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A patient on the medical ward becomes mute, immobile, refusing food on day five of admission - and the consult question reads "evaluate for depression."
Miss the catatonia and the patient deteriorates over weeks while staff document "uncooperative behavior"; the lorazepam challenge that would have produced response within 24 hours is never administered.
This handbook reshapes how you think at the bedside, converting diagnostic reasoning from pattern recognition into structured clinical judgment that holds up under acuity, complexity, and time pressure.
Inside this book:
- Catatonia recognition that changes outcomes - apply the Bush-Francis scale and lorazepam challenge protocol that produce dramatic response within 24 to 72 hours
- Suicide risk assessment that holds up - operate the C-SSRS framework with means restriction counseling that delivers population-level mortality reduction
- Buprenorphine in the fentanyl era - execute low-dose induction protocols that prevent the precipitated withdrawal driving patients back to use
- DBT, MBT, TFP for borderline personality disorder - apply the evidence-based psychotherapies that have replaced the historical pessimism around this diagnosis
- Postpartum psychosis as emergency - recognize the rapid-onset presentation distinct from postpartum depression and intervene before infanticide risk materializes
- Esketamine and emerging neuromodulation - integrate Spravato, SAINT-accelerated rTMS, and psychedelic-assisted therapy into treatment-resistant care
- Capacity assessment that protects autonomy - separate clinical disagreement from genuine decisional incapacity using the MacArthur framework
- Delirium identification that prevents mortality - detect hypoactive presentations missed in approximately half of cases on medical wards
Written for psychiatrists, residents, fellows, primary care clinicians, hospitalists, NPs, PAs, and medical students who deliver psychiatric care across clinical settings.
Buy this book and commit to the level of care every patient who entrusts their psychiatric history to you deserves.
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