A Guide to the Extrapyramidal Side-Effects of Antipsychotic Drugs

A Guide to the Extrapyramidal Side-Effects of Antipsychotic Drugs

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D. G. Cunningham Owens
Cambridge University Press
Edition: 2, 4/10/2014
EAN 9781107022867, ISBN10: 110702286X

Hardcover, 383 pages, 24.6 x 18.9 x 2.2 cm
Language: English

It is often implied that antipsychotic-induced extrapyramidal side-effects are irrelevant to modern psychiatric therapeutics, rendered historic by newer, better treatments. This myth arises from limited awareness of the depth and breadth of neurological disruption antipsychotics can mediate. This volume discusses the extensive clinical boundaries of acute dystonias, drug-induced parkinsonism, akathisia and tardive dyskinesia, providing demographic and epidemiological context while illustrating how prescribing choices impact powerfully on their development. This new edition has been thoroughly updated and rewritten to include recent data, expanded references and a new chapter on the concept of 'atypical' antipsychotics. Written in a light, engaging style, liberally illustrated with clinical examples, it also invites readers to consider ongoing controversies - subjective drug effects, the relationship between 'akathisia' and restless legs, the status of the concept of 'atypicality', and so on. Informative reading for trainees as well as established practitioners in the fields of psychiatry, neurology, primary care and geriatrics.

Part I. Setting the Scene
1. The origins of psychopharma
2. Some preliminaries
Part II. The Syndromes
3. Acute dystonias
4. Parkinsonism
5. Akathisia
6. Tardive dyskinesia
Part III. Particular Issues
7. Tardive and chronic dystonia
8. Special populations
Part IV. Assessment
9. The clinical examination
10. An overview of some standardised recording instruments
Part V. Matters Arising
11. Involuntary movements and schizophrenia
a limitation to the concept of tardive dyskinesia?
12. And finally … the salutary tale of 'atypicality'