoritative work covers a topic that is far too often ignored in the training and practice of mental health practitioners. The book is comprehensive, well organized, and easy to read. Morrison’s engaging style and inclusion of numerous summary tables make the book particularly accessible. This is an essential resource that should be on every clinician’s bookshelf or e-reader."--Martin M. Antony, PhD, ABPP, Department of Psychology, Toronto Metropolitan University, Canada

    "I used the first edition for many years to train doctoral students in clinical psychology, and found it to greatly enhance their training. I have no doubt that the second edition also will be extremely popular among students. The text is compelling and easy to read. It helps students and busy professionals quickly explore alternative diagnoses to avoid misdiagnosing medical disorders as psychological illnesses."--Leslie A. Robinson, PhD, Director, Clinical Health Track; Director, Center for Health Promotion and Evaluation, Department of Psychology, University of Memphis

    "Although most therapists are not medical specialists, we do not treat disembodied persons. Morrison alerts us to the most common mental symptoms that might be due to physical disorders, and heightens our diagnostic acumen. His efficient presentation, using both narrative and tables, can alert us to problems we might not have asked about and make treatment more comprehensive and effective. This updated second edition--written in the intelligent, experienced, and modest voice we have come to expect from Morrison--is a foundational resource for all therapists."--Edward L. Zuckerman, PhD, author of Clinician's Thesaurus
    -James Morrison's book is a gem. He addresses common medical illnesses that produce psychological symptoms in a refreshing manner, making the book an excellent review text for fellow psychiatrists and nonphysician psychotherapists....His occasionally tongue-in-cheek style makes for pleasant readability without minimizing the importance of his message....Tables...are laid out in easily readable form and useful for quick cross-referencing....This is book worth its weight in gold: it is eminently readable and can save some lives and bring improvement to many others. (on the first edition)--Journal of the American Medical Association, 3/9/2015ƒƒAt once a primer on the collaboration of psychotherapist and physician and a useful reference book for this purpose. Although it is intended for psychotherapists with limited medical training, it may also be useful to primary care physicians and other medical clinicians who may be the first contact for patients who present with psychiatric symptoms. (on the first edition)--Psychiatric Services, 3/9/2015