Discontinuing Antidepressant Medications PDF Download
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Author: Giovanni A. Fava
Publisher: Oxford University Press
ISBN: 0192651315
Category : Medical
Languages : en
Pages : 215
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Book Description
One in six people in the US are currently taking psychotropic drugs. In 80% of cases, the medication is taken for long-term use and predominantly involves new-generation antidepressants, such as SSRIs (e.g. paroxetine) and SNRIs (e.g. venlafaxine). When patients want to stop taking these drugs and/or their physicians decide it is time for them to stop, substantial problems often can ensue. About 50% of patients experience withdrawal symptoms that do not necessarily subside after a few days or weeks and may be severe and debilitating. Physicians often do not know what to do in these situations. As a result, patients experiencing the anguish and mental pain of withdrawal syndromes are unlikely to receive appropriate medical attention. Discontinuing antidepressants is a highly technical challenge that requires specific strategies. This handbook guides clinicians through each clinical step (assessment; what the counter-indications would be for stopping or continuing; and how discontinuation can best be achieved). It provides a detailed account of the assessment and management strategies, with many case illustrations and clinical examples, drawing from the literature that is available and the extensive personal experience of the author.
Author: Giovanni A. Fava
Publisher: Oxford University Press
ISBN: 0192651315
Category : Medical
Languages : en
Pages : 215
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Book Description
One in six people in the US are currently taking psychotropic drugs. In 80% of cases, the medication is taken for long-term use and predominantly involves new-generation antidepressants, such as SSRIs (e.g. paroxetine) and SNRIs (e.g. venlafaxine). When patients want to stop taking these drugs and/or their physicians decide it is time for them to stop, substantial problems often can ensue. About 50% of patients experience withdrawal symptoms that do not necessarily subside after a few days or weeks and may be severe and debilitating. Physicians often do not know what to do in these situations. As a result, patients experiencing the anguish and mental pain of withdrawal syndromes are unlikely to receive appropriate medical attention. Discontinuing antidepressants is a highly technical challenge that requires specific strategies. This handbook guides clinicians through each clinical step (assessment; what the counter-indications would be for stopping or continuing; and how discontinuation can best be achieved). It provides a detailed account of the assessment and management strategies, with many case illustrations and clinical examples, drawing from the literature that is available and the extensive personal experience of the author.
Author: Joseph Glenmullen
Publisher: Simon and Schuster
ISBN: 074328898X
Category : Health & Fitness
Languages : en
Pages : 275
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Book Description
With the FDA's warning that antidepressants may cause agitation, anxiety, hostility, and even violent or suicidal tendencies, these medications are at the forefront of national legal news. Harvard physician Joseph Glenmullen has led the charge to warn the public that antidepressants are overprescribed, underregulated, and, especially, misunderstood in their side and withdrawal effects. Now he offers a solution! More than twenty million Americans -- including over one million teens and children -- take one of today's popular antidepressants, such as Paxil, Zoloft, or Effexor. Dr. Glenmullen recognizes the many benefits of antidepressants and prescribes them to his patients, but he is also committed to warning the public of the dangers associated with overprescription. Dr. Glenmullen's last book, Prozac Backlash, sounded the alarm about possible dangers. The Antidepressant Solution provides the remedy. It is the first book to call attention to the drugs' catch-22: Although many people are ready to go off these drugs, they continue to take them because either the patient or the doctor mistakes antidepressant withdrawal for depressive relapse. The Antidepressant Solution offers an easy, step-by-step guide for patients and their doctors. Written by the premier authority in the field, The Antidepressant Solution is an invaluable book for all those concerned with going through the process -- from friends and family members to doctors and patients themselves.
Author: Kalyna Z. Bezchlibnyk-Butler
Publisher: Hogrefe & Huber Publishing
ISBN:
Category : Medical
Languages : en
Pages : 76
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Book Description
Includes bibliography, glossary, and an extensive index which cross-references generic and trade names. New editions are available on a subscription basis.
Author: Somnath Mookherjee
Publisher: Springer Nature
ISBN: 3030348148
Category : Education
Languages : en
Pages : 347
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Book Description
This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.
Author: Peter Roger Breggin
Publisher: Springer Publishing Company
ISBN: 0826108431
Category : Medical
Languages : en
Pages : 335
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Book Description
Print+CourseSmart
Author: National Collaborating Centre for Mental Health (Great Britain)
Publisher:
ISBN: 9781904671855
Category : Medical
Languages : en
Pages : 705
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Book Description
Depression affects six per cent of adults each year & is the leading cause of suicide. Its symptoms can be disabling & its effects pervasive, impacting on the individual patient, on their families, & the wider society. This text enables healthcare professionals to recognize, assess & offer effective treatments for depression.
Author: National Collaborating Centre for Mental Health (Great Britain)
Publisher: Royal College of Psychiatrists
ISBN: 9781904671862
Category : Medical
Languages : en
Pages : 0
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Book Description
This clinical guideline was commissioned by NICE and developed by the National Collaborating Centre for Mental Health. It sets out clear, evidence - and consensus-based recommendations for healthcare staff on how to treat and manage depression in adults with a chronic physical health problem. A fifth of people with a chronic physical health problem (such as cancer, diabetes, heart disease and stroke) have depression - a rate that is two to three times higher than in those who are in good physical health. A combination of depression and a chronic physical health problem can significantly worsen the negative outcomes for people with both conditions. "The NICE Guideline" is an invaluable resource enabling healthcare professionals to address these problems and recognize, assess and offer effective treatments for depression in people with a chronic physical health problem. The guideline reviews the evidence for the identification of depression in people with a chronic physical health problem and the associated service-level interventions (such as stepped care and collaborative care) and psychosocial, psychological and pharmacological interventions. It places special emphasis on advising health professionals about interactions between antidepressants and any prescribed medication for the physical health problem. As in the updated edition of "The NICE Guideline" on depression, this guideline also covers subthreshold depressive symptoms. It has a useful introduction to depression in adults with a chronic physical health problem and a chapter on service user, carer and staff experience of care. An accompanying CD contains further information about the evidence, including: characteristics of included studies; profile tables that summarize both the quality of the evidence and the results of the evidence synthesis; all meta-analytical data presented as forest plots; and, detailed information about how to use and interpret forest.
Author: Beverley Thomson
Publisher: Hatherleigh Press
ISBN: 157826927X
Category : Health & Fitness
Languages : en
Pages : 167
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Book Description
A COMPREHENSIVE WAKE-UP CALL FOR PATIENTS AND PROFESSIONALS Antidepressed breaks down the growing issue of antidepressant use, harm and dependence—how we got to this point, what’s happening worldwide every single day, and most importantly, where we go from here. Providing information that both patients and mental health professionals desperately need, Antidepressed exposes the holes in mental health systems and highlights the desperate need for reform. Featuring compelling accounts from real people whose lives have been irrevocably harmed by prescription antidepressants, Antidepressed provides proof that there is no such thing as a magic pill—and that pretending otherwise risks the lives and well-being of those who need help the most.
Author: Howard H. Fenn
Publisher: Springer
ISBN: 303010401X
Category : Medical
Languages : en
Pages : 424
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Book Description
This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs. This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings. Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes. Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve. Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.
Author: Robert J. Hedaya
Publisher: Harmony
ISBN: 060980541X
Category : Health & Fitness
Languages : en
Pages : 306
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Book Description
A leading psychopharmacologist and clinical psychiatrist shares a complete program of diet, exercise, stress management, and hormone supplementation to lift the debilitating side effects of antidepressants and enhance the benefits of these medications for millions of Americans. Charts throughout.
