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Melancholia
The Diagnosis, Pathophysiology and Treatment of Depressive Illness

  • Date Published: March 2010
  • availability: Available
  • format: Paperback
  • isbn: 9780521131247

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  • This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis, and catatonia. The syndrome is defined with a clear diagnosis, prognosis, and range of management strategies, differentiated from other similar psychiatric, neurological, and general medical conditions. It challenges accepted doctrines in the classification and biology of the mood disorders and defines melancholia as a treatable mental illness. Described for millennia in medical texts and used as a term in literature and poetry, melancholia was included within early versions of the major diagnostic classificatory systems, but lost favour in later editions. This book updates the arguments for the diagnosis, describes its characteristics in detail, and promotes treatment and prevention. The book offers great hope to those with a disorder too often mis-diagnosed and often fatal. It should be read by all those responsible for the management of patients with mood disorders.

    • Defines melancholia as a recognisable syndrome affecting a large number of depressed patients
    • Describes the disorder in terms of signs, symptoms and characteristics
    • Details strategies for treatment and prevention
    • Supplemented throughout with illustrative case vignettes
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    Reviews & endorsements

    Review of the hardback: 'It is an exceptionally well researched and heavily referenced (50 pages) book and provides a sound source for further reading. … They give clear clinical advice on the management of melancholia and helping those that suffer from it. …If you are already a convert to the melancholia idea then this book will reinforce your view.' Psychological Medicine

    Review of the hardback: '… I recommend the book without reservation.' Psychiatric Services

    Review of the hardback: 'In the preface of Melancholia, the authors assert that one objective of the book is to 'Challenge accepted doctrines' regarding the classification and treatment of depressive illness. To this end, they don't disappoint, approaching this goal with a vigour that emanates from every section.' Psychiatric Services

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    Product details

    • Date Published: March 2010
    • format: Paperback
    • isbn: 9780521131247
    • length: 564 pages
    • dimensions: 244 x 170 x 29 mm
    • weight: 0.89kg
    • availability: Available
  • Table of Contents

    List of patient vignettes
    Acknowledgements
    Preface
    1. Melancholia: a conceptual history
    2. Melancholia defined
    3. Defining melancholia by psychopathology
    4. Defining melancholia: laboratory tests
    5. Examination for melancholia
    6. The differential diagnosis of melancholia
    7. Suicide in melancholia
    8. Electroconvulsive therapy for melancholia
    9. Achieving effective ECT
    10. The validity of the pharmacotherapy literature in melancholia
    11. Basic pharmacotherapy for melancholic patients
    12. Pharmacotherapy of melancholia: complicating circumstances.

  • Authors

    Michael Alan Taylor, University of Michigan, Ann Arbor

    Max Fink, State University of New York, Stony Brook

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