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Defines melancholia as a syndrome with a clear diagnosis, prognosis and set of treatment options.
This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis and catatonia. The syndrome is defined with a clear diagnosis, prognosis and range of management strategies, differentiated from other similar psychiatric, neurological and general medical conditions. It challenges accepted doctrines in the classification and biology of the mood disorders and defines melancholia as a treatable mental illness. Described for millennia in medical texts and used as a term in literature and poetry, melancholia was included within early versions of the major diagnostic classificatory systems, but lost favor in later editions. This book updates the arguments for the diagnosis, describes its characteristics in detail and promotes treatment and prevention. The book offers great hope to those with a disorder too often mis-diagnosed and often fatal. It should be read by all those responsible for the management of patients with mood disorders.
Review quote:
"Taylor and Fink are right to call attention to the current neglect of melancholic depression...The authors' emphasis on the special nature of melancholia serves as a welcome reminder that we should pay more attention to this blackest form of mood disorder."
Samuel H. Barondes, The New England Journal of Medicine
"...the historical information and broad understanding of the complex subject matter will be valid for many years to come."
Victoria A. Shea, M.D., Psychiatric Services
Table of contents:
List of patient vignettes; Acknowledgements; Preface; 1. Melancholia: a conceptual history; 2. Melancholia defined; 3. Defining melancholia by psychopathology; 4. Defining melancholia: laboratory tests; 5. Examination for melancholia; 6. The differential diagnosis of melancholia; 7. Suicide in melancholia; 8. Electroconvulsive therapy for melancholia; 9. Achieving effective ECT; 10. The validity of the pharmacotherapy literature in melancholia; 11. Basic pharmacotherapy for melancholic patients; 12. Pharmacotherapy of melancholia: complicating circumstances.
This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis and catatonia. The syndrome is defined with a clear diagnosis, prognosis and range of management strategies, differentiated from other similar psychiatric, neurological and general medical conditions. It challenges accepted doctrines in the classification and biology of the mood disorders and defines melancholia as a treatable mental illness. Described for millennia in medical texts and used as a term in literature and poetry, melancholia was included within early versions of the major diagnostic classificatory systems, but lost favor in later editions. This book updates the arguments for the diagnosis, describes its characteristics in detail and promotes treatment and prevention. The book offers great hope to those with a disorder too often mis-diagnosed and often fatal. It should be read by all those responsible for the management of patients with mood disorders.
Review quote:
"Taylor and Fink are right to call attention to the current neglect of melancholic depression...The authors' emphasis on the special nature of melancholia serves as a welcome reminder that we should pay more attention to this blackest form of mood disorder."
Samuel H. Barondes, The New England Journal of Medicine
"...the historical information and broad understanding of the complex subject matter will be valid for many years to come."
Victoria A. Shea, M.D., Psychiatric Services
Table of contents:
List of patient vignettes; Acknowledgements; Preface; 1. Melancholia: a conceptual history; 2. Melancholia defined; 3. Defining melancholia by psychopathology; 4. Defining melancholia: laboratory tests; 5. Examination for melancholia; 6. The differential diagnosis of melancholia; 7. Suicide in melancholia; 8. Electroconvulsive therapy for melancholia; 9. Achieving effective ECT; 10. The validity of the pharmacotherapy literature in melancholia; 11. Basic pharmacotherapy for melancholic patients; 12. Pharmacotherapy of melancholia: complicating circumstances.