Treatment for Chronic Depression

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Author :
Publisher : Guilford Press
ISBN 13 : 9781572309654
Total Pages : 356 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Treatment for Chronic Depression by : James P. McCullough, Jr.

Download or read book Treatment for Chronic Depression written by James P. McCullough, Jr. and published by Guilford Press. This book was released on 2003-08-27 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume describes the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), a research-based approach designed to motivate chronically depressed patients to change and to help them develop needed problem-solving and relationship skills. Presenting clear, step-by-step guidelines for implementing CBASP--along with compelling empirical evidence that supports its efficacy--the book is filled with illustrative case material that brings challenging clinical situations to life. Also covered are ways to measure treatment outcomes and recommended procedures for training and supervision.

Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

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Author :
Publisher : American Psychiatric Publishing
ISBN 13 : 9781955245180
Total Pages : pages
Book Rating : 4.2/5 (451 download)

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Book Synopsis Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by : American Psychiatric Association

Download or read book Diagnostic and Statistical Manual of Mental Disorders (DSM-5) written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2021-09-24 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Treating Chronic Depression with Disciplined Personal Involvement

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0387310665
Total Pages : 204 pages
Book Rating : 4.3/5 (873 download)

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Book Synopsis Treating Chronic Depression with Disciplined Personal Involvement by : James P. McCullough, Jr.

Download or read book Treating Chronic Depression with Disciplined Personal Involvement written by James P. McCullough, Jr. and published by Springer Science & Business Media. This book was released on 2007-05-26 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume describes in detail what disciplined personal involvement is and how it is administered. It empirically challenges one of the oldest prohibitions in the field of psychotherapy: the personal involvement taboo. The book was written during a current four-year national clinical trial sponsored by NIMH involving 910 chronically depressed outpatients being treated at eight sites in the U.S.

DSM-5 Classification

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Author :
Publisher : American Psychiatric Publishing
ISBN 13 : 9780890425664
Total Pages : 0 pages
Book Rating : 4.4/5 (256 download)

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Book Synopsis DSM-5 Classification by : American Psychiatric Association

Download or read book DSM-5 Classification written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2015-08-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handy DSM-5(R) Classification provides a ready reference to the DSM-5 classification of disorders, as well as the DSM-5 listings of ICD-9-CM and ICD-10-CM codes for all DSM-5 diagnoses. To be used in tandem with DSM-5(R) or the Desk Reference to the Diagnostic Criteria From DSM-5(R), the DSM-5(R) Classification makes accessing the proper diagnostic codes quick and convenient. With the advent of ICD-10-CM implementation in the United States on October 1, 2015, this resource provides quick access to the following: - The DSM-5(R) classification of disorders, presented in the same sequence as in DSM-5(R), with both ICD-9-CM and ICD-10-CM codes. All subtypes and specifiers for each DSM-5(R) disorder are included.- An alphabetical listing of all DSM-5 diagnoses with their associated ICD-9-CM and ICD-10-CM codes.- Separate numerical listings according to the ICD-9-CM codes and the ICD-10-CM codes for each DSM-5(R) diagnosis.- For all listings, any codable subtypes and specifiers are included with their corresponding ICD-9-CM or ICD-10-CM codes, if applicable. The easy-to-use format will prove indispensable to a diverse audience--for example, clinicians in a variety of fields, including psychiatry, primary care medicine, and psychology; coders working in medical centers and clinics; insurance companies processing benefit claims; individuals conducting utilization or quality assurance reviews of specific cases; and community mental health organizations at the state or county level.

Depression and Diabetes

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119957478
Total Pages : 197 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Depression and Diabetes by : Wayne Katon

Download or read book Depression and Diabetes written by Wayne Katon and published by John Wiley & Sons. This book was released on 2011-06-09 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.

Treatment Resistant Depression

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585624098
Total Pages : 366 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Treatment Resistant Depression by : John F. Greden

Download or read book Treatment Resistant Depression written by John F. Greden and published by American Psychiatric Pub. This book was released on 2011 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique book presents the treatment "roadmap" implemented by the University of Michigan Comprehensive Depression Center's Treatment Resistant Depression Program, step-by-step guidance that has long eluded clinicians, patients, and their families. Writing across discipline, modality, lifespan, and patient demographics, the authors have compiled the most current thinking on TRD and distilled it into a highly readable, imminently practical, and brilliantly organized source of hope. The authors believe that early intervention is critical, and they advocate strategies for renewed focus on identifying youths who are at risk or already symptomatic. Similarly, they devote chapters to special populations such as pregnant women, older people, and those with comorbidities. Perhaps most useful to patients and their families, the book has a strong self-care orientation, emphasizing the importance of exercise, nutrition, and healthy sleep guidelines. Patients who are actively engaged in managing their disease often have better outcomes. Treatment Resistant Depression is frequently a lifetime diagnosis. The book acknowledges that fact and offers a systematic course of treatment grounded in evidence-based research that is current and comprehensive. Treatment Resistant Depression: A Roadmap for Effective Care offers a new way of conceptualizing an old enemy, and should prove to be an indispensable weapon in the battle.

Ketamine for Treatment-Resistant Depression

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Author :
Publisher : Academic Press
ISBN 13 : 0128210346
Total Pages : 170 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Ketamine for Treatment-Resistant Depression by : Gustavo H. Vazquez

Download or read book Ketamine for Treatment-Resistant Depression written by Gustavo H. Vazquez and published by Academic Press. This book was released on 2020-09-16 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ketamine for Treatment-Resistant Depression: Neurobiology and Applications provides a simple, evidence-based overview for neuropsychiatrists and translational researchers on this medication, its mechanisms of actions, eligibility of patients for treatment, and the preparation and implementation of ketamine clinics. Provides efficacy research on ketamine as a treatment for depression Identifies best practices for clinical use, both long-term and acute Discusses the molecular mechanisms and neurobiology of action

Cognitive Therapy for Chronic and Persistent Depression

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 0470869623
Total Pages : 434 pages
Book Rating : 4.4/5 (78 download)

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Book Synopsis Cognitive Therapy for Chronic and Persistent Depression by : Richard G. Moore

Download or read book Cognitive Therapy for Chronic and Persistent Depression written by Richard G. Moore and published by John Wiley & Sons. This book was released on 2004-02-06 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: ‘This volume provides the most comprehensive presentation to date of the phenomenology, clinical aspects and cognitive therapy of persistent depression. The text is highly readable, replete with illustrative case material, and highlighted by concise summaries at the end of each chapter. The treatment approach, already validated in the famed Cambridge–Newcastle clinical trial, is an invaluable contribution.’ Aaron T. Beck, M.D. Drawing on extensive clinical experience, Richard G. Moore and Anne Garland present a cognitive model of persistent depression that places particular importance on the role of thinking styles, underlying beliefs, subtle forms of avoidance and environmental factors. For the practitioner, this book offers guidance on how to address particular issues that commonly arise at each stage of therapy, such as: the patient is reluctant to engage in therapy the patient’s negative thinking does not respond to standard therapeutic techniques the patient’s negative beliefs have much basis in their experience the therapist becomes demoralised by the apparent lack of progress in therapy Through extensive clinical material, Cognitive Therapy for Chronic and Persistent Depression demonstrates how entrenched negative thinking patterns and ongoing avoidance can be addressed to achieve significant change in many people’s lives. This book is essential reading for any therapist working with these hard to help patients, such as clinical psychologists, psychiatric nurses, psychiatrists, social workers and counsellors.

Psychodynamic Treatment of Depression

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615370692
Total Pages : 244 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Psychodynamic Treatment of Depression by : Fredric N. Busch

Download or read book Psychodynamic Treatment of Depression written by Fredric N. Busch and published by American Psychiatric Pub. This book was released on 2016-03-17 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychodynamic Treatment of Depression addresses the use of psychodynamic psychotherapy, both alone and in combination with cognitive-behavioral, interpersonal, and medication treatments, as a method for reducing the psychological vulnerabilities that may predispose patients to persistent symptoms or recurrence of depression. Thoroughly revised and with new material, the second edition reflects changes codified in the DSM-5 classification and is intended for use by students, residents, or clinicians who are trained in the practice of psychotherapy. The authors' extensive clinical experience is thoroughly mined to provide techniques for tailoring the psychodynamic psychotherapeutic approach to patients with depression, and important topics such as narcissistic injury and vulnerability, guilt, defense mechanisms, and suicidality are addressed. The book is written in an accessible style and structured logically to support the acquisition and enhancement of psychotherapeutic skills through the systematic exploration of the psychodynamic model of depression. The volume's noteworthy content and features are many: Just as patients' responses to medications vary, responses to particular therapeutic interventions are different in different patients. Accordingly, the authors locate psychodynamic psychotherapy within the context of current treatments for depression, including indications and contraindications. A multitude of detailed and compelling clinical vignettes clearly illustrate the dynamics and techniques and facilitate learning across diverse clinical roles and practice settings. A chapter on psychodynamic approaches to depression with comorbid personality disorder has been added to the new edition, because these disorders have been found to have an adverse effect on treatment outcome, including diminished response to antidepressants, reduced adherence to treatment, and longer time period to achieve remission. There is a growing evidence base for the effectiveness of psychodynamic psychotherapy, both alone and in tandem with other treatment modalities. Psychodynamic Treatment of Depression offers a robust model of psychodynamic therapy for depression and the detailed strategies and techniques clinicians need to improve outcomes with this significant patient group.

Handbook of Chronic Depression

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Author :
Publisher : CRC Press
ISBN 13 : 0824756606
Total Pages : 400 pages
Book Rating : 4.8/5 (247 download)

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Book Synopsis Handbook of Chronic Depression by : Jonathan Edward Alpert

Download or read book Handbook of Chronic Depression written by Jonathan Edward Alpert and published by CRC Press. This book was released on 2014-05-14 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-depth and authoritative framework for clear understanding of the origins, development, and management of chronic depression, this timely reference examines biological, psychosocial, and combined approaches to the treatment of chronic depression-providing strategies to achieve remission, reduce relapse and recurrence, and manage treatment-emergent side-effects in long-term patient care.

The American Psychiatric Publishing Textbook of Psychiatry

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585622575
Total Pages : 1820 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The American Psychiatric Publishing Textbook of Psychiatry by : Robert E. Hales

Download or read book The American Psychiatric Publishing Textbook of Psychiatry written by Robert E. Hales and published by American Psychiatric Pub. This book was released on 2008 with total page 1820 pages. Available in PDF, EPUB and Kindle. Book excerpt: Its previous edition hailed as "the best reference for the majority of practicing psychiatrists" (Doody's Book Reviews) and a book that "more than any other, provides an approach to how to think about psychiatry that integrates both the biological and psychological" (JAMA), The American Psychiatric Publishing Textbook of Psychiatry has been meticulously revised to maintain this preeminence as an accessible and authoritative educational reference and clinical compendium. It combines the strengths of its three editors -- Robert Hales in clinical and community psychiatry, Stuart Yudofsky in neuropsychiatry, and new co-editor Glen Gabbard in psychotherapy -- in recruiting outstanding authors to summarize the latest developments in psychiatry and features 101 contributors, 65 of whom are new to this edition. The book boasts a new interior design, with more figures and color throughout to aid comprehension. Each chapter ends with 5-10 key points, 5-10 recommended readings, and helpful Web sites not only for the clinician but also for patients and family members. The book also includes complimentary access to the full text online. Online benefits include powerful searching, electronic bookmarking, and access by username and password from wherever you have Web access -- especially convenient for times when the print copy of your textbook is not where you are. The online version is accompanied by a downloadable PowerPoint presentation, which contains a wealth of material to enhance classroom presentation, study, and clinical use. Among the improvements to this edition's content: • Of the text's 44 chapters, 23 either feature new topics or have new authors, making this the most completely revised edition yet.• New basic-science chapters on cellular and molecular biology of the neuron and on neuroanatomy for the psychiatrist conveniently distill essential information on the biological foundations of psychiatric disorders for clinicians.• A new chapter on human sexuality and sexual dysfunctions, and another new chapter on treatment of gay, lesbian, bisexual, and transgender patients, equips clinicians to address the entire spectrum of sexual issues and their attendant mental health concerns.• New chapters on nonpharmacological somatic treatments, supportive psychotherapy, and combination psychotherapy and pharmacotherapy augment the section on psychiatric treatments.• A new chapter on the assessment of dangerousness -- an individual's propensity to commit violent acts -- presents helpful guidelines for appropriately evaluating and minimizing the risk of violence in both outpatient and inpatient settings. Why The American Psychiatric Publishing Textbook of Psychiatry will be your first choice among comprehensive psychiatry textbooks: • Complimentary Access to the Full Text Online -- Online benefits include powerful searching, electronic bookmarking, and download to PDA.• PowerPoint Presentation -- Online version is accompanied by a downloadable PowerPoint presentation, which contains a wealth of material to help you enhance classroom presentation, study, and in clinical use. • Self-Assessment -- An interactive online Self-Assessment allows you to assess your knowledge of each chapter, with links back to the textbook when more study is needed.• Summary Points -- Each chapter ends with 5-10 key points, 5-10 recommended readings, and helpful web sites not only for the clinician but also for referral to patients and family members. • Co-Editor Glen O. Gabbard, M.D. -- As the third Co-Editor, Dr. Gabbard adds depth and perspective to psychotherapeutic approaches.• Chapter Authors -- Partnership of senior and junior faculty brings fresh insights tempered by wisdom and experience.• Peer-Reviewed -- Rigorously peer reviewed and updated to reflect the rapidly changing profession. • Disclosure of Interest Statements -- Disclosure from each chapter author assures you that potential biases have been removed.• Comprehensive But Concise -- Inclusion of essential information eases information overload.• Better Layout -- Larger type for text makes book easier to read and color figures are provided throughout the text. It's no wonder that this text has established itself as both a leading scholarly reference and an indispensable clinical resource. The American Psychiatric Publishing Textbook of Psychiatry is a proven teaching tool and an essential component of every practitioner's library.

Coping with Chronic Illness

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Author :
Publisher : Oxford University Press
ISBN 13 : 0198043031
Total Pages : 131 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Coping with Chronic Illness by : Steven Safren

Download or read book Coping with Chronic Illness written by Steven Safren and published by Oxford University Press. This book was released on 2007-11-27 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: If you suffer from a chronic medical condition like cancer, HIV, diabetes, asthma, or hypertension, you know how hard it can be to perform all the self-care behaviors required of you, especially if you are also dealing with depression. Studies have shown that depressed individuls with chronic illness have a hard time keeping up with the behaviors necessary to manage their condition and improve their health. The program outlined in this workbook can help you take better care of yourself while simultaneously relieving your depression. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook teaches you strategies for maintaining your medical regimen. You will learn how to set up a reminder system for taking medication, plan for getting to medical appointments on time, and how to communicate effectively with your medical providers. You will also learn how to follow the advice of your treatment providers, such as adhering to certain lifestyle and dietary recommendations. These Life-Steps are essential to the program. As you begin to take better care of yourself, you will notice a decrease in your depression. In addition to these self-care skills, you will also learn how to maximize your quality of life, which is another important part of lessening your depressed feelings. Begin to re-engage in pleasurable activities and utilize relaxation techniques and breathing exercises to help you cope with stress and discomfort. Use problem-solving to successfully deal with interpersonal or situational difficulties and change your negative thought through adaptive thinking. By treatment's end you will have all the skills you need to successfully manage your illness and cope with your depression.

Curing Stubborn Depression

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Author :
Publisher : Hatherleigh Press
ISBN 13 : 1578269385
Total Pages : 250 pages
Book Rating : 4.5/5 (782 download)

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Book Synopsis Curing Stubborn Depression by : Paul Fitzgerald

Download or read book Curing Stubborn Depression written by Paul Fitzgerald and published by Hatherleigh Press. This book was released on 2023-11-14 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hope and help arrives in this psychiatrist's preview of emerging and breakthrough therapies for treating more severe, treatment-resistant depression. Over 280 million individuals worldwide suffer from depression every year, with many turning to potent antidepressants and drastic lifestyle changes to help manage their condition and improve their quality of life. But what if these methods don’t work? What if, despite all efforts, an individual continues to suffer? Stubborn, treatment-resistant depression dramatically reduces a person’s quality of life while providing them with seemingly few options for relief. Curing Stubborn Depression seeks to not only explain the underlying causes of this pervasive form of depressive disorder, but to shine light on a number of non-traditional treatments, new therapies and clinical developments—including ECT, transcranial magnetic stimulation, bright light therapy, ketamine and more—offering hope to those who feel like they have none. The field of depression treatment is rapidly evolving and constantly changing, meaning it can be difficult to keep up with new therapies and clinical developments. Curing Stubborn Depression delves into these emergent treatments, many of which are transforming how this condition is managed—and offering hope to those who feel like they have none.

The Depths

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Publisher : Basic Books
ISBN 13 : 0465069738
Total Pages : 274 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Depths by : Jonathan Rottenberg

Download or read book The Depths written by Jonathan Rottenberg and published by Basic Books. This book was released on 2014-02-11 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly every depressed person is assured by doctors, well-meaning friends and family, the media, and ubiquitous advertisements that the underlying problem is a chemical imbalance. Such a simple defect should be fixable, yet despite all of the resources that have been devoted to finding a pharmacological solution, depression remains stubbornly widespread. Why are we losing this fight? In this humane and illuminating challenge to defect models of depression, psychologist Jonathan Rottenberg argues that depression is a particularly severe outgrowth of our natural capacity for emotion. In other words, it is a low mood gone haywire. Drawing on recent developments in the science of mood-and his own harrowing depressive experience as a young adult-Rottenberg explains depression in evolutionary terms, showing how its dark pull arises from adaptations that evolved to help our ancestors ensure their survival. Moods, high and low, evolved to compel us to more efficiently pursue rewards. While this worked for our ancestors, our modern environment-in which daily survival is no longer a sole focus-makes it all too easy for low mood to slide into severe, long-lasting depression. Weaving together experimental and epidemiological research, clinical observations, and the voices of individuals who have struggled with depression, The Depths offers a bold new account of why depression endures-and makes a strong case for de-stigmatizing this increasingly common condition. In so doing, Rottenberg offers hope in the form of his own and other patients' recovery, and points the way towards new paths for treatment.

Managing Treatment-Resistant Depression

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Author :
Publisher : Elsevier
ISBN 13 : 0128240679
Total Pages : 612 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Managing Treatment-Resistant Depression by : Joao Luciano de Quevedo

Download or read book Managing Treatment-Resistant Depression written by Joao Luciano de Quevedo and published by Elsevier. This book was released on 2022-04-04 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Treatment-Resistant Depression: Road to Novel Therapeutics defines TRD for readers, discussing the clinical and epidemiological predictors, economic burden and neurobiological factors. In addition, staging methods for treatment resistance are fully covered in this book, including serotonin specific reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, other classes of antidepressants, including tricyclic antidepressants and monoamine oxidase inhibitors, augmentation strategies, and newer antidepressant treatments like ketamine and esketamine. In addition, evidence supporting the use of psychotherapies and neuromodulation strategies are also reviewed. Written by top experts in the field, this book is the first of its kind to review all methods of treatment for TRD. Defines Treatment-Resistant Depression and Staging Treatment Intensity Includes Treatment-Resistant Depression options for children, adolescents, geriatrics, during pregnancy, and during post-partum and menopause transitions Discusses the use of Ketamine and Esketamine for treatment-resistant depression

A Guide To Treatments that Work

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Author :
Publisher : Oxford University Press
ISBN 13 : 0199760985
Total Pages : 705 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis A Guide To Treatments that Work by : Peter Nathan

Download or read book A Guide To Treatments that Work written by Peter Nathan and published by Oxford University Press. This book was released on 2002-01-18 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fully revised and updated edition of this unique and authoritative reference The award-winning A Guide to Treatments that Work , published in 1998, was the first book to assemble the numerous advances in both clinical psychology and psychiatry into one accessible volume. It immediately established itself as an indispensable reference for all mental health practitioners. Now in a fully updated edition,A Guide to Treatments that Work, Second Edition brings together, once again, a distinguished group of psychiatrists and clinical psychologists to take stock of which treatments and interventions actually work, which don't, and what still remains beyond the scope of our current knowledge. The new edition has been extensively revised to take account of recent drug developments and advances in psychotherapeutic interventions. Incorporating a wealth of new information, these eminent researchers and clinicians thoroughly review all available outcome data and clinical trials and provide detailed specification of methods and procedures to ensure effective treatment for each major DSM-IV disorder. As an interdisciplinary work that integrates information from both clinical psychology and psychiatry, this new edition will continue to serve as an essential volume for practitioners of every kind: psychiatrists, psychologists, clinical social workers, counselors, and mental health consultants.

The Management of Depression

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Author :
Publisher : Wiley-Blackwell
ISBN 13 : 9780865429871
Total Pages : 488 pages
Book Rating : 4.4/5 (298 download)

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Book Synopsis The Management of Depression by : Stuart Checkley

Download or read book The Management of Depression written by Stuart Checkley and published by Wiley-Blackwell. This book was released on 1998-04-15 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: With a prevalence of 3% to 5% in the general population, depression is the most common mental disorder. Ranging from the almost universal 'blues' to very severe psychotic states in which a patient suffers delusions, hallucinations and paranoia, depression is consequently managed by a wide variety of health-care groups, including GPs, social workers, psychologists, psychiatrists, nurses and counsellors. This book attempts to produce a synthesis of all relevant facts about this range of affective disorders and to make sense of the many different ways they present and are treated by health-care workers. The aims of this book are to describe the social, psychological and physical treatments of depression; to indicate the strengths, weaknesses and indications for each; and to show how they may be used together in the management of depression as it presents from primary to tertiary care and at different stages.