Integrated Treatment for Mood and Substance Use Disorders

by Westermeyer, Joseph J.

• ISBN13: 9780801871993
• ISBN10: 0801871999
• Edition: 1st
• Format: Hardcover
• Copyright: 2003-04-01
• Publisher: JOHNS HOPKINS UNIV PRESS

Summary

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.

Author Biography

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

Acknowledgments	ix
List of Contributors	xi
Addressing Co-occurring Mood and Substance Use Disorders	1	(16)
Joseph J. Westermeyer
Understanding the Problem of Co-occurring Mood and Substance Use Disorders	17	(25)
Melissa P. DelBello
Stephen M. Strakowski
The Assessment of Mood and Substance Use Disorders	42	(26)
Shelly F. Greenfield
Integrated Treatment Using a Recovery-Oriented Approach	68	(22)
Dennis C. Daley
Ihsan M. Salloum
Michael E. Thase
Dual Recovery Therapy: Blending Psychotherapies for Depression and Addiction	90	(32)
Douglas M. Ziedonis
Jonathan A. Krejci
Pharmacotherapy for Co-occurring Mood and Substance Use Disorders	122	(18)
Roger D. Weiss
Evaluating and Managing Patients Who Are Not Responding to Treatment	140	(21)
Jill M. Williams
Caroline Eick
Addressing Tobacco Dependence in Integrated Treatment	161	(24)
John Slade
Betty Vreeland
Resources	185	(6)
Index	191