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Book Reviews
April 2006

Psychiatry for Neurologists

Arch Neurol. 2006;63(4):623-624. doi:10.1001/archneur.63.4.623-b

edited by Dilip V. Jeste, MD, and Joseph H. Friedman, MD, 427 pp, with illus, $135, ISBN 10588-29-483-8, Totowa, NJ, Humana Press, 2006.

The 29 chapters of this edited volume cover a lot of ground, starting with the historical interaction between neurology and psychiatry and ranging in subjects from the psychiatric impact of cerebellar lesions to neurosurgical treatments for psychiatric syndromes. The chapter on psychiatric evaluation of the neurological patient, which should be the cornerstone of this work, contains a number of useful suggestions but is poorly organized compared with the excellent chapter on childhood disorders and omits testing of abstract reasoning from the mental status examination. The book contains a chapter on epilepsy with a very helpful section on nonepileptic seizures, a very interesting chapter on the diagnosis and management of catatonia, and good information on the management of somatoform disorders. There are useful chapters on dealing with the psychiatric complications of stroke, the global management of patients with amyotrophic lateral sclerosis, and the diagnosis and approach to dealing with depression and cognitive impairment in patients with multiple sclerosis. There was too much reliance on diagnostic instruments in the discussion of poststroke depression; antidepressant drugs in current use are so benign that if a clinician suspects depression, treatment should be undertaken immediately. Although it would have increased redundancy, it would have been useful to indicate appropriate dose ranges for psychotropic drugs mentioned in the various chapters; this was done extremely well in the chapter on Huntington disease.

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