Masquerading Symptoms Uncovering Physical Illnesses That Present as Psychological Problems

This invaluable reference enables clinicians, as well as patients and their families, to become more familiar with these medical conditions and how they may masquerade as mental disorders.Part One of this book is organized so that it corresponds to the sections of the Standard Mental Status Exam. It is composed of clinical presentation descriptions that direct the reader to the medical diseases described inPart Two that may be contributing to the patient's discomfort.

Without medical jargon, Barbara Schildkrout lucidly explains how patients with each medical condition may end up seeking help from a mental health professional.

The conditions explored in this book include:

• Alzheimer's disease
• Brain tumors
• Carbon monoxide poisoning
• Diseases of the thyroid
• Endocrine disorders
• Hepatic encephalopathy
• HIV/AIDS
• Hyperventilation syndrome
• Hypoglycemia
• Limbic encephalitis
• Lyme disease
• Syphilis
• Thiamine deficiency
• Traumatic brain injury

The book also describes a proven process for working with patients during and after the referral process, and integrating medical findings into ongoing therapeutic work. All mental health professionals need access to this information, and Masquerading Symptoms puts it all in a single, easily navigated reference. BARBARA SCHILDKROUT, MD,is an Assistant Clinical Professor of Psychiatry at Harvard Medical School. She has taught for many years at the Beth Israel Deaconess Medical Center. She has a Subspecialty Board Certification through the United Council for Neurological Subspecialties in behavioral neurology and neuropsychiatry and has maintained a private clinical practice in the Boston area for over 25 years.

BARBARA SCHILDKROUT, MD, is an Assistant Clinical Professor of Psychiatry at Harvard Medical School. She has taught for many years at the Beth Israel Deaconess Medical Center. She has a Subspecialty Board Certification through the United Council for Neurological Subspecialties in behavioral neurology and neuropsychiatry and has maintained a private clinical practice in the Boston area for over twenty-five years.

Part One: Signs and Symptoms

State Of Consciousness

Delirium

Attention And Concentration

Mood, Affect, And Emotion

Thought Form

Thought Content And Experience The Of Reality

Delusional Thought Content

Hallucinations

Change In Personality Or Behavior

Judgment

Insight

Dementia

Orientation

Memory

Speech And Language

Other Cognitive Functions

Constructional Ability

Fund of Knowldege

Calculation

Abstract Thinking

Executive Functions

General Physical Appearance

Motor Behavior

Vegetative Symptoms

Disturbances Of Sleep

Disturbances of Energy Level

Disturbances of Eating Behavior and Weight

Disturbances of Sexual Functioning

Notable Physical Symptoms

Part Two: The Diseases

Disease #1: Acromegaly

Disease #2: Acute Intermittent Porphyria and Porphyria Variegata

Disease #3 Addison’s Disease

Disease #4: Alzheimer’s Disease

Disease #5: Arsenic Poisoning

Disease #6: Brain Tumors

Disease #7 Carbon Monoxide Poisoning

Disease #8: Charles Bonnet Syndrome

Disease #9: Chronic Subdural Hematoma

Disease #10: Chronic Traumatic Encephalopathy

Disease #11: Circadian Rhythm Disorders

Disease #12: Corticobasal Degeneration

Disease #13: Creutzfeldt-Jakob Disease

Disease #14: Cushing’s Syndrome

Disease #15: Dementia with Lewy Bodies

Disease #16: Frontotemporal Dementia

1. Pick’s DiseaseFund of Knowledge
2. Semantic DementiaAbstract Thinking
3. Progressive Non-Fluent Aphasia
4. Frontotemporal Dementia with Motor Neuron Disease

Disease #17: Hashimoto’s Encephalopathy

Disease #18: Hepatic Encephalopathy

Disease #19: HIV/AIDS, Infection with The Human Immunodeficiency Virus

Disease #20: Huntington’s Disease

Disease #21: Primary Hyperparathyroidism (Hypercalcemia)

Disease #22: Hypersomnia, Idiopathic

Disease #23: Hypersomnia, Recurrent

Disease #24: Hyperthyroidism

Disease #25: Hyperventilation Syndrome

Disease #26: Hypoglycemia

Disease #27: Hypoparathyroidism (Hypocalcemia)

Disease #28: Hypothyroidism

Disease #29 Insufficient Oxygen Supply to the Brain (Hypoxia)

Disease #30: Lead Poisoning

Disease #31: Limbic Encephalitis

Disease #32: Lyme Disease

Disease #33: Manganese Toxicity

Disease #34: Mercury Poisoning

Disease #35: Migraine

Disease #36: Mitochondrial Disorders

Disease #37: Multiple Sclerosis

Disease #38: Multiple System Atrophy

Disease #39: Myasthenia Gravis

Disease #40: Narcolepsy

Disease #41: Neuro-Behcet’s Syndrome

Disease #42: Neurofibromatosis Type 1

Disease #43: Nocturnal Eating—Night-Eating Syndrome

Disease #44: Nocturnal Eating—Sleep-Related Eating Disorder

Disease #45: Normal Pressure Hydrocephalus

Disease #46: Pancreatic Cancer

Disease #47: Parasomnias -- Sleepwalking and Night Terrors

Disease #48: Parkinson’s Disease

Disease #49: Partial Seizures

Disease #50: Pellagra

Disease #51: Periodic Limb Movements of Sleep

Disease #52: Pheochromocytoma

Disease #53: Postconcussion Syndrome

Disease #54: Premenstrual Dysphoric Disorder and Premenstrual Syndrome

Disease #55: Primary Progressive Aphasia

Disease #56: Progressive Supranuclear Palsy

Disease #57: REM Sleep Behavior Disorder

Disease #58: Restless Legs Syndrome

Disease #59: Sleep Apnea

Disease #60: Syphilis

Disease #61: Systemic Lupus Erythematosus

Disease #62: Thallium Poisoning

Disease #63: Thiamine Deficiency

1. Wernicke’s Encephalopathy
2. Korsakoff’s Syndrome

Disease #64: Tourette Syndrome

Disease #65: Transient Global Amnesia

Disease #66: Traumatic Brain Injury

Disease #67: Uremia (Chronic Kidney Disease)

Disease #68: Vascular Dementia

Disease #69: Vitamin B12 (Cobalamin) Deficiency

Disease #70: Whipple Disease

Disease #71: Wilson’s Disease

Index of Diseases by Organ System or Disease Process

Case References

Further Reading

Index

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