Complementary and Integrative Treatments in Psychiatric Practice

by Patricia L. Gerbarg MD (Editor), Philip R. Muskin MD MA (Editor), Richard P. Brown MD (Editor)

Overview

With its unrivaled scope, easy readability, and outstanding clinical relevance, Complementary and Integrative Treatments in Psychiatric Practice is an indispensable resource for psychiatric and other health care professionals. It is also well suited for individuals with mental disorders and their family members who are seeking updated, practical information on complementary, alternative, and integrative medicine (CAIM).

An international group of experts, researchers, and clinicians examines an expansive range of treatments that have been chosen on the basis of their therapeutic potential, strength of evidence, safety, clinical experience, geographic and cultural diversity, and public interest.

This guide offers advice on how to best tailor treatments to individual patient needs; combine and integrate treatments for optimal patient outcomes; identify high-quality products; administer appropriate doses; and deal with concerns about liability, safety, and herb-drug interactions. Treatments discussed include: • Nutrients and neutraceuticals• Plant-based medicines• Mind-body practices—breathing techniques, yoga, qigong, tai chi, and meditation• Art therapy and equine therapy for children and adolescents • Neurotherapy, neurostimulation, and other technologies

Psychiatrists and other physicians, residents, fellows, medical students, psychologists, nurses, and other clinicians will benefit from guidelines for decision making, prioritizing, and combining CAIM treatments, as well as safely integrating CAIM with standard approaches.

That the treatments considered in this clinician's guide are applied to five of the major DSM-5 categories—depressive disorders, anxiety disorders, trauma- and stressor-related disorders, bipolar and related disorders, and schizophrenia spectrum and other psychotic disorders—ensures its applicability, timeliness and timelessness.

Product Details

ISBN-13:	9781615370313
Publisher:	American Psychiatric Association Publishing
Publication date:	06/21/2017
Pages:	425
Product dimensions:	6.90(w) x 10.00(h) x 0.90(d)
Age Range:	18 Years

About the Author

Patricia L. Gerbarg, M.D., is Assistant Clinical Professor of Psychiatry at New York Medical College in Valhalla, New York.

Philip R. Muskin, M.D., M.A., is Professor of Psychiatry at Columbia University Medical Center in New York, New York.

Richard P. Brown, M.D., is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York.

Table of Contents

ContributorsPrefaceI: Defining CAIM: Diagnoses, Target Symptoms, and Treatment StrategiesChapter 1. The Growth of Complementary and Integrative MedicineChapter 2. Complementary and Integrative Medicine, DSM-5, and Clinical Decision MakingChapter 3. Complementary and Integrative Medicine in Child and Adolescent Psychiatric DisordersII: Nutrients in Psychiatric CareChapter 4. S-AdenosylmethionineChapter 5. Acetyl-L-Carnitine, N-Acetylcysteine, and Inositol in the Treatment of Psychiatric and Neuropsychiatric DisordersChapter 6. Single and Broad-Spectrum Micronutrient Treatments in Psychiatric PracticeIII: Plant-Based MedicinesChapter 7. Issues in Phytomedicine Related to Psychiatric PracticeChapter 8. Adaptogens in Psychiatric PracticeChapter 9. Integrating Rhodiola rosea in Clinical PracticeChapter 10. St. John's Wort (Hypericum perforatum) in the Treatment of DepressionChapter 11. Ginkgo bilobaChapter 12. Kava (Piper methysticum) in the Treatment of AnxietyChapter 13. Panax ginseng and American Ginseng in Psychiatric PracticeChapter 14. Theanine, Lavender, Lemon Balm, and ChamomileChapter 15. Saffron, Passionflower, Valerian, and Sage for Mental HealthChapter 16. Traditional Chinese MedicineChapter 17. Sceletium tortuosumChapter 18. Bacopa monnieri for Cognitive SupportIV: NeurohormonesChapter 19. Melatonin and Melatonin Analogues for Psychiatric DisordersV: Mind-Body PracticesChapter 20. Polyvagal Theory and the Social Engagement SystemChapter 21. Breathing Techniques in Psychiatric TreatmentChapter 22. Use of Yoga in Managing Posttraumatic Stress DisorderChapter 23. Mind-Body Practices Tai Chi and Qigong in the Treatment and Prevention of Psychiatric DisordersChapter 24. Mindfulness and Meditation in Psychiatric PracticeChapter 25. Open Focus Training for Stress, Pain, and Psychosomatic IllnessVI: TechnologiesChapter 26. Neurofeedback Therapy in Clinical PracticeChapter 27. Cranial Electrotherapy Stimulation in the Psychiatric SettingChapter 28. Integrating Visual Processing Systems in Mental Health CareChapter 29. Using Technology-Based Mind-Body Tools in Clinical PracticeIndex

What People are Saying About This

Lloyd I. Sederer

Complementary and Integrative Medicine (CAIM) is rapidly emerging in clinical practices with a burgeoning evidence base to back it up. If you have been interested but haven't found a source of reliable information to guide you through this new frontier, this is it. You can learn from the experts.

Michelle B. Riba

In a very well organized, clearly written, and thoughtful choice of topics, Muskin, Gerbarg, and Brown have given us a book that every clinician who thinks about and cares for patients using a biopsychosocial approach will want to have on their desk. It is difficult for the busy clinician to keep up with the latest information and evidence in complementary and integrative treatments. We are so fortunate that we now have a wonderful and highly useful compendium. Kudos to Muskin, Gerbarg and Brown and their team.

Editorial Reviews

I have sought quality resources on CAIM treatments in psychiatry (and specifically child and adolescent psychiatry) for 15 years and would recommend this book from Gerbarg, Muskin and Brown as a great introduction to the Western medicine-trained physician seeking guidance on evidence-based support for CAIM treatments. However, because of the paucity of evidence on many treatments included in CAIM, the authors fail to prioritize some foundational aspects of treatment and tend to emphasize lesser known and more infrequently used modalities.

Journal of the American Academy of Child and Adolescent Psychiatry - Tiffany Sauls

Strengths: This book exposes the reader to a wide array of diverse treatment options that are not ordinarily taught during medical training but that are nonetheless often utilized in the general population. The editors and authors have an evidence-based focus, while often providing information on specific indications, contraindications, and mechanisms of action, as well as dosing tips. The index is particularly useful in helping readers sort through the book, and patient anecdotes help the reader envision practical applications for the information. Deficiencies: In an attempt to provide a comprehensive overview of complementary and integrative treatments in psychiatry, the book at times crosses the line between providing depth of information and being too dense making it difficult for readers to easily access and use the information. Rather than being read cover to cover, this book may be more suitable for use with the index to search for specific topics of interest as they pertain to patient care. Recommended Readership: This book would be a useful resource for psychiatrists or primary care providers, including residents and fellows.

Journal of Psychiatric Practice Vol. 24, No. 6 - Khushbu Shah

Reviewer: Michael Easton, MD (Rush University Medical Center)
Description: This book brings together the latest information and evidence about the use of complementary and integrative treatments in psychiatry in one reliable source for this rapidly emerging area in clinical practice.
Purpose: An international group of experts, researchers, and clinicians provide an up to-date review of evidence-based studies and treatment considerations in complementary, alternative. and integrative medicine (CAIM). The purpose is to provide enough information for interested clinicians to become comfortable with prescribing CAIM treatment and/or making appropriate referrals for patients who are interested in alternative interventions or not responding to conventional treatments.
Audience: This book is intended to help practitioners better understand CAIM and the evidence supporting it to help them understand what many of their patients are already using or to administer or guide such treatments. This book is useful not only for psychiatrists, but also for any physicians or clinicians treating patients with mental health disorders. It also will be useful to students and trainees to help them better understand CAIM.
Features: This book's 29 chapters are grouped into six sections. The first section describes the development of this area and its history and provides an overview of these treatments in relation to DSM-5 disorders as well as its use in child and adolescent psychiatry. The next three sections cover the indications, risks, contraindications, and cautions for a variety of nutrients, plant-based medicines, neurohormones, and traditional Chinese medicine formulas. The final sections describe and evaluate various mind-body practices such as yoga and meditation, as well as the use of technology-based mind-body tools available for clinical practice.
Assessment: This is a well-referenced, reliable resource that reviews many of the available CAIM interventions. While a good percentage of our patients are already using CAIM, many of our patients do not respond to or tolerate traditional treatments. It therefore behooves us to be familiar with these interventions so we can responsibly guide and make recommendations to our patients.

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