This sixth volume in Stahl's Case Studies series presents a selection of clinical case studies in forensic psychopharmacology. Focusing on severe syndromes and clinical presentations found in the severely mentally ill who have become justice involved and/or required care in a state or forensic hospital facility, these cases illustrate questions that are routinely asked in psychiatric consultations. Following a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry specialty certification, cases address multifaceted issues in an understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging the complications, issues, decisions, twists and turns along the way.
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A selection of stories covering clinical presentations and management of the complex patient in a forensic hospital.
Part I. Aggression and Violence in the Forensic Setting:
1. Psychotic
Aggression The Magic Combo Seth Judd and Jongseung Baek;
2. Impulsive
affective aggression action in a second Manasi Chandarana;
3. Predatory
violence the wolf in sheep's clothing Manasi Chandarana; Part II.
Self-Injurious Behaviors (SIB):
4. SIB and violence inwards and outwards
Jennifer O'Day;
5. Non-Suicidal Self Injury (NSSI) death by a thousand cuts
Manasi Chandarana;
6. Prolonged fasting starved for care Amanie Salem and
Carolina A. Klein;
7. Severe suicidality to die at any cost Amanie Salem
and Carolina A. Klein; Part III. Severe Associated Syndromes Of SMI:
8. Who's
who?? misidentification syndromes in SMI Amanie Salem and Carolina A.
Klein;
9. Primary polydipsia unquenchable thirsts Seth Judd and Shrey
Patel;
10. Catatonia turning into stone Carolina A. Klein and Amanie Salem;
11. Negative syndrome nothing and nobody Michael McGee;
12. Post-psychotic
depression too good to be true, so it's blue Manasi Chandarana; Part IV.
Iatrogenic Syndromes and Drug-Associated Side Effects:
13. Neuroleptic
malignant syndrome altered and rigid Ajay Nair, Carolina A. Klein and
Amanie Salem;
14. Constipation the full stop Seth Judd; Part V. Complex
Comorbidities:
15. TBI and CTE bruised brains Hunter Neely;
16. Addictions
everyone, everywhere, everything Seth Judd and Long Hoang;
17. Personality
disorders fixing the foundation Seth Judd and Emilia Laing;
18.
Schizo-obsessive disorder repeatedly compelling Ajay Nair, Amanie Salem and
Carolina A. Klein;
19. Anxiety disorders constant worries Manasi
Chandarana;
20. COVID the new player in town and here to stay Manasi
Chandarana;
21. Neurological Disorders Near and Fa(h)r Manasi Chandarana;
Part VI. Specialty Forensic Populations:
22. IST MurCON conserved or
convicted? Manasi Chandarana;
23. Sexually Violent Predators (SVPs)
interrupting the circuit Rachel Powers and Carolina A. Klein;
24. Pregnancy
treating for two Imran Hassan;
25. SCZ- OCD, addictions, paraphilia the
collision Hunter Neely.
Carolina A. Klein is the Associate Medical Director and Lead Psychiatrist in Advancement & Innovation at California Department of State Hospitals in Sacramento, California. Stephen M. Stahl is Adjunct Professor of Psychiatry at the University of California, San Diego, Clinical Professor of Psychiatry and Neuroscience at the University of California, Riverside, and Honorary Visiting Senior Fellow in Psychiatry at the University of Cambridge.
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