Clinical Reasoning and Decision-Making in Psychiatry

Joseph Goldberg is Clinical Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai in New York. 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.

• Preface; Foreword; 1. Making Sense of the Senseless: How to Gather and Organize Pertinent Information; 2. The Approach to Diagnostic Ambiguity; 3. What The Patient Isn't Telling You: When Seeing is Not Believing; 4. Shared Decision Making; 5. Deciding On Appropriate Treatment Modalities: Medication, Psychotherapy, Hospitalization and Other Levels of Care; 6. Measurement Based Care and Applying Statistical Concepts to the Individual Patient; 7. Hypothesis Testing and Crafting Patient-Specific Decision Trees; 8. Decision Points in Iterative Pharmacotherapy; 9. Hierarchical and Complex Pharmacotherapy Decision-Making; 10. Prioritizing the Components of Any Decision-Making Model.

'In this book, Drs Joseph Goldberg and Stephen Stahl, two well-respected psychiatrists with expertise in mood disorders and psychopharmacology, clarify the thinking that goes into the provision of personalized medicine. They cogently illustrate the many dilemmas psychiatrists face in their everyday practices: how to weigh clinical observations with the scientific literature guiding expert treatment without losing sight of individual patients' histories, objectives, and preferences. Clinical vignettes bring to life the shared physician/patient decision-making that is key to successful personalized treatment. The reader comes away knowing what a seasoned clinician would do under the complex situations that often appear in practice but are not always discussed in treatment guidelines. This is a must-read for new or experienced clinicians who seek to improve their practices by collaborating with and meeting the needs of their individual patients.' David J. Miklowitz,, Ph.D., Distinguished Professor of Psychiatry and Behavior Sciences, UCLA School of Medicine, Los Angeles