2nd Edition

When Psychological Problems Mask Medical Disorders
A Guide for Psychotherapists

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ISBN 9781462521760
Published September 16, 2015 by Guilford Press
247 Pages

USD $31.00

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Book Description

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.

Table of Contents

I. A Review of Symptoms
The Need for Evaluation
Observing the Mental Status
Appearance and Behavior
Mood (Affect)
Content of Thought
Intellectual Resources
Insight and Judgment
Personality Change
Diagnostic Principles
II. 66 Disorders
Adrenal Insufficiency
Altitude Sickness
Amyotrophic Lateral Sclerosis
Antidiuretic Hormone, Inappropriate Secretion
Brain Abscess
Brain Tumor
Carcinoid Syndrome
Cardiac Arrhythmias
Celiac Disease
Cerebrovascular Accident (Stroke)
Chronic Obstructive Lung Disease
Congestive Heart Failure
Cushing's Syndrome
Diabetes Mellitus
Heavy-Metal Toxicity
Herpes Encephalitis
Huntington's Disease
Hypertensive Encephalopathy
Kidney Failure
Klinefelter's Syndrome
Liver Failure
Lyme Disease
Ménière's Syndrome
Metachromatic Leukodystrophy
Mitral Valve Prolapse
Multiple Sclerosis
Myasthenia Gravis
Neurocutaneous Disorders
Normal-Pressure Hydrocephalus
Parkinson's Disease
Pernicious Anemia
Polycystic Ovary Syndrome
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
Systemic Infection
Systemic Lupus Erythematosus
Thiamine Deficiency
Traumatic Brain Injury
Wilson's Disease
III. Symptom Summaries

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James Morrison, MD, is Affiliate Professor of Psychiatry at Oregon Health and Science University in Portland. He has extensive experience in both the private and public sectors. With his acclaimed practical books--including DSM-5 Made Easy; Diagnosis Made Easier, Second Edition; The First Interview, Fourth Edition; Interviewing Children and Adolescents, Second Edition; and When Psychological Problems Mask Medical Disorders, Second Edition; and The Mental Health Clinician's Workbook--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, Ryerson 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