Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold.Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.

Foreword IKathleen M. FoleyForeword IIEduardo BrueraPrefaceHarvey Max Chochinov and William S. BreitbartContributorsPART I: Psychiatric and Psychosocial Palliative Care: Overview1 Hospice and Palliative Care: Putting Those Affected Before Their DiseaseIrene J. Higginson, Barbara Gomes, and Anna E. Bone2 Integrating Psychiatry and Palliative MedicineDavid W. Kissane3 Healing and Whole-Person CareTom A. Hutchinson and Nora HutchinsonPART II: Psychiatric Complications of Terminal Illness4 Diagnosis and Management of Depression in Palliative CareNathan Fairman and Scott A. Irwin5 Anxiety in Palliative CareMartin S. Chin, Andrew J. Roth, and Konstantina Matsoukas6 Delirium in the Terminally IllChristopher Manschreck, Yesne Alici, and William Breitbart7 Suicide and Desire for Hastened Death in the Terminally IllLeah E. Walsh, Laura C. Polacek, Marjorie Heule, and Barry Rosenfeld8 Medical Assistance in DyingAliza A. Panjwani, Gary Rodin, and Madeline Li9 Palliative Care for People Who Experience Severe Persistent Mental IllnessAlan Bates, John-Jose Nunez, Alexandra Farag, David Fudge, Timothy O'Shea, Kathleen Baba Willison, and Anne Woods10 Palliative Care in the Patient with Substance Use DisorderJaya S. Amaram-Davila and Joseph Arthur11 Difficult Personality Traits and Disorders in Palliative CareJohn WynnPART III: Psychosocial Issues in Palliative Care12 Screening for Psychological Distress in the Palliative Care SettingBryan Gascon, Gary Rodin, Camilla Zimmermann, and Madeline Li13 Communicating with Patients with Advanced CancerPatricia A. Parker, Andrew S. Epstein, William E. Rosa, and Smita C. Banerjee14 Building Interdisciplinary Teams of ExcellenceJaroslava Salman, Juee Kotwal, and Matthew Loscalzo15 Psychosocial Benefits of Early Palliative Care InterventionCarrie C. Wu, Jennifer Temel, and William Pirl16 Cultural Diversity and Palliative CareAyla Pelleg, Cardinale B. Smith, and Leslie Blackhall17 Bereavement in Palliative CareWendy G. Lichtenthal, Carol Fadalla, Jonathan Singer, Kailey E. Roberts, William E. Rosa, Amanda Watsula, and Holly G. Prigerson18 Family and Couple Issues in Palliative CareDavid W. Kissane and Talia I. Zaider19 Cancer CaregiversAllison J. Applebaum and Hannah-Rose Mitchell20 Care for the Healthcare ProviderDaniel C. McFarland and Mary L. S. Vachon21 Prognostic Understanding in the Terminally IllLaura C. Polacek, Leah E. Walsh, Melissa M. Duva, Login S. George, and Allison J. ApplebaumPART IV: Ethical, Existential, and Spiritual Issues in Palliative Care22 Ethical Issues in Palliative CareKari L. Esbensen and Daniel P. Sulmasy23 Palliative AestheticsB. J. Miller, Johanna Glaser, and Justin Burke24 Compassion: Alleviating Multifactorial Suffering in Palliative Care Through the Art and Science of CompassionDaranne Harris and Shane Sinclair25 Treatment of Suffering in Patients with Advanced CancerNathan I. Cherny and Anna K. L. Reyners26 Demoralization in Palliative CareDavid W. Kissane, Irene Bobevski, and Luigi Grassi27 Interprofessional Spiritual Care in Palliative CareChristina Puchalski, Betty R. Ferrell, Vanessa Battista, Elisha Waldman, and Richard W. BauerPART V: Understanding and Managing Symptoms28 Physical Symptom Management in the Terminally IllRussell K. Portenoy and Eduardo Bruera29 Psychiatric Aspects of Pain Management in Palliative CareR. Garrett Key and William S. Breitbart30 Eating Issues in Palliative Cancer Patients: A Source of Cachexia-Related DistressJane B. Hopkinson, Koji Amano, and Vickie E. Baracos31 Fatigue at End of LifeMeredith Hays, Han Le Santisi, and Margaret M. MahonPART VI: Psychotherapeutic Interventions in Palliative Care32 Psychodynamic Therapy in the Terminally IllLinda Emanuel and Stephanie Brody33 Narrative MedicineKaren E. Steinhauser and Joseph G. Winger34 Cognitive Behavioral Therapy in Palliative CareMeghan McDarby, Kelly Trevino, and Elissa Kozlov35 Meaning-Centered PsychotherapyAllison J. Applebaum, Wendy G. Lichtenthal, Hayley Pessin, and William S. Breitbart36 Dignity TherapyTasha Mari Schoppee and Harvey Max Chochinov37 Managing Cancer and Living Meaningfully (CALM) TherapyCarmine Malfitano, Sarah Hales, and Gary Rodin38 Mindfulness-Based InterventionsLinda E. Carlson, Chelsea Moran, and Mohamad Baydoun39 Acceptance and Commitment TherapyNicholas J. Hulbert-Williams and Lee Hulbert-Williams40 Supportive-Expressive Group Therapy and the Terminally IllDavid Spiegel and Manuela Kogon41 Grief Interventions in Palliative CareWendy G. Lichtenthal, Kailey E. Roberts, Madeline Rogers, Carol Fadalla, William E. Rosa, and Robert A. Neimeyer42 Psilocybin-Assisted Psychotherapy in Palliative CareStephen Ross and Anthony P. BossisPART VII: Life Cycle Considerations in Palliative Care43 Human Development and Personal Well-Being in Life-Threatening Conditions: Therapeutic Insights and Strategies Derived from Positive Experiences of Individuals and FamiliesIra Byock44 Psychiatry in Multidisciplinary Pediatric Palliative CareJulia A. Kearney and Megan Gilman45 Special Care Considerations for the Seriously Ill Older AdultAyla Pelleg, R. Sean Morrison, and Diane E. MeierIndex