Shrink Rap
Subtitle: Three Psychiatrists Explain Their Work
By: Dinah Miller, Annette Hanson, and Steven Roy Daviss
Contributors: Hanson, Annette; Daviss, Steven Roy
Publisher: Johns Hopkins University Press
Published: 2011
Place of publication: Baltimore
Language: eng
Format: Hardcover; Paperback; Kindle; Audio
Number of pages: 255
ISBN-13: 9781421400112; 9781421400129
Copyright date: 2011
Subjects: Psychiatry; Practice; Psychiatrists
First sentence: MELISSA ADAMS is the nicest pediatrician a child could have. She softly sings the alphabet while examining a toddler and talks football draft picks with the teenage boys.
Description: What do psychiatrists think about when they approach a new patient? How do they decide what treatments to recommend? 
In Shrink Rap, we aim to demystify psychiatry and make it transparent by describing, in plain English, what we think about. We strive to avoid medical jargon and to communicate in a straightforward way about what we see, how we formulate patients' difficulties, and what treatments we have to offer. 

Psychiatry remains full of shortcomings. We don't know what causes some people to become mentally ill while others remain well. We don't know why certain treatments work for one person while they make another person with the same condition even worse. Scientific studies have only begun to touch on what we need to know, and as individual practitioners, we often still struggle to diagnose and treat psychiatric problems. Our understanding of psychotherapy is inexact. The medication strategies we use are sometimes motivated by a desperate desire to help a tormented patient after the tested treatments have failed. There are so many more questions to ask and so few for which we have answers. 

The shortcomings of our field notwithstanding, we hope you'll enjoy reading about our work as much as we enjoy doing it. Psychiatry has evolved a great deal over the past few decades, and we hope you'll find this journey into today's world of psychiatry illuminating.
Notes: Includes bibliographical references and extensive index.
Table of contents: label: Introduction
pagenum: 1; label: A Note about Our "Patients" and Our "Doctors"
pagenum: 4; label: Chapter 1.
title: Melissa and Oscar: Getting Help
pagenum: 5; title: What are the different types of mental health professionals?; title: What a is a psychiatrist?; title: What is a forensic psychiatrist?; title: When a patient should see a psychiatrist rather than a primary care doctor; title: What is split treatment?; title: When a patient should see a psychiatrist for psychotherapy; title: When is split treatment better than care with only a psychiatrist?; label: Chapter 2.
title: Josh: A Walk through the System
pagenum: 21; title: The psychiatric evaluation and the mental status exam; title: The importance of outside informants; title: What is a chemical imbalance?; title: How psychiatric diagnoses are determined; title: Involuntary commitment to a psychiatric unit; title: What are a patient's rights during hospitalization?; label: Chapter 3.
title: The Brandt Family: Why People Seek Care for Psychiatric Disorders
pagenum: 42; title: When life gets hard and stress causes symptoms; title: For psychiatric symptoms caused by medical illnesses; title: For maladaptive personality styles; title: For addictive or compulsive behaviors; title: For suicidal thoughts or behaviors; title: For insight and education; label: Chapter 4.
title: Tara: Let's Talk
pagenum: 61; title: What is psychotherapy?; title: What are some different types of psychotherapy?; title: How psychiatrists learn to become psychotherapists; title: How are research studies conducted on psychotherapy as a treatment?; title: What people talk about in psychotherapy; title: What the psychiatrist does in psychotherapy; title: Privacy and confidentiality in the therapeutic relationship: on keeping secrets and minding HIPAA; title: Special exceptions: child custody subpoenas and the Patriot Act; title: Self-disclosure by the therapist; title: How long should treatment last?; label: Chapter 5.
title: Josh Revisited: "Ask Your Doctor to Prescribe"
pagenum: 82; title: How psychiatric medications are (sort of) classified; title: How a doctor chooses a medication; title: Informed consent; title: Complementary and alternative treatments; title: How doctors dose medications; title: What happens when conventional treatments don't work?; title: Why psychiatrists don't like Xanax; title: Addictive medications in the treatment of the psychiatric patient; label: Chapter 6.
title: Becca: When Things Go Wrong
pagenum: 99; title: Difficulties with communication and poor patient-doctor fit; title: Recovered memory therapy; title: Disorders induced by the psychiatrist; title: When psychotherapy is inappropriately used as the only treatment; title: Side effects and adverse reactions from medications; title: Black box warnings; title: Antidepressants and suicide in young people and how the FDA decides on black box warnings; title: Boundary violations; title: Therapists who exploit patients; label: Chapter 7.
title: Eddie: A Child at Risk
pagenum: 122; title: Healthcare proxies, advance directives, and medical decision making for the dying patient; title: Informed consent and medical decisions for minors; title: Juvenile delinquency and the legal system; title: Custody evaluations: who gets the child?; label: Chapter 8.
title: Eddie: The Prison Patient
pagenum: 135; title: Specialty mental health courts and compelled treatment; title: Interrogation and why criminals confess; title: Psychopaths versus sociopaths and whether they can be treated; title: The insanity defense; title: What becomes of the insanity acquittee?; title: Psychiatric care in jail and in prison; title: Civil commitment of sex offenders; label: Chapter 9.
title: Mitchell: Hospital-based Psychiatry
pagenum: 158; title: What happens in the Emergency Department?; title: Finding a hospital bed for a psychiatric patient: insurance approval and bed availability; title: What happens during psychiatric hospitalization?; title: Patient education, family involvement, and therapy; title: The agitated patient: restraint, seclusion, and forced medications; title: Shock treatments, or electroconvulsive therapy (ECT); title: Bargaining for beds: insurance (again) and how psychiatric beds get allocated; title: Electronic health records; title: Day hospitals, or partial hospitalization programs; title: The consultation-liaison psychiatrist; label: Chapter 10.
title: Sharon: The Business of Psychiatry
pagenum: 183; title: Psychiatrists and insurance networks: how it all works; title: The missed appointment: no-shows and late cancellations; title: Preventing lawsuits; title: Providing safe environments for violent patients; title: When the patient assaults the psychiatrist; title: Changes in the patient's ability to pay for care; title: Influences of the pharmaceutical industry; title: Happy birthday! gifts from patients; label: Chapter 11.
title: Things We Argue About
pagenum: 201; title: Healthcare reform and how we allocate our treatments; title: What constitutes a psychiatric disorder: diagnostic criteria in the DSM age; title: Psychiatric disabilities and deciding who deserves special accommodation; title: Psychiatric disabilities in the workplace, from pilots to presidents; title: Medications with addictive potential; title: Medical marijuana for psychiatric disorders; title: Complementary and alternative treatments; title: The recovery movement; label: Chapter 12.
title: The Future of Psychiatry
pagenum: 221; title: More than just medicines and psychotherapy: VNS, DBS, and rTMS; title: Just beginning: genetics, brain structure and function, and neuroplasticity; title: Psychopharmacogenetics: scientific gains that will lead to treatments based on each patient's biology; label: Acknowledgments
pagenum: 227; label: Sources and Suggested Reading
pagenum: 231; label: About the Authors
pagenum: 239; label: Index
pagenum: 247