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Still Down: What to Do When Antidepressants Fail

by Dean MacKinnon Johns Hopkins University Press
Pub Date:
11/2016
ISBN:
9781421421063
Format:
Pbk 152 pages
Price:
AU$37.99 NZ$39.12
Product Status: In Stock Now
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Major depressive disorder is a common medical condition that can be disabling and can persist for months, even years. Many people experience depression symptoms that resist treatment. Although they try various combinations of medications, psychotherapy, or electroconvulsive therapy, their symptoms don’t improve. What can people who have treatment-resistant depression do to overcome their depression and feel better?


 


In Still Down, Dr. Dean F. MacKinnon, a psychiatrist at Johns Hopkins Medical School, presents nine composite stories drawn from patients he has seen in his twenty years as an expert in treatment-resistant mood disorders. The first section of the book features people diagnosed with depression who have not yet received appropriate treatment. The next section looks at misdiagnosis, focusing on people who feel and appear depressed but who have different mood disorders and need treatment for them. Finally, Dr. MacKinnon describes people who have severe depression that does not respond to any treatment, regardless of how finely tuned the treatment might be. These people, who suffer from true treatment-resistant depression (TRD), can benefit from a variety of treatments to feel better.


 


Dr. MacKinnon provides commentary to explain and extend the discussion of the patients and situations in each case. He also discusses common obstacles to improvement, including overly conservative dosing, problems stemming from not adhering to treatment, antidepressant failure, and high sensitivity to side effects. By identifying aspects of the individual’s qualities, behaviors, and experiences that may account for poor response to treatment,  Still Down points the way for people with TRD and their families to find appropriate diagnoses and the best possible care.


 

List of TablesIntroduction Section I: Fundamentals            Ann: Textbook depression            Bob: Treatment ambivalence            Carla: Underdosing Section II: Misdiagnosis            Darius: Demoralization            Evelyn: Bipolar depression            Frances: Overmedication Section III: Treatment Resistant Depression            Gary: Double depression            Hannah: Residual depression            Irma: Treatment refractory depression Conclusion Appendix A: Common therapeutic practices to boost antidepressant responseAppendix B: Assessment of the patient with antidepressant failureIndex


"An interesting patient-oriented guide to understanding chronic depression and the range of potentially effective treatment options."

— Bradley Gaynes, MD, MPH, University of North Carolina Hospitals at Chapel Hill

Dean F. MacKinnon, MD, is an associate professor in the Department of Psychiatry and Behavioral Science at Johns Hopkins University School of Medicine, where he specializes in treatment-resistant mood disorders. He is the author of Trouble in Mind: An Unorthodox Introduction to Psychiatry.