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Index
Title Page
Copyright Page
Dedication
Contents
Introduction
Why you need this book
Not receiving treatment
Misdiagnosis and inadequate treatment
Who will find this book useful
How to use this book
About the author
What this book can’t do
Evidence-based information and the bibliography
A message of hope
Chapter 1 Managing Emotional Distress and Thoughts of Self-Harm
Options for receiving help immediately
Suicide risk factors
Developing a stress and crisis management plan
Chapter 2 Mood Disorders and the Diagnostic Process
How psychiatric disorders are diagnosed
The disorders
Mood episodes
Depressive spectrum disorders
Bipolar spectrum disorders
Chapter 3 Do You Have a Mood Disorder?
Mood episodes
Depressive episodes
Cardinal symptoms: Depression and anhedonia
Other depressive symptoms
Distress/impairment and medical causes
Dysthymic disorders
Manic, hypomanic, and mixed episodes
Mood elevation
Other mood elevation symptoms
Impairment and medical causes
Mixed episodes
Episode duration
Mood episode summary
Interpreting your results
Mood episodes you have experienced
Your likely mood disorder diagnosis
Differential diagnosis
Coexisting conditions
Do you have a coexisting (comorbid) psychiatric condition?
Substance use disorders
Psychotic disorders
Obsessive-compulsive disorder
Generalized anxiety disorder
Panic disorder
Specific phobias
Social phobia
Posttraumatic stress disorder (PTSD)
Attention-deficit/hyperactivity disorder (ADHD)
Eating disorders
Summary of possible comorbid conditions
Should you seek further evaluation from a mental health or medical professional?
Chapter 4 Mood Disorders: Facts and Causes
How common are mood disorders?
Course of illness for mood disorders
Additional features of mood disorders
Psychotic symptoms
Rapid cycling bipolar illness
Seasonal symptoms
Mood episodes caused or worsened by other disorders, medications, or substances
The biology and psychology of mood disorders
The neurobiology of emotion
The biology of mood disorders
Brain structure
Genetic factors
Neurotransmitters
Inflammation
Neurocircuitry
Summary of the neurobiology of mood disorders
The psychology of mood disorders
Freudian theory
Cognitive theory
Interpersonal theory
Mindfulness theory
Summary of the biology and psychology of mood disorders
Chapter 5 How and Where to Find Help
Prescribers who treat mood disorders
Physicians other than psychiatrists
Psychiatrists
Other prescribers
Therapists who treat mood disorders
Finding help
Getting help if you are in crisis
National resources for finding treatment
Local resources for finding treatment
Support organizations
Costs of treatment
Chapter 6 Collaborating with Your Team
Who’s on your team?
Roles and responsibilities
Medical and mental health professionals
Friends and family
The team captain
Communication strategies
Learning the language
Managing time
Avoiding intimidation
What to do if things aren’t working out with your provider
Chapter 7 The Diagnostic Evaluation
What to expect
Components of a diagnostic assessment
Current psychiatric history
Past psychiatric history
Psychiatric disorder and substance use screening
Medical and surgical history
Current medications
Medication allergies
Family history
Social history
Mental status examination
Physical examination
Laboratory or diagnostic procedure results
Psychological testing
Diagnostic and symptom severity testing
Getting ready for the appointment
Preparing your evaluation form
Chapter 8 Medication and Other Biological Treatments
General principles of biological interventions
Effectiveness studies
We can’t know everything about any given treatment
All biological treatments have risks
Medications used to treat mood disorders
Antidepressants
Selective serotonin reuptake inhibitors (SSRIs)
Selective serotonin reuptake inhibitors and 5-HT1A receptor partial agonists
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Dopamine-norepinephrine reuptake inhibitors
Serotonin modulators and norepinephrine-serotonin modulators
Tricyclic and tetracyclic antidepressants (TCAs)
Monoamine oxidase inhibitors (MAOIs)
How well do antidepressants work?
Antidepressant side effects
Discontinuation syndrome
Mania and rapid cycling in bipolar disorder
Serotonin syndrome
Sexual side effects
Suicide
Mood stabilizers
Anticonvulsants
Antipsychotics
Lithium
Additional biological treatments
Transcranial magnetic stimulation (TMS)
Electroconvulsive therapy (ECT)
Vagus nerve stimulation (VNS)
Light therapy
Summary of biological treatments
Chapter 9 Psychotherapy
Why psychotherapy?
What is psychotherapy?
Developing self-awareness
Cognitive and mindfulness-based therapies
Cognitive therapy (CT)
Mindfulness-based psychotherapies
Mindfulness-based stress reduction (MBSR)
Mindfulness-based cognitive therapy (MBCT)
Summary of mindfulness therapies
Other psychotherapy methods
Family-focused therapy (FFT)
Group therapy
Interpersonal therapy (IPT)
Interpersonal and social rhythm therapy (IPSRT)
Marital and family therapy (MFT)
Problem-solving therapy (PST)
Psychodynamic psychotherapy
Psychoeducation
Summary of psychological approaches
Chapter 10 Complementary Approaches to Recovery
Acupuncture
Aerobic exercise
Dietary supplements
Folate
Omega-3 fatty acids
SAM-e
St. John’s wort
Mindfulness meditation
Religion and spirituality
Social support
Evaluation of your level of social support
Companion animals
Self-help books and websites
Summary of alternative and adjunctive recovery strategies
Chapter 11 Starting Treatment
Which initial treatment approach?
Potential risks versus benefits
Three general treatment strategies
Starting treatment for a depressive disorder
Major depressive disorder
Uncomplicated major depression
Major depression with psychotic symptoms
Major depression with catatonic symptoms
Major depression with a seasonal pattern
Major depression with a comorbid anxiety disorder
Major depression with a comorbid substance use disorder
Major depression with a comorbid eating disorder
Major depression with comorbid dementia
Dysthymic disorder
Adjustment disorder with depressed mood
Starting treatment for bipolar disorder
Bipolar depression
Biological treatments for bipolar depression
Psychotherapy for bipolar depression
Manic, hypomanic, and mixed episodes
Biological treatments
Psychotherapy
Treatment setting
Which treatment setting is right for you?
What about involuntary treatment?
Chapter 12 Special Considerations for Women
Major depression
Diagnosis of depression during pregnancy and after delivery
Depression and your child
Depression treatment during pregnancy and breast-feeding
Antidepressant treatment during pregnancy
Antidepressant treatment while breast-feeding
Psychotherapy treatment while pregnant or breast-feeding
Recommendations
Bipolar disorder
Medication treatment for bipolar disorder during pregnancy and breast-feeding
Recommendations
Premenstrual dysphoric disorder
Chapter 13 Getting Well: The Acute Phase of Treatment
Follow-up appointments
Individual variations in treatment response
Are you getting better?
Mood symptom fluctuation
Mood cycles
The nature of treatment response
Mood charts
Maximizing treatment
Inputs to good decision making
Evidence-based decision making
Outputs
Acute treatment for depressive disorders
Acute treatment for bipolar disorders
Bipolar depression
Mania, hypomania, and mixed episodes
Chapter 14 Maintenance Treatment and Relapse Prevention
Maintenance treatment
The aim of maintenance treatment
Decisions about maintenance treatment
Maintenance treatment for depressive disorders
Maintenance treatment for bipolar disorders
Additional strategies for relapse prevention
Developing a relapse prevention plan
Your relapse triggers
Preventing and managing triggers
Early signs of relapse
Responding to a potential relapse
Final thoughts
Appendix A. Resources for Getting Help
Appendix B. Useful Websites
Appendix C. Recommended Reading
Glossary
Bibliography
Index
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