Despite growing awareness in the psychiatric community of the multifaceted medical needs of the severely mentally ill, statistics show that as much as 60% of all schizophrenia patients die prematurely from nonpsychiatric medical conditions—in part because many physicians have not yet recognized how to properly treat common diseases and illnesses within this complex patient population. Medical Illness and Schizophrenia, Second Edition, is the only clinical guide to focus exclusively on the treatment of common medical comorbidities among patients with schizophrenia. Like its best-selling predecessor, the book compiles the latest research and clinical information on integrating medical and psychiatric care for the schizophrenia patient.
Twenty-eight physicians and psychiatrists, including editors Jonathan M. Meyer, M.D., and Henry A. Nasrallah, M.D., lend their expertise to this new, expanded edition. In fifteen chapters, this volume covers a wide range of common medical problems—from metabolic and heart conditions, such as cardiovascular disease, hyperlipidemia, obesity and diabetes, to substance abuse and smoking. Each chapter concludes with “Key Clinical Points” that summarize important concepts and ensure reader retention. Additionally, the second edition includes new chapters that touch on some of the most complex clinical issues in the field of schizophrenia treatment today:
Recent trends in the integration of medical and mental healthcare
Behavioral treatments for weight loss in persons with schizophrenia
Treatment of sexual dysfunction among persons treated for schizophrenia
Health outcomes of schizophrenia treatment in children and adolescents
Health outcomes of schizophrenia treatment during pregnancy and breastfeeding
As the only clinical text of its kind, Medical Illness and Schizophrenia, Second Edition, is an invaluable resource for psychiatrists, nurses, healthcare professionals, and psychiatric and clinical residents. The goal of this text has always been to help clinicians recognize schizophrenia as both a brain disorder and a systemic disease with multiple manifestations that go beyond the obvious psychiatric symptoms—and thus take a broader approach to treatment of schizophrenia. This new edition is a comprehensive, practical manual that serves as a reference for the medical management of seriously mentally ill patients across the age spectrum in both inpatient and outpatient settings.
Section I: Public Health Issues for Schizophrenia Patients. Improving physical healthcare for patients with serious mental illness. Excessive mortality and morbidity associated with schizophrenia. Medical outcomes from the CATIE schizophrenia study. Section II: Metabolic and Heart Disease. Obesity. Glucose intolerance and diabetes in schizophrenia. Effects of antipsychotics on serum lipids. The spectrum of cardiovascular diseases in schizophrenia. Behavioral treatments for weight management in schizophrenia. Nicotine and tobacco use in schizophrenia. Section III: Special Topics and Populations. HIV and hepatitis C in patients with schizophrenia. Substance abuse and schizophrenia. Sexual dysfunction and schizophrenia. Managing the health outcomes of schizophrenia treatment in children and adolescents. Medical health in aging persons with schizophrenia. Managing the health outcomes of schizophrenia treatment during pregnancy and breastfeeding. Index.
"Meyer and Nasrallah present the second edition of Medical illness and Schizophrenia which already is a classical textbook on this topic. This update was necessary, because the evidence is accumulating rapidly and medical comorbidities in schizophrenia are now a major concern. The book will serve as an extremely valuable resource for those involved in the investigation and care of people with schizophrenia."—Dr. Stefan Leucht, Department of Psychiatry and Psychotherapy, Technische Universität München, Germany
"The second edition of Medical Illness and Schizophrenia skillfully updates advances in understanding the links between various specific medical illnesses and schizophrenia. This book continues the sweeping paradigm shift that it began for the practice of psychiatry with the first edition: namely to provide the evidence base for the clinicians who care for patients with schizophrenia, and thus are the natural champions of these patients, to work more actively than ever to recognize and manage those medical illnesses strongly associated with schizophrenia."—Dr. Stephen M. Stahl, University of California San Diego, Department of Psychiatry
About the Editors:
Jonathan M. Meyer, M.D., is Assistant Professor of Psychiatry at the University of California, San Diego, and Staff Psychiatrist at the San Diego VA Medical Center in La Jolla, California.
Henry A. Nasrallah, M.D., is Professor of Psychiatry, Neurology and Neuroscience at the University of Cincinnati College of Medicine in Cincinnati, Ohio.