“Packed with science and human stories, the book is an intense read. . . . The struggle and resilience of [van der Kolk’s] patients is very moving.” —New Scientist
A pioneering researcher transforms our understanding of trauma and offers a bold new paradigm for healing
Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent over three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust. He explores innovative treatments—from neurofeedback and meditation to sports, drama, and yoga—that offer new paths to recovery by activating the brain’s natural neuroplasticity. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score exposes the tremendous power of our relationships both to hurt and to heal—and offers new hope for reclaiming lives.
From the Trade Paperback edition.
See also Dr. Barkley's bestselling resource on childhood ADHD, Taking Charge of ADHD, Third Edition: The Complete, Authoritative Guide for Parents.
Steven Buser trained in medicine at Duke University and served 12 years as a physician in the US Air Force. He is a graduate of the two-year Clinical Training Program at the CG Jung Institute of Chicago and is a co-founder of the Asheville Jung Center. In addition to a busy psychiatric private practice he serves as Publisher for Chiron Publications. He is active in the community and strives to integrate faith and spirituality into psychotherapy. He resides in the mountains in Asheville, NC with his wife and two children.
Len Cruz is the Editor-in-Chief of Chiron Publications, a book publishing company specializing in psychology, mythology, religion, and culture and a co-founder of the Asheville Jung Center. He is a psychiatrist who resides in Western North Carolina.
Luke Sloan was a 5th grade student in Asheville, NC when he completed the illustrations for this book. When he's not drawing, Luke enjoys playing soccer, reading books, snow-skiing, and just plain having fun!
Includes 6 online-only chapters at no additional cost! Go to: www.AccessMedicine.com/CMDT
The book that puts the latest research where it belongs . . . into your practiceWritten by clinicians renowned in their respective fields, CMDT offers the most current insight into symptoms, signs, epidemiology, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest medical advances, prevention strategies, and cost-effective treatments.
Features and content critical to clinical practice: Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care The only text with an annual review of advances in HIV treatment Specific disease prevention information Drug treatment tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms Recent references with PMID numbers Six online-only chapters available at no additional cost Full-color photographs and illustrations
NEW TO THIS EDITION: New chapter on Sports Medicine & Outpatient Orthopedics Extensive revision of medical and surgical conditions of pregnancy Updated coverage of evaluating fertility in women, immunization requirements, and the use and safety of nonsteroidal and anti-inflammatory drugs Extensive revision of Kidney Disease chapter New topics include snoring a selection of common musculoskeletal problems such as subacromial impingement syndrome, rotator cuff tear, anterior cruciate ligament and meniscus injuries, patellofemoral pain syndrome, and inversion and eversion ankle sprains New online-only chapter on Women’s Health Issues S.I. units used throughout
Visit CMDT2012.com or join the conversation at #CMDT
• Recognize the seven signs of reflux in infancy.
• Discover the role of milk protein allergy–the other colic.
• Learn what, when, and how to feed an irritable baby and the best positions for sleep.
• Recognize the role of formula, breast milk, bottle systems, burping, and pacificers in your baby’s fussiness, and irritability.
• Understand when and why your baby may need testing for reflux.
Weigh the pros and cons of available treatment options.
Identify when a specialist is needed and where to find one.
Complete with inspiring real-life cases of colic solved, plus tips, sidebars, and illustrations, this essential guide provides real answers to a problem that has been upsetting babies–and parents–for years. Help and hope are at hand!
“This is the book for every parent whose young baby is a ‘bundle of misery,’ in pain, and hard to feed, and for that baby’s pediatrician, too.”
–Laura Nathanson, M.D., F.A.A.P., author of The Portable Pediatrician
“Great news for exhausted parents and for suffering babies! Colic Solved gets to the root of what is making many babies cry, and offers powerful, real-world solutions. This is a must-have book for desperate parents everywhere.”
–Alan Greene, MD, FAAP, author of From First Kicks to First Steps and founder of DrGreene.com
From the Trade Paperback edition.
Stay up-to-date in the area of treatment and management with enhanced discussions throughout.
Be familiar with the most current developments and information in family medicine with this all-around review of the specialty, ideal for nurses and PAs!Assess your mastery of the latest diagnostic methods and management techniques through hundreds of questions and dozens of cases, newly updated to reflect the most current developments in practice.
Browse the full text, review questions, images, and tips for passing the exam online at www.expertconsult.com.
Earn up to 89 hours of AMA Category 1 Physician's Recognition Award CME Credit online through Robert Wood Johnson Medical School.
Access the text clearly on any device with a new eReader-compatible design.
Diagnose fractures accurately with the many high-quality images.
Clearly see the anatomic relationships of bones and joints through schematic illustrations.
Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment.
Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques.Access the fully searchable text online at expertconsult.com, along with video clips of reduction maneuvers and downloadable patient education and rehabilitation instruction handouts.
Accurately identify fractures using optimal imaging guidelines.
Apply splints and casts with confidence thanks to detailed descriptions and illustrations of technique.
Tap into the latest best practices through more evidence-based coverage and updated references.
Effectively manage emergency situations using guidelines for emergent referral, greater detail regarding methods for closed reductions for fractures and dislocations, and more.
Debilitating brain disorders are on the rise-from children diagnosed with autism and ADHD to adults developing dementia at younger ages than ever before. But a medical revolution is underway that can solve this problem: Astonishing new research is revealing that the health of your brain is, to an extraordinary degree, dictated by the state of your microbiome - the vast population of organisms that live in your body and outnumber your own cells ten to one. What's taking place in your intestines today is determining your risk for any number of brain-related conditions.
In BRAIN MAKER, Dr. Perlmutter explains the potent interplay between intestinal microbes and the brain, describing how the microbiome develops from birth and evolves based on lifestyle choices, how it can become "sick," and how nurturing gut health through a few easy strategies can alter your brain's destiny for the better. With simple dietary recommendations and a highly practical program of six steps to improving gut ecology, BRAIN MAKER opens the door to unprecedented brain health potential.
ìBoth editors have done a wonderful job in building upon the previous versions of this book to create an exceptionally comprehensive resource... Healthcare continues to evolve at an extremely fast pace and it is with excellent resources like this that primary care providers can continue to provide quality care." Score: 100, 5 stars--Doodyís Medical Reviews
Praise for the Second Edition:
"This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook."
-Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC
President, National ARNP Services, Inc.
"Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care."
-Anne Moore, APN; WHNP/ANP-BC; FAANP
This is a comprehensive family practice resource for primary care clinicians, providing current national practice guidelines for a high-quality standard of care for patients across the life span in outpatient settings. It includes individual care guidelines for adult, child, pregnant, and geriatric patients; health promotion and dietary information; procedure guidelines; national resources; and comprehensive patient teaching guides. This third edition includes updated national treatment guidelines throughout, including the most recent cardiology guidelines (JNC 8), seven new protocols, revised procedure guidelines a new chapter on pain management guidelines for patients with opioid addiction, and patient teaching sheets in print and PDF formats.
The guide includes 268 disorder guidelines organized by body system, presented in outline format for easy access. Each disorder includes definition, incidence, pathogenesis, predisposing factors, common complaints, signs/symptoms, subjective data, physical exam and diagnostic tests, differential diagnosis, plan of care including medications, and follow-up care. Of special note are highlighted "Practice Pointers" containing critical information and "Individual Considerations" at the end of each disorder that provide specialty care points for pediatric, pregnant, and geriatric populations.
This resource includes:151 Patient Teaching Guides 19 Procedure guidelines Routine health maintenance guidelines Appendices covering special diets, normal lab values, and dental issues
See also Dr. Beck's Cognitive Therapy for Challenging Problems: What to Do When the Basics Don't Work, which addresses ways to solve frequently encountered problems with patients who are not making progress.
New to This Edition*Reflects over 15 years of research advances and the author's ongoing experience as a clinician, teacher, and supervisor.*Chapters on the evaluation session and behavioral activation.*Increased emphasis on the therapeutic relationship, building on patients' strengths, and homework.*Now even more practical: features reproducibles and a sample case write-up.
A companion Website will include the fully searchable text, an image bank, an interactive question bank, and an EKG image with explanation test bank.
Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.
Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn.Get procedural sedation recommendations from Dr. Alfred Sacchetti, MD, FACEP.
This book is in the Applications of Motivational Interviewing series. New to This Edition:*Reflects major advances in understanding and teaching MI.*Fully restructured around the new four-process model.*Additional case examples and counseling situations.*Reviews the growing evidence base and covers ways to assess MI fidelity. Pedagogical Features Include:*Online reflection questions and annotated cases, ideal for classroom discussion.*Key points at the end of each chapter.*Engaging boxes with special topics and personal reflections.*Extended bibliography and quick-reference glossary.
More than 200 lab tests help hone your skills in reviewingnormal values and interpreting results
Electronic accessto additional algorithms, new images and tables, EBM boxes, patient teaching guides, and extra topics. Links between each section allow you to navigate easily from a selected topic to relevant associated material and back again
EMDR is now recognized by the American Psychiatric Association as an effective treatment for ameliorating symptoms of both acute and chronic PTSD (APA Practice Guidelines for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder).
New to This Edition:
*Updated neurobiological data, findings from controlled clinical studies, and literature on emerging clinical applications.
*Updated protocols and procedures for working with adults and children with a range of presenting problems.
Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship
900 full-color illustrations
Principles of Neural Science, 5e describes our current understanding of how the nerves, brain, and mind function. From molecules to anatomic structures and systems to cognitive function, this comprehensive reference covers all aspects of neuroscience. Widely regarded as the field’s cornerstone reference, the fifth edition is highlighted by more than 900 full-color illustrations. The fifth edition has been completely updated to reflect the tremendous amount of new research and development in neuroscience in the last decade. Lead author Eric Kandel was awarded the Nobel Prize in Physiology or Medicine in 2000.
The renowned Family Practice Examination and Board Review is now Graber and Wilbur’s Family Medicine Examination & Board Review, the perfect way to prepare for the primary and recertification exam in family medicine and for licensure exams. This engagingly written study guide has been completely updated with a new full-color design and is enhanced by powerful new learning aids, including 50 additional questions to the already comprehensive final exam, and chapter-ending clinical pearls that consolidate high-yield information. You will also, of course, find the humor, wit, and approachable tone that have brought the book legions of enthusiastic – and appreciative – fans.
New to this edition!Full color layout Clinical pearls at the end of each chapter to highlight key takeaways 50 brand new final exam questions Numbered cases for easy reference
Outstanding features from the previous edition:More than 350 progressive case studies that reflect the realities of clinical practice and prepare you for your exams 29 chapters based on body system and elements of patient care A comprehensive final exam (nearly 200 questions) with answers referenced to pages in the book Detailed answer explanations that describe not only why an answer is correct, but why the other answers are wrong Comprehensive coverage of ALL topics on the boards and recertifying exam Super-effective learning aids such as Quick Quizzes, Helpful Tips, learning objectives, clinical pearls, and more Color photographs of conditions most easily diagnosed by appearance An outstanding refresher for primary care physicians, physician assistants, and nurse practitioners
Mental health professionals, see also the author's DBT® Skills Training Manual, Second Edition, which provides complete instructions for teaching the skills. Also available: Cognitive-Behavioral Treatment of Borderline Personality Disorder, the authoritative presentation of DBT, and Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.
"Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real". Reviewed by: Dr Harry Brown, July 2014Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need.Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout.Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter.Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.
Winner, NAMI/Ken Book Award
See also the authors' Smart but Scattered parenting guides, plus an academic planner for students and related titles for professionals.
Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits.
Frances cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment.
Masterfully charting the history of psychiatric fads throughout history, Frances argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process. Saving Normal is a call to all of us to reclaim the full measure of our humanity.
See also Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings, edited by Linda A. Dimeff and Kelly Koerner, which presents exemplary DBT programs for specific clinical problems and populations.
See also Drs. Courtois and Ford's edited volumes, Treating Complex Traumatic Stress Disorders (Adults) and Treating Complex Traumatic Stress Disorders in Children and Adolescents, which present research on the nature of complex trauma and review evidence-based treatment models.
Winner (Second Place)--American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category
Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT® Skills Training Manual, Second Edition, and DBT® Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.
The authors are highly acclaimed clinicians, investigators and educators. They offer step-by-step guidance for implementation of best practices, drawing from clinical research and their experience treating thousands of patients. They cover diagnosis, treatment planning, and state-of-the-art application of pharmacology, psychotherapy, skill-building, family system and environmental interventions – for both simple and complex cases. The scales and worksheets in this Guide were developed to efficiently facilitate assessment and management.
The Editor is an international leader in the field from the Clinical and Research Program in Adult ADHD at Massachusetts General Hospital (MGH) and Harvard Medical School, which has made pioneering and highly cited contributions to the understanding of ADHD.
This Guide is a definitive, indispensable resource for all health providers who wish to optimize their approach to adult patients with ADHD.
With a traumatic brain injury (TBI) occurring every 18.5 seconds in this country - concussions the most common - chances are you have been touched in some way by this experience. TBIs occur due to accidents and sports, and are also common in returning soldiers. The personal stories in this book, by TBI survivors and those who love and support them, will help and encourage you and your family on your road to recovery.
See also Drs. Courtois and Ford's authored book, Treatment of Complex Trauma, which presents their own therapeutic approach for adult clients in depth, and their edited volume Treating Complex Traumatic Stress Disorders in Children and Adolescents.
Establishing a differential diagnosis can be challenging even for expert advanced practice nurses (APRNs), let alone students. This easy-access clinical guide to commonly seen symptoms, written for APRN students and new practitioners, describes step by step how to obtain a reliable patient history and choose the appropriate directed physical exam for the presenting problem, followed by how to use this patient history and physical exam findings to form a differential diagnosis. Unfolding case scenarios provided for each symptom further demonstrate a sound process for formulating a differential diagnosis that the APRN can use throughout clinical practice.
The book features 38 of the most commonly presented symptoms, each of which includes exam findings and differential diagnosis. It describes diagnostic tests with a guide to when they should be ordered (or delayed) based on clinical findings, and common management plans for diagnostic testing. It discusses the correct approach to diagnostic reasoning including determining the focused assessment, choosing the appropriate assessment tests or lab tests, and critically thinking through the assessment and diagnostic data to arrive at an appropriate diagnosis. A unique feature of the guide is its provision of a Case Study History (presenting directed questions and patient responses), Physical Exam Findings, a Differential Diagnosis Table (clearly comparing potential diagnostic choices based on symptoms), a Diagnostic Examination Table (including estimated costs and codes), and a Case Study Summary, to further clarify strategies for arriving at the correct diagnosis.
Key Features:Helps students and novice nurses obtain directed problem-focused history and examination for common patient symptoms Demonstrates a step-by-step approach to building clinical decision-making skills Offers quick access to common differential diagnoses, requisite diagnostic tests, and clinical decision making Uses unfolding case scenarios for each symptom to illustrate the clinical decision-making, diagnostic process Includes unique tables that help to clarify strategies for diagnostic decision making
Emotional Alchemy maps the mind and shows how, according to recent advances in cognitive therapy, most of what troubles us falls into ten basic emotional patterns, including fear of abandonment, social exclusion (the feeling we don't belong), and vulnerability (the feeling that some catastrophe will occur). Through the simple practice of mindfulness taught in this book, we can free ourselves of such patterns and replace them with empathy for ourselves and others, as well as the freedom to be more creative and alive.
You'll find the very latest research in neuroscience--including the neurological "magic quarter second," during which it is possible for a thought to be "caught" before it turns into an emotional reaction. And you'll discover the fascinating parallels of this science with the wisdom of ancient Buddhism--for Buddhists knew centuries ago that we can end our self-destructive habits.
This remarkable book also teaches the practice of mindfulness, an awareness that lets us see things as they truly are without distortion or judgment, giving the most insightful explanation of how mindfulness can change not only our lives, but the very structure of our brains. Here is a beautifully rendered work full of Buddhist wisdom and stories of how people have used mindfulness to conquer their self-defeating habits. The result is a whole new way of approaching our relationships, work, and internal lives.
From the Hardcover edition.
The culmination of master psychiatrist Dr. Irvin D. Yalom’s more than thirty-five years in clinical practice, The Gift of Therapy is a remarkable and essential guidebook that illustrates through real case studies how patients and therapists alike can get the most out of therapy. The bestselling author of Love’s Executioner shares his uniquely fresh approach and the valuable insights he has gained—presented as eighty-five personal and provocative “tips for beginner therapists,” including:
•Let the patient matter to you
•Acknowledge your errors
•Create a new therapy for each patient
•Do home visits
•(Almost) never make decisions for the patient
•Freud was not always wrong
A book aimed at enriching the therapeutic process for a new generation of patients and counselors, Yalom’s Gift of Therapy is an entertaining, informative, and insightful read for anyone with an interest in the subject.