Healing Depression: Integrated Naturopathic & Conventional Treatments (Professional Edition)

Healing Depression: Integrated Naturopathic & Conventional Treatments (Professional Edition)

by ND Bongiorno, MD Licinio, ND Murray

Hardcover

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Overview

Depressive disorders affect almost 10% of the North American adult population age 18 and older in a given year, and about 25% of adults will have a major depression episode. It is projected that depression will be the second largest killer after heart disease by 2020. Conventional medicine is adept at prescribing medications for depression, but not well versed at addressing the causes of depression or preventing this disease. Fortunately, naturopathic medicine has proven to be especially effective and safe in doing do.

Healing Depression is an authoritative guide for the naturopathic, conventional, and integrative practitioner, providing comprehensive information about the underlying factors that contribute to depression, how to diagnose the disease properly, and how to safely and effectively treat depression using natural medicines, while weaning patients from medications. Depression is a multifactorial disease best treated by a multifaceted integrative approach. Treating the cause affords the most complete and long-lasting clinical result, while cooperating with the healing power of nature (vis medicatrix naturae) is the guiding principle of naturopathic medicine, unifying its multifaceted modalities, from clinical nutrition and botanical medicine to homeopathy and mind-body therapy. Based on the most current research and evidence-based practices, Healing Depression will become a standard text for medical libraries, healthcare practitioners, and patients for years to come.
"Living a life without joy is what living with depression is like. Dr Bongiorno has provided an excellent overview of depression as well as a guide to how it is treated in both standard and naturopathic models. His book will help healthcare providers of all licenses raise their patients out of the pit of depression.” - Dr Walter Crinnion, ND, Professor, Southwest College of Naturopathic Medicine

Product Details

ISBN-13: 9781897025383
Publisher: CCNM Press
Publication date: 08/31/2010
Pages: 400
Product dimensions: 6.30(w) x 9.10(h) x 1.30(d)

About the Author

Dr Peter Bongiorno, ND, LAc, is a graduate of Bastyr University in Seattle, Washington and a licensed acupuncturist, who practices naturopathic medicine on Manhattan and Long Island. He has worked as a research scientist at the National Institutes of Health Clinical Neuroendocrinology lab and at the Yale University School of Medicine Veterans Hospital Affective Disorders Unit. He contributed to more than 40 chapters in the Textbook of Natural Medicine.

Read an Excerpt

5. Conventional Treatments for Depression

Antidepressants are the most prescribed medications in the United States. According to the Centers for Disease Control and Prevention (CDC), adult use of antidepressants almost tripled between 1988 and 1994 and tripled again in the 1-year period 1999 to 2000. Between 1995 and 2002, the most recent year for which statistics are available, the use of these drugs rose 48%. There are three classes of drugs commonly used to treat depressive symptoms: selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs); tricyclic antidepressants; and monoamine oxidase inhibitors (MAOIs). Given that antidepressants are not considered effective for mild to moderate depression, naturopathic therapeutics can be first-line therapy in the majority of depression cases.

Drug Therapy [A]

Once depression has been confirmed and medical and psychiatric confounders identified, good pharmaceutical care strives to administer the right drug to the right patient at the right time for the right condition with a minimum of adverse effects. For those severe cases where pharmaceuticals may be a benefit as first-line treatment, a mnemonic that covers the premises of pharmaceutical care is TAIDCC.

T: Therapeutic: Is it the right drug?

A: Allergies/Accuracy: Is the dose correct and the patient safe?

I: Interactions: Are there complications with current pharmacotherapy?

D: Duplications of therapy: Is the patient already receiving therapy?

C: Compliance/Change: Will the patient likely remain on pharmacotherapy, and how do we switch between agents?

C: Cost/Coverage: Can the patient afford to use the medication and what are the long- term costs of the side effects?



For severe depression, selective serotonin reuptake inhibitors or serotonin- norepinephrine reuptake inhibitors are usually the first choice. However, Axis 2 conditions (such as obsessive-compulsive disorder) in a depressed patient might influence the prescription of fluvoxamine (Luvox) over another agent. If the patient has an anxiety or substance abuse component in an Axis 2 condition, perhaps an atypical antipsychotic, such as quetiapine (Seroquel), might be more appropriate. In teenagers with depression, it is now well known that SSRIs and SSNRIs should be avoided due to increased suicide risk. Treatment-resistant depression may require combinations of agents, and often patients will be on multiple medic

Table of Contents

Foreword 10

Preface 13

Introduction 15

Naturopathic Protocol for Treating Depression 19

1 New Paradigm for Depression 20

Epidemiology 20

Naturopathic Medicine 22

Complementary and Alternative Medicine 29

Integrative Approaches 32

2 Short History of Depression 34

Definitions and Treatments 34

Mood Disorder Classifications 41

Scales and Measures 45

3 Pathophysiology of Depression 62

GI-Immune-Endocrine Axis 62

Hypothalamic-Pituitary-Adrenal and Thyroid Axes 75

Predisposing Conditions and Comorbidities 82

Genetic, Ethnic, and Gender Factors 94

Psychological Factors 98

Environmental Toxicity 99

4 Clinical Assessment of Depression 104

Intake Questionnaires 104

Review of Systems 112

Physical Examination 114

Imaging 115

Laboratory Markers 118

Differential Diagnoses 123

5 Conventional Treatments for Depression 125

Drug Therapy 125

Psychotherapy 150

Electroconvulsive Therapy 152

Transcranial Magnetic Stimulation 152

Vagus Nerve Stimulation 153

Psychosurgery and Deep Brain Stimulation 155

6 Naturopathic Treatments for Depression (Part 1): Lifestyle Modifications 157

Dietary Therapy 157

Hydration 169

Sleep 169

Sunlight Exposure 172

Exercise 176

Cigarettes, Alcohol, Drugs of Abuse 178

Television-Viewing 180

Spirituality 181

7 Naturopathic Treatments for Depression (Part 2): Nutrient Supplements 183

Essential Fatty Acids 188

Amino Acids 196

Vitamins 206

Minerals 214

Hormones and Neurotransmitters 220

8 Naturopathic Treatments for Depression (Part 3): Botanical Medicine 231

Hypericum perforatum 231

Ginkgo biloba 239

Lavandula angustifolia 241

Crocus sativus 242

Pausinystalia yohimbe 243

Salvia species 245

Camellia sinensis 246

Rhodiola rosea 247

9 Naturopathic Treatments for Depression (Part 4): Specialized Modalities 249

Homeopathy 249

Traditional Chinese Medicine 256

Yoga 265

Meditation and Breathing 267

Hydrotherapy 268

Physical Manipulation 271

Massage and Touch Therapies 273

Cognitive Therapies 274

Biofeedback 276

Art Therapy 277

Raison d'être 277

10 Depression During Pregnancy 280

Diagnosis 280

Conventional Therapy 282

Naturopathic Therapies 286

11 Postpartum Depression 294

Symptoms 295

Diagnosis 297

Conventional Therapy 298

Naturopathic Therapies 298

12 Depression in Children and Adolescents 305

Symptoms 306

Diagnosis 310

Conventional Therapy 311

Naturopathic Therapies 314

Afterword 321

References 324

Index 376

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