Management of Treatment-Resistant Major Psychiatric Disorders

Dr. Nemeroff's research has concentrated on the biological basis of the major neuropsychiatric disorders, including affective disorders, schizophrenia, and anxiety disorders. His clinical research is focused on the use of genetic, neuroendocrine, neuroimaging and neurochemical methods to comprehensively understand the pathophysiology of depression. In recent years he has uncovered the neurobiological mechanisms that mediate the increased risk for depression in victims of child abuse. He has also contributed to seminal findings in the burgeoning area of research concerning the relationship of depression to cardiovascular disease.

"Poor response, non-response and lost response to treatment in major psychiatric disorders are the rule, not the exception. The challenge of treatment resistance is foundational to the practice of clinical psychiatry. Charlie Nemeroff has gifted the field with a masterful and authoritative volume that goes well beyond algorithms and recipes for next step treatment and provides evidence-based disquisition of the heterogeneous contributors to treatmentresistance, and thus drives thoughtful differential diagnosis and treatment planning. This is an essential volume for modern psychiatric practice and clinical research." -- Jerrold F. Rosenbaum, MD, Chief ofPsychiatry, Massachusetts General Hospital, Stanley Cobb Professor of Psychiatry, Harvard Medical School"This book has something for everyone, from the student to the expert. A critical and ubiquitous aspect of psychiatric practice - treatment resistance - is comprehensively addressed in a scholarly yet practical fashion. Descriptions of the phenomenology and neurobiology of each of the many disorders considered are lucid, up to date, and state of the art. This is a terrific text." -- David R. Rubinow, MD, Assad Meymandi Professor and Chair of Psychiatry,University of North Carolina at Chapel Hill, School of Medicine"Unfortunately, many patients with psychiatric disorders do not respond to initial therapy. Refractory or treatment resistance is a major problem for many patients and all treaters. This superb book consists of 15 chapters--authored by leaders in the field-- on the issue of resistance in the major psychiatric disorders. The chapters provide sophisticated but readable overviews of the problems encountered in treating patients with all of the major disordersand in the best evidence for overcoming them. It is unique because it emphasizes resistance across all classes of psychiatric syndromes and it thoughtfully includes both somatic and psychosocialapproaches. This is a must have volume for all mental health practitioners. " -- Alan F. Schatzberg, MD, Kenneth T. Norris, Jr. Professor of Psychiatry & Behavioral Science, Stanford University School of Medicine"...this book is outstanding because it covers all the major psychiatric conditions. Further, each chapter manages to efficiently condense a large amount of information into a manageable presentation that is practical for readers. I appreciate how the book illustrates various treatment options, along with detailed pharmacological treatments." -- Aaron Plattner, MD, Pine Rest Christian Mental Health Services, Doody's"It provides quite extensive, clear and updated information on the management of various treatment-resistant psychiatric disorders, highlighting future treatment options currently under research. I am sure psychiatrists will find it practical and useful." -- Amit Jain, The Psychiatrist"This book, containing a state-of-the-art review of how to manage treatment resistance in 15 different psychiatric disorders, is a timely gift to clinicians who have to manage patients with unremitting mental disorders. It is an excellent resource that belongs on the bookshelf of not only psychiatrists and psychiatric nurse practitioners but also other mental health professionals... Overall, I urge every reader to own this book and use it as a practicalreference for the many treatment-resistant or refractory patients in clinical practice. It will save hundreds of hours of browsing PubMed to access all of the data between the covers of this timely volume!"--Journal of Clinical Psychiatry"Given that most psychiatric disorders are chronic and relapsing, this book represents an unusually practical text that combines standard treatment protocols with less conventional but eminently usable treatment suggestions for recalcitrant symptoms. All practicing psychiatrics and more advanced trainees can benefit from having this book on their shelf." --American Journal of Psychiatry

• Chapter 1. The Problem of Treatment-Resistant Major Psychiatric Disorders ; Charles B. Nemeroff and Patricio Riva Posse ; Chapter 2. Management of Treatment-Resistant Depression: Psychopharmacology and Psychotherapy ; Michael E. Thase and K. Ryan Connolly ; Chapter 3. Management of Treatment-Resistant Depression - Somatic-Non-pharmacological Strategies ; Paul E. Holtzheimer ; Chapter 4. Management of Treatment-Resistant Bipolar Disorder ; Mark A. Frye ; Chapter 5. Management of Treatment-Resistant Panic Disorder ; Robert Bruce Lydiard ; Chapter 6. Management of Treatment-Resistant Post-Traumatic Stress ; Disorder ; Dan J. Stein and Kerry-Ann Louw ; Chapter 7. Management of Treatment-Resistant Social Anxiety Disorder ; Eric Bui and Mark H. Pollack ; Chapter 8. Management of Treatment-Resistant Generalized Anxiety Disorder ; Victoria Osman-Hicks, John Potokar, and David J. Nutt ; Chapter 9. Management of Treatment-Resistant Obsessive-Compulsive Disorder ; Robert Hudak, Priya Gopalan, and Darin D. Dougherty ; Chapter 10. Management of Treatment-Resistant Anorexia Nervosa ; Enrica Marzola, Mary Ellen Trunko, Emily Grenesko-Stevens and Walter H. Kaye ; Chapter 11. Management of Treatment-Resistant Schizophrenia ; Jacob S. Ballon and Jeffrey A. Lieberman ; Chapter 12. Management of Treatment-Resistant Substance and Alcohol Abuse ; Kathleen T. Brady ; Chapter 13. Management of Treatment-Resistant Personality Disorders ; Glen O. Gabbard ; Chapter 14. Management of Treatment-Resistant Insomnia ; Karl Doghramji and Charles F. Reynolds III ; Chapter 15. Management of Treatment-Resistant Childhood Disorders ; Karen Dineen Wagner