Depression As a Systemic Illness

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James J. Strain, Michael Blumenfield
Oxford University Press, 2018 - Medical - 336 pages
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Although depression has been long considered an exclusively mental disorder, this book highlights the importance of recognizing it as a systemic--physical--illness. The chapters herein present key findings from research on animal models before proceding on to examine the "allostatic" load that depression bears on the body, commonly observed patterns of depression, and illnesses that it is likely to adversely effect--through mechanisms other than that of non-compliance with treatment. The authors also explore various diagnostic dilemmas including symptom-driven, phenomenologic approaches, and discuss drug-drug interactions and the use of unique electronic health records as collaborating agents to the physician.

Depression as a Systemic Illness emphasizes the need for the primary care physician to be the first agent to care for "garden variety" depressive disorders and the need to alter medical school and residency training to accommodate the development of the necessary skills, knowledge and attitudes to fulfill this goal. Its unique approach and presentation of depression makes it a key resource for clinicians within the fields of both psychiatry and primary care medicine.

 

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Contents

Insights from Animal Models
1
Allostatic Load and Mechanisms for Depression and Dementia
14
Need for LongTerm Prevention
37
4 Biological Effects of Depression in Cardiac Illness
61
Risk for and Occurrence of Stroke
84
6 Depression and Cancer
97
Comorbidity or Another Clinical Manifestation?
123
8 Diabetes and Depression
144
9 Wound Healing and Depression
155
Focus on Adverse Drug Reactions and DrugDrug Interactions
168
11 Diagnostic Dilemmas
229
Beyond Collaborative Care
243
13 An Updated Electronic Health Record EHR for Depression Management
255
Epilogue
289
Index
293
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About the author (2018)


James J. Strain, MD
Professor of Psychiatry
Professor of Medical Education
Master Teacher
Icahn School of Medicine at Mount Sinai
New York, New York

Michael Blumenfield, MD
Sidney E. Frank Distinguished Professor Emeritus of
Psychiatry and Behavioral Sciences
New York Medical College
Valhalla, New York

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