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Contemporary psychiatry is a field that is especially conducive to the principles of integrative medicine. With the exception of a few disorders, such as schizophrenia, most psychiatric disorders respond to interventions other than drugs. Patients who have not tolerated or not responded optimally to traditional treatments are also good candidates for integrative treatments. Additionally, herbals such as St. John's wort for the treatment of depression and ginkgo for the treatment of memory impairment in dementia have been found effective in traditional clinical trials. Patients' use of alternative and complementary therapies in psychiatry has created a need for physicians to become informed about these treatments, to advise patients on their efficacy, and to be able to make judgments on integrating these therapies into existing regimens, including discussions of such issues as potential drug-herb interactions. In this volume in the Weil Integrative Medicine Library, the authors describe a rational and evidence-based approach to the integrative therapy of mental disorders integrating the principles of alternative and complementary therapies into the principles and practice of conventional psychiatry and psychology. The authors will examine what works and what doesn't, and offer practical guidelines for physicians to incorporate integrative medicine into their practice and to advise patients on reasonable and effective therapies. The text discusses areas of controversy and identifies areas of uncertainty where future research is needed. Chapters also cite the best available evidence for both the safety and the efficacy of all therapies discussed. The information is presented in accessible and easy-to-read formats, including clinical pearls and key points, with a second text color for highlighting key information.
Dr. Lake has made a significant contribution to integrative medicine in this book by helping to weave the integral tapestry around the complex issues of mental illness. In honor of his efforts to restore healing and meaning to mental healthcare, I bow deeply. --From the foreword by Larry Dossey, MD Dr. James Lake once again illumines the path to future medicine in this comprehensive, carefully researched, and intellectually engaging exploration of clinical integration of complementary and conventional therapies in mental health care. In a rigorous, dispassionate analysis he both reveals the outer frontiers of medical possibility and describes the professional boundaries necessary to reach such frontiers in ways that are clinically responsible as well as ethically unassailable. --Michael H. Cohen, JD, MBA, Assistant Clinical Professor, Department of Medicine, Harvard Medical School, and Assistant Professor, Department of Health Policy and Management, Harvard School of Public HealthDr. Lake has written the defining textbook for evidence-based integrative mental health care. He has comprehensively evaluated the research support for both conventional and natural therapies and redefined how we understand and treat mental health patients. His careful flow charts help guide the clinician through the challenge of assessment and differentiation to personalize therapies based on each patient's unique needs. Clinicians will also find of immense value his many tables, which summarize the evidence base for each intervention. This is a tour-de-force that forever redefines mental health care. --Joseph Pizzorno, ND, Founding President, Bastyr University This text offers an evidence-based approach to incorporating integrative psychiatry into practice that is pragmatic and useful, a great addition to the field of integrative medicine. --Roberta Lee, MD, Medical Director, Continuum Center for Health and HealingDr. Lake must be congratulated for this ground-breaking work on CAM in psychiatry. It not only provides a conceptual framework for a deeper understanding of disease of the mind-body-spirit, but also gives evidence-based blueprints for where we are and where we could go. A must read for mental health professionals interested in the philosophy and practice of integrative psychiatry. --Richard P. Brown, MD, Associate Professor, Department of Clinical Psychiatry, Columbia College of Physicians and SurgeonsThis text is comprehensive and authoritative, well written and widely referenced. It will, I hope, enlarge the way we think about mental health and treat psychiatric disorders. --James S. Gordon, MD, Founder and Director of the Center for Mind-Body Medicine This book provides a comprehensive review of integrative approaches in mental health. Here the practitioner will find clear guidance in an evidence-based manner. A wonderful contribution. --Wayne B. Jonas, MD, Director Samueli Institute for Information BiologyThis book is a tour de force in the emerging field of integrative psychiatry. The author presents the material in each chapter in a systematic, thoughtful, thorough, and practical manner. The text itself is integrative in the way it discusses management issues that a provider may encounter. As the number of patients who already include - or wish to add - alternative methods in their overall treatment plan continues to grow, this text provides an important comprehensive resource for busy providers. Health care professionals from many different disciplines who need a serious reference text on integrative psychiatry and who wish to optimize options for their patients with chronic psychiatric disorders will find this book indispensable. --Iris R. Bell, MD, PhD, Professor, Departments of Family and Community Medicine, Psychiatry, Psychology, Medicine, and Public Health, The University of Ariz
This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. “Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision.” -Jerome Sarris, MHSc, PhD, ND “For most conventionally trained clinicians the challenge is not “does CAM work?” but “how do I integrate CAM into my clinical practice?” Lake’s comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body.” -Leslie Korn, PhD, MPH
With its unrivaled scope, easy readability, and outstanding clinical relevance, Complementary and Integrative Treatments in Psychiatric Practice is an indispensable resource for psychiatric and other health care professionals. It is also well suited for individuals with mental disorders and their family members who are seeking updated, practical information on complementary, alternative, and integrative medicine (CAIM). An international group of experts, researchers, and clinicians examines an expansive range of treatments that have been chosen on the basis of their therapeutic potential, strength of evidence, safety, clinical experience, geographic and cultural diversity, and public interest. This guide offers advice on how to best tailor treatments to individual patient needs; combine and integrate treatments for optimal patient outcomes; identify high-quality products; administer appropriate doses; and deal with concerns about liability, safety, and herb-drug interactions. Treatments discussed include: Nutrients and neutraceuticals Plant-based medicines Mind-body practices -- breathing techniques, yoga, qigong, tai chi, and meditation Art therapy and equine therapy for children and adolescents Neurotherapy, neurostimulation, and other technologies Psychiatrists and other physicians, residents, fellows, medical students, psychologists, nurses, and other clinicians will benefit from guidelines for decision making, prioritizing, and combining CAIM treatments, as well as safely integrating CAIM with standard approaches. That the treatments considered in this clinician's guide are applied to five of the major DSM-5 categories -- depressive disorders, anxiety disorders, trauma- and stressor-related disorders, bipolar and related disorders, and schizophrenia spectrum and other psychotic disorders -- ensures its applicability, timeliness and timelessness.
"Neurology is a quantitively small corner of medicine that, increasingly, occupies a position of outsized importance and distinction in both the practice of medicine and in the health and well-being of society. The Decade of the Brain came into public awareness in 1990 as an initiative of president George W. Bush involving the NIH and NIMH "to enhance public awareness of the benefits to be derived from brain research"(1). In the intervening 20 years since 1999, we have seen significant increases in understanding the myriad of neurological diseases that confront society"--
Something about our modern way of life is making us sick. The antidepressants of old caused such painful and disabling side effects that the new sophisticated medications featuring fewer side effects seem to present an effortless solution to overcoming depression. Although depression requires physical intervention to correct the brain chemistry imbalance, author Henry Emmons believes that this physical intervention can be effectively achieved without medication. Many physicians and psychologists rely on medication as the first response to treating depression but medications are certainly not the only way to treat depression nor are they always the best way to provide the necessary physical intervention. Dr Emmons believes that it is crucial to treat depression with a diet, exercise and lifestyle plan that helps to rebalance brain chemistry. The programme as presented in his book, focuses on creating a pathway from depression to joyful living and shares a plan for each of the three types of depression: anxious depression, agitated depression and sluggish depression.
As a field, men's health is far behind women's health in terms of the availability of reliable, scientifically based information that men, their partners, and health care providers can rely on when seeking information and treatment. Moreover, integrative approaches are becoming more popular with men whose healthcare providers understand that most of the leading causes of morbidity and mortality in men, including cardiovascular disease, cancer, urologic disease, and sexual dysfunction, can be ameliorated using an integrative approach, with more emphasis on the patient-provider relationship, lifestyle change, and the use of proven complementary modalities. Integrative Men's Health provides an evidence-based perspective on the health problems that affect men and the ways in which such problems may be prevented or treated utilizing a broad armamentarium of approaches - from conventional tools to complementary modalities. All chapters take into consideration of all the factors that influence men's health including body, mind, and spirit in a way that neither rejects alternative approaches nor accepts any of them uncritically.
'Integrative Environmental Medicine' looks at the history and changing landscape of environmental issues in the United States, including water supply, air quality, extensive plastic pollution, harmful chemicals in cleaning and personal care products, radiofrequency radiation, food additives, pesticides, and medications
An integrative approach to modern mental healthcare Textbook of Integrative Mental Health Care is the first book to present a comprehensive framework of conceptual information and clinical guidelines for the integrative assessment and treatment of common mental illnesses. Complete coverage of the conceptual foundations of integrative mental health care allows the practitioner to gain a firm understanding of the philosophy and clinical methodology of integrative medicine. The textbook also describes evidence-based paradigms that enable the practitioner to develop assessment techniques and individualized treatment plans that address the unique needs of each patient. Highlights: Extensive evidence tables summarize assessment and treatment approaches Easy-to-follow algorithms guide the practitioner step-by-step from initial assessment to treatment planning Case vignettes describe intake, assessment and initial formulation, treatment plan, and follow-up This textbook will help psychiatrists, psychologists, and mental health care professionals develop safe and effective integrative approaches for the evaluation and treatment of emotional and mental problems.
