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- xix, 187 p. : ill.
Cote : WM 207 R845c 2009

Dépression psychotique - Diagnostic ; Dépression psychotique - Traitement ; Dépression - Diagnostic

Psychotic depression is a dangerous and debilitating illness that, tragically, often has fatal consequences. Studies indicate that between 16% and 54% of all depressed adults suffer from a psychosis. While this condition is completely treatable, thousands of cases remain misdiagnosed or overlooked because of a lack of interest and awareness among clinicians, the pharmaceutical industry, and the National Institute of Mental Health. As the first comprehensive guide to cover assessment, treatment, and management of patients with psychotic depression, Clinical Manual for Diagnosis and Treatment of Psychotic Depression, by Dr. Anthony Rothschild, is an invaluable resource for both clinicians and students. Drawing on his own experience in clinical care and careful consideration of the existing medical literature, Dr. Rothschild systematically describes the history, epidemiology, and possible biological causes of psychotic depression and outlines various approaches for diagnosis and assessment. He then offers a practical guide for individualized treatment strategies for psychotic depression, such as electroconvulsive therapy, psychotherapy, and recent breakthroughs in pharmacologic treatment. In addition, Dr. Rothschild identifies issues of care and management for specific patient populations including seniors, adolescents, women in the postpartum, and patients at risk for suicide in a variety of treatment settings. Each chapter includes the following features to emphasize the data and further enhance learning: Detailed tables and charts Key clinical points that summarize the main ideas of the chapter A recommended reading list of books and periodicals that address similar topics Analysis and review of relevant clinical studies Dr. Rothschild has spent more than 25 years treating patients with psychotic depression and studying the challenges inherent in diagnosing and managing this serious disorder. His findings are compiled in this easy-to-read, evidence-based manual that can benefit clinicians at all levels of training, including psychiatrists, psychologists, neurologists, internists, family and general practitioners, nurses, social workers, and clinical students. While much remains to be discussed regarding the nature of psychotic depression as a distinct illness, the existing knowledge about this condition is too significant to be ignored. The only comprehensive manual of its kind, Clinical Manual for Diagnosis and Treatment of Psychotic Depression is an important reference for any psychiatric setting.

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- xv, 588 p.
Cote : WL 103 P974 2003

Neuropsychoendocrinologie ; Maladies mentales - Aspect endocrinien

The mind-body connection is one of the hottest topics in medicine today, documented by enormous amounts of data regarding hormone effects on the brain and behavior.

Yet it is only now--with the debut of this thought-provoking volume--that we find an up-to-date, sophisticated reference that focuses on the clinical relevance of behavioral endocrinology and is written for practicing clinicians and researchers.

This wide-ranging volume shows how the principles and emerging findings of psychoneuroendocrinology can inform modern clinical practice and lead to new breakthroughs in future science and practice. Here, leading authorities--internationally respected researchers and practicing clinicians--review empirical findings in their areas of expertise, highlight the clinical significance of these findings, and provide, wherever appropriate, clinical guidelines for the management of patients.

Beginning with a lively history of psychoneuroendocrinology (including its many false starts), this book continues on to discussions of the hypothalamic-pituitary-adrenal axis hormone system, the gonadal hormone system, and the thyroid hormone system from each of the three paths generally used for psychoneuroendocrinological investigation: - Alterations in endogenous hormone levels observed in primary psychiatric illness- Psychiatric concomitants or sequelae of hormonal dysregulation in primary endocrinologic illness- Behavioral effects of exogenously administered hormones or hormone antagonists (both the study of the side effects of hormonal medications and the use of hormones and hormone antagonists as psychotropic medications)

An unmatched diversity of topics reveals the full breadth and depth of this volume: diabetes mellitus, corticosteroid effects on mood and cognition, Cushing's syndrome and Addison's disease, oral contraceptives and estrogen replacement therapy, psychiatric illness associated with the menstrual cycle and perimenopause, postpartum behavioral changes, anabolic/androgenic steroid use, and a thorough review of thyroid function in psychiatric disorders.

Particularly fascinating are sections on the role of neuropeptides and hypothalamic-releasing factors in psychiatric illness, the use of laboratory tests and imaging procedures in evaluating hormonal function in psychiatric patients, the place of newer "alternative" hormonal medications such as melatonin and DHEA in therapeutics, and a provocative and compelling final chapter on the role stress plays in precipitating illness.

Designed for both clinician and researcher-scientist, this richly informative guide will also prove an invaluable addition to graduate courses in neuroscience, neuroendocrinology, the biological basis of behavior, and consultation psychiatry. Neuroscientists/neurologists, endocrinologists, obstetricians/gynecologists, internists, family practitioners, nurses, and interested laypersons round out the wide audience for this remarkable volume.

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