Although "using both medications and psychotherapy in all patients may not necessarily be most cost-efficient or most effective," according to Beitman (psychiatry, U. of Missouri-Columbia) and his collaborators, it seems important to determine when monotreatment, combined therapy, or integrated treatment may be the best choice. They overview the issues involved in such therapies, and then focus in on research perspectives and understandings of psychodynamic neurobiology. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).
Integrating Psychotherapy and Psychopharmacology: A Handbook for Clinicians is a practical guide for the growing number of mental-health practitioners searching for information on treatments that combine psychopharmacology, psychotherapy, and psychosocial rehabilitation. Research shows that combined approaches are among the most effective ways to treat an increasing number of psychiatric disorders. However, though these combined treatments are becoming the everyday practice of psychiatrists, psychologists, and other mental-health professionals, identifying the right treatment plan can be notoriously difficult, and clinicians are often left scrambling to answer questions about how to design and customize their treatment strategies. In Integrating Psychotherapy and Psychopharmacology, readers will find these questions fully addressed and the answers explained, and they’ll come away from the book with a toolbox full of strategies for helping their patients improve symptoms, achieve remission, and stay well using a combination of drug and psychological treatments.
The 13 years between the publication of the original edition of the handbook and this second edition have been marked by memorable growth in psychotherapy integration. The original classic was the first compilation of the early integrative approaches and was hailed by one reviewer as "the bible of the integration movement." In the interim, psychotherapy integration has grown into a mature, empirically supported, and international movement. This second edition provides a state-of-the-art, comprehensive description of psychotherapy and its clinical practices by leading proponents. In addition to updates of all of the chapters, the new edition features: (1) eight new chapters covering topics such as cognitive-analytic therapy, integrative psychotherapy with culturally diverse clients, cognitive-behavioral analysis system, and blending spirituality with psychotherapy, (2) an entirely new section with two chapters on assimilative integration, (3) updated reviews of the empirical research on integrative and eclectic treatments, (4) chapter guidelines that facilitate comparative analyses and ensure comprehensiveness, and (5) a summary outline to help readers compare the integrative approaches. Blending the best of clinical expertise, empirical research, and theoretical pluralism, the revision of this "integration bible" will prove invaluable to practitioners, researchers, and students alike.
This much-needed volume provides essential strategies for managing the complexities of bipolar disorder and tailoring treatment to each patient's changing needs. The authors draw on state-of-the-art research as well as their extensive clinical experience as a psychotherapist and a psychopharmacologist. In a readable and accessible style, they offer expert guidance on critical treatment questions. Vivid case examples reflect the diverse illness presentations encountered daily by clinicians in community mental health settings. -- Book Jacket
Outlines a comprehensive, evidence-based approach to coordinating psychopharmacological and psychotherapeutic treatments Cognitive Behavioral Psychopharmacology takes an evidence-based approach to demonstrating the advantages of biopsychosocial integration in interventions for the major psychiatric diagnoses. It is the first and only book to translate the current evidence for cognitive behavioral, psychosocial, and pharmacologic approaches to mental health disorders into clear guidance for clinical practice. There is a burgeoning movement in mental health to acknowledge the entire person’s functioning across physical, psychological and social spheres, and to integrate medical as well as psychological and social interventions to address the entire spectrum of presenting problems. This book bridges a gap in the professional mental health literature on the subject of standalone versus combined treatment approaches. It reviews the current state of integrative care, and makes a strong case that optimal outcomes are best achieved by an awareness of how and why the cognitive-behavioral aspects of prescribed medical and psychological interventions influence treatment. Each disorder-specific chapter is authored by a prescriber and psychotherapist team who consider all the evidence around treatments and combinations, providing outcome conclusions and concise tables of recommended front-line interventions. Provides a biopsychsocial perspective that integrates the medical, psychotherapeutic, family, and community aspects of the therapeutic process Brings together and compares the current evidence for and against treatments that combine psychopharmacology and cognitive behavioral psychotherapy for major psychiatric diagnoses Outlines an evidence-based approach to determining which combination of treatments is most appropriate for each of the major psychiatric diagnoses Describes, in a way that is accessible to both prescribers and therapists, when and how cognitive behavioral therapy can be integrated into pharmacotherapy The book will appeal to a wide range of mental health professionals, including psychologists, psychiatrists, clinical social workers, licensed professional counselors, marriage and family therapists, and addictions counselors. It also will be of interest to primary care physicians and nurse practitioners who work side by side with mental health professionals.
This book explains how to weave together the powerful tools of CBT with pharmacotherapy in sessions shorter than the traditional "50-minute hour." Written for psychiatrists, therapists, and other clinicians, the book details ways to enrich brief sessions with practical CBT interventions that work to relieve symptoms and promote wellness.
The rapid transformation of clinical care models in new health systems means that competence in integrated and split/collaborative care is vital for both long-established clinicians and psychiatric professionals in the early stages of their careers.
"The troubling increase in treatment resistance in psychiatry has many culprits: the rise of biomedical psychiatry and corresponding sidelining of psychodynamic and psychosocial factors; the increased emphasis on treating the symptoms rather than the person; and a greater focus on the electronic medical record rather than the patient, all of which point to a breakdown in the person-centered prescriber-patient relationship. Psychodynamic Psychopharmacology illuminates a new path forward. It examines the psychological and interpersonal mechanisms of pharmacological treatment resistance, integrating research on evidence-based prescribing processes with psychodynamic insights and skills to enhance treatment outcomes for patients who are difficult to treat. The first part of the book explores the evidence base that guides how, rather than simply what, to prescribe. It describes precisely what psychodynamic psychopharmacology is and why its emphasis on combining the often-neglected psychosocial aspects of medication with biomedical considerations provides a more optimized approach to addressing treatment resistance. Part II delves into the psychodynamics that contribute to pharmacological treatment resistance, both when patients' ambivalence about their illness, the medication itself, or their prescriber manifests in nonadherence and when medications support a negative identity or are used as replacements for healthy capacities. Readers will gain basic skills for addressing the psychological and interpersonal dynamics that underpin both scenarios and will be better positioned to ameliorate interferences with the healthy use of medications. The final section of the book offers detailed technical recommendations for addressing pharmacological treatment resistance. It tackles issues that include countertransference-driven irrational prescribing; primitive dynamics, such as splitting and projective identification; and the overlap between psychopharmacological treatment resistance and the dynamics of treatment nonadherence and nonresponse in integrated and collaborative medical care settings. By putting the individual patient back at the center of the therapeutic equation, psychodynamic psychopharmacology, as outlined in this book, offers a model that moves beyond compliance and emphasizes instead the alliance between patient and prescriber. In doing so, it empowers patients to become more active contributors in their own recovery"--
For use by addiction counselors, psychologists, psychiatrists, and other professionals working with clients with addictions, this work provides a supported framework for managing biophysical treatment of alcohol and drug dependence. Compatible with cognitive-behavioral and 12-step models, BRENDA is a collaborative, case-management approach to treatment that has been demonstrated effective in more than 80 percent of alcohol-dependent referrals.
With its strong practical orientation, this book is a must-read for psychologists who have or want to obtain prescriptive authority, as well as those who wish to assume more collaborative roles within primary care and other settings."--pub. desc.
