Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention / Edition 1

by James M. Greenblatt, Kelly Brogan

Overview

Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention summarizes emerging theories and research findings on various nonpharmaceutical therapies to treat mood disorders.

Supported by the review of nearly 3000 scientific studies, the book describes the concepts of inflammation, genetics, hormonal imbalance, gastrointestinal conditions, environmental stress, and nutritional deficiencies and their possible link to the pathogenesis of mood disorders.

It also examines findings on various nonpharmaceutical therapies used to treat mood disorders including vitamins, botanicals, and other natural products as well as exercise, stress reduction, bright light, mind-body practices, and spiritual approaches.

Also covered are evidence-based approaches to integrative management of mood disorders in pregnant women, adolescents, and the elderly. Separating facts from fiction, the book provides practical information that clinicians can implement and share with their patients.

The book fills a significant gap in the conventional model of therapeutics for mood disorders. It is a valuable resource for psychiatrists, psychologists, family therapists, and all other clinicians who devote their days to caring for those afflicted with depression.

Product Details

ISBN-13:	9781498702294
Publisher:	Taylor & Francis
Publication date:	12/01/2015
Pages:	550
Sales rank:	737,839
Product dimensions:	7.00(w) x 10.00(h) x (d)

About the Author

Edited by

James Greenblatt, MD, currently serves as chief medical officer and vice president of medical services at Walden Behavioral Care in Waltham, Massachusetts. Dr. Greenblatt is also an assistant clinical professor at Tufts University School of Medicine in Boston. Prior to joining Walden, he founded and served as the medical director of Comprehensive Psychiatric Resources, a private psychiatric practice focused on utilizing integrative medicine. A pioneer in the field of integrative medicine, Dr. Greenblatt has treated patients with mood disorders and complex eating disorders for more than 25 years. He has written several books and lectures throughout the United States on the scientific evidence for nutritional interventions in psychiatry and mental illness.

Kelly Brogan, MD, ABIHM, is a holistic women’s health psychiatrist on faculty at The George Washington University in Washington, DC, and in private practice in Manhattan, New York. Brogan has been a clinical instructor at New York University School of Medicine, where she did her fellowship and a residency in reproductive psychiatry. Her academic areas of interest include toxicology/environmental medicine, nutrition, inflammatory models of mental illness, autoimmunity, and epigenetics. She has published in the fields of psycho-oncology, women’s health, perinatal mental health, alternative medicine, and infectious disease. She is on the board of Green Med Info, Pathways to Family Wellness, NYS Perinatal Association, Functional Medicine University, Alternative Therapies in Health and Medicine, and Fisher Wallace, and is medical director for Fearless Parent.

Table of Contents

Shifting the Paradigm: Redefining the Treatment of Mood Disorders. The Role of Inflammation in Depression. The Gut-Brain Axis: The Role of the Gut in Brain Health. Clostridia Bacteria in the GI Tract Affecting Dopamine and Norepinephrine Metabolism. Stress, Fear, Trauma, and Distress: Underlying Factors in Depression. Mitochondrial Dysfunction and Physiological Depression. Micronutrient Deficiencies and Mitochondrial Dysfunction. Vitamin Deficiencies and Depression: Evidence-Based Research. Mineral Deficiencies and Depression: Evidence-Based Research. Essential Fats and Amino Acids in Depression. Sex Steroids and Mood in Women. The Hypothalamic-Pituitary-Adrenal Axis in Mood Disorders. Adrenal, Reproductive, and Thyroid Hormone Testing for Depression. Exposure to Toxic Chemicals as a Cause of Depression. Dietary Peptides and the Spectrum of Food Hypersensitivities. Genetic-Based Biomarkers in Psychiatry: An Integrative Approach. Mood-Related Effects of Medications Prescribed for Non-Psychiatric Indications. The Rationale for Treating with a Broad Spectrum of Minerals and Vitamins. Amino Acids and Other Nutrients That Enhance the Synthesis and Regulation of Neurotransmitters. Botanicals for Depression: Rhodiola, St. John’s Wort, Curcumin, and Saffron. Exercise as an Adjunct to Treating Depression. The Role of Sleep and Light Therapy in Depression. The Role of Spirituality and Religion in Depression and Treatment. Depression-Specific Yoga and Mindfulness-Based Cognitive Therapy Model: Description, Data on Efficacy, and Differences from Contemporary Models. Meditation and Mindfulness. Narrative Therapy. Integrative Psychotherapy: Healing the MindBodyMatrix. Integrative Approaches to Perinatal Depression. Integrative Approaches to Adolescent Depression. Integrative Approaches for Geriatric Depression. Clinical Case Studies: Putting It All Together.

Editorial Reviews

Reviewer: Shayna Bailey, MD (Pine Rest Christian Mental Health Services)
Description: This book discusses traditional and nontraditional treatments for major depressive disorder, addressing each from a therapeutic and biological perspective.
Purpose: The purpose is to redefine models for assessment, treatment, and prevention of depression. Given the broad scope of emerging research related to the biological origins of depression and new ways to address and preventively treat them, this is a worthy objective. Additionally, with the interest of mainstream society in nonpharmacological treatments for depression, this book is a practical and relevant guide to integrating burgeoning evidence-based therapies into traditional psychiatric treatment.
Audience: This book is intended for psychiatric residents, psychologists, psychotherapists, or practicing psychiatrists. Presumably, it can also be used as a resource by other physician specialists and by naturopathic physicians. Although the book reads easily, it should be noted that much of it is written at a level that assumes a certain familiarity with medicine and immunology. Given this level of sophistication, it meets the needs of its intended audience. It provides enough detail to sensibly explain new information, without a prohibitively specific level of detail on the biological and biochemical supporting evidence. Each chapter is authored by a different clinician or researcher in the field of integrative psychiatry, ranging from an MS in psychology to PhD to MD. All provide detailed citations at the end of each chapter. Both editors are well-respected academic clinicians.
Features: This book aims to discuss depression from almost every facet, from biological origins to novel treatment approaches. There is an inherent focus on prevention and incorporating new research into evidence-based treatments. Specific areas of research that are discussed include micronutrient and vitamin deficiencies and their relationship to depression, the effect of gut bacteria on dopamine and norepinephrine, and genetic-based biomarkers in psychiatry. Known correlates to depression, such as sleep, light, exercise, and spirituality are also discussed, as are integrative approaches to perinatal, adolescent, and geriatric depression. A unique feature of this book is the astounding amount of peer-reviewed evidence that is neatly summarized and presented in a concise, organized way. Chapters are subdivided with descriptive headings, which gives the book the feel of an easy-to-use reference, while also providing reassurance that it comprises an up-to-date literature review. The number of clinician contributors offering integrative perspectives, is also one of the book's strongest features.
Assessment: This is one of the easier and more interesting scholarly reads that I have encountered during my residency. The material is supported by recently published peer-reviewed articles, and these are referenced at the end of each chapter. The chapters are of reasonable length and are specific enough to not require reading the book chronologically or during extended sittings. Although an online version would be helpful for practical reasons, the absence of one is not a detriment and would not prevent me from reading a book like this. If anything, I anticipate seeking this book out when wanting guidance about unique or integrative treatment protocols. The sources of information are relevant and reliable, instilling confidence about the research presented, and the exceptional organization of the book makes it easy to browse topics quickly. Discussions of well-known therapies are accurate and complete, instilling further confidence about applying the principles. I would wholeheartedly recommend this book to other residents and psychiatrists as a relevant and useful guide.

Doody's Review Service

"The sources of information are relevant and reliable, instilling confidence about the research presented, and the exceptional organization of the book makes it easy to browse topics quickly. Discussions of well-known therapies are accurate and complete, instilling further confidence about applying the principles. I would wholeheartedly recommend this book to other residents and psychiatrists as a relevant and useful guide." - Shayna Bailey, M.D (Pine Rest Christian Mental Health Services), Doody's Book Review Service

From the Publisher