Combined Medication and Psychotherapy

• Introduction
• Diagnostic Indications and Contraindications
• Other Indications and Contraindications
• Evidence for Acute-Phase Efficacy
  • Dynamic Psychotherapy
  • Marital and Family Therapy
  • Interpersonal Psychotherapy
  • Behavior Therapy
  • Cognitive Therapy and Related Cognitive-Behavioral Approaches
  • Summary
  • Evidence for Continuation- and Maintenance-Phase Efficacy
  • Side Effects
• Combined Treatment
  • Applications and Procedures
  • Case Examples
• Conclusions

• Introduction
• Indications
  • General Issues
  • Major Depressive Episodes
  • Manic Episodes
  • Schizophrenia
  • Other Disorders
  • Contraindications and High-Risk Situations
• Side Effects
  • Mortality
  • Systemic Morbidity
  • Cognitive and Cerebral Morbidity
• Electroconvulsive Therapy Technique
  • Pre-ECT Evaluation
  • Staffing and Location of ECT Treatments
  • Number and Frequency of Treatments
  • Anesthetic Issues
  • Stimulus Electrode Placement
  • Electrical Stimulus
  • Seizure Monitoring
• Continuation/Maintenance Therapy
  • Continuation/Maintenance Pharmacotherapy
  • Continuation/Maintenance ECT
• Case Examples
  • Case 1
  • Case 2
  • Case 3
  • Case 4
• Conclusions

• Introduction
• Diagnostic Indications and Contraindications
  • Indications
  • Contraindications to Light Therapy
• Evidence for Efficacy
  • Acute-Phase Treatment
  • Maintenance/Continuation Therapy
• Formal Aspects of Light Therapy
• Novel Treatment Devices
• Practical Aspects of Light Therapy

Conclusions

Treatment-Resistant Mood Disorders

• Introduction
• Treatment-Resistant Unipolar Depression
  • Definition
  • Phases of Treatment
  • Depressive Subtypes and Treatment Response
    • Melancholic Depression
    • Atypical Depression
    • Double Depression
    • Psychotic Depression
    • Depression With Concurrent Psychiatric or General Medical Illnesses
    • Anxious Depression
    • Depression With Panic Attacks
    • Depression With Anger Attacks
    • Depression With Concurrent Personality Disorders
    • Depression With Concurrent Substance Abuse
  • Antidepressant Treatment Options
    • Augmentation Strategies
    • Thyroid augmentation
    • Dopaminergic and stimulant augmentation
    • Buspirone augmentation
    • Venlafaxine augmentation
    • Mirtazapine augmentation
    • Atypical antipsychotic drug augmentation
    • Anticonvulsant drug augmentation
    • Benzodiazepine augmentation
    • Higher-Dose Antidepressants
    • Combined Antidepressant Treatments
    • Combined MAOIs and TCAs
    • Combined SSRIs and TCAs
    • SSRI-nefazodone combination
    • Switching Strategies
  • Other Treatment Options