This is the second edition of a very successful title from an international team of highly respected opinion leaders. Its emphasis remains on how the clinical guidelines are to be interpreted effectively in everyday practice, and as such it has immense practical importance for clinical psychiatrists as an immediate source of reference. New to this

Major Depressive Disorder (MDD) is one of the most prevalent psychiatric disorders, with a lifetime prevalence rate of roughly 20%. MDD is a leading cause of disability and premature death worldwide, leads to greater impairment in work functioning than other chronic medical conditions, and has an estimated annual cost of $210 billion in the US. The proposed text is designed for mental health professionals and will present state-of-the-art treatment options that are used in the Depression Clinical and Research Program (DCRP) at the Massachusetts General Hospital. The text provides different treatment options so that providers can ‘think outside the box’ of conventional interventions. The introductory sections discuss general themes about diagnosing and treating depression. The major body of the book, however, consists of chapters organized under the topics of new medication, new psychotherapy, alternative treatments, and consideration of specific populations and how to modify interventions to best treat these patients. Each chapter begins with a case vignette to illustrate key characteristics of the disorder process or treatment and reviews the history, research support, and new advances of these topics. In addition, the chapters include a description of how to apply this topic in treatment and frequently asked questions and answers. This book will be a unique contribution to the field. Existing guides focus on individual treatments of Depression, or include brief descriptions of interventions as a whole. The DCRP has consistently been a forerunner of clinical treatments for depression and often treats challenging cases of this disorder. This book will provide a practical and useful resource with wide applicability.

One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs. The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.

Tips and techniques for managing a prevalent co-existing condition. Anxiety and depression are two of the most common complaints in therapy, and its not unusual for clients to suffer from both simultaneously. But spotting the co-occurrence is not easy. When one symptom picture dominates, diagnosis and treatment are pretty straightforward. But consider how fuzzy the clinical picture can become: Depression can rob an anxious client of the energy needed to control her symptoms; acute anxiety can make anyone depressed and exhausted; and what happens when anxiety masquerades as depression, or vice versa? What are the signs that this is happening? It’s hard enough to treat these two disorders when they exist on their own, and it gets even harder when they present together. In her customary practical style and conversational tone, Margaret Wehrenberg unravels the complexity of this common comorbidity, teaching therapists exactly how to tackle it. Beginning with “Where to Start?”, she walks readers through a variety of common tricks for distinguishing between anxiety and depression, and provides an assessment plan for determining which set of symptoms the client is most ready to work on. The book goes on to highlight seven common types of comorbid clients, who can be arrayed on a spectrum, from the “low energy” (depressed) on one end to the “high anxiety” (anxious) on the other, and everything in between, including the “hopeless ruminator,” the “quiet avoider,” and the “high-energy anxious and depressed” client. By organizing the book around these typical client profiles, readers are given a more realistic picture of what comorbid anxiety and depression look like and how to best help their clients. Wondering where depression ends and anxiety begins, or vice versa, and how you can most effectively help your clients when they’re struggling with both? The key clinical strategies offered in this book provide a practical roadmap forward, helping therapists and their clients to better understand the symptom picture, manage its effects, and heal.

Depression is a debilitating human condition and a common cause of suffering worldwide. This elicits a sense of urgency for mental health professionals to meet this challenge of the treatment of depression. Hypnosis plays a vital role in that treatment and in the efficacy of psychotherapy. This book focuses on the structuring and delivering of hypnotic interventions for major depression, with a substantial use of concepts and techniques from cognitive-behavioral and strategic approaches as a foundation. Current research on depression is used in this book to emphasize the still-growing knowledge of depression. Hypnosis has shown itself to be effective in not only reducing symptoms, but in teaching the skills (such as rationale thinking, effective problem-solving and coping strategies, and positive relationship skills) that can even prevent recurrences. Mental health professionals will find the detailed examples of hypnotic strategies invaluable to their own practice and application of hypnosis in the treatment of depression.

Michael Yapko’s seminal 1992 book, Hypnosis and the Treatment of Depressions, was the first book ever written on the subject of applying hypnosis in the treatment of depressed individuals. Since its publication, Yapko’s work has not only withstood the test of colleagues previously dismissive of the merits of hypnosis as a tool of treatment, but has thrived in the face of it. Hypnosis and Treating Depression diversifies the range of topics to consider and increases the number of knowledgeable contributors on the subject of treating depression with hypnosis. The book features chapter contributions by highly experienced and well-known experts on using hypnosis to treat specific forms of depression, with assessment and intervention strategies as well as sample transcripts of the use of hypnosis in therapy sessions. It discusses both broad and targeted applications of hypnosis in treatment, the treatment of depression with hypnosis in special populations, as well as special considerations regarding hypnotic treatment. As a practical guidebook for clinicians looking to add to their treatment protocols, Hypnosis and Treating Depression: Applications in Clinical Practice provides an updated and comprehensive volume on therapeutic uses of hypnosis in the treatment of depression.

This unique book presents the treatment "roadmap" implemented by the University of Michigan Comprehensive Depression Center's Treatment Resistant Depression Program, step-by-step guidance that has long eluded clinicians, patients, and their families. Writing across discipline, modality, lifespan, and patient demographics, the authors have compiled the most current thinking on TRD and distilled it into a highly readable, imminently practical, and brilliantly organized source of hope. The authors believe that early intervention is critical, and they advocate strategies for renewed focus on identifying youths who are at risk or already symptomatic. Similarly, they devote chapters to special populations such as pregnant women, older people, and those with comorbidities. Perhaps most useful to patients and their families, the book has a strong self-care orientation, emphasizing the importance of exercise, nutrition, and healthy sleep guidelines. Patients who are actively engaged in managing their disease often have better outcomes. Treatment Resistant Depression is frequently a lifetime diagnosis. The book acknowledges that fact and offers a systematic course of treatment grounded in evidence-based research that is current and comprehensive. Treatment Resistant Depression: A Roadmap for Effective Care offers a new way of conceptualizing an old enemy, and should prove to be an indispensable weapon in the battle.

Maintaining that most cases of anxiety and depression will respond to intelligently planned brief, directive therapies, Dr. Yapko has assembled this collection of 17 insightful and challenging papers illuminating such brief therapy methods. These innovative essays from such respected practitioners as S.G. Gilligan, J.C. Mills, E.L. Rossi, M.E. Seligman, and others, cover such topics as disturbances of temporal orientation as a feature of depression; the use of multisensory metaphors in the treatment of children's fears and depression; a hypnotherapeutic approach to panic disorder, anxiety as a function of depression; and more.

Delivers the Evidence-Based Gold-Standard EMDR Protocol for Ameliorating Depression This groundbreaking book introduces EMDR-DeprEnd, a pathogenic memory-based EMDR therapy approach. DeprEnd has been demonstrated in a number of studies and meta-analyses to be at least as effective—and often more effective—than other guideline-based therapies in treating depression, including cognitive behavioral therapy (CBT). EMDR-DeprEnd is particularly helpful with chronic and recurrent depression that does not respond well to other treatments. Written by the international research team who developed this quick-acting and efficient therapy, the text provides clinicians with the evidence-based tools they need to integrate EMDR-DeprEnd into their practices. This text explains in depth a step-by-step approach to processing the pathogenic memory structures that are the basis of most depressive disorders and ways to address both depressive and suicidal states. Real-world case studies incorporate the often-co-occurring trauma-based disorders found in depressive patients. These are practical “how-to” chapters, including one devoted to drawing integration with numerous examples of actual patient drawings as clients go through the EMDR process. Abundant illustrations enhance understanding of stress and trauma-based depressive disorders and the successful interventions that improve client outcomes. Protocol scripts for therapist and client also help prepare readers to provide optimal treatment to their clients. Key Features: Authored by the international research team who developed this touchstone EMDR therapy treatment Helps with chronic and recurrent depression especially if it is resistant to guideline-based treatments, including CBT Demonstrates step-by-step how to apply the DeprEnd protocol using real-world case examples Describes how EMDR’s neurobiological working mechanism effectively treats depression Includes protocol scripts and a review of randomized controlled trials related to EMDR and depression Illustrates how DeprEnd protocol reduces depressive relapses