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Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing StoriesA Clinician's Guide to Legal Issues in PsychotherapyA Map of the MindA Primer for Beginning PsychotherapyACT With LoveActive Treatment of DepressionAffect Regulation, Mentalization, and the Development of SelfAlready FreeBad TherapyBecoming an Effective PsychotherapistBecoming MyselfBefore ForgivingBeing a Brain-Wise TherapistBetrayed as BoysBeyond Evidence-Based PsychotherapyBeyond MadnessBeyond PostmodernismBinge No MoreBiofeedback for the BrainBipolar DisorderBody PsychotherapyBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBrain Science and Psychological DisordersBrain-Based Therapy with AdultsBrain-Based Therapy with Children and AdolescentsBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheCase Studies in DepressionCaught in the NetChild and Adolescent Treatment for Social Work PracticeChoosing an Online TherapistChronic DepressionClinical Dilemmas in PsychotherapyClinical Handbook of Psychological DisordersClinical Intuition in PsychotherapyClinical Pearls of WisdomCo-Creating ChangeCognitive Therapy for Challenging ProblemsCompassionConfessions of a Former ChildConfidential RelationshipsConfidentiality and Mental HealthConfidingContemplative Psychotherapy EssentialsControlConversations About Psychology and Sexual OrientationCoping with BPDCouch FictionCounseling in GenderlandCounseling with Choice TheoryCouple SkillsCrazy for YouCreating a Life of Meaning and CompassionCreating HysteriaCritical Issues in PsychotherapyCrucial Choices, Crucial ChangesDeafness In MindDecoding the Ethics CodeDeconstructing PsychotherapyDeep Brain StimulationDemystifying TherapyDepression 101Depression in ContextDialogues on DifferenceDissociative ChildrenDo-It-Yourself Eye Movement Techniques for Emotional HealingDoing CBTE-TherapyEarly WarningEncountering the Sacred in PsychotherapyEnergy Psychology InteractiveErrant SelvesEssays on Philosophical CounselingEssentials of Wais-III AssessmentEthically Challenged ProfessionsEthics and Values in PsychotherapyEthics in Plain EnglishEthics in Psychotherapy and CounselingExercise-Based Interventions for Mental IllnessExistential PsychotherapyExpectationExploring the Self through PhotographyExpressing EmotionFacing Human SufferingFairbairn's Object Relations Theory in the Clinical SettingFamily TherapyFavorite Counseling and Therapy Homework AssignmentsFear of IntimacyFlourishingFolie a DeuxForms of Intersubjectivity in Infant Reasearch and Adult TreatmentFoundations of Ethical Practice, Research, and Teaching in PsychologyFreud and the Question of PseudoscienceFrom Morality to Mental HealthFundamentals of Psychoanalytic TechniqueGenes on the CouchGod & TherapyHalf Empty, Half FullHandbook of Clinical Psychopharmacology for TherapistsHandbook of Counseling and Psychotherapy with Lesbian, Gay, and Bisexual ClientsHandbook of Evidence-Based Therapies for Children and AdolescentsHealing the Heart and Mind with MindfulnessHeinz KohutHelping Children Cope With Disasters and TerrorismHigh RiskHistory of PsychotherapyHow and Why Are Some Therapists Better Than Others?How Clients Make Therapy WorkHow People ChangeHow Psychotherapists DevelopHow to Fail As a TherapistHow to Go to TherapyHypnosis for Inner Conflict ResolutionHypnosis for Smoking CessationI Never Promised You a Rose GardenIf Only I Had KnownIn Others' EyesIn SessionIn Therapy We TrustIn Treatment: Season 1Incorporating Spirituality in Counseling and PsychotherapyInside the SessionInside TherapyIs Long-Term Therapy Unethical?Issues in Philosophical CounselingIt's Not as Bad as It SeemsItís Your HourLearning ACTLearning from Our MistakesLearning Supportive PsychotherapyLetters to a Young TherapistLife CoachingLogotherapy and Existential AnalysisLove's ExecutionerMadness and DemocracyMaking the Big LeapMan's Search for MeaningMaybe You Should Talk to SomeoneMetaphoria: Metaphor and Guided Metaphor for Psychotherapy and HealingMind GamesMindfulnessMindfulness and AcceptanceMindfulness-Based Cognitive Therapy for DepressionMindworks: An Introduction to NLPMockingbird YearsMoments of EngagementMomma and the Meaning of LifeMotivational Interviewing: Preparing People For ChangeMulticulturalism and the Therapeutic ProcessMultifamily Groups in the Treatment of Severe Psychiatric DisordersNarrative PracticeNietzsche and PsychotherapyOn the CouchOne Nation Under TherapyOur Inner WorldOur Last Great IllusionOutsider ArtOutsider Art and Art TherapyOvercoming Destructive Beliefs, Feelings, and BehaviorsOverexposedPathways to SpiritualityPersonality and PsychotherapyPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical Issues in Counseling and PsychotherapyPhilosophical PracticePhilosophy and PsychotherapyPhilosophy for Counselling and PsychotherapyPhilosophy PracticePhilosophy's Role in Counseling and PsychotherapyPillar of SaltPlan BPlato, Not Prozac!Polarities of ExperiencesPower GamesPractical Psychoanalysis for Therapists and PatientsPrinciples and Practice of Sex TherapyProcess-Based CBTPromoting Healthy AttachmentsPsychologists Defying the CrowdPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychosis in the FamilyPsychotherapyPsychotherapyPsychotherapy and ConfidentialityPsychotherapy As PraxisPsychotherapy East and WestPsychotherapy for Children and AdolescentsPsychotherapy for Personality DisordersPsychotherapy Is Worth ItPsychotherapy Isn't What You ThinkPsychotherapy with Adolescent Girls and Young WomenPsychotherapy with Children and AdolescentsPsychotherapy without the SelfPsychotherapy, American Culture, and Social PolicyRapid Cognitive TherapyRational Emotive Behavior TherapyRational Emotive Behavior TherapyRationality and the Pursuit of HappinessRebuilding Shattered LivesReclaiming Our ChildrenRecovery OptionsRelationalityRent Two Films and Let's Talk in the MorningSaving the Modern SoulScience and Pseudoscience in Clinical PsychologySecond-order Change in PsychotherapySelf-Compassion in PsychotherapySelf-Determination Theory in the ClinicSelf-Disclosure in Psychotherapy and RecoverySerious ShoppingSex, Therapy, and KidsSexual Orientation and Psychodynamic PsychotherapySigns of SafetySoul Murder RevisitedStaring at the SunStraight to JesusStrangers to OurselvesSubjective Experience and the Logic of the OtherTaking America Off DrugsTales of PsychotherapyTales of UnknowingTalk is Not EnoughTalking Cures and Placebo EffectsTelling SecretsThe Behavioral Medicine Treatment PlannerThe Body in PsychotherapyThe Brief Couples Therapy Homework Planner with DiskThe Case Formulation Approach to Cognitive-Behavior TherapyThe Challenge for Psychoanalysis and PsychotherapyThe Child and Adolescent Psychotherapy Treatment PlannerThe Clinical Child Documentation SourcebookThe Clinical Documentation SourcebookThe Complete Adult Psychotherapy Treatment PlannerThe Couch and the TreeThe Couples Psychotherapy Treatment PlannerThe Crucible of ExperienceThe Cure of SoulsThe Death of PsychotherapyThe Education of Mrs. BemisThe Ethical Treatment of DepressionThe Ethics of PsychoanalysisThe Gay and Lesbian Psychotherapy Treatment PlannerThe Gift of TherapyThe Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work The Healing JourneyThe Heart & Soul of ChangeThe Heroic ClientThe Husbands and Wives ClubThe Incurable RomanticThe Love CureThe Making of a TherapistThe Mindful TherapistThe Mirror Crack'dThe Mummy at the Dining Room TableThe Neuroscience of PsychotherapyThe Neuroscience of Psychotherapy: Healing the Social BrainThe New Rational TherapyThe Older Adult Psychotherapy Treatment PlannerThe Other Side of DesireThe Pastoral Counseling Treatment PlannerThe Philosopher's Autobiography The Pornographer's GriefThe Portable CoachThe Portable Ethicist for Mental Health Professionals The Present Moment in Psychotherapy and Everyday LifeThe Problem of EvilThe Problem with Cognitive Behavioural TherapyThe Psychodynamics of Gender and Gender RoleThe Psychotherapy Documentation PrimerThe Psychotherapy Documentation PrimerThe Psychotherapy of HopeThe Real World Guide to Psychotherapy PracticeThe Schopenhauer CureThe Sex Lives of TeenagersThe Talking CureThe Therapeutic "Aha!"The Therapist's Guide to PsychopharmacologyThe Therapist's Guide to Psychopharmacology, Revised EditionThe Therapist's Ultimate Solution BookThe Trauma of Everyday LifeThe Trouble with IllnessThe UnsayableThe Way of the JournalTheory and Practice of Brief TherapyTherapy with ChildrenTherapy's DelusionsTheraScribe 3.0 for WindowsTheraScribe 4.0Thinking about ThinkingThinking for CliniciansThinking for CliniciansThoughts Without a ThinkerThriveToward a Psychology of AwakeningTracking Mental Health OutcomesTrauma, Truth and ReconciliationTreating Attachment DisordersTreatment for Chronic DepressionTreatment Plans and Interventions for Depression and Anxiety DisordersUnderstanding Child MolestersUnspeakable Truths and Happy EndingsWhat the Buddha FeltWhat Works for Whom?What Works for Whom? Second EditionWhen the Body SpeaksWhispers from the EastWise TherapyWittgenstein and PsychotherapyWorking MindsWoulda, Coulda, ShouldaWriting About PatientsYoga Skills for Therapists:Yoga Therapy
Handbook of clinical psychopharmacology for therapists is currently in its sixth edition.
The book is divided into three parts: "Understanding Psychopharmacology: The Basics"; "Clinical Syndromes: Etiology, Diagnosis, and Treatment Implications"; and "Medications". The book also contains an epilogue, "On the Horizon" and has nine appendixes: "Pharmacotherapy in Special Populations"; "Differentiating Psychotropic Side effects from Psychiatric Symptoms"; "Trade Versus Generic Drug Names: A Quick Reference"; and "Books for Patients About Medication Treatment".
Part One, "Understanding Psychopharmacology: The Basics", contains four chapters: "Introduction"; "Integrated Models"; "Neurobiology"; and "Pharmacology". Part Two, "Clinical Syndromes: Etiology, Diagnosis, and Treatment Implications" contains ten chapters: "Preliminary Diagnostic Considerations"; "Depressive Disorders"; "Bipolar Disorders"; "Anxiety Disorders"; "Obsessive-Compulsive Disorder"; "Psychotic Disorder"; "Post-Traumatic Stress Disorder"; "Borderline Personality Disorders"; "Substance-Related Disorders"; and "Other Miscellaneous Disorders".
Part Three, "Medications", contains seven chapters: "Antidepressant Medications"; "Bipolar Medications"; "Antianxiety Medications"; "Antipsychotic Medications"; "Over-the-Counter Dietary Supplements and Herbal Products"; "Red Flags: When to Reevaluate"; and "Child and Adolescent Psychopharmacology".
The book is well organized, and each chapter contains charts that further clarify the information in the text. For example, Chapter 15, "Antidepressant Medications", has many charts: "Cyclic Antidepressants"; "Side Effects of Cyclic Antidepressants"; "Side Effects of SSRIs and Atypical Antidepressants"; "Tyramine Contents in Food Products"; "Comparison of Antidepressants"; "Antidepressant Doses"; "Blood Levels of Antidepresssants"; "Special Considerations in Choosing an Antidepressant"; "Selective Action of Antidepressant Medications"; "Algorithm for Treatment Resistant Depression"; and a five-page "Quick Reference" chart on "Medications for Treating Depression". .
One of the many great features of this book is that even before it addresses specific disorders and medications, it provides the reader with a thorough background regarding the biology of psychiatric disorders. The authors give the reader a history of biological psychiatry, information on the psychodynamics of psychopharmacology treatment, a discussion of neurobiology (complete with easy-to-follow diagrams), and a chapter with the basic principles of psychopharmacology. Chapter 5, "Preliminary Diagnostic Considerations", contains a section titled "Axis I and Axis II: Complex Interactions". This is a particularly interesting section to read because it discusses how axis I and II disorders influence each other "in four different ways" (p. 60). The authors then discuss how these interactions influence behavior, biology, and treatment.
Chapter 10, "Psychotic Disorders" has a helpful diagram showing the pre-treatment and post-treatment effects of antipsychotic drugs on dopamine receptors. As with the other diagrams in the book, this is a clear and understandable demonstration that adds to the information gleaned in the chapter. The sections "The Dopamine Model", "The Glutamate Model" and "The Neurodevelopmental/Neurodegenerative Model" discuss varying views of the etiology of schizophrenia. Each model is explained in a thorough and understandable way, and provides studies for each of the models. The chapter has a section on differential diagnosis of psychosis, and provides a chart of "Medical Conditions That Can Cause Psychosis".
In Chapter 19, "Over-the-Counter Dietary Supplements and Herbal Products", the authors present a fair and balanced view of the use of "herbal products". The authors write, "Although some herbal products do have documented effectiveness in treating some psychiatric conditions, their use also can be problematic or even, at times, dangerous for the following reasons:" (p. 232). The authors then give six key points (along with supporting studies) discussing concerns about these products. The authors discuss the independent testing of US Pharmacopeia (USP) and the seal that accompanies products that have been tested by the organization and found to be "free of contaminants and whether or not they include the actual advertised ingredients and the advertised dose" (p. 232). The fact that a USP seal exists is important information for both the clinician and their clients.
Chapter 21, "Child and Adolescent Psychopharmacology" discusses attention deficit hyperactivity disorder (ADHD), pediatric depression, pediatric bipolar disorder, pediatric anxiety disorders, pediatric psychotic disorders, and autism spectrum disorders. The chapter mentions Strattera (atomoxetine) and Wellbutrin (bupropion) as antidepressants used to treat ADHD. It may have been helpful to add that Strattera (atomoxetine) is FDA-approved for the treatment of ADHD, and Wellbutrin (buproprion) is prescribed off-label for ADHD. While some information in the chapter could have benefitted from having one or more studies cited, overall it is a thorough chapter. Clinicians may notice that Intuniv (extended-release clonidine) is not mentioned under "Alpha-2 Adrenergic Agents" (p. 250). However, Intuniv was FDA-approved for the treatment of ADHD in 2009, and Handbook of clinical psychopharmacology for therapists was published in 2010. Thus the authors were not able to add this information before publication. The authors have a very helpful sidebar, "Antidepressants, Children, and Suicidality", which accurately and thoroughly discusses the studies conducted regarding antidepressants and adolescents.
Handbook of clinical psychopharmacology for therapists is highly recommended for any mental health clinician. Many clients are prescribed psychotropic medication, and it is very important for clinicians to educate themselves so they can provide the best standard of care.
Disclosure: The publisher of Handbook of clinical psychopharmacology for therapists, New Harbinger Publications, Inc., is also the publisher of my books.
© 2011 Stephanie Moulton Sarkis
Dr. Stephanie Moulton Sarkis PhD NCC LMHC is an adjunct assistant professor and clinical trials subinvestigator at Florida Atlantic University in Boca Raton, Florida. Her books include: Adult ADHD: A Guide for the Newly Diagnosed (2011); ADD and Your Money: A Guide to Personal Finance for Adults with Attention Deficit Disorder (2009); Making the Grade with ADD: A Student's Guide to Succeeding in College with Attention Deficit Disorder (2008); and 10 Simple Solutions to Adult ADD: How to Overcome Chronic Distraction & Accomplish Your Goals (2006). She has a private practice in Boca Raton, Florida. Her website is www.stephaniesarkis.com.