Table Of ContentPSYCHI AT RY BOA R D R EV I EW
PSYCHIATRY BOAR D
R EVIEW
EDITED BY
Rajesh R. Tampi, MD, MS, DFAPA
PROFESSOR OF PSYCHIATRY, CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
VICE CHAIRMAN FOR EDUCATION AND FACULTY DEVELOPMENT
RESIDENCY PROGRAM DIRECTOR
CHIEF OF GERIATRIC PSYCHIATRY
INTERIM DIRECTOR, PSYCHIATRY CONSULTATION LIAISON SERVICE
METROHEALTH, CLEVELAND, OHIO, USA
ASSOCIATE CLINICAL PROFESSOR OF PSYCHIATRY
YALE SCHOOL OF MEDICINE
NEW HAVEN, CT, USA
Kristina Zdanys, MD
ASSISTANT PROFESSOR OF PSYCHIATRY
GERIATRIC PSYCHIATRY FELLOWSHIP PROGRAM DIRECTOR
UCONN HEALTH
FARMINGTON, CT, USA
Mark Oldham, MD
ASSISTANT PROFESSOR OF PSYCHIATRY
YALE SCHOOL OF MEDICINE
ASSISTANT PROFESSOR OF PSYCHIATRY, YALE SCHOOL OF NURSING
MEDICAL DIRECTOR, BEHAVIORAL INTERVENTION TEAM
YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT, USA
1
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TABLE OF CONTENTS
Contributors vii 13. Management and Treatment of Neurological
Disorders 159
PART I BASIC CONCEPTS IN PSYCHIATRY Tatjana Barisic-Dujmovic
Section Editor: Isis Burgos- Chapman
PART III CLINICAL PSYCHIATRY
1. Development Through the Life Cycle 3
Section Editor: Rajiv Radhakrishnan,
Rachel Wurmser
Lily Arora
2. Behavioral and Social Sciences 12
14. Childhood-Onset Disorders 173
Adefolake Akinsanya
3. Epidemiology and Public Policy 18 Waqar Rizvi
15. Psychiatric Presentations Due to Medical
Carlos E. Molina
Conditions 182
4. Diagnostic Procedures 25
Harvinder Singh, Nery Diaz
Ajay Shah, Varma Penumetcha, Rajesh R. Tampi,
16. Substance- Related Disorders 188
Mohsina Ahmed, Rabeea Mansoor, Raman Marwaha,
and Juan Young Shirshendu Sinha
5. Clinical Aspects of Psychiatric Disorders 50 17. Schizophrenia and Other Psychotic Disorders 197
Neha Gupta, Ajay Shah, Kamalika Roy, Harvinder Singh, Aarti Gupta
Varma Penumetcha, and Mark Oldham 18. Mood Disorders 206
6. Treatment of Psychiatric Disorders 80
Harvinder Singh, Brian Frankel
Neha Gupta 19. Anxiety Disorders 215
Ambreen Ghori, Aarti Gupta
PART II NEUROLOGY AND
20. Somatic Symptom Disorders and Factitious
NEUROSCIENCES
Disorders 225
Section Editor: Shirshendu Sinha
Harvinder Singh, Juan Young, Isabella Michna
7. Neural Development Through the Life Cycle 89 21. Dissociative Disorders 232
Rajesh R. Tampi, Juan Young, Mohsina Ahmed, David Matuskey
Raman Marwaha 22. Sexual Disorders and Gender Dysphoria 235
8. Basic Neurosciences 95
Adefolake Akinsanya
Rajesh Tampi 23. Eating Disorders 241
9. Diagnostic Procedures 101
Harvinder Singh
Kristina Zdanys 24. Impulse Control Disorders 244
10. Clinical Aspects of Neuropsychiatric Disorders 105
Isabella Michna
Shirshendu Sinha, Kristina Zdanys 25. Adjustment Disorders 247
11. Treatment of Neuropsychiatric Disorders 122
Anil Bachu
Michael Maksimowski, Rajesh Tampi 26. Personality Disorders 251
12. Diagnostic and Clinical Evaluation of Neurological
Waqar Rizvi
Disorders and Syndromes 136
27. Diagnostic Procedures 256
Kristina Zdanys, Kamalika Roy, Shirshendu Sinha
Anil Bachu
v
28. Treatment of Psychiatric Disorders 262 36. Clinical Vignette: Ethics (Capacity Evaluation) 335
Harvinder Singh, Miyun Kang, Sarah de Asis, Tobias Wasser
Rajiv Radhakrishnan, Rajesh R. Tampi, Esha Sharma, 37. Clinical Vignette: Delirium 339
Geetha Manikkara, Silpa Balachandran,
Mahitha Kolli, Suneela Cherlopalle Filza Hussain
29. Ethics 298 38. Clinical Vignette: Psychosomatics (HIV) 342
Deepti Challagolla Mark Oldham
30. Epidemiology, Biostatistics, and Research Design 305 39. Clinical Vignette: Mood Disorders (With Suicidal
Ideation) 346
Mark Oldham
Sarah Jillani
31. Interpersonal and Communication Skills 312
40. Clinical Vignette: Personality Disorders 349
Deepti Challagolla
Sarah Jillani
32. Systems- Based Practice Issues 316
41. Clinical Vignette: Psychopharmacology
Deepti Challagolla
(Extrapyramidal Symptoms) 352
33. Factors Affecting Prognosis or Complicating
Filza Hussain
Treatment 320
42. Clinical Vignette: Schizophrenia 355
Jatinder Chawla, Swapnil Gupta
Michael Maksimowski
43. Clinical Vignette: Substance Use Disorders
PART IV CLINICAL VIGNETTES
(Alcohol) 358
Section Editor: Mallika Lavakumar
Shirshendu Sinha
34. Clinical Vignette: Autism Spectrum Disorder 329
Index 363
Adefolake Akinsanya
35. Clinical Vignette: Legal (Competence to Stand Trial) 332
Isabella Michna
vi • TABLE Of CONTENTS
CONTRIBUTORS
Mohsina Ahmed, MD Deepti Challagolla, MD
Resident in Psychiatry Attending Psychiatrist
MetroHealth Lighthouse Care Center of Conway
Case Western Reserve University School Conway, SC, USA
of Medicine
Cleveland, OH, USA Jatinder Chawla, MBBS, MD
Staff psychiatrist
Adefolake Akinsanya, MD Manhattan Psychiatric Center
Resident in Psychiatry Manhattan, NY, USA
MetroHealth
Case Western Reserve University School of Medicine Suneela Cherlopalle, MD
Cleveland, OH, USA Resident in Psychiatry
MetroHealth
Lily Arora, MD Case Western Reserve University School of Medicine
Clinical Assistant Professor Cleveland, OH, USA
Rutgers-New Jersey Medical School Assistant Clinical Professor
Newark, NJ, USA Yale University School of Medicine
New Haven, CT, USA
Anil Bachu, MD
Resident in Psychiatry Sarah de Asis, MD
MetroHealth Chairman
Case Western Reserve University School of Medicine Department of Psychiatry
Cleveland, OH, USA Day Kimball Hospital
Putnam, CT, USA
Silpa Balachandran, MD Assistant Clinical Professor
Resident in Psychiatry Yale University School of Medicine
MetroHealth New Haven, CT, USA
Case Western Reserve University School of Medicine
Cleveland, OH, USA Nery Diaz, DO
Attending Psychiatrist
Tatjana Barisic-Dujmovic, MD Audbon Clinic
Attending Psychiatrist Washington Heights Community Services
Rogers Memorial Hospital Instructor of Clinical Psychiatry
Brown Deer, WI, USA Columbia University New York State
Psychiatric Institute
Isis Burgos- Chapman, MD, FAPA New York, New York, USA
Staff Adult and Geriatric Psychiatrist
Cornell Scott Hill Health Center Brian Frankel, MD
New Haven, CT, USA Fellow in Addiction Psychiatry
Assistant Clinical Professor of Psychiatry Yale School of Medicine
Yale School of Medicine New Haven, CT, USA
New Haven, CT, USA
vii
Ambreen Ghori, MD Mallika Lavakumar, MD
Resident in Psychiatry Attending Psychiatrist
MetroHealth Metrohealth
Case Western Reserve University School Assistant Professor of Psychiatry
of Medicine Case Western Reserve University School
Cleveland, OH, USA of Medicine
Cleveland, OH, USA
Aarti Gupta, MD
Principal Psychiatrist Michael Maksimowski, MD, MA
Connecticut Valley Hospital Resident in Psychiatry
Middletown, CT, USA MetroHealth
Assistant Clinical Professor of Psychiatry Case Western Reserve University School
Yale School of Medicine of Medicine
New Haven, CT, USA Cleveland, OH, USA
Neha Gupta, MD Geetha Manikkara, MD
Fellow in Forensic Psychiatry Research Assistant in Psychiatry
University of Pennsylvania School of Medicine MetroHealth
Philadelphia, PA, USA Cleveland, OH, USA
Fellow in Child and Adolescent Psychiatry
University of Connecticut School Rabeea Mansoor, MD
of Medicine Fellow in Child and Adolescent Psychiatry
Farmington, CT, USA Department of Psychiatry
Cleveland Clinic Foundation
Swapnil Gupta, MBBS, MD Cleveland, OH, USA
Assistant Professor
Department of Psychiatry Raman Marwaha, MD
Yale School of Medicine Attending Psychiatrist
Attending Psychiatrist MetroHealth
Connecticut Mental Health Center Assistant Professor of Psychiatry
New Haven, CT, USA Case Western Reserve University School
of Medicine
Filza Hussain, MD Cleveland, OH, USA
Consultant Psychiatrist
Mayo Clinic Health System David Matuskey, MD
Eau Claire, WI, USA Associate Research Scientist in Radiology and
Biomedical Imaging
Sarah Jillani, MD Medical Director, Yale Positron Emission
Fellow Child and Adolescent Psychiatrist Tomography (PET) Center
Yale Child Study Center, Yale University Assistant Clinical Professor of Psychiatry
New Haven, CT, USA Yale School of Medicine
New Haven, CT, USA
Miyun Kang, MD
Department of Psychiatry Isabella Michna, MD
Yale School of Medicine Fellow in Forensic Psychiatry
New Haven, CT, USA University of Colorado School of Medicine
Denver, CO, USA
Mahitha Kolli, MD
Resident in Psychiatry Carlos E. Molina, MD
MetroHealth Resident in Psychiatry
Case Western Reserve University School MetroHealth
of Medicine Case Western Reserve University School of Medicine
Cleveland, OH, USA Cleveland, OH, USA
viii • CONTRIBUTORS
Mark Oldham, MD Shirshendu Sinha, MBBS
Assistant Professor of Psychiatry, Yale School of Medicine Assistant Professor of Psychiatry
Assistant Professor of Psychiatry, Yale School of Nursing Mayo Clinic College of Medicine
Medical Director, Behavioral Intervention Team Rochester, MN, USA
Yale-New Haven Hospital Senior Associate Consultant, Psychiatry
New Haven, CT, USA Mayo Clinic Health System
Mankato, MN, USA
Varma Penumetcha, MD
Fellow in Law and Psychiatry Rajesh R. Tampi, MD, MS, DFAPA
Yale School of Medicine Professor of Psychiatry
New Haven, CT, USA Case Western Reserve University School of Medicine
Vice Chairman for Education and Faculty Development
Rajiv Radhakrishnan, MBBS, MD Residency Program Director
Department of Psychiatry Chief of Geriatric Psychiatry
Yale School of Medicine MetroHealth
New Haven, CT, USA Cleveland, OH, USA
Associate Clinical Professor of Psychiatry
Waqar Rizvi, MD Yale School of Medicine
Fellow in Child and Adolescent Psychiatry New Haven, CT, USA
Yale Child Study Center, Yale University
New Haven, CT, USA Tobias Wasser, MD
Assistant Professor of Psychiatry
Kamalika Roy, MD Yale School of Medicine
Fellow in Psychosomatic Medicine New Haven, CT, USA
University of Michigan
Ann Arbor, MI, USA Rachel Wurmser, MD
Resident in Psychiatry
Ajay Shah, MD Yale School of Medicine
Menninger Department of Psychiatry and Behavioral New Haven, CT, USA
Sciences
Baylor College of Medicine Juan Young, MD
Houston, TX, USA Resident in Psychiatry
MetroHealth
Esha Sharma, MBBS Case Western Reserve University School of Medicine
Research Assistant Cleveland, OH, USA
Psychiatric Genetic Epidemiology and Neurobiology
Laboratory (PsychGENe Lab) Kristina Zdanys, MD
Department of Psychiatry and Behavioral Sciences Assistant Professor of Psychiatry
SUNY Upstate Medical University Geriatric Psychiatry Fellowship Program Director
Syracuse, NY, USA UConn Health
Farmington, CT, USA
Harvinder Singh, MD
Assistant Professor of Psychiatry
St. Luke’s University Health Network
Bethlehem, PA, USA
Clinical Assistant Professor of Psychiatry (Adjunct)
Temple University School of Medicine
Philadelphia, PA, USA
CONTRIBUTORS • ix
