Integrated Treatment for Mood and Substance Use Disorders

by Joseph J. Westermeyer MD MPH PhD (Editor), Roger D. Weiss MD (Editor), Douglas M. Ziedonis MD MPH (Editor)

Overview

People with mood disorders often have simultaneous problems with addiction, and those with substance abuse problems are especially susceptible to mood disorder. The treatment of such patients can be particularly complicated, and many receive treatment for only one of their disorders.

In this book, fourteen clinicians discuss the extent of the problem, methods of assessment, typical courses, and treatments—including both psychotherapy and pharmacotherapy. They address the all-too-frequent necessity of proceeding with treatment before a clear diagnosis is known, and they claim that distinguishing between primary and secondary disorders is initially less critical than previously assumed. Contending that clinicians treating comorbid mood / substance problems must be both more flexible and more watchful than those treating either disorder alone, the authors also describe various models of care. Throughout the book, they provide differing points of view on such issues as the value of pharmacotherapy for those still abusing psychoactive substances. Written for those who treat addictions, including counselors, clergy, and employee assistance staff, as well as for traditional mental health professionals, Integrated Treatment for Mood and Substance Use Disorders is an invaluable reference for any clinician who works with dually diagnosed clients.

Product Details

ISBN-13:	9780801881282
Publisher:	Johns Hopkins University Press
Publication date:	12/01/2004
Sold by:	Barnes & Noble
Format:	eBook
Pages:	216
File size:	3 MB
Age Range:	18 Years

About the Author

Joseph J. Westermeyer, M.D., M.P.H., Ph.D., is a professor in the department of psychiatry at the University of Minnesota and chief of psychiatry at the Minneapolis VA Hospital. Roger D. Weiss, M.D., is an associate professor of psychiatry at Harvard Medical School and a psychiatrist at McLean Hospital, Belmont, Massachusetts. Douglas M. Ziedonis, M.D., M.P.H., is an associate professor and the director of the division of addiction psychiatry in the department of psychiatry at the University of Medicine and Dentistry of New Jersey.

Table of Contents

Contents:

Acknowledgments

List of Contributors1 Addressing Co-occuring Mood and Substance Use Disorders

Joseph J. Westermeyer2 Understanding the Problem of Co-occuring Mood and Substance Use Disorders

Melissa P. DelBello and Stephen M. Strakowski3 The Assessment of Mood and Substance Use Disorders

Shelly F. Greenfield4 Integrated Treatment Using a Recovery-Oriented Approach

Dennis C. Daley, Ihsan M. Salloum, and Michael E. Thase5 Dual Recovery Therapy: Blending Psychotherapies for Depression and Addiction

Douglas M. Ziedonis and Jonathan A. Krejci6 Pharmacotherapy for Co-occuring Mood and Substance Use Disorders

Roger D. Weiss7 Evaluating and Managing Patients Who Are Not Responding to Treatment

Jill M. Williams and Caroline Eick8 Addressing Tobacco Dependence in Integrated Treatment

John Slade and Betty VreelandResources

Index

What People are Saying About This

Elisabeth W. Morrel

As a clinician, Integrated Treatment for Mood and Substance Use Disorders has made me more aware of factors that need to be considered when treating people with these complicated, but common, disorders. This book is a timely, relevant, and much-needed resource that provides valuable information about an issue that many clinicians do not fully understand, and I was able to integrate what I learned from it into my clinical work almost immediately after finishing it. I plan to refer to this book often, as well as share it with my coworkers.

— Elisabeth W. Morrel, Department of Psychiatry and Behavioral Sciences, Johns Hopkins Medical Institutions

Edward V. Nunes

This book is a valuable contribution that stands out from others like it because of its clear focus on treatment. The fresh and insightful perspectives found in each chapter have much to offer the treating clinician.

— Edward V. Nunes, Columbia University and the New York State Psychiatric Institute

Editorial Reviews

"In this short edited volume, three outstanding addiction psychiatrists provide practical information for frontline clinicians—medical and non-medical—who treat patients who have co-occurring mood and substance use disorders... The chapters offer a practical, useful perspective, and several add clarity to relatively neglected but common clinical situations."

Psychiatric Services - Robert E. Drake

This is a book written for clinicians by knowledgeable and experienced clinicians who proffer a number of useful clinical pearls... The very existence of this clear, practical book targeted to mainstream clinicians is a hopeful sign that old mental health/addictions barriers have been gradually eroding.

— Bruce J. Rounsaville

Addiction

In this short edited volume, three outstanding addiction psychiatrists provide practical information for frontline clinicians—medical and non-medical—who treat patients who have co-occurring mood and substance use disorders... The chapters offer a practical, useful perspective, and several add clarity to relatively neglected but common clinical situations.

— Robert E. Drake, M.D.

Psychiatric Services

"This is a book written for clinicians by knowledgeable and experienced clinicians who proffer a number of useful clinical pearls... The very existence of this clear, practical book targeted to mainstream clinicians is a hopeful sign that old mental health/addictions barriers have been gradually eroding."

Addiction - Bruce J. Rounsaville

Reviewer: Pamela Vergara- Rodriguez, MD (Rush University Medical Center)
Description: This 200-page book serves as a good overview for the assessment, diagnosis, and treatment for comorbid mood and substance use disorders. The book's eight chapters are organized as a mini-textbook with extensive references at the end of each one.
Purpose: The book proposes an all-encompassing treatment plan to address the biopsychosocial needs specific to those with dual diagnosis. In the first three chapters, the authors review the available data in dual diagnosis and highlight its affects on current treatment strategies. Most importantly, the authors establish the importance of addressing both substance abuse and mood disorders concurrently and outline potential treatment plans in later chapters.
Audience: Any individual who treats those with dual diagnosis, including individual therapists, psychiatrists, counselors, social workers, case-managers, group therapists, would benefit from reviewing the data presented in the first three chapters. Chapters 4 through 8 are more explicitly for those who are creating and evaluating treatment plans.
Features: The book is written as a continuum and not as individual chapters. The chapters focused on assessment of mood and substance abuse disorders do contain case presentations that are helpful for the clinician. There are few tables and few user-friendly summaries; therefore the reader will benefit most from reading the entire chapter. Additionally, the last chapter focuses on nicotine addiction is helpful and highlights the importance of treating this disease.
Assessment: This book serves its purpose as a focused guide for those who treat dual diagnosis by first reviewing the available data and then presenting the dilemmas and difficulties of diagnosis and treatment. Using the biopsychosocial model, the authors present various approaches to diagnosis and individual treatment therapies, though psychotropic management is not reviewed extensively. Overall the book is a good, simple read for anyone who is engaged is this field.

Doody's Review Service