Depression: A Multidisciplinary Approach

Clinics Collections

1st Edition - February 9, 2021
Editor: Joel J. Heidelbaugh
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 8 6 2 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 8 6 3 - 3

Clinics Collections: Depression draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including psychiatrists, general practitioners, nu… Read more

Depression: A Multidisciplinary Approach

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Clinics Collections: Depression draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including psychiatrists, general practitioners, nurses, and pediatricians, with practical clinical advice and insights on how treatment of depression can be implemented in individual specialties.

Clinics Collections: Depression
guides readers on how to apply current best practices in the treatment of depression to everyday practice to help overcome patient challenges and complications, keep up with new and advanced treatment methods, and improve patient outcomes.

Cover image
Title page
Table of Contents
Contributors
Preface
Anticipating Changes for Depression Management in Primary Care
Key points
Introduction
Causes of depression
Incidence
Pathophysiology
Theory
Social determinants of mental health
Interplay of social determinants of health on depression outcomes
Primary care screening for social determinants
Policy change
General population presentation of major depressive disorder
Clinical treatment goals: remission of symptoms
Discussion
Summary
The Physician’s Physician: The Role of the Psychiatrist in Helping Other Physicians and Promoting Wellness
Key points
Introduction
The physician’s physician: a psychiatrist’s role
Best practices for addressing impaired physicians and promoting wellness
Organizational leadership roles for psychiatrists to champion physician well-being
Training and organizational capacity building
Embracing cultural evolution
Leading by example: modeling self-care
Summary
Mixed Features in Depression: The Unmet Needs of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition
Key points
Introduction
Major depressive episode with mixed features
Why DSM-5 does not fit with “real” mixed depression?
The clinical relevance of mixed symptoms not included in DSM-5 criteria: results from BRIDGE-II-Mix study
Clinical indicators of “mixicity” that suggest a bipolar diathesis
Summary
Psychotherapy for Mixed Depression and Mixed Mania
Key points
Introduction
Clinical characteristics of mixed states
Considerations for psychotherapy of mixed states
Pharmacologic treatment
Illness-related safety issues and treatment participation
Therapy participation
Symptoms and difficulties
Relapse prevention
Case study
Summary
Diagnosis, Clinical Features, and Therapeutic Implications of Agitated Depression
Key points
Introduction
The problem of classification of agitated “unipolar” depression
What is agitated “unipolar” depression?
Suicidality in agitated depression
Therapeutic implications
Summary
Telepsychiatry: A New Treatment Venue for Pediatric Depression
Key points
Introduction
Telepsychiatry
Using telepsychiaty to treat depression
Models of telepsychiatric care
Engaging patients, building rapport, and developing good Webside manners
Adopting good webside manners
Optimizing the authenticity of the experience
Summary
Supplementary data
Depression in Youth with Autism Spectrum Disorder
Key points
Introduction
Prevalence and impact of depression in autism spectrum disorder
Phenomenology of depression in autism spectrum disorder
Risk factors
Diagnostic evaluation of depression
Treatment of depression in autism spectrum disorder
Summary and future directions
When Night Falls Fast: Sleep and Suicidal Behavior Among Adolescents and Young Adults
Key points
Introduction
Sleep disturbances and suicidal ideation and behaviors
Potential mechanisms in the relation between sleep disturbances and suicide risk
Application to clinical care
Summary
Clinics care points
Youth Depression in School Settings: Assessment, Interventions, and Prevention
Key points
Introduction
Assessment in school settings
Treatment in school settings
Prevention strategies
The sociocultural milieu of treatments in the school setting
From prevention to state policy and a new law
Summary
Depression in Justice-involved Youth
Key points
Introduction
Causes of depression in justice-involved youth
Assessment and intervention
Summary
Depression in Children and Adolescents Involved in the Child Welfare System
Key points
Introduction
Summary
Depression in Maltreated Children and Adolescents
Key points
Introduction
Child maltreatment
Child maltreatment is a major risk factor for youth and adult depression
Depressed youth should be assessed for maltreatment history, type of depression, and the presence of other Diagnostic and Statistical Manual of Mental Disorders-5 axis I comorbidity
Assessing maltreatment and trauma in youth
Risk factors for depression in maltreated children
Reporting child maltreatment
Establishing the diagnosis of depression and treatment plan
Combined psychotherapy and psychopharmacology treatment are the evidence-based treatments for depression in youth and should be the first approach for maltreated depressed youth
Treatment of depressed maltreated youth with posttraumatic stress disorder symptoms
Treatment of depressed maltreated youth with self-injury and suicidality
Treatment of depressed maltreated youth with externalizing disorders
Treatment of depressed maltreated youth with alcohol and substance use disorders
Factors to explore if evidence-based treatments are not alleviating depression in maltreated youth
Summary
Depression in Medically Ill Children and Adolescents
Key points
Introduction
Specific risks for depression in medically ill youth
Identification and assessment
Specific medical illness considerations
Treatment
Levels of care
Outcomes and Prognosis
Summary
Perinatal Mixed Affective State: Wherefore Art Thou?
Key points
Introduction
Methods
Results
Summary and future perspectives
Postpartum Depression: Identification and Treatment in the Clinic Setting
Key points
Introduction
Summary
Depression and Menopause: An Update on Current Knowledge and Clinical Management for this Critical Window
Key points
Introduction
What about the estrogen connection?
Final considerations and recommendations regarding estrogen therapies
What about nonhormonal interventions?
Summary
Management of Grief, Depression, and Suicidal Thoughts in Serious Illness
Key points
Introduction
Grief and loss in serious illness
Prolonged grief
Depression in serious illness
Suicidal thoughts in serious illness
Summary
Risk Versus Resiliency: Addressing Depression in Lesbian, Gay, Bisexual, and Transgender Youth
Key points
Introduction
Terminology
Methods
Epidemiology
Unique risk factors for lesbian, gay, bisexual, and transgender youth
Depression characteristics in lesbian, gay, and bisexual youth
Depression in children and adolescents with gender dysphoria
Summary
Depression in African American and Black Caribbean Youth and the Intersection of Spirituality and Religion: Clinical Opportunities and Considerations
Key points
Appreciating the diversity of black youth: black Caribbean youth and depression
Intersection of spirituality/religion and depression in African American youth and families
Spirituality: what is it and why should clinicians care?
Spirituality: its protective nature and benefits
Spirituality and mental health: an unconventional approach to treatment
Summary
Depression in Latino and Immigrant Refugee Youth: Clinical Opportunities and Considerations
Key points
Latin American children and adolescents
Depression in Latino youth
Sociocultural variables and depression in Latino Youth
Summary
Depression in immigrant refugee youth
Practical recommendations
Summary
Depression and Cardiovascular Disorders in the Elderly
Key points
The significance of depression and cardiovascular disease in the elderly
Diagnosing depression in elderly patients with cardiovascular disease
Pathomechanisms underlying depression and cardiovascular disease in the elderly
Improving the care for elderly patients with cardiovascular disease and depression
Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress
Key points
Introduction, background, and definitions
Normative emotional development in late life
Mood and anxiety disorders in late life
Bereavement and grief
Social isolation and loneliness
Suicidal ideation and behavior
Discussion and summary
Clinics care points
Mindfulness, Stress, and Aging
Key points
Introduction
Content
Summary

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Joel J. Heidelbaugh