The Art And Science Of Thyroid Supplementation For The Treatment Of Bipolar Depression

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The Art and Science of Thyroid Supplementation for the Treatment of Bipolar Depression

Author : Tammas Kelly
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781979168410
Total Pages : 164 pages
Book Rating : 4.1/5 (684 download)

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Book Synopsis The Art and Science of Thyroid Supplementation for the Treatment of Bipolar Depression by : Tammas Kelly

Download or read book The Art and Science of Thyroid Supplementation for the Treatment of Bipolar Depression written by Tammas Kelly and published by Createspace Independent Publishing Platform. This book was released on 2018-02-13 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bipolar Depression Bipolar depressions are often intractable and potentially deadly. We find from Kraepelin's lectures that thyroid hormones have been in continuous use in psychiatry for at least 120 years, the oldest continuous treatment in psychiatry with the exception of psychotherapy. The use of high doses of thyroid hormone is recommended for bipolar depression in at least two major treatment guidelines: the Texas Medication Algorithm Project for bipolar I depression and the Canadian/ISBD guidelines for bipolar II (2013). There are numerous studies showing its effectiveness including a randomized double-blind placebo-controlled study. Neuroimaging studies show that high doses of thyroid decrease overactive areas in the brain that are associated with depression. In other words, it helps restore normal neurophysiologic functioning, possibly, by correcting low cellular thyroid levels, caused by dysfunctioning mitochondria and low ATP levels. High dose thyroid is well tolerated and is as safe as or safer than most other treatments used for bipolar disorders. High dose thyroid is far safer and far more effective than antidepressants. In fact, theories predict that high dose thyroid may decrease the medical sequela associated with the bipolar disorders allowing our patients to live healthier and longer. Despite all these factors high dose thyroid is rarely used or even talked about for bipolar depression. Here is a book that packages both the "how to" of the practical day-to-day use of high dose thyroid and the evidence base of its efficacy and safety for treating bipolar. The book debunks the myths surrounding high dose thyroid offering definitive proof that it differs from hyperthyroidism. Given the high rate of morbidity and mortality of bipolar depressions. Given the uncalculable suffering by patients and their families. Given the safety and tolerability of high dose thyroid. Given the tremendous cost to society. Given the dearth of effective treatments the question is no longer why use thyroid hormones for treatment. The question asks itself: Why are we not using thyroid hormones to treat bipolar disorder?

Bipolar for Psychotherapists and Their Clients

Author : C. Raymond Lake
Publisher : Springer Nature
ISBN 13 : 3031387503
Total Pages : 254 pages
Book Rating : 4.0/5 (313 download)

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Book Synopsis Bipolar for Psychotherapists and Their Clients by : C. Raymond Lake

Download or read book Bipolar for Psychotherapists and Their Clients written by C. Raymond Lake and published by Springer Nature. This book was released on 2023-11-06 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique book is needed because it aims to improve the care of Bipolar clients while strengthening the clinical practices of non-MD psychotherapists. What is different is the proposal that psychotherapists manage the overall care of Bipolar clients. The increased number of publications about Bipolar over the past decades has enhanced the recognition of Bipolar. As many as 16 million individuals in the US may have a Bipolar episode at some point. Psychiatrists have traditionally managed Bipolar clients but there are not enough psychiatrists and they generally spend only 10 to 15 minutes every one to six months with their clients—often not enough time to recognize oncoming Bipolar episodes. Therapeutic strategy has changed from treating acute episodes to postponing next episodes. Psychotherapists see their clients for 50 minutes every week and are in a better position to recognize developing episodes. Psychotherapists do not prescribe and medicines are usually needed along with psychotherapy for best results. This book encourages psychotherapists to vet and collaborate with prescribers in caring for the therapists’ Bipolar clients. Lacking in the psychotherapists’ armamentarium for treating Bipolar clients is education regarding diagnostic signs, symptoms, and treatment including the most productive medications. This book provides therapists and clients the needed information and encourages academic departments and other psychotherapy programs to institute training about Bipolar Disorders.

Neuroprogression and Staging in Bipolar Disorder

Author : Flávio Kapczinski
Publisher : Oxford University Press (UK)
ISBN 13 : 0198709994
Total Pages : 357 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Neuroprogression and Staging in Bipolar Disorder by : Flávio Kapczinski

Download or read book Neuroprogression and Staging in Bipolar Disorder written by Flávio Kapczinski and published by Oxford University Press (UK). This book was released on 2015 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neuroprogression and Staging in Bipolar Disorder provides a comprehensive and scholarly overview of clinical staging systems in the management of bipolar disorder. The book covers the theoretical basis, the neurobiological underpinnings, the current evidence base, limitations, future directions and the clinical implications and recommendations.

Epidemiology of Thyroid Disorders

Author : Jahangir Moini
Publisher : Elsevier
ISBN 13 : 0128182741
Total Pages : 336 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Epidemiology of Thyroid Disorders by : Jahangir Moini

Download or read book Epidemiology of Thyroid Disorders written by Jahangir Moini and published by Elsevier. This book was released on 2020-01-08 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Epidemiology of Thyroid Disorders provides comprehensive, clinical knowledge to professionals dealing with thyroid disorders. The book focuses on the pathophysiology of thyroid disorders, the prevalence and incidence of various diseases, and their prevention. This focused analysis on thyroid disorders raises awareness of this global problem that, once diagnosed or misdiagnosed, can sometimes lead to over-treatment and cardiovascular complications, especially in the elderly. This succinct, targeted reference gives the reader excellent information on the epidemiology of global thyroid disorders, as well as up-to-date treatment data and a special focus on prevention. Serves as a starting point for medical professionals, addressing the patterns, risk factors, prevention, and treatment of thyroid disorders around the world Discusses the prevalence of thyroid disorders around the world, covering disability and cost burden Covers recent trends, technologies and advancements in the management of thyroid diseases

The Treatment of Bipolar Disorder

Author : André F. Carvalho
Publisher : Oxford University Press
ISBN 13 : 0191065498
Total Pages : 565 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis The Treatment of Bipolar Disorder by : André F. Carvalho

Download or read book The Treatment of Bipolar Disorder written by André F. Carvalho and published by Oxford University Press. This book was released on 2017-03-01 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bipolar disorder is a chronic and debilitating mental illness affecting a significant proportion of the world's population. It is associated with significant impairments in health-related quality of life and psychosocial functioning, and has significant illness-related morbidity and heightened mortality rates due to medical comorbidities and suicide. The management of this disorder requires a complex combination of pharmacological and psychosocial interventions which can be challenging for clinicians. Written by world experts in the field of bipolar disorder, The Treatment of Bipolar Disorder: Integrative Clinical Strategies and Future Directions provides readers with a concise and comprehensive guide to the integrative management of bipolar disorder. This resource contains 31 chapters on the various management choices available, from both established and novel treatment areas, such as psychoeducation, psychotherapeutic interventions, neuromodulatory approaches and novel therapeutic targets. The complexity and diversity of the management choices available makes this a continually evolving field and necessitates forward thinking. By both discussing the current management of bipolar disorder, and the future developments available, this resource provides all clinicians working with patients with bipolar disorder an up-to-date and reflective guide to its management and what the future holds.

Bipolar, Not So Much: Understanding Your Mood Swings and Depression

Author : Chris Aiken
Publisher : W. W. Norton & Company
ISBN 13 : 0393711757
Total Pages : 296 pages
Book Rating : 4.3/5 (937 download)

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Book Synopsis Bipolar, Not So Much: Understanding Your Mood Swings and Depression by : Chris Aiken

Download or read book Bipolar, Not So Much: Understanding Your Mood Swings and Depression written by Chris Aiken and published by W. W. Norton & Company. This book was released on 2017-01-17 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approaching depression as a complex disorder with many different facets rather than all-or-nothing. Depression confuses the mind, strips away hope, and causes people to blame themselves for an illness they never asked for. This book presents a revolutionary new understanding of the concept of depression and offers readers skills and strategies to manage it. No longer is this a one-size-fits-all diagnosis, and antidepressants are no longer the one-size-fits-all treatment. Mood disorders are now seen to form a spectrum of problems, from common depression on one end to full bipolar disorder on the other. In between these extremes are multitudes of people who are on the middle of the mood spectrum, and this book is for them. The first part of the book helps readers answer the question, “Where am I on the mood spectrum?” By laying the foundation for understanding this spectrum, Aiken and Phelps highlight the key distinctions that define unipolarity, bipolarity, hypomania, mania, and depression. Readers will be able to discern which definition best fits their experience, and use this understanding to learn which treatment methods will work best. The authors also empower readers to look beyond antidepressants. They walk readers through new medications for the mood spectrum, and offer a guide to non-medication treatments that anyone can use on their own, from diet and lifestyle changes to natural supplements. The book also discusses other innovative technologies that can aid in recovery, including dawn simulators, mood apps, and blue-light filters. This thoughtful and beneficial book will offer readers skills and strategies, as well as hope, in the face of debilitating mental challenges.

Oxford Textbook of the Psychiatry of Intellectual Disability

Author : Sabayasachi Bhaumik
Publisher : Oxford University Press
ISBN 13 : 0192513451
Total Pages : 336 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis Oxford Textbook of the Psychiatry of Intellectual Disability by : Sabayasachi Bhaumik

Download or read book Oxford Textbook of the Psychiatry of Intellectual Disability written by Sabayasachi Bhaumik and published by Oxford University Press. This book was released on 2020-02-05 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intellectual Disability (ID) describes a lifelong condition of heterogeneous aetiology, associated with the impairment of intellectual functioning (IQ

Clinical Psychopharmacology

Author : S. Nassir Ghaemi
Publisher : Oxford University Press
ISBN 13 : 0199995508
Total Pages : 601 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Clinical Psychopharmacology by : S. Nassir Ghaemi

Download or read book Clinical Psychopharmacology written by S. Nassir Ghaemi and published by Oxford University Press. This book was released on 2018-12-05 with total page 601 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Psychopharmacology offers a comprehensive guide to clinical practice that explores two major aspects of the field: the clinical research that exists to guide clinical practice of psychopharmacology, and the application of that knowledge with attention to the individualized aspects of clinical practice. The text consists of 50 chapters, organized into 6 sections, focusing on disease-modifying effects, non-DSM diagnostic concepts, and essential facts about the most common drugs. This innovative book advocates a scientific and humanistic approach to practice and examines not only the benefits, but also the harms of drugs. Providing a solid foundation of knowledge and a great deal of practical information, this book is a valuable resource for practicing psychiatrists, psychiatric nurse practitioners, medical students and trainees in psychiatry, as well as pharmacists.

Bipolar; The Elements of Bipolar Disorder

Author : Jay Carter
Publisher : Jay Carter
ISBN 13 : 9780937004135
Total Pages : 84 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Bipolar; The Elements of Bipolar Disorder by : Jay Carter

Download or read book Bipolar; The Elements of Bipolar Disorder written by Jay Carter and published by Jay Carter. This book was released on 1998 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: An easy to read little book on Bipolar Disorder, Written in plain English for people with Bipolar Disorder, family members, and therapists. Feedback is that it is a very illuminating book and people have said (Bipolars and therapists) "I finally understand Bipolar Disorder."

Anatomy of an Epidemic

Author : Robert Whitaker
Publisher : Crown
ISBN 13 : 0307452433
Total Pages : 418 pages
Book Rating : 4.3/5 (74 download)

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Book Synopsis Anatomy of an Epidemic by : Robert Whitaker

Download or read book Anatomy of an Epidemic written by Robert Whitaker and published by Crown. This book was released on 2010-04-13 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated with bonus material, including a new foreword and afterword with new research, this New York Times bestseller is essential reading for a time when mental health is constantly in the news. In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Interwoven with Whitaker’s groundbreaking analysis of the merits of psychiatric medications are the personal stories of children and adults swept up in this epidemic. As Anatomy of an Epidemic reveals, other societies have begun to alter their use of psychiatric medications and are now reporting much improved outcomes . . . so why can’t such change happen here in the United States? Why have the results from these long-term studies—all of which point to the same startling conclusion—been kept from the public? Our nation has been hit by an epidemic of disabling mental illness, and yet, as Anatomy of an Epidemic reveals, the medical blueprints for curbing that epidemic have already been drawn up. Praise for Anatomy of an Epidemic “The timing of Robert Whitaker’s Anatomy of an Epidemic, a comprehensive and highly readable history of psychiatry in the United States, couldn’t be better.”—Salon “Anatomy of an Epidemic offers some answers, charting controversial ground with mystery-novel pacing.”—TIME “Lucid, pointed and important, Anatomy of an Epidemic should be required reading for anyone considering extended use of psychiatric medicine. Whitaker is at the height of his powers.” —Greg Critser, author of Generation Rx

Drugs in Psychiatry

Author : Basant K. Puri
Publisher : OUP Oxford
ISBN 13 : 0191649279
Total Pages : 240 pages
Book Rating : 4.1/5 (916 download)

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Book Synopsis Drugs in Psychiatry by : Basant K. Puri

Download or read book Drugs in Psychiatry written by Basant K. Puri and published by OUP Oxford. This book was released on 2013-02-28 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Drugs in series, the updated second edition of this practical pocketbook summarizes essential information on all the major drugs currently used in clinical psychiatric practice. Beginning with a brief discussion on drugs in psychiatry, the text moves on to consider the principles of psychopharmacology, which form the foundation of the sound, scientifically based use of drugs in psychiatry. Details are then given, in turn, of the main non-depot antipsychotic drugs, antipsychotic depot injections, antimanic drugs, tricyclic and related antidepressant drugs, monoamine-oxidase inhibitors, selective serotonin re-uptake inhibitors, and other antidepressants. This practical pocketbook is an essential companion for all medical staff involved in psychopharmacology, both for learning and quick reference.

The Art And Science Of Mental Health Nursing: Principles And Practice

Author : Norman, Ian
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335245617
Total Pages : 703 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis The Art And Science Of Mental Health Nursing: Principles And Practice by : Norman, Ian

Download or read book The Art And Science Of Mental Health Nursing: Principles And Practice written by Norman, Ian and published by McGraw-Hill Education (UK). This book was released on 2013-04-01 with total page 703 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive core student text which combines theoretical foundations of mental health nursing with practical skills and interventions.

A Spectrum Approach to Mood Disorders: Not Fully Bipolar but Not Unipolar--Practical Management

Author : James Phelps
Publisher : W. W. Norton & Company
ISBN 13 : 0393711471
Total Pages : 227 pages
Book Rating : 4.3/5 (937 download)

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Book Synopsis A Spectrum Approach to Mood Disorders: Not Fully Bipolar but Not Unipolar--Practical Management by : James Phelps

Download or read book A Spectrum Approach to Mood Disorders: Not Fully Bipolar but Not Unipolar--Practical Management written by James Phelps and published by W. W. Norton & Company. This book was released on 2016-06-20 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: How to understand your clients' true illnesses, not just their DSM checklists. Though the DSM discusses the criteria for mood disorders in absolute terms—either present or absent—professionals are aware that while such dichotomies are useful for teaching, they are not always true in practice. Recent genetic data support clinicians' longstanding recognition that a continuum of mood disorders between unipolar and bipolar better matches reality than a yes/no, bipolar-or-not approach. If we acknowledge that continuum, how does this affect our approach to diagnosis and treatment? In A Spectrum Approach to Mood Disorders, nationally recognized expert James Phelps provides an in-depth exploration of the signs, symptoms, and nuanced presentations of the mood disorder spectrum, focusing on the broad gray area between Major Depression and Bipolar I. Combining theoretical understanding and real-world scenarios, Phelps offers practical treatment guidelines for clinicians to better understand the subtle ways mood disorders can show up, and how to find the most beneficial path for treatment based on the patient's individual pattern of symptoms. Is it trauma, or is it bipolar? Borderline? Both? Phelps's expertise and wealth of personal experience provides readers with unparalleled insight into a subject that is by nature challenging to define. His emphasis on non-medication approaches, as well as chapters on all the major pill-based treatments (from fish oil to lithium to the avoidance of atypical antipsychotics and antidepressants), creates a comprehensive resource for any clinician working with patients on the mood spectrum. Appendices on the relationship between bipolar diagnosis, politics, and religion; and a plain-English approach to the statistical perils of bipolar screening, offer further value. Phelps has written an invaluable guide of the critical information professionals need to treat patients on the mood disorder spectrum, as well as a useful tool for highly motivated families and patients to better understand the mood disorder that effects their lives. This book seeks to alter the black and white language surrounding these mood disorders to influence a shift in how patients are diagnosed—to insure that treatment matches their specific needs.

Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder

Author : Jim Phelps
Publisher : McGraw Hill Professional
ISBN 13 : 0071486941
Total Pages : 304 pages
Book Rating : 4.0/5 (714 download)

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Book Synopsis Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder by : Jim Phelps

Download or read book Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder written by Jim Phelps and published by McGraw Hill Professional. This book was released on 2006-03-10 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tried everything but still not feeling better? If your depression keeps coming back or is even getting worse, then you may be suffering from bipolar II or “soft” bipolar disorder. Commonly misdiagnosed, these mood disorders are characterized by recurring bouts of depression along with anxiety, irritability, mood swings, sleep problems, or intrusive thoughts. Why Am I Still Depressed? shows you how to identify if you have a nonmanic form of bipolar disorder and how to work with your doctor to safely and effectively treat it. Author James R. Phelps, M.D., gives you the latest tools and knowledge so you can: Understand the Mood Spectrum, a powerful new tool for diagnosis Know all your treatment options, including mood-stabilizing medications and research-tested psychotherapies Examine the potential hazards of taking antidepressant medications Manage your condition with exercise and lifestyle changes Help family and friends with this condition understand their diagnosis and find treatment

Practical Psychopharmacology

Author : Joseph F. Goldberg
Publisher : Cambridge University Press
ISBN 13 : 1108450741
Total Pages : 611 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Practical Psychopharmacology by : Joseph F. Goldberg

Download or read book Practical Psychopharmacology written by Joseph F. Goldberg and published by Cambridge University Press. This book was released on 2021-04-29 with total page 611 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide translating clinical trials findings, across major psychiatric disorders, to devise tailored, evidence-based treatments.

Charney & Nestler's Neurobiology of Mental Illness

Author : Dennis S. Charney
Publisher : Oxford University Press
ISBN 13 : 019068142X
Total Pages : 1025 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Charney & Nestler's Neurobiology of Mental Illness by : Dennis S. Charney

Download or read book Charney & Nestler's Neurobiology of Mental Illness written by Dennis S. Charney and published by Oxford University Press. This book was released on 2018 with total page 1025 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the years following publication of the DSM-5(R), the field of psychiatry has seen vigorous debate between the DSM's more traditional, diagnosis-oriented approach and the NIMH's more biological, dimension-based RDoC (research domain criteria) approach. Charney & Nestler's Neurobiology of Mental Illness is an authoritative foundation for translating information from the laboratory to clinical treatment, and its fifth edition extends beyond this reference function to acknowledge and examine the controversies, different camps, and thoughts on the future of psychiatric diagnosis. In this wider context, this book provides information from numerous levels of analysis, including molecular biology and genetics, cellular physiology, neuroanatomy, neuropharmacology, epidemiology, and behavior. Sections and chapters are edited and authored by experts at the top of their fields. No other book distills the basic science and underpinnings of mental disorders-and highlights practical clinical significance-to the scope and breadth of this classic text. In this edition, Section 1, which reviews the methods used to examine the biological basis of mental illness in animal and cell models and in humans, has been expanded to reflect critically important technical advances in complex genetics (including powerful sequencing technologies and related bioinformatics), epigenetics, stem cell biology, optogenetics, neural circuit functioning, cognitive neuroscience, and brain imaging. This range of established and emerging methodologies offer groundbreaking advances in our ability to study the brain as well as unique opportunities for the translation of preclinical and clinical research into badly needed breakthroughs in our therapeutic toolkit. Sections 2 through 7 cover the neurobiology and genetics of major psychiatric disorders: psychoses (including bipolar disorder), mood disorders, anxiety disorders, substance use disorders, dementias, and disorders of childhood onset. Also covered within these sections is a summary of current therapeutic approaches for these illnesses as well as the ways in which research advances are now guiding the search for new treatments. Each of these parts has been augmented in several different areas as a reflection of research progress. The last section, Section 8, reconfigured in this new edition, now focuses on diagnostic schemes for mental illness. This includes an overview of the unique challenges that remain in diagnosing these disorders given our still limited knowledge of disease etiology and pathophysiology. The section then provides reviews of DSM-5(R), which forms the basis of psychiatric diagnosis in the United States for all clinical work, and of RDoC, which provides an alternative perspective on diagnosis in heavy use in the research community. Also included are chapters on future efforts toward precision and computational psychiatry, which promise to someday align diagnosis with underlying biological abnormalities.

The Difficult-to-Treat Psychiatric Patient

Author : Mantosh J. Dewan
Publisher : American Psychiatric Pub
ISBN 13 : 1585627887
Total Pages : 460 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The Difficult-to-Treat Psychiatric Patient by : Mantosh J. Dewan

Download or read book The Difficult-to-Treat Psychiatric Patient written by Mantosh J. Dewan and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why do some psychiatric patients fail to get better, even when in the care of competent clinicians? Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more than $40 billion annually, and as many as 40% of patients with depression have a treatment-refractory form of the illness. This groundbreaking clinical guide starts where standard textbooks end, focusing on clinical strategies to be used after all basic treatment options, such as medication and psychotherapy, have failed. In this book expert contributors address the sequential clinical steps in treating difficult-to-treat psychiatric patients by offering a blend of evidence-based clinical recommendations, detailed case vignettes, treatment algorithms, and -- when necessary to go beyond the reach of evidence -- the clinical wisdom of leaders in the field. The chapters in this user-friendly, practical guide are organized by major disorder. Each chapter offers concrete recommendations on what to do when the usual first steps in therapy are ineffective, including evidence for biopsychosocial treatments alone versus in combination, generic versus specific therapies, and literature reviews and the latest expert wisdom. A sampling includes The management of the complex and often refractory bipolar disorder, which involves replacing or combining lithium treatment with anticonvulsants or atypical antipsychotic agents with adjuncts such as benzodiazepines, thyroid hormone, and electroconvulsive therapy, but also -- above all -- with careful attention to the therapeutic alliance. The importance of combined therapeutic modalities for patients with schizophrenia -- especially given managed care's cost-cutting strategies, which deprive many schizophrenic patients of effective treatment modalities such as family therapy or early use of an atypical antipsychotic. Combination treatments for anxiety, with medications adjusted over time as symptoms wax and wane, and early and appropriate interventions to mitigate internal and external environmental stressors. The emphasis on common sense, optimism, a sense of humor, and an iron constitution as the most important tools for clinicians wishing to work with the most severely ill patients with borderline personality disorder. The importance of individual differences in biological vulnerability, emotionality and expressiveness, cognitive schemas and beliefs, prior traumatic experience, resilience, and coping strategies for successful treatment of posttraumatic stress disorder. Packed with up-to-date information of immediate relevance, this volume will prove invaluable in both classroom and clinical practice, for everyone from beginning interns and residents to experienced psychiatric and medical practitioners and social workers.