000 05012cam a2200409 i 4500
001 ocn947074765
003 OCoLC
005 20180722223451.0
008 160606s2016 mdu 001 0 eng
010 _a 2016005166
040 _aDLC
_beng
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019 _a960210764
020 _a9781421421056
_q(hardcover)
020 _a1421421054
_q(hardcover)
020 _a9781421421063
_q(paperback)
020 _a1421421062
_q(paperback)
035 _a(OCoLC)947074765
_z(OCoLC)960210764
042 _apcc
092 _a616.8527
_bM158
049 _aNFGA
100 1 _aMacKinnon, Dean F.,
_eauthor.
_9316036
245 1 0 _aStill down :
_bwhat to do when antidepressants fail /
_cDean F. MacKinnon.
264 1 _aBaltimore, Maryland :
_bJohns Hopkins University Press,
_c[2016]
300 _a140 pages ;
_c23 cm.
336 _atext
_btxt
_2rdacontent
337 _aunmediated
_bn
_2rdamedia
338 _avolume
_bnc
_2rdacarrier
490 1 _aJohns Hopkins Press health book
500 _aIncludes index.
520 _a"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 misdiagnoses, 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"--
_cProvided by publisher.
520 _a"Many people have depression symptoms that resist treatment. Despite medications, psychotherapy, and sometimes electroconvulsive therapy, these people don't feel well. What can they do to feel better? Dr. Dean MacKinnon, a psychiatrist at Johns Hopkins Hospital in Baltimore, specializes in finding out why treatment hasn't been helpful for a patient, and in helping that patient feel better. In Still Down, Dr. MacKinnon uses case studies of such individuals to reassess treatment-resistant depression (TRD) and explore what's going on with people who don't feel better, even with treatment. As some of the cases illustrate, some people who have been diagnosed with treatment-resistant depression have depression that actually will respond to appropriate treatment--but they have not yet received appropriate treatment. Other cases illustrate what happens when someone is incorrectly diagnosed with depression; that person needs treatment for a different disorder, not for depression. Finally, some cases illustrate people who have depression that does not respond to treatment for depression, regardless of how finely tuned the treatment is. These people, who have true TRD, can benefit from a variety of treatments alone or in combination, and even though they may not feel entirely well, they can feel better. Writing for people who have treatment-resistant depression and their families, as well as medical professionals and mental health care providers, MacKinnon hopes to help people with depression get appropriate diagnoses and treatment. He also hopes to improve care providers' understanding of treatment-resistant depression, by identifying aspects of the individual's qualities, behaviors, and experiences that may account for poor response to treatment"--
_cProvided by publisher.
650 0 _aDepression, Mental
_xTreatment
_vPopular works.
_9116939
650 0 _aAntidepressants
_vPopular works.
_9316037
830 0 _aJohns Hopkins Press health book.
_965139
994 _aC0
_bNFG
942 0 0 _00
999 _c240933
_d240933