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Treatment of Recurrent Depression
     

Treatment of Recurrent Depression

by John M. Oldham, Michelle B. Riba
 

ISBN-10: 1585620254

ISBN-13: 9781585620258

Pub. Date: 05/28/2001

Publisher: American Psychiatric Publishing, Incorporated

Based on powerful epidemiological data such as numbers afflicted, mortality rates from suicide, personal and familial consequences, and skyrocketing fiscal costs, major depressive disorder (MDD) has the sad and ignominious distinction of being a leader among disabling disorders worldwide.

With lifetime prevalence risks of 13% for men and 21% for women, the

Overview

Based on powerful epidemiological data such as numbers afflicted, mortality rates from suicide, personal and familial consequences, and skyrocketing fiscal costs, major depressive disorder (MDD) has the sad and ignominious distinction of being a leader among disabling disorders worldwide.

With lifetime prevalence risks of 13% for men and 21% for women, the magnitude of this crisis cannot be understated. This hard-hitting volume focuses on recurrences -- perhaps most important among the many factors (others include extreme underdiagnosis and undertreatment, genetic vulnerability, frequent recurrences, severe stigma and poor adherence with maintenance treatment, and brain tissue degenerative changes associated with recurrences and chronic depression) that contribute to MDD's high morbidity.

Following an introduction by the editor detailing the overwhelming personal and societal burden created by MDD, the distinguished authors of this volume emphasize five critical topics: • The lifetime impact of gender on recurrent MDD in women, emphasizing the clinical features, treatment, and prevention strategies of the illness during three key periods of hormone transition (adolescence, childbearing years, and middle life) and including recommendations on where future research should focus.• Treatment strategies for chronic and recurrent depression to help prevent acute episodes from developing into long-term depression, specifically addressing the continuing question of whether pharmacotherapy and psychotherapy combinations are superior to either alone.• Prevention of recurrences in bipolar patients, updating the demonstrated benefits of several new anticonvulsant mood stabilizers and integrative treatment approaches and suggesting that treatment success depends on a multifaceted approach that combines old and new pharmacotherapy.• Potential applications of new somatic treatment strategies involving minimally invasive brain stimulation that have greatly reduced the stigma but done little to advance the diagnosis and treatment of neuropsychiatric illnesses, with exciting data suggesting the efficacy of vagal nerve stimulation (VNS) and repetitive transcranial magnetic stimulation (TMS).• A "call to arms" with updated recommendations on how to ensure demonstrable, lasting progress in preventing recurrences of depression, which -- along with other chronic diseases such as diabetes, heart disease, and schizophrenia -- progresses throughout life unless actively treated.

This highly informative volume, clearly written and exceptionally well referenced, is a "must-read" for every clinician, including specialists in depression and clinical neurosciences, primary care physicians and mental health clinicians interested in learning more about how to successfully treat what remains one of our most recalcitrant, debilitating illnesses.

American Psychiatric Publishing

Product Details

ISBN-13:
9781585620258
Publisher:
American Psychiatric Publishing, Incorporated
Publication date:
05/28/2001
Series:
Review of Psychiatry Series
Edition description:
New Edition
Pages:
214
Product dimensions:
6.00(w) x 9.00(h) x 0.50(d)
Age Range:
18 Years

Related Subjects

Table of Contents

Recurrent depression and its overwhelming burden. Recurrent depression in women throughout the life span. Chronic and recurrent depression: pharmacotherapy and psychotherapy combinations. Prevention of recurrences in patients with bipolar disorder: the best of the old and the new. New depression treatment strategies: what does the future hold for therapeutic uses of minimally invasive brain stimulation? Clinical prevention of recurrent depression: the need for paradigm shifts. Index.

American Psychiatric Publishing

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