Complex Clinical Conundrums in Psychiatry

1. Front Matter

   Pages i-xiii

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2. A Complex Case of Major Neurocognitive Disorder: Alzheimer’s Disease

   • Popuri M. Krishna, Kuppuswami Shivakumar, Shabbir Amanullah

   Pages 1-13

3. A Complex Case of Delirium: From Theory to Clinical Management

   • Tim Lau, Sarah Russell

   Pages 15-22

4. Geriatric Psychopharmacology: A Complex Case of Psychosis Complicated by Neuroleptic Malignant Syndrome (NMS) and Metabolic Syndrome (MetS)

   • Raj Velamoor, Gautham Pulagam

   Pages 23-37

5. A Complex Case of Obsessive-Compulsive Disorder (OCD)

   • Lynne Drummond, Andrew Roney

   Pages 39-44

6. Clinical Conundrum: A Complex Case of Postpartum Depression

   • Prabha S. Chandra, Sundarnag Ganjekar, Soumya Parameshwaran

   Pages 45-60

7. A Complex Case of Endocrine Disorder: Diabetes Associated with Depression

   • Nisha Nigil Haroon, Najala Orrell, Kuppuswami Shivakumar, Shabbir Amanullah

   Pages 61-66

8. A Complex Case of Opiates and Related Pathologies

   • Jennifer L. Pikard, Sarah Penfold, M. Nadeem Mazhar

   Pages 67-78

9. A Complex Case of Stimulants and Related Pathologies

   • Sarah Penfold, Jennifer L. Pikard, M. Nadeem Mazhar

   Pages 79-87

10. A Complex Case of Psychiatric Issues Associated with HIV Disorder

    • Alana Rawana, Kuppuswami Shivakumar

    Pages 89-102

11. Conundrums in Managing Early Stages of Schizophrenia

    • Lena Palaniyappan, Priyadharshini Sabesan, Ross Norman, Alkomiet Hasan

    Pages 103-114

12. The Role of Clozapine in Treatment-Resistant Schizophrenia

    • Kuppuswami Shivakumar, Shabbir Amanullah, Ranga Shivakumar, Kevin Saroka, Nicolas Rouleau, Nirosha J. Murugan

    Pages 115-122

13. Complementary and Alternative Therapies for Treatment-Resistant Depression: A Clinical Perspective

    • Rosalia Sun Young Yoon, Nisha Ravindran, Arun Ravindran

    Pages 123-142

14. Complex Cases of Comorbid Depression and Personality Disorder (PD)

    • Ramamohan Veluri, Vicky P. K. H. Nguyen

    Pages 143-152

15. A Complex Case of a Personality Disorder

    • Brad D. Booth, Michelle D. Mathias

    Pages 153-162

16. A Complex Case of Attention Deficit Hyperactivity Disorder in an Adult

    • Kuppuswami Shivakumar, Shabbir Amanullah, Adnan Rajeh

    Pages 163-169

17. Complex Cases of PTSD: Importance of Sociocultural Factors in the Sri Lankan Context

    • Daya Somasundaram, T. Umaharan

    Pages 171-186

18. Psychiatric Emergencies: A Complex Case of Overdose and Assessment in the Emergency Department

    • Bruce Fage, Jodi Lofchy

    Pages 187-197

19. A Complex Case of Binge Eating Disorder (BED)

    • Kuppuswami Shivakumar, Shabbir Amanullah, Nicolas Rouleau

    Pages 199-204

20. A Complex Case of ‘Speaking in Tongues’

    • Oyedeji Ayonrinde, Sanjeevan Somasunderam

    Pages 205-210

This book provides the readers with a series of complex cases that are organized by psychiatric disorder. Written by experts in the field, the cases offer insight on how to navigate care in delicate situations while considering preexisting medical conditions. Topics cover pharmacological concerns in women who are pregnant or nursing, working with dementia patients suffering from HIV, assessing and treating ADHD in special populations, monitoring medication use in patience recovering from Substance Use Disorder, and working with patients suffering from personality disorders. Each chapter offers guidance through the maze of classifications, clinical features, diagnosis and various complex interventions. The book also covers new information on the advances in research and management aspects. 


Complex Clinical Conundrums in Psychiatry is a valuable resource for psychiatrists, psychologists, family physicians, geriatricians, counselors, social workers, nurses, and all medical professionals working with complex psychiatric patients.

• Treatment-resistant depression
• Personality disorder
• Schizophrenia
• Pregnant women with depression
• Delirium
• Substance misuse
• pharmacotherapy

• Department of Psychiatry, Northern Ontario School of Medicine Psychiatry Department, Sudbury, Canada

  Kuppuswami Shivakumar

• Woodstock General Hospital, Woodstock Ontario, University of Western Ontario, London, Canada

  Shabbir Amanullah

Dr.Shivakumar is a Consultant Psychiatrist and Associate Professor at Northern Ontario School of Medicine. He was trained at the Maudsley Hospital in London, the UK followed by a degree from the Johns Hopkins Schoool of Public Health. He is a Member of the Royal College of Psychiatrist UK and a Fellow of the Royal College of Physicians and Surgeons of Canada. His main interest includes First-Episode Psychosis, Psychopharmacology, and psychiatric education. 


Dr Shabbir Amanullah completed his DPM at the Central Institute Of Psychiatry in Kanke, MD at the National Institute Of Mental Health and Neuroscience where he was awarded the Gold medal in the final exams
He then completed his Royal college exams in U.K. and his CCT following which he moved to Canada and completed his FRCPC
His areas of interest include physician health and the use of synthetic cannabinoid in dementia

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