Intro; Preface; Contents; Contributors; 1: A Complex Case of Major Neurocognitive Disorder: Alzheimer's Disease; 1.1 Case History; 1.2 Genetic Factors Contributing to the Onset of Alzheimer's Disease (AD); 1.3 Genetic Factors Involved in the Early Onset of Alzheimer's Disease; 1.4 Pathological Effects of the Genetic Factors in an Alzheimer's Disease; 1.5 Continuation of the Case; 1.6 Natural History of Alzheimer's Disease?; 1.7 Investigations Used to Establish the Diagnosis?; 1.8 Making a Diagnosis of MND-AD; 1.9 The Cognitive and Behavioral Symptoms in MND-AD.
1.10 General Principles of Management of a Patient with Alzheimer's Disease1.11 Effects of MND-AD on the Family Caregivers; 1.12 Legal and Ethical Encounters when Managing a Patient with MND-AD; References; 2: A Complex Case of Delirium: From Theory to Clinical Management; 2.1 Case Presentation: Part I; 2.2 What Is Delirium?; 2.3 FO5 Delirium, Not Induced by Alcohol and Other Psychoactive Substances; 2.4 Prevalence of Delirium; 2.5 Typical Course of Delirium; 2.6 Causes of Delirium; 2.7 Risk Factors for Delirium; 2.8 Diagnosis of Delirium; 2.9 Mimetics of Delirium.
2.10 Treatment of Delirium2.11 Non-pharmacologic Strategies in the Management of Delirium; 2.12 Case Presentation: Part II; 2.13 Key Points; References; 3: Geriatric Psychopharmacology: A Complex Case of Psychosis Complicated by Neuroleptic Malignant Syndrome (NMS) and Metabolic Syndrome (MetS); 3.1 Introduction; 3.2 Case Presentation; 3.2.1 Pharmacokinetics; 3.2.2 Pharmacodynamics; 3.2.3 Polypharmacy; 3.3 Neuroleptic Malignant Syndrome (NMS); 3.3.1 Neuroleptic Malignant Syndrome (NMS); 3.3.2 Pathophysiology; 3.3.3 Diagnosis; 3.3.4 Differential Diagnoses; 3.3.5 Risk Factors.
3.3.6 Management3.3.7 Case Progression; 3.4 Metabolic Syndrome; 3.4.1 Metabolic Syndrome; 3.4.2 Pathophysiology; 3.4.3 Risk Factors; 3.4.4 Management; 3.4.5 Case Disposition; 3.5 Discussion and Conclusions; 3.5.1 Discussion; 3.5.2 Recommendations; 3.5.2.1 Collaborative Care Management; 3.5.2.2 Criteria and Guidelines; 3.5.2.3 Management of Risk Factors; 3.5.2.4 Drugs of Choice and Dosage; References; 4: A Complex Case of Obsessive-ƯCompulsive Disorder (OCD); 4.1 Case History; 4.2 Psychopharmacological Management of OCD; 4.3 Psychological Treatment of OCD.
4.4 Treatment of Refractory OCDReferences; 5: Clinical Conundrum: A Complex Case of Postpartum Depression; 5.1 Objectives; 5.2 Prevalence of PPD; 5.3 Risk Factors for PPD (Fig. 5.1); 5.3.1 Sociodemographic Factors; 5.3.2 Obstetric Factors; 5.3.2.1 Cesarean Section; 5.3.3 Physical and Biological Factors; 5.3.4 Psychological Factors; 5.3.5 Suicide During Pregnancy; 5.3.6 Antenatal Mental Health; 5.3.7 Personality and PPD; 5.3.8 Pharmacological Management; 5.3.9 Suicide in the Postpartum Period; 5.4 A Multidisciplinary Team Approach to Help Ms. V (See Fig. 5.3).
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This book provides the readers with a series of complex cases that are organized by psychiatric disorder. Written by experts in the field, the cases offer insight on how to navigate care in delicate situations while considering preexisting medical conditions. Topics cover pharmacological concerns in women who are pregnant or nursing, working with dementia patients suffering from HIV, assessing and treating ADHD in special populations, monitoring medication use in patience recovering from Substance Use Disorder, and working with patients suffering from personality disorders. Each chapter offers guidance through the maze of classifications, clinical features, diagnosis and various complex interventions. The book also covers new information on the advances in research and management aspects. Complex Clinical Conundrums in Psychiatry is a valuable resource for psychiatrists, psychologists, family physicians, geriatricians, counselors, social workers, nurses, and all medical professionals working with complex psychiatric patients.