The American Psychiatric Publishing Textbook of Geriatric Psychiatry » (4th Edition)

Dan G. Blazer, M.D., Ph.D., is J.P. Gibbons Professor of Psychiatry and Behavioral Sciences at Duke University Medical Center in Durham, North Carolina.

David C. Steffens, M.D., M.H.S., is Professor of Psychiatry and Medicine and Head of the Division of Geriatric Psychiatry at Duke University Medical Center in Durham, North Carolina.

Widely recognized as the standard in its field, The American Psychiatric Publishing Textbook of Geriatric Psychiatry has been revised and updated while continuing the tradition of providing both scholar and clinician with the practical skills and knowledge required for understanding mental disorders in later life. It offers an authoritative review of a wide range of topics written by leaders in geriatric psychiatry, gerontology, geriatric medicine, and geriatric nursing, offering a solid grounding in both basic science and clinical applications.

The book boasts comprehensive updates of the most common mental health disorders in the elderly—from mood disorders and anxiety to schizophrenia and circadian rhythm disorders—and includes in this fourth edition new chapters on delirium, dementia and milder cognitive syndromes, and bipolar disorders. Throughout the text, special attention has been given to updating key topics such as psychopharmacology, genetics, cognitive disorders, delirium, and agitation. The fourth edition:

• Presents the latest findings in neuropsychological assessment and its role in the diagnosis of Alzheimer’s disease and in differentiating between various cognitive disorders.
• Summarizes key advances in genomic science and the current state of understanding about the genetics of the mental disorders of aging.
• Offers current recommendations for laboratory assessment of mental disorders, reflecting progress in research and technology over the past decade—particularly in imaging technology and genetic testing—while stressing the need to base tests on clinical presentations and on consideration of how results may change a treatment plan.
• Reviews assessment tools, diagnosis, prevention, and management approaches for delirium, emphasizing nonpharmacological approaches as the first line of treatment.
• Discusses specific dementia syndromes—Alzheimer’s dementia, vascular dementia, dementias due to Lewy body disease, and dementia due to frontotemporal degeneration—along with approaches to treatment ranging from disease therapies to therapies for cognitive and neuropsychiatric symptoms.
• Provides new coverage of bipolar disorders, helping practitioners better understand basic facts about their onset in late life and including treatment guidelines based on case reports.

The text is enhanced by a wide array of quick-reference tables and charts, lists of key points, and extensive references and suggested readings that can help students at all levels learn more about individual topics. The American Psychiatric Publishing Textbook of Geriatric Psychiatry is an unparalleled source for all medical professionals dealing with elderly patients, and is even more indispensable in this new edition.

Doody Review Services

Reviewer:Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description:Updated and comprehensive, this fourth edition of the gold standard of textbooks of geriatric psychiatry is representative of the burgeoning understanding of psychiatric disorders of the elderly. Edited and authored by internationally recognized leaders in the field, this edition remains a welcome contribution to geriatric psychiatry.
Purpose:The purpose of the new edition, according to the editors, "rested on an appreciation of the enormous expansion of scientific knowledge about aging and diseases of late life, as well as on advances in biological psychiatry and neuropsychiatry that have greatly altered the practice of geriatric psychiatry." As in the third edition, the editors reiterate that the goal is "to provide both the scholar and the clinician with the current state of scientific understanding as well as the practical skills and knowledge base required for dealing with mental disorders in late life." The editors and authors have again succeeded in producing an excellent, up-to-date, and useful book.
Audience:The intended audience consists primarily of candidates for the boards in geriatric psychiatry and geriatric psychiatrists. All physicians who read this book will enhance their knowledge base.
Features:Part I covers basic science with chapters on aging, demography and epidemiology, physiology, neuropathology, chemical messengers, genetics, the psychology of aging, and socioeconomic factors. Part II reviews the diagnostic evaluation and part III focuses on psychiatric disorders in late life. Part IV summarizes various treatment modalities including psychopharmacology, ECT, diet, nutrition and exercise, psychotherapy, family therapy, nursing home psychiatry, and community care. The last part covers legal, ethical, and policy issues, and the final chapter is on the past and future of the specialty.
Assessment:This updated, thoroughly comprehensive edition remains exceptional. I highly recommend it to any psychiatrist interested in geriatric psychiatry. The publisher offers online access to the textbook but, unfortunately, even after purchasing this expensive book, an additional fee is required for this privilege.

Pt. I The Basic Science of Geriatric Psychiatry

1 The Myth, History, and Science of Aging Dan G. Blazer Blazer, Dan G. 3

2 Demography and Epidemiology of Psychiatric Disorders in Late Life Celia F. Hybels Hybels, Celia F. Dan G. Blazer Blazer, Dan G. Judith C. Hays Hays, Judith C. 19

3 Physiological and Clinical Considerations of Geriatric Patient Care Robert M. Kaiser Kaiser, Robert M. 45

4 Neuroanatomy, Neurophysiology, and Neuropathology of Aging Warren D. Taylor Taylor, Warren D. Scott D. Moore Moore, Scott D. Steven S. Chin Chin, Steven S. 63

5 Chemical Messengers Jason D. Kilts Kilts, Jason D. Jennifer C. Naylor Naylor, Jennifer C. Victoria M. Payne Payne, Victoria M. Jennifer L. Strauss Strauss, Jennifer L. Patrick S. Calhoun Calhoun, Patrick S. Cbhristine E. Marx Marx, Cbhristine E. 95

6 Genetics Robert A. Sweet Sweet, Robert A. Patricia A. Wilkosz Wilkosz, Patricia A. 119

7 Psychological Aspects of Normal Aging Ilene C. Siegler Siegler, Ilene C. Leonard W. Poon Poon, Leonard W. David J. Madden Madden, David J. Peggye Dihvorth-Anderson Dihvorth-Anderson, Peggye K. Wamer Schaie Schaie, K. Wamer Sherry L. Willis Willis, Sherry L. Peter Martin Martin, Peter 137

8 Social and Economic Factors Related to Psychiatric Disorders in Late Life Linda K. George George, Linda K. 157

Pt. II The Diagnostic Interview in Late Life

9 The Psychiatric Interview of Older Adults Dan G. Blazer Blazer, Dan G. 187

10 Use of the Laboratory in the Diagnostic Workup of Older Adults Mugdha Thakur Thakur, Mugdha P. Murali Doraiswamy Doraiswamy, P. Murali 201

11 Neuropsychological Assessment of Dementia Kathleen A. Welsh-Bohmer Welsh-Bohmer, Kathleen A. Deborah K. Attix Attix, Deborah K.213

Pt. III Psychiatric Disorders in Late Life

12 Delirium Michael A. Fearing Fearing, Michael A. Sharon K. Knouye Knouye, Sharon K. 229

13 Dementia and Milder Cognitive Syndromes Constantine G. Lyketsos Lyketsos, Constantine G. 243

14 Movement Disorders Burton Scott Scott, Burton 261

15 Mood Disorders Dan G. Blazer Blazer, Dan G. David C. Steffens Steffens, David C. Harold G. Koening Koening, Harold G. 275

16 Bipolar Disorder in Late Life John L. Beyer Beyer, John L. 301

17 Schizophrenia and Paranoid Disorders Dilip V. Jeste Jeste, Dilip V. Nicole M. Lanouette Lanouette, Nicole M. Insit V. Vahia Vahia, Insit V. 317

18 Anxiety Disorders Eric J. Lenze Lenze, Eric J. Julie Locbach Wetherell Wetherell, Julie Locbach 333

19 Somatoform Disorders Marc E. Agronin Agronin, Marc E. 347

20 Sexual Disorders Marc E. Agronin Agronin, Marc E. 357

21 Berevement Moria J. Smoski Smoski, Moria J. Larry W. Thompson Thompson, Larry W. 375

22 Sleep and Circadian Rhythm Disorders Andrew D. Krysal Krysal, Andrew D. Jack D. Edinger Edinger, Jack D. William K. Wohlgemuth Wohlgemuth, William K. 395

23 Alcohol and Durg Problems David W. Oslin Oslin, David W. Shahrzad Mavandadi Mavandadi, Shahrzad 409

24 Personality Disorders Thomas E. Oxman Oxman, Thomas E. 429

25 Agitation and Suspiciousness Harold W. Goforth Goforth, Harold W. Lisa P. Gwyther Gwyther, Lisa P. 441

Pt. IV Treatment of Psychiatric Disorders in Late Life

26 Psychopharmacology äBenon H. Mulsant Mulsant, äBenon H. Bruce G. Pollock Pollock, Bruce G. 453

27 Electroconvulsive Therapy äRuhard D. Weiner Weiner, äRuhard D. Andrew D. Krystal Krystal, Andrew D. 485

28 Nutrition and Physical Activity äCennve Watkins Bales Bales, äCennve Watkins Martha Elizabeth Payne Payne, Martha Elizabeth 501

29 Individual and Group Psychotherapy Thomas R. Lynch Lynch, Thomas R. äMoria J. Smoski Smoski, äMoria J. 521

30 Working With Families of Older Adults Lisa P. äGuyther äGuyther, Lisa P. Dine E. Meglin Meglin, Dine E. 539

31 Clinical Psychiatry in the Nursing Home Joel E. Streim Streim, Joel E. Ira R. Katz Katz, Ira R. 553

32 The Continuum of Caring in the Long Term: Movement Toward the Community George L. Maddox Maddox, George L. Elise J. Bolda Bolda, Elise J. 587

Pt. V Special Topics

33 Legal, Ethical, and Policy Issues William E. Reichman Reichman, William E. Joel E. Streim Streim, Joel E. Jason H. T. Karlawish Karlawish, Jason H. T. J. Pierre Loebel Loebel, J. Pierre 603

34 The Pat and Future of Geriatric Psychiatry Dan G. Blazer Blazer, Dan G. David C. Steffens Steffens, David C. 619

Index 627