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How to Practice Evidence-Based Psychiatry

How to Practice Evidence-Based Psychiatry
Basic Principles and Case Studies

Edited by C. Barr Taylor, M.D.
2010
388 pages
ISBN 978-1-58562-365-5
Paperback Also Available In: eBook
Item #62365



The use of evidence-based guidelines and algorithms is widely encouraged in modern psychiatric settings, yet many practitioners find it challenging to apply and incorporate the latest evidence-based psychosocial and biological interventions. Now, practitioners have an outstanding new resource at their fingertips. How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies accomplishes two goals: it explains the methods and philosophy of evidence-based psychiatry, and it describes ways in which psychiatrists and other mental health specialists can incorporate evidence-based psychiatry into their clinical practices. Uniquely relevant to psychiatric clinicians, this is the only book on evidence-based medicine specific to the field of psychiatry that addresses integrated psychopharmacology and psychotherapies.

This new book first provides an expansion on the popular text the Concise Guide to Evidence-Based Psychiatry, updating the sections on clinical trials, the teaching of evidence-based medicine, and the effective treatment of patients with complex comorbid conditions. It then allows experts from a variety of specialty areas and practice settings to describe how they incorporate the latest evidence and outcome studies into interesting and inspiring cases of their own.

The book starts with the assumption that clinicians must adapt guidelines, algorithms, other sources of evidence, and the interpretation of this evidence to each individual patient. It describes basic statistical concepts in an easily understood format and offers separate chapters devoted to systematic reviews and meta-analyses, clinical practice guidelines, diagnostic tests, surveys of disease frequency, and prognosis and psychometric measurement. It also presents an easily relatable discussion of many of the major issues of evidence-based psychiatry, such as use of the “Five-Step” evidence-based medicine model.


  • The first section can be used both as an introduction to the topic and a ready reference for researching the literature and appraising evidence.
  • The second section includes relevant case examples of major psychiatric disorders, and the third presents case examples from diverse treatment settings. In these sections, 24 contributing clinicians from a variety of practice settings discuss situations in which they followed aspects of evidence-based care.
  • The text includes tables and charts throughout the text, including algorithms, guidelines, and examples of simple, therapist-devised measures of progress, further enhance learning, retention, and clinical practice.

How to Practice Evidence-Based Psychiatry: Basic Principles and Case Studies is a valuable new tool that will help residents, practicing psychiatrists, and other mental health workers find the most useful and relevant information to inform and improve their everyday practices.

Contributors. Disclosure of interests. Foreword. Preface. Cautionary statement. Acknowledgements. Part I: Basic Principles of Evidence-Based Psychiatry. What is evidence-based psychiatric practice? The 5-step evidence-based medicine model. Asking answerable questions. Searching for answers. Clinical trials. Systematic reviews and meta-analyses. Clinical practice guidelines. Measurement. Diagnostic tests. Surveys of disease frequency. Studies of risk or harm. Studies of prognosis. Evaluating your performance of evidence-based medicine. Evidence-based psychiatric practice. Teaching evidence-based medicine and evidence-based psychiatry practice to psychiatry residents. Part II: Case Studies: Evidence-Based Medicine Applied to Major DSM-IV Disorders. Introduction to the cases. Panic disorder. Major depressive disorder and bulimia nervosa. Depression, refusal to eat, and nasopharyngeal carcinoma. Anorexia, obsessive-compulsive disorder, and depression. Major depressive disorder: a measurement-based care approach. Major depressive disorder, severe with psychotic features. Acute bipolar depression. Obsessive-compulsive disorder. Schizophrenia: a family psychoeducational approach. Substance use disorder presenting as a mood disorder. A complex personality disorder case. Bulimia nervosa. Part III: Case Studies: Evidence-Based Psychiatric Practice in Different Settings. Dual diagnosis (PTSD/SUD) treated in Veterans Affairs health care facility. Severe and recurrent depression managed in a remote setting via the Internet: an example of remote care using the HealthSteps system. Postpartum depression treated in private practice. Bipolar disorder treated in the Kaiser Permanente health care system. Consultation-liaison psychiatry. Alcohol dependence treated by a psychiatry resident. Appendix A: glossary. Appendix B: statistical formulas and tables. Index.
"This is a good introduction and practical case-based clinical approach to using evidence-based psychiatry. Sturdy pages allow for notes and documentation as these are necessary at times to fully comprehend the challenging material. The graphics, tables, and diagrams are useful and helpful as well.This excellent book is an improvement on the Concise Guide."—Steve Paschos, M.D., Doody Enterprises

, June 2010

Bibi Das, M.D.
Ira D. Glick, M.D.
California
Gregory E. Gray, M.D., Ph.D.
Keith Humphreys, Ph.D.
Terence A. Ketter, M.D.
Lorrin M. Koran, M.D.
Ben Kurian, M.D., M.P.H.
Anna Lembke, M.D.
Steven E. Lindley, M.D. Ph.D.
Gretchen Lindner, Ph.D.
Joanna M. Marino, M.A.
Anthony J. Mascola, M.D.
Matthew H. May, M.D.
James E. Mitchell, M.D.
Douglas S. Rait, Ph.D.
James Reich, M.D.
Margaret F. Reynolds-May, B.A.
Anthony J. Rothschild, M.D.
Richard E. Shanteau, M.D.
Caroline Spiranovic, Ph.D.
Violeta Tan, M.D.
Dennis Tannenbaum, M.B.Ch.B., FRANZCP
C. Barr Taylor, M.D.
Madhukar H. Trivedi, M.D.
Po W. Wang, M.D.
C. Barr Taylor, M.D., is Professor of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, Stanford, California.
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