Synopses & Reviews
Integrating pharmacologic and cognitive?behavioral perspectives in the major psychiatric disorders, this book features chapters by expert clinician?researchers who provide readers with up?to?date, practical strategies for the treatment of patients with complex psychiatric disorders, with a particular focus on the treatment?refractory patient. Specifically covering a broad range of the disorders confronted in clinical practice, the book also addresses the management of psychotropic side effects that complicate treatment. This book will be of value to psychiatrists, psychologists, social workers, nurses, and others treating individuals with psychiatric disorders, as well as researchers and students interested in this area. It will serve as a text for courses on psychopathology, clinical psychopharmacology and cognitive?behavioral therapy.
Review
"This book deeply taps the rich repository of clinicians and clinical experience which has been developed in the Psychiatry group at the Massachusetts General Hospital over the past several decades. Their approach to patients is the best one in my opinion. They begin with rigorously derived empirical data which guide their decisions. However, when they reach the edge of what the field knows from scientific clinical trials, they utilize the collective experience and wisdom of this seasoned group of excellent clinicians." --James C. Ballenger, MD, Professor and Chairman; Director, Institute of Psychiatry, Medical University of South Carolina
"The book, Challenges in Clinical Practice, is a state-of-the-science text of the biopsychosocial model in action. It should be a 'must' text on the shelf of every mental health researcher and practitioner, and especially in the hands of every resident in psychiatry and graduate student in clinical psychology. It certainly will be used by me in teaching residents in my clinical classes." --Al. S. Fedoravicius, Ph.D., Chief, Psychology Service, VA Medical Center, Albuquerque; Depts of Psychology and Psychiatry, University of New Mexico
"Modern day mental health clinicians now have powerful empirically supported drug and psychosocial treatments in their armamentarium for the majority of mental disorders, and yet most clinicians are all too aware of the large number of treatment resistant patients who fail to benefit sufficiently from these interventions. Now, three of the leading clinicians and clinical scientists in the country from the Massachusetts General Hospital address the issue of treatment resistant patients, bringing to bear the latest information on this difficult issue. Particularly noteworthy is that these distinguished clinicians are accustomed to integrating drug and psychosocial treatments in clinical care in their setting. Therefore, clinicians everywhere confronting treatment-resistant patients can benefit from the newest integrative strategies for helping these individuals. This book should be on every clinician's shelf." --David H. Barlow, Ph.D., Professor and Director of Clinical Programs, Boston University
Synopsis
Integrating pharmacologic and cognitive-behavioral perspectives in the major psychiatric disorders, this book features chapters by expert clinician-researchers who provide readers with up-to-date, practical strategies for the treatment of patients with complex psychiatric disorders, with a particular focus on the treatment-refractory patient. Specifically covering a broad range of the disorders confronted in clinical practice, the book also addresses the management of psychotropic side effects that complicate treatment.
About the Author
Mark H. Pollack, M.D., is Director of the Anxiety Disorders Program at the Massachusetts General Hospital and Associate Professor of Psychiatry at Harvard Medical School.
Michael W. Otto, Ph.D. is currently the Director of the Cognitive-Behavior Therapy Program at the Massachusetts General Hospital and Assistant Professor of Psychology at Harvard Medical School.
Jerrold F. Rosenbaum, M.D., is Director of the Outpatient Psychiatry Division and Chief of the Clinical Psychopharmacology Unit at the Massachusetts General Hospital and Associate Professor of Psychiatry at Harvard Medical School.
Table of Contents
I. Mood Disorders
1. Pharmacologic Strategies for Treatment-Resistant Major Depression, Fava, Kaji, and Davidson
2. Treatment of Major Depression: Applications and Efficacy of Cognitive-Behavioral Therapy, Otto, Pava, and Sprich-Buckminster
3. Treatment-Resistant Bipolar Disorder: Clinical Aspects and Management,
Ghaemi, Sachs, and Baldassano
II. Anxiety Disorders
4. Pharmacologic Approaches to Treatment-Resistant Panic Disorder, Pollack and Smoller
5. Maximizing Treatment Outcome for Panic Disorder: Cognitive-Behavioral Strategies, Otto and Gould
6. Pharmacologic Approaches to Treatment-Resistant Social Phobia and
Generalized Anxiety Disorder, Smoller and Pollack
7. Cognitive-Behavioral Treatment of Social Phobia and Generalized Anxiety Disorder, Gould and Otto
8. Treatment-Resistant Obsessive Compulsive Disorder: Practical Strategies for Management, Rauch, Baer, and Jenike
9. Cognitive-Behavioral and Pharmacologic Perspectives on the Treatment of Posttraumatic Stress Disorder, Otto, Penava, Pollock, and Smoller
III. Eating Disorders
10. Treatment Resistance in Eating Disorders: Psychodynamic and Pharmacologic Perspectives, Hamburg, Herzog, and Brotman
11. Cognitive-Behavioral Strategies for the Treatment of Eating Disorders, Whittal and Zaretsky
IV. Other Disorders
12. Treatment-Resistant Schizophrenia and Psychotic Disorders, Goff and Henderson
13. When a Substance Use Disorder is the Cause of Treatment Resistance, Gastfriend
14. The Recalcitrant Patient: Treating Disorders of Personality, Ewing, Falk, and Otto
15. Diagnosis and Treatment of Adult Attention-Deficit/Hyperactivity Disorder, Biederman, Wilens, Spencer, Faraone, Mick, Ablon, and Kiely
16. The Psychiatric Evaluation and Treatment of Premenstrual
Dysphoric Disorder, Birnbaum and Cohen
17. Management of Refractory Insomnia, Weilburg
V. Treatment-Emergent Side Effects
18. Management of Antidepressant-Induced Side Effects, Pollack and Smoller
19. Acute and Chronic Side Effects of Neuroleptics, Gelenberg