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There is a growing need for academic enquiry acknowledging the challenges surrounding successful prescribing for mental health. This book focuses on the act and skills of psychiatric prescribing and its psychosocial context, bringing together differing views on prescribing, assessing the challenges, and identifying useful principles and guidelines together. Covering a multitude of topics including interpreting and handling uncertainty in the clinical evidence, accounting for phases of illness and natural course, collaborating with allied professionals, addressing the meaning of medications, minimising structural barriers to medications; accounting for interactive effects of dietary factors, supplements and alternative remedies, and shared decision-making approaches. Case vignettes and accompanying analysis frame the issues relevant for psychiatric prescribers and offering an approach that strikes a balance between the biological, psychological and social elements of prescribing. For psychiatrists, clinical psychologists and all those involved with the care of patients with mental health conditions.
List of contents
Preface John D. Cahill and Keith Gallagher; Introduction (how to use this book) John D. Cahill and Keith Gallagher; Section 1: 1. The basic competencies of prescribing John D. Cahill and Keith Gallagher; 2. The PULSE model John D. Cahill and Keith Gallagher; 3. Building the partnership and sharing in personhood Keith Gallagher and John D. Cahill; 4. A patient-empowering approach to side effects of psychiatric medications Keith Gallagher and John D. Cahill; 5. Shared decision-making Keith Gallagher and John D. Cahill; 6. Therapeutic alliance John D. Cahill and Keith Gallagher; 7. Reflective practice Keith Gallagher and Cahill; Section 2: 8. The need for therapeutic context: lived experience with psychotropic medication Ayala Danzig; 9. Guiding principles for person-centered psychopharmacology and the promotion of patient self-management Larry Davidson and Thomas Styron; 10. Wisdom from without: what can we learn from the consumer movement about prescribing well Claire Bien; 11. A historical perspective on psychiatric prescribing Joel Tupper Braslow and Enrico G. Castillo; 12. Motivational interviewing for psychiatric medication adherence Jackie Welch, Kay Green and Mina Caraccio; 13. Working with the meaning of psychiatric medications Erin Seery; 14. Working with placebo and nocebo effects: psychiatric prescribing beyond the mind-body split Eli S. Neustadter, Rosa Shapiro-Thompson and Sarah Fineberg; 15. Reconciling divergence of perspective in psychiatric prescribing Keith Gallagher and David Stark; 16. Harm in healing: Managing iatrogenesis in psychiatric prescribing Ayala Danzig; 17. Advancing social justice in psychiatric prescribing Flavia DeSouza and Lisa Harding; 18. Social determinants and the structural context of prescribing Walter S. Mathis and Eden Almasude; 19. Within and beyond the clinic: changing the structural context through advocacy and activism Eden Almasude and Walter S. Mathis; 20. Cultural humility in psychiatric prescribing Oluwole Jegede; 21. Evidence-based practice Javier Ortiz Orendain and Kalyani Subramanyam; 22. Whether and when to 'get creative' with off-label use for treatment resistance Robert Ostroff; 23. Prescribing non-pharmacologic interventions: the age of interventional psychiatry Nora Proops and Rachel Katz; 24. Real biopsychosocial psychiatry: application of complex theory and uncertainty theory John Strauss; 25. Patient expertise in the doctor-patient interaction: the case of deprescribing Swapnil Gupta; 26. Prescribing in coercive circumstances Merrill Mathew, Hassan Naqvi and Tobias Wasser; 27. Harnessing the power of collaborative treatment for prescribing Josina A. James, Laura A. Yoviene Sykes and Shannon Imetovski; 28. Prescribers in the era of neuroscience Christopher W. T. Miller and Mark Kvarta; 29. Psychiatric practice and precision medicine: an exercise in ambiguity Daniel S. Barron and Kristin S. Budde.
About the author
John D. Cahill is Associate Professor and Residency Program Director for the Department of Psychiatry at The Yale School of Medicine, New Haven, Connecticut. He is also Deputy Medical Director at Connecticut Mental Health Center and Chief of Behavioral Health at Continuum of Care Inc. New Haven.Keith Gallagher practices as a community psychiatrist in Philadelphia, Pennsylvania and is a former faculty member of the Department of Psychiatry at the Yale School of Medicine in New Haven, Connecticut.
