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The American Society for the Advancement of Pharmacotherapy (ASAP), Division 55 of the American Psychological Association (APA), is approved by the American Psychological Association to sponsor continuing education for psychologists. It is certainly important to know the data from randomized controlled trials, but after knowing all this information, case-based clinical experience supplements that data. Following on from the success of the launch volume of Case Studies in 2011, we are very pleased to present a second collection of new clinical cases. Drugs are listed by their generic and brand names for ease of learning. If you received CME credit for the electronic book version, you will not be able to receive credit again for completing this print monograph version.

The shows how to apply the concepts presented in these previous books to real patients in a clinical practice setting. What do you do when there is no evidence? The short answer is to combine the science with the art of psychopharmacology. Sometimes more than one case is combined into a single case. The case-based approach is how this book attempts to complement “evidence-based prescribing” from other books in the Essential series, plus the literature, with “prescribing-based evidence” derived from empiric experience. This gap is due, at least in part, to lack of clinician confidence and knowledge in terms of appropriate usage of the diagnostic and treatment tools available to them.

This is a short section at the end of every case, looking back and seeing what could have been done better in retrospect. The information presented in this educational activity is not meant to serve as a guideline for patient management. The art of psychopharmacology is especially important when confronting the frequent situations where there is no evidence on which to base a clinical decision. Disclosed financial relationships with conflicts of interest have been reviewed by the NEI CME Advisory Board Chair and resolved. Indexes are included at the back of the book for your convenience. This activity is supported solely by the provider, Neuroscience Education Institute. The Neuroscience Education Institute designates this enduring material for a Physicians should claim only the credit commensurate with the extent of their participation in the activity. This material has been peer-reviewed by an MD to ensure the scientific accuracy and medical relevance of information presented and its independence from commercial bias. Please consult the product prescribing information for full disclosure of labeled uses. There is a fee for the optional posttest, waived for NEI members.

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A one-stop shop, covering everything a doctor, teacher or trainee will ever need to know about neuropsychopharmacology.

We have presented cases from our clinical practice for many years online (e. This activity is supported solely by the provider, Neuroscience Education Institute. Shorter cases of only a few pages do not contain the tutes, but get directly to the point, and are called “Lightning rounds. This gap is due, at least in part, to lack of clinician confidence and knowledge in terms of appropriate usage of the diagnostic and treatment tools available to them. This new selection of clinical stories, covers treatments that work, or fail, and mistakes made along the journey.

For those of you familiar with The Prescriber’s Guide, this layout will be recognizable. We have been counseled by colleagues and trainees that perhaps the most important pitfall for us to try to avoid in this book is “eminence-based medicine,” and to remember specifically that: – Radiance of gray hair is not proportional to an understanding of the facts – Eloquence, smoothness of the tongue, and sartorial elegance cannot change reality – Qualifications and past accomplishments do not signify a privileged access to the truth Thus, it is with all humility as practicing psychiatrists that we invite you to walk a mile in our shoes; experience the fascination, the disappointments, the thrills, and the learnings that result from observing cases in the real world. This book is a series of case studies in psychiatric disorders, all adapted from real practice, that provide a glimpse into what cases look like after the first consultation and over time, living through the treatments that work, the treatments that do not work, the mistakes, and the lessons to be learned. Sialorrhea is often a stumbling block Are atypical antipsychotics anti-manic, antidepressant, anxiolytic, and hypnotic as well? How to improve insomnia that is caused by depression, anxiety, mood swings, and hallucinations What to do when a patient does not meet full diagnostic criteria for anything What to do when comorbid depression and social anxiety are resistant to treatment In the era of weight-gain side-effect notoriety, the stimulants may cause equally problematic loss in weight and stature (Pharmacogenetics, Part 1): How might psychopharmacology be delivered in the future? (Pharmacogenetics, Part 2): How might psychopharmacology be delivered in the future? What to do when obsessive compulsive disorder with poor insight is resistant to treatment Rational subsequent polypharmacy trials may help, but fail to achieve remission How might psychopharmacology be delivered in the future: neuropharmacogenetic imaging? Can genotyping and functional neuroimaging help predict successful treatment selection The estimated time for completion of this activity is 55. A variety of resources addressing cultural and linguistic competency can be found at this link: Additionally provided by the American Society for the Advancement of Pharmacotherapy.

There is a fee for the optional posttest, waived for NEI members. This activity has been developed for prescribers specializing in psychiatry. The best way to learn this is probably by seeing individual patients. Do not ignore the fact that if something is easy to recall, particularly when associated with a significant emotional event, we tend to think it happens more often than it does. Please consult the product prescribing information for full disclosure of labeled uses. Many patients are beyond the data and are excluded from randomized controlled trials. Drugs are listed by their generic and brand names for ease of learning. Do not forget the recency effect, namely, the tendency to think that something that has just been observed happens more often than it does. All other healthcare providers interested in psychopharmacology are welcome for advanced study, especially primary care physicians, nurse practitioners, psychologists, and pharmacists. Another section of most cases is a short psychopharmacology lesson or tutorial, called the “Two-minute tutorial,” with background information, tables, and figures from literature relevant to the case in hand.

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