Management of Treatment-Resistant Major Psychiatric Disorders

Management of Treatment-Resistant Major Psychiatric Disorders

by Charles B. Nemeroff
     
 

Although there are a variety of textbooks and manuals of psychiatric disorders, few have focused on the management of treatment-resistant patients. Those that exist have largely focused on treatment-resistant depression and even these are now largely outdated. Because psychiatrists and other mental health care professionals increasingly manage patients who fail

See more details below

Overview

Although there are a variety of textbooks and manuals of psychiatric disorders, few have focused on the management of treatment-resistant patients. Those that exist have largely focused on treatment-resistant depression and even these are now largely outdated. Because psychiatrists and other mental health care professionals increasingly manage patients who fail treatment from family practitioners and other non-psychiatric specialists, a single practical volume summarizing the evidence-based medicine as well as the art of managing treatment-resistant patients is a much needed volume for practitioners, psychiatry residents and other mental health workers. Most importantly, both psychopharmacological and psychotherapeutic interventions will be included, a shortcoming of many previous volumes. "Management of Treatment Resistant Major Psychiatric Disorders" contains chapters authored by leaders in the field on the management of the major treatment resistant psychiatric disorders.

Read More

Editorial Reviews

Doody's Review Service
Reviewer: Aaron Plattner, MD (Pine Rest Christian Mental Health Services)
Description: Through the contributions of various leaders in psychiatry, this book describes the approach to patients with treatment-resistance psychiatric disorders.
Purpose: A high percentage of psychiatric treatment is provided by family practitioners and other nonspecialists who then refer patients to psychiatrists and other mental health providers after patients fail first- or even second-line treatment. With this understanding, the book covers the treatment approaches to several psychiatric conditions that do not respond to initial treatment. This book is vital because of the volume of research in this area and the resulting need for updated treatment approaches for diseases that are affecting a great number of people.
Audience: The editor describes this book as "a must have for practitioners, psychiatric residents, and other mental health workers." While any healthcare provider may benefit from this book, those who are referred patients likely will make the best use of it. It is helpful largely due to the editor's choice of authors who are leaders in their particular areas.
Features: The book appropriately begins by addressing the problem of treatment resistant psychiatric conditions before covering the different psychiatric disorders, including depression, bipolar disorder, schizophrenia, anxiety disorders, personality disorders, insomnia, substance abuse disorders, anorexia/bulimia, and childhood mood disorders. Each chapter uses charts, tables, and graphs to illustrate the information and ends with references.
Assessment: I have read books addressing specific psychiatric diseases, and they often cover the problem of treatment resistance of that specific condition, but this book is outstanding because it covers all the major psychiatric conditions. Further, each chapter manages to efficiently condense a large amount of information into a manageable presentation that is practical for readers. I appreciate how the book illustrates various treatment options, along with detailed pharmacological treatments. I look forward to future editions as research continues into additional treatment options.
From the Publisher

"Poor response, non-response and lost response to treatment in major psychiatric disorders are the rule, not the exception. The challenge of treatment resistance is foundational to the practice of clinical psychiatry. Charlie Nemeroff has gifted the field with a masterful and authoritative volume that goes well beyond algorithms and recipes for next step treatment and provides evidence-based disquisition of the heterogeneous contributors to treatment resistance, and thus drives thoughtful differential diagnosis and treatment planning. This is an essential volume for modern psychiatric practice and clinical research." -- Jerrold F. Rosenbaum, MD, Chief of Psychiatry, Massachusetts General Hospital, Stanley Cobb Professor of Psychiatry, Harvard Medical School

"This book has something for everyone, from the student to the expert. A critical and ubiquitous aspect of psychiatric practice - treatment resistance - is comprehensively addressed in a scholarly yet practical fashion. Descriptions of the phenomenology and neurobiology of each of the many disorders considered are lucid, up to date, and state of the art. This is a terrific text." -- David R. Rubinow, MD, Assad Meymandi Professor and Chair of Psychiatry, University of North Carolina at Chapel Hill, School of Medicine

"Unfortunately, many patients with psychiatric disorders do not respond to initial therapy. Refractory or treatment resistance is a major problem for many patients and all treaters. This superb book consists of 15 chapters--authored by leaders in the field-- on the issue of resistance in the major psychiatric disorders. The chapters provide sophisticated but readable overviews of the problems encountered in treating patients with all of the major disorders and in the best evidence for overcoming them. It is unique because it emphasizes resistance across all classes of psychiatric syndromes and it thoughtfully includes both somatic and psychosocial approaches. This is a must have volume for all mental health practitioners. " -- Alan F. Schatzberg, MD, Kenneth T. Norris, Jr. Professor of Psychiatry & Behavioral Science, Stanford University School of Medicine

"...this book is outstanding because it covers all the major psychiatric conditions. Further,
each chapter manages to efficiently condense a large amount of information into a manageable presentation that is practical for readers. I appreciate how the book illustrates various treatment options, along with detailed pharmacological treatments." -- Aaron Plattner, MD, Pine Rest Christian Mental Health Services, Doody's

"It provides quite extensive, clear and updated information on the management of various treatment-resistant psychiatric disorders, highlighting future treatment options currently under research. I am sure psychiatrists will find it practical and useful." -- Amit Jain, The Psychiatrist

"This book, containing a state-of-the-art review of how to manage treatment resistance in 15 different psychiatric disorders, is a timely gift to clinicians who have to manage patients with unremitting mental disorders. It is an excellent resource that belongs on the bookshelf of not only psychiatrists and psychiatric nurse practitioners but also other mental health professionals... Overall, I urge every reader to own this book and use it as a practical reference for the many treatment-resistant or refractory patients in clinical practice. It will save hundreds of hours of browsing PubMed to access all of the data between the covers of this timely volume!" --Journal of Clinical Psychiatry

"Given that most psychiatric disorders are chronic and relapsing, this book represents an unusually practical text that combines standard treatment protocols with less conventional but eminently usable treatment suggestions for recalcitrant symptoms. All practicing psychiatrics and more advanced trainees can benefit from having this book on their shelf." --American Journal of Psychiatry

Read More

Product Details

ISBN-13:
9780199739981
Publisher:
Oxford University Press
Publication date:
06/05/2012
Pages:
384
Product dimensions:
7.10(w) x 10.00(h) x 1.20(d)

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >