Still Down

What to Do When Antidepressants Fail
Erscheinungsjahr 2016
ISBN: 978-1-4214-2106-3
Verlag: Johns Hopkins University Press

Buch, Englisch, 152 Seiten, Format (B × H): 139 mm x 216 mm, Gewicht: 190 g

Expert insight and advice to help people with treatment-resistant depression feel better.

Major depressive disorder is a common medical condition that can be disabling and can persist for months, even years. Many people experience depression symptoms that resist treatment. Although they try various combinations of medications, psychotherapy, or electroconvulsive therapy, their symptoms don’t improve. What can people who have treatment-resistant depression do to overcome their depression and feel better?

In Still Down, Dr. Dean F. MacKinnon, a psychiatrist at Johns Hopkins Medical School, presents nine composite stories drawn from patients he has seen in his twenty years as an expert in treatment-resistant mood disorders. The first section of the book features people diagnosed with depression who have not yet received appropriate treatment. The next section looks at misdiagnosis, focusing on people who feel and appear depressed but who have different mood disorders and need treatment for them. Finally, Dr. MacKinnon describes people who have severe depression that does not respond to any treatment, regardless of how finely tuned the treatment might be. These people, who suffer from true treatment-resistant depression (TRD), can benefit from a variety of treatments to feel better.

Dr. MacKinnon provides commentary to explain and extend the discussion of the patients and situations in each case. He also discusses common obstacles to improvement, including overly conservative dosing, problems stemming from not adhering to treatment, antidepressant failure, and high sensitivity to side effects. By identifying aspects of the individual’s qualities, behaviors, and experiences that may account for poor response to treatment, Still Down points the way for people with TRD and their families to find appropriate diagnoses and the best possible care.

Autoren/Hrsg.

Mackinnon, Dean F

Fachgebiete

• Sozialwissenschaften Psychologie Psychologie / Allgemeines & Theorie Psychologie: Allgemeines
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Psychiatrie, Sozialpsychiatrie, Suchttherapie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizin, Gesundheit: Sachbuch, Ratgeber

Inhaltsverzeichnis

List of Tables
Introduction  Section I: Fundamentals  Ann: Textbook depression  Bob: Treatment ambivalence  Carla: Underdosing  Section II: Misdiagnosis  Darius: Demoralization  Evelyn: Bipolar depression  Frances: Overmedication  Section III: Treatment Resistant Depression  Gary: Double depression  Hannah: Residual depression  Irma: Treatment refractory depression  Conclusion  Appendix A: Common therapeutic practices to boost antidepressant response
Appendix B: Assessment of the patient with antidepressant failure
Index

Über Autor(innen)

Mackinnon, Dean F
Dean F. MacKinnon, MD, is an associate professor in the Department of Psychiatry and Behavioral Science at Johns Hopkins University School of Medicine, where he specializes in treatment-resistant mood disorders. He is the author of Trouble in Mind: An Unorthodox Introduction to Psychiatry.