A Spectrum Approach to Mood Disorders: Not Fully Bipolar but Not Unipolar--Practical ManagementW. W. Norton & Company, 20 jun 2016 - 272 páginas How to understand your clients' true illnesses, not just their DSM checklists. Though the DSM discusses the criteria for mood disorders in absolute terms—either present or absent—professionals are aware that while such dichotomies are useful for teaching, they are not always true in practice. Recent genetic data support clinicians' longstanding recognition that a continuum of mood disorders between unipolar and bipolar better matches reality than a yes/no, bipolar-or-not approach. If we acknowledge that continuum, how does this affect our approach to diagnosis and treatment?In A Spectrum Approach to Mood Disorders, nationally recognized expert James Phelps provides an in-depth exploration of the signs, symptoms, and nuanced presentations of the mood disorder spectrum, focusing on the broad gray area between Major Depression and Bipolar I. Combining theoretical understanding and real-world scenarios, Phelps offers practical treatment guidelines for clinicians to better understand the subtle ways mood disorders can show up, and how to find the most beneficial path for treatment based on the patient's individual pattern of symptoms. Is it trauma, or is it bipolar? Borderline? Both? Phelps's expertise and wealth of personal experience provides readers with unparalleled insight into a subject that is by nature challenging to define. His emphasis on non-medication approaches, as well as chapters on all the major pill-based treatments (from fish oil to lithium to the avoidance of atypical antipsychotics and antidepressants), creates a comprehensive resource for any clinician working with patients on the mood spectrum. Appendices on the relationship between bipolar diagnosis, politics, and religion; and a plain-English approach to the statistical perils of bipolar screening, offer further value. Phelps has written an invaluable guide of the critical information professionals need to treat patients on the mood disorder spectrum, as well as a useful tool for highly motivated families and patients to better understand the mood disorder that effects their lives. This book seeks to alter the black and white language surrounding these mood disorders to influence a shift in how patients are diagnosed—to insure that treatment matches their specific needs. |
Índice
Bipolar or Borderline or PTSD or ADHD? Managing Difficult Distinctions | |
Psychotherapy for the MidSpectrum Patient Selling Social Rhythm | |
Efficacy versus Tolerability Why Lamotrigine Is the 1 Medication Option | |
LowDose Lithium Is a Different Drug and Better than Antipsychotics | |
Managing Thyroid Not to Be Left to Primary Care or Endocrinology | |
Antidepressants Four Controversies and Nine Solutions | |
Bipolar Disorders Politics and Religion | |
Términos y frases comunes
adjunctive Affect Disord antidepressant antidepressant effects antimanic anxiety aripiprazole associated atypical antipsychotics benefit bipolar depression bipolar diagnosis bipolar disorder bipolar spectrum Bipolarity Index borderline personality carbamazepine Chapter circadian Clin Psychiatry clinical clinicians colleagues consider dark therapy divalproex doubleblind drug DSM criteria evidence for efficacy example experience family history fish oil Ghaemi hypomania hypomanic hypothyroidism improvement increased induce lamotrigine least levels levothyroxine lithium longterm lowdose lithium lower Major Depression mania manic episodes manic symptoms medications metaanalysis metabolic mid midspectrum patients mixed monotherapy mood disorders mood spectrum mood stabilizer nonmanic markers olanzapine patients with bipolar percent perhaps Phelps pill placebo placebocontrolled pregnancy problem Psychiatry psychoeducation psychotherapy PTSD quetiapine randomized trial rapid cycling rash relative risk risperidone side effects significant sleep STEPBD suggest suicidal supraphysiologic thyroid switch taper thyroid hormone topiramate treatment of bipolar unipolar weeks weight gain worsening ziprasidone zonisamide