The Psychiatry of Stroke

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ISBN: 9780789031808 | 0789031809
Cover: Nonspecific Binding
Copyright: 2/14/2008

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Treating stroke requires attention not only to patients' physical needs, but to their psychiatric needs as well. Unfortunately, there has been a considerable lack of literature that tackles this important facet of recovery. The Psychiatry of Stroke fills this void through a comprehensive examination that explores the mental and physical issues faced by stroke patients and offers up-to-date treatment options.

Introduction	p. 1
Background and Causation
Diagnosis of Stroke	p. 5
Defining Stroke	p. 5
Brain Imaging Techniques	p. 8
Lacunes, Leukoareiosis, and Binswanger's Disease	p. 12
Working Definition	p. 16
Summary	p. 16
Stroke Risk Factors	p. 19
Heart Attack and Stroke Risk Factors	p. 20
Management of the Stroke Risk Factors	p. 29
Summary	p. 33
Strokes and Localization of Mental Function	p. 35
Strokes As a Key to Localization	p. 38
Tracts, Pathways, and Projection Systems	p. 40
Psychological Testing	p. 41
Left Brain versus Right Brain	p. 44
Summary	p. 46
The Neuropsychopharmacology of Stroke	p. 47
Neurotransmitters	p. 47
Mental Effects of Drugs in Stroke	p. 50
The Stroke Patient on Psychotropic Drugs	p. 55
Summary	p. 57
Psychiatric Syndromes
Speaking and Understanding	p. 61
Classifications of Aphasia	p. 64
Differentiating Dementia and Psychosis from Aphasia	p. 71
Tests for Aphasia	p. 73
Management of Aphasia	p. 75
Summary	p. 81
Seeing and Believing	p. 83
Visual Field Defects	p. 84
"Blindsight" and "Hysterical Blindness"	p. 85
Agnosia	p. 87
Hallucinations	p. 90
Misidentification Syndromes	p. 94
Summary	p. 97
Hurting and Touching and Feeling	p. 99
Anatomy of Touch and Pain Sensation	p. 99
Other Causes of Stroke-Related Pain	p. 101
Treatment of Stroke-Related Pain	p. 104
Parietal Lobe Syndromes	p. 107
Summary	p. 110
Sex	p. 113
The Neuroanatomy of Sex	p. 113
Diminished Sex Drive	p. 115
Coitus-Related Stroke	p. 119
Aberrant Sexual Behavior	p. 120
Homosexuality	p. 122
Information Sources	p. 122
Summary	p. 122
Apathy and Failure to Rehabilitate	p. 125
Localization of Brain Lesions Associated with Apathy	p. 126
Nonobvious Neurological Defects	p. 128
Social Factors Fostering Dependency	p. 131
Fatigue	p. 132
Concurrent Mental Disorder	p. 133
Concurrent Medical Disorder	p. 135
Medications	p. 135
Management of Apathy	p. 136
Summary	p. 136
Anger and Violence	p. 139
Definitions and Incidence	p. 139
Causes	p. 141
Management	p. 146
Summary	p. 150
Disinhibition	p. 151
Types of Disinhibition	p. 151
Causes of Disinhibition	p. 154
Management of Disinhibition	p. 160
Summary	p. 162
Paranoia and Delusions	p. 163
Delusions in Organic Conditions	p. 163
Management of Paranoia and Delusions	p. 167
Summary	p. 168
Depression	p. 169
Classification	p. 169
Causes of Depression	p. 171
Prognosis	p. 176
Management of Depression	p. 177
Summary	p. 182
Anxiety	p. 185
Diagnosis	p. 185
Causes	p. 188
Management	p. 190
Summary	p. 193
Dementia	p. 195
Diagnosis	p. 196
Causes	p. 206
Treatment	p. 220
Summary	p. 225
Outcome and Effects
The Process of Recovery	p. 229
The Neurological Process	p. 229
The Psychosocial Process	p. 232
The Prognosis of Stroke	p. 233
Summary	p. 239
The Family	p. 241
Perspectives on the Family	p. 241
Stress on Family Caregivers	p. 243
Management of Stress in the Family	p. 244
Patient Advocates	p. 245
Summary	p. 246
The Stroke Treatment Team	p. 247
The Interdisciplinary Approach	p. 249
The Mental Health Professional	p. 250
Summary	p. 252
The Spectrum of Care	p. 253
Acute Care Hospitals	p. 253
Stroke Units	p. 254
Care Plans	p. 257
Day Care	p. 257
Home Care	p. 258
Summary	p. 259
Legal Issues	p. 261
Legal Competence	p. 261
Legal Guardianship and Powers of Attorney	p. 263
Informed Consent	p. 264
Criminal Intent	p. 265
Psychiatric Aspects of Malpractice in Stroke	p. 266
The Impaired Professional	p. 268
Summary	p. 268
Money	p. 271
The Psychiatric Component of Stroke Care Costs	p. 271
Financial Impact on the Individual	p. 272
Cocaine-Related Stroke	p. 272
Medicare, Medicaid, and Stroke	p. 272
Stroke Prevention	p. 274
Summary	p. 274
Ethics	p. 277
The Right to Die	p. 277
Forcible Treatment	p. 278
Intensity of Care	p. 280
Summary	p. 282
Appendixes
Basic Anatomy of Stroke	p. 285
Resources for Caregivers	p. 297
Wilson, Roosevelt, Churchill, Stalin, and Hitler	p. 301
Glossary	p. 305
References	p. 329
Index	p. 377
Table of Contents provided by Ingram. All Rights Reserved.

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The Psychiatry of Stroke

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