The book begins slowly, dealing with the more tedious and laborious aspects of consultation-liaison psychiatry. The pace quickens as the book proceeds more into the actual work. The second half of the book becomes more engrossing. There are some conflicting opinions and a fair amount of repetition, some probably unavoidable. Although annoying at times when the book is read in its entirety, repetition makes the book more accessible when used as a reference work alone. The most effective sections are the sections on oncology, ECT, and psychotherapy. The oncology section contains particularly useful information such as the fact that "suicide is rare among patients with cancer." Other aspects of cancer treatment, including working with family and staff, are well addressed. ECT remains controversial in the public’s eye. The authors offer an informed, balanced overview with aggressive recommendations for the use of ECT in such conditions as Parkinson’s disease, dementia, and epilepsy. The psychotherapy chapter is positively splendid, a thoughtful, convincing treatise. All beginning psychiatrists would benefit from reading it. Highest compliments are due its author. The neurology and neurosurgery and physical medicine and rehabilitation chapters are also well written.