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E-grāmata: Geriatric Depression: A Clinical Guide

(Montefiore Medical Center of the Albert Einstein College of Medicine, United States)
  • Formāts: 234 pages
  • Izdošanas datums: 25-Feb-2015
  • Izdevniecība: Guilford Press
  • Valoda: eng
  • ISBN-13: 9781462519873
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  • Formāts: 234 pages
  • Izdošanas datums: 25-Feb-2015
  • Izdevniecība: Guilford Press
  • Valoda: eng
  • ISBN-13: 9781462519873
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Written for a broad range of mental health professionals, this book explains why depression can be challenging to treat in older adults and describes the most effective interventions. Noted geriatric psychiatrist Gary J. Kennedy draws on extensive clinical experience and research to present current best practices in pharmacotherapy, psychotherapy, other psychosocial and lifestyle interventions, and electroconvulsive therapy. Depressive disorders complicated by psychosis, mania, dementia, and bereavement are addressed in detail, as is suicide prevention. Kennedy emphasizes the importance of integrating care across service settings and building strong partnerships with patients and their families. Quick-reference tables throughout the book distill critical elements of intervention.

See also the author's award-winning Geriatric Mental Health Care: A Treatment Guide for Health Professionals, which provides a framework for treating the most frequently encountered psychiatric problems in this population.

Recenzijas

"I am pleased that this critically needed book on a very much neglected topic in health care has become available. Kennedys approach is thoughtful, logical, and well organized. He addresses all aspects of geriatric depression, from the basic difficulties of defining depression in the elderly population to the problems of effective treatment. Having all of this information in a single, clearly laid-out volume is invaluable for clinicians and instructors. I found the chapter on diet and exercise to be especially exciting and useful. I plan to use this book in teaching my residents and geriatric fellows. Its strength lies in its comprehensive perspective, making it a welcome addition to the geriatrician's library."--Donald A. Davidoff, PhD, Department of Psychiatry, Harvard Medical School; Chief, Department of Neuropsychology, McLean Hospital

"Kennedy is one of our most astute and pragmatic geriatric psychiatrists. In this book, he explains how to recognize depressive symptoms in older adults, including those with chronic physical illness. He discusses effective intervention strategies and applications for diverse settings and providers. Health care practitioners and administrators will gain practical, important insights into both the science and the art of providing optimal care to this undertreated population."--Rosanne M. Leipzig, MD, PhD, Gerald and May Ellen Ritter Professor, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai

"Geriatric Depression provides an up-to-date and well-researched discussion of this important topic, in the context of the rapidly evolving health care scene and with reference to DSM-5. Kennedy emphasizes a team approach that includes psychiatrists, psychologists, social workers, primary care providers, and nurses. The practical evaluation tools and decision trees will appeal to practitioners."--Judy M. Zarit, PhD, private practice, State College, Pennsylvania

"Kennedy has used his long experience as a clinician, investigator, and teacher to produce a book that that is both intellectually stimulating and practical. He has a unique ability to clarify complex concepts related to biological interactions, comorbidity, and psychosocial context, and to arrive at a synthesis that informs evidence-based clinical practice. I expect this book to guide the understanding and care of geriatric depression for many years."--George S. Alexopoulos, MD, Founder and Director, Weill Cornell Institute of Geriatric Psychiatry

"A timely and practical resource written by an experienced geriatric psychiatrist who has been involved in teaching and training for several decades. This book is appropriate for any mental health provider working with older adults suffering from depression. I also recommend it as a text in geriatric mental health courses. Kennedy helps practitioners and graduate students increase their knowledge and skills related to etiology, pharmacotherapy, suicide risk, evidence-based psychotherapies and other psychosocial interventions, and collaborative care models for treating depression in older adults."--Zvi D. Gellis, PhD, Professor and Director, Center for Mental Health and Aging, School of Social Policy and Practice, University of Pennsylvania -The target audience is mental health professionals involved in the diagnosis and treatment of patients with late-life depression, but primary care physicians also would benefit. Written by a nationally recognized expert in geriatric psychiatry, it is a welcome addition to the psychiatric literature.This is an outstanding book, written by an expert in geriatric psychiatry. Any clinician who treats older adults needs to be familiar with the material in this superb book. It should be required reading for all psychiatrists and geriatricians.--Doody's Review Service, 10/16/2015 "I am pleased that this critically needed book on a very much neglected topic in health care has become available. Kennedys approach is thoughtful, logical, and well organized. He addresses all aspects of geriatric depression, from the basic difficulties of defining depression in the elderly population to the problems of effective treatment. Having all of this information in a single, clearly laid-out volume is invaluable for clinicians and instructors. I found the chapter on diet and exercise to be especially exciting and useful. I plan to use this book in teaching my residents and geriatric fellows. Its strength lies in its comprehensive perspective, making it a welcome addition to the geriatrician's library."--Donald A. Davidoff, PhD, Department of Psychiatry, Harvard Medical School; Chief, Department of Neuropsychology, McLean Hospital

"Kennedy is one of our most astute and pragmatic geriatric psychiatrists. In this book, he explains how to recognize depressive symptoms in older adults, including those with chronic physical illness. He discusses effective intervention strategies and applications for diverse settings and providers. Health care practitioners and administrators will gain practical, important insights into both the science and the art of providing optimal care to this undertreated population."--Rosanne M. Leipzig, MD, PhD, Gerald and May Ellen Ritter Professor, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai

"Geriatric Depression provides an up-to-date and well-researched discussion of this important topic, in the context of the rapidly evolving health care scene and with reference to DSM-5. Kennedy emphasizes a team approach that includes psychiatrists, psychologists, social workers, primary care providers, and nurses. The practical evaluation tools and decision trees will appeal to practitioners."--Judy M. Zarit, PhD, private practice, State College, Pennsylvania

"Kennedy has used his long experience as a clinician, investigator, and teacher to produce a book that that is both intellectually stimulating and practical. He has a unique ability to clarify complex concepts related to biological interactions, comorbidity, and psychosocial context, and to arrive at a synthesis that informs evidence-based clinical practice. I expect this book to guide the understanding and care of geriatric depression for many years."--George S. Alexopoulos, MD, Founder and Director, Weill Cornell Institute of Geriatric Psychiatry

"A timely and practical resource written by an experienced geriatric psychiatrist who has been involved in teaching and training for several decades. This book is appropriate for any mental health provider working with older adults suffering from depression. I also recommend it as a text in geriatric mental health courses. Kennedy helps practitioners and graduate students increase their knowledge and skills related to etiology, pharmacotherapy, suicide risk, evidence-based psychotherapies and other psychosocial interventions, and collaborative care models for treating depression in older adults."--Zvi D. Gellis, PhD, Professor and Director, Center for Mental Health and Aging, School of Social Policy and Practice, University of Pennsylvania -The target audience is mental health professionals involved in the diagnosis and treatment of patients with late-life depression, but primary care physicians also would benefit. Written by a nationally recognized expert in geriatric psychiatry, it is a welcome addition to the psychiatric literatureā¦.This is an outstanding book, written by an expert in geriatric psychiatry. Any clinician who treats older adults needs to be familiar with the material in this superb book. It should be required reading for all psychiatrists and geriatricians.--Doody's Review Service, 10/16/2015

1 The Problem of Depression in Late Life 1(20)
Epidemiology of Depression
2(9)
Depressive Conditions Other Than Major Depression
11(1)
Psychotic Depression
12(1)
Bipolar Depression
13(1)
Vascular Depression
14(1)
Mixed Anxiety—Depression
15(2)
Affective Syndrome of Alzheimer's Disease
17(1)
Conclusion
18(3)
2 What Causes Depression in Late Life 21(13)
and What Makes It Difficult to Treat?
Etiology
21(6)
What Makes Depression Difficult to Treat?
27(6)
Conclusion
33(1)
3 Pharmacotherapy 34(30)
General Principles of Prescribing for Older Adults
35(8)
Select Agents for the Initiation of Treatment
43(2)
Antidepressant Algorithms
45(3)
The Pitfall of Treating the Most Prominent Complaint
48(1)
When Two Antidepressants Are Better Than One
49(4)
Bipolar Depression
53(7)
Psychotic Depression
60(2)
Conclusion
62(2)
4 Effective Psychotherapies 64(35)
Principles of Psychotherapy in Late Life
66(7)
Emotionally Supportive Psychotherapy
73(1)
Brief Psychodynamic Psychotherapy
74(1)
General Principles of CBT
74(2)
CBT for Late-Life Depression
76(1)
CBT to Combat Suicidality
76(4)
Behavior Therapy
80(1)
Behavioral Activation
81(1)
Interpersonal Psychotherapy
82(2)
Interpersonal and Social Rhythm Therapy
84(1)
Reminiscence Therapy (Life Review)
85(2)
Problem-Solving Therapy
87(2)
Dialectical Behavior Therapy
89(2)
Psychotherapy for Bereavement
91(4)
Psychotherapy for Complicated Grief
95(2)
Conclusion
97(2)
5 Other Psychosocial Interventions 99(17)
Social Support Intervention
99(4)
Characterization of Family Caregiver Depression
and Burden: 1980-2014
103(1)
Interventions for Caregiver Burden and Depression
104(5)
Control-Relevant Intervention for Depression
in the Nursing Home
109(1)
The Treatment Initiation Program
109(1)
Family-Focused Treatment for Bipolar Depression
110(3)
Telephone-Facilitated Depression Care
113(2)
Conclusion
115(1)
6 Diet, Supplements, and Exercise 116(26)
Evidence Linking Advanced Age, Diet, and Depression
116(2)
Is There an Antidepressant Diet?
118(2)
Vitamins, Minerals, and Supplements
120(3)
Counseling and Behavioral Interventions for a Better Diet
123(6)
The Evidence on Exercise
129(5)
Motivating Patients to Exercise
134(1)
How to Prescribe Exercise
135(6)
Conclusion
141(1)
7 Electroconvulsive Therapy 142(10)
What Is ECT and How Is the Treatment Performed?
142(2)
How Does ECT Work?
144(1)
When Is ECT Indicated and Is It Ever the Treatment
of Choice?
145(1)
Benefits of ECT
146(1)
Risks and Burdens of ECT
147(2)
Informed Consent for ECT
149(1)
Conclusion
150(2)
8 Reducing the Risk of Suicide in Late Life 152(22)
Suicide Rates among Older Adults
152(2)
Risk of Suicide among Older Adults
154(6)
Collaborative Care, SSRIs, and Suicide Prevention
in Primary Care
160(4)
Reducing Suicidality Beyond Primary Care
164(7)
Reaching Males
171(1)
Insights from the Armed Services
172(1)
Conclusion
173(1)
9 Prevention of Depression: 174(15)
Implications for Collaborative Care
The Disease Burden of Depression
175(1)
The Challenge of Risk Identification for Depression
175(1)
Examples Specific to Depression
176(3)
Prevention: When and with Whom?
179(2)
Intervention for the Depressive Prodrome: Where to Begin?
181(2)
Collaborative Care Management:
Implications for Depression Prevention
183(1)
Financing Prevention
184(2)
Conclusion
186(3)
Epilogue 189(6)
Public Policy and an Aging Society
190(1)
Collaborative Care
190(3)
Conclusion
193(2)
References 195(32)
Index 227
Gary J. Kennedy, MD, is Director of the Division of Geriatric Psychiatry and of the Fellowship Training Program at Montefiore Medical Center and Professor of Psychiatry and Behavioral Sciences at Albert Einstein College of Medicine, Bronx, New York. Dr. Kennedy is board certified in Geriatric Psychiatry and Psychosomatic Medicine. He is a past president of the American Association for Geriatric Psychiatry and a past chair of the Geriatric Mental Health Foundation. Dr. Kennedy is a recipient of an Award for Excellence in Program Innovation from the Archstone Foundation, an Exemplary Psychiatrist Award from the National Alliance for Mental Illness, and the Julia and Leo Forchheimer Foundation Lifetime Achievement Award. His research has focused on suicidal ideation, the epidemiology of depression and dementia, psychiatric services in primary care, and novel approaches to bridge community-based agencies and academic medical centers. His book Geriatric Mental Health Care: A Treatment Guide for Health Professionals received a Book of the Year Award in Gerontology from the American Journal of Nursing and in 2014 was listed as one of 100 Great Books for the Social Worker's Library by MSWOnlinePrograms.