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This book presents a thorough and critical review of current
knowledge on the role of immunology in major psychiatric disorders
and its potential applications. The opening chapters offer general
information on the immune influence of the brain to provide readers
with a better understanding of the end of immune privilege. The
book then examines possible underlying mechanisms leading to
psychiatric disorders, from early infections to pro-inflammatory
markers, stress, and immune genetic background, linking etiology
and psychiatry. The third section describes each disorder (ie
autism, schizophrenia, bipolar disorder, depression...) with an
overview of underlying immune dysfunctions. Lastly, the authors
discuss the innovative immune-therapies that may result from the
discovery of immune system biomarkers and their associated
mechanisms. A better understanding of the role of the immune system
in psychiatric disorders makes it possible to identify
stratification biomarkers, to explain underlying mechanisms, and to
develop innovative, efficient, targeted treatment strategies and
management. As such, the book is of value to clinicians, mental
health professionals, mental health researchers, immunologists,
industry practitioners, and various stakeholders in the mental
health field.
Evidence-Based Treatment Approaches for Suicidal Adolescents:
Translating Science Into Practice combines state-of-the-art
research and treatment development with clinical descriptions of
evidence-based and evidence-informed treatment strategies for
adolescents struggling with suicidality and self-harm. The book
provides important information on clinical approaches that have
shown promise in reducing the risk of suicide attempts and
self-harm in teens and preventing the tragedy of premature death by
suicide. Following two chapters on risk assessment and safety
planning, six chapters present different approaches to psychosocial
treatment. Although some approaches share common theoretical roots,
and most address similar targets and mechanisms (e.g., restricting
access to lethal means of self-harm, enhancing family support and
functioning, and strengthening emotion regulation), each treatment
modality has important differences and distinct strengths. The
book's final chapter addresses pharmacological strategies for
managing and treating suicidality. This combination of information
on risk assessment and management, safety planning, psychosocial
treatment, and pharmacologic treatment reflects the perspective
that psychosocial and biologically based risk and protective
factors are increasingly recognized as crucial for improving the
mental health of and outcomes for adolescents and their families.
The volume's many useful features include the following: * The book
is user-friendly. Each treatment chapter follows a common
structure: overview, theoretical model, review of current empirical
evidence, primary treatment components and intervention strategies,
case example, recommendations for implementing the approach in
practice, resources for obtaining training, and suggested readings.
Readers can easily find relevant information and compare treatment
approaches.* The book is practice friendly. By offering a review of
existing evidence-based treatments for at-risk adolescents in one
accessible volume, the book makes it easier for clinicians to learn
about current findings in the field and to choose between existing
approaches. Moreover, the clinically rich chapters contain case
examples and suggestions for implementing each treatment into
practice across a range of settings. * The book is pragmatic.
Recognizing that clinicians attempting to implement these promising
treatments in community practice with limited resources may
encounter challenges, the authors include a table at the end of
each treatment chapter describing elements that may more easily be
put into practice when implementation of the full treatment
protocol is not feasible.* The book emphasizes risk assessment and
safety. Risk and protective factors are explored in-depth, as are
strategies for enhancing safety. These strategies are relatively
straightforward, but they have the enormous potential to save
lives. An indispensable resource not only for clinicians working
across diverse practice settings, Evidence-Based Treatment
Approaches for Suicidal Adolescents: Translating Science Into
Practice will also prove valuable to policy makers, health and
behavioral health system leaders, and researchers engaged in the
critically important work of reducing suicide among adolescents.
Recent studies regarding the neuropathology of specific
neurological disorders suggest that both neurodevelopmental and
neurodegenerative processes may play a role. However, in contrast
to the neurodegeneration seen in neurological disorders such as
Parkinson's and Alzheimer's disease, the term "neuroprogression"
has been used to describe the neurodevelopmental aspect of
pathological brain re-wiring that takes place in the context of
severe psychiatric disorders, such as schizophrenia or bipolar
disorder. Within psychiatry, patients with severe psychopathology,
such as those depressed patients who eventually commit suicide,
have been shown to present with increased inflammatory markers in
the brain. A similar increase in inflammatory markers is also found
in patients with bipolar disorders and schizophrenia. Thus,
oxidative stress, inflammation, and changes in growth factors are
thought to be the pathways of neuroprogression. Neuroprogression in
Psychiatry provides a comprehensive summary of the current
developments in the emerging field of neuroprogression. With
contributions by leading researchers in the field, this book
examines the role of neuroprogression across a wide range of
specific psychiatric disorders, with chapters included on major
depressive disorder, anxiety disorder, post-traumatic stress
disorder, substance abuse, schizophrenia, and bipolar disorder.
After the original proposals of staging for psychotic disorders
developed by McGorry and colleagues, a few systems have been put
forward specifically for people with bipolar disorder. There is now
consistent evidence that, at least for a significant portion of
people with this disease, clinical course and outcome are not as
benign as initially described. The evidence thus far points to
relevant differences between early and late stages of bipolar
disorders in the clinical course of illness, neurobiology and
systemic pathology. These differences all suggest that staging is a
viable addition to clinical care in bipolar disorder.
Neuroprogression and Staging in Bipolar Disorder provides a
comprehensive summary of the current state of the evidence
regarding the use of staging systems in bipolar disorder. Edited by
the leading researchers in the field, the book systematically
covers the theoretical basis for staging, comparisons between
different proposals, neurobiological underpinnings, the current
evidence-base, limitations and future directions, and clinical
implications and recommendations for practice. The book provides a
solid and in-depth outline and thus to influence research and
practice in the field of bipolar disorder.
As research emerges on the effectiveness of psychological therapies
for bipolar disorder, this is the first manual guiding the
treatment of those in adolescence and early adulthood, taking into
account the developmental issues which can have significant impact
on therapeutic outcomes. Core issues covered include engagement
difficulties, how cognitive therapy should be adapted for
adolescents, the impact of the disorder on the person's
psychosocial development, managing comorbidity (particularly
alcohol and substance use), medication adherence, the impact of
family dynamics, and issues around control and independence in the
therapeutic relationship. The manual is illustrated with case
studies and text boxes describing tips and techniques for the
therapist. Providing clear clinical guidance, backed by an
extensive literature review and theoretical overview, this is
essential reading for all mental health specialists implementing
psychological interventions for young people with bipolar disorder.
Modern mental health issues are characterized by their complex,
multi-systemic nature and broad societal impact, making them poorly
suited to siloed approaches of thinking and innovation. Convergence
science integrates knowledge, tools, and thought strategies from
various fields and is the focal point where novel insights arise.
Convergence Mental Health presents a blueprint for leveraging
convergence science within the context of mental health in order to
improve patient outcomes and health care systems.
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