Benjamin J. Sadock MD - Kaplan & Sadock’s Pocket Handbook of Clinical Psychiatry

KAPLAN & SADOCKS
POCKET HANDBOOK
OF CLINICAL
PSYCHIATRY

Sixth Edition

B ENJAMIN J. S ADOCK , M.D.

Menas S. Gregory Professor of Psychiatry

Department of Psychiatry

New York University School of Medicine

Attending Psychiatrist, Tisch Hospital

Attending Psychiatrist, Bellevue Hospital Center

New York, New York

S AMOON A HMAD , M.D.

Associate Professor of Psychiatry

Department of Psychiatry

New York University School of Medicine

Attending Physician and Unit Chief Inpatient Psychiatry

Bellevue Hospital Center

New York, New York

V IRGINIA A. S ADOCK , M.D.

Professor of Psychiatry

Department of Psychiatry

New York University School of Medicine

Attending Psychiatrist, Tisch Hospital

Attending Psychiatrist, Bellevue Hospital Center

New York, New York

Acquisitions Editor: Chris Teja

Development Editor: Ashley Fischer

Editorial Coordinator: Alexis Pozonsky

Marketing Manager: Rachel Mante Leung

Production Project Manager: Bridgett Dougherty

Design Coordinator: Holly McLaughlin

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: Aptara, Inc.

6th edition

Copyright 2019 Wolters Kluwer.

Copyright 2010 Wolters Kluwer Health / Lippincott Williams & Wilkins.

All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

9 8 7 6 5 4 3 2 1

Printed in China

Library of Congress Cataloging-in-Publication Data

Names: Sadock, Benjamin J., author. | Ahmad, Samoon, author. | Sadock, Virginia A., author.

Title: Kaplan & Sadocks pocket handbook of clinical psychiatry / Benjamin J. Sadock, Samoon Ahmad, Virginia A. Sadock.

Other titles: Kaplan and Sadocks pocket handbook of clinical psychiatry | Pocket handbook of clinical psychiatry | Complemented by (expression): Kaplan & Sadocks comprehensive textbook of psychiatry. 10th ed.

Description: Sixth edition. | Philadelphia: Wolters Kluwer, [2019] |

Complemented by: Kaplan & Sadocks comprehensive textbook of psychiatry / editors, Benjamin J. Sadock, Virginia A. Sadock, Pedro Ruiz. 10th ed. 2017. | Includes bibliographical references and index.

Identifiers: LCCN 2017044540 | ISBN 9781496386939 (alk. paper)

Subjects: | MESH: Mental Disorders | Psychiatry | Handbooks

Classification: LCC RC454 | NLM WM 34 | DDC 616.89dc23

LC record available at https://lccn.loc.gov/2017044540

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

LWW.com

Dedicated
to our children
James and Victoria
and to our grandchildren
Celia, Emily, Oliver and Joel
B.J.S
V.A.S

Dedicated
to my parents
Riffat and Naseem
and my son
Daniel
S.A

Psychiatry underwent a sea change since the last edition of this book was published: A new classification of mental disorders was developed and codified in a fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association. The reader will find all of those changes incorporated into this new, sixth edition of the Pocket Handbook of Clinical Psychiatry. Every section in this book has been updated and revised and all the diagnoses of mental disorder conform to the criteria listed in DSM-5.

Each disorder is described using the specific parameters of diagnosis, epidemiology, etiology, clinical signs and symptoms, differential diagnosis, and treatment. This book serves as a ready reference to diagnose and treat the full range of mental disorders in both adults and children. Over the years, psychiatrists and nonpsychiatric physicians have found it to be a useful guide as have medical students, especially during their rotations through psychiatry. It is also used by psychologists, social workers, psychiatric nurses, and many other mental health professionals.

The Pocket Handbook is a minicompanion to the recently published encyclopedic tenth edition of Kaplan & Sadocks Comprehensive Textbook of Psychiatry (CTP-X) and each chapter in this book ends with references to the more detailed relevant sections in that textbook.

The authors, Benjamin Sadock, M.D. and Virginia Sadock, M.D. are particularly pleased that Samoon Ahmad, M.D., a close friend and professional associate has joined them as a full author. He is a distinguished psychiatrist with a national and international reputation as both an educator and clinician. His participation has immeasurably helped and enhanced the preparation of this book.

We wish to thank several persons who have helped. We want to acknowledge Norman Sussman, M.D. who has collaborated with us as consulting and contributing editor in many Kaplan & Sadock books. We also thank James Sadock, M.D. and Victoria Sadock Gregg, M.D., experts in adult and child emergency medicine respectively, for their help. Our assistant, Heidiann Grech was crucial in the preparation of this book for which we are most grateful. As always, our publishers continue to maintain their high standards for which we are most appreciative. At Wolters Kluwer, we especially want to thank Lexi Pozonsky for her help.