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Complementary and Integrative Treatments in Psychiatric Practice

Edited by Patricia L. Gerbarg, M.D., Philip R. Muskin, M.D., and Richard P. Brown, M.D.

  • ISBN 978-1-61537-135-8
  • Item #37135

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With its unrivaled scope, easy readability, and outstanding clinical relevance, Complementary and Integrative Treatments in Psychiatric Practice is an indispensable resource for psychiatric and other health care professionals. It is also well suited for individuals with mental disorders and their family members who are seeking updated, practical information on complementary, alternative, and integrative medicine (CAIM).

An international group of experts, researchers, and clinicians examines an expansive range of treatments that have been chosen on the basis of their therapeutic potential, strength of evidence, safety, clinical experience, geographic and cultural diversity, and public interest.

This guide offers advice on how to best tailor treatments to individual patient needs; combine and integrate treatments for optimal patient outcomes; identify high-quality products; administer appropriate doses; and deal with concerns about liability, safety, and herb-drug interactions. Treatments discussed include:

  • Nutrients and neutraceuticals
  • Plant-based medicines
  • Mind-body practices—breathing techniques, yoga, qigong, tai chi, and meditation
  • Art therapy and equine therapy for children and adolescents
  • Neurotherapy, neurostimulation, and other technologies

Psychiatrists and other physicians, residents, fellows, medical students, psychologists, nurses, and other clinicians will benefit from guidelines for decision making, prioritizing, and combining CAIM treatments, as well as safely integrating CAIM with standard approaches.

That the treatments considered in this clinician's guide are applied to five of the major DSM-5 categories—depressive disorders, anxiety disorders, trauma- and stressor-related disorders, bipolar and related disorders, and schizophrenia spectrum and other psychotic disorders—ensures its applicability, timeliness and timelessness.


  • Contributors
  • Preface
  • I: Defining CAIM: Diagnoses, Target Symptoms, and Treatment Strategies
  • Chapter 1. The Growth of Complementary and Integrative Medicine
  • Chapter 2. Complementary and Integrative Medicine, DSM-5, and Clinical Decision Making
  • Chapter 3. Complementary and Integrative Medicine in Child and Adolescent Psychiatric Disorders
  • II: Nutrients in Psychiatric Care
  • Chapter 4. S-Adenosylmethionine
  • Chapter 5. Acetyl-L-Carnitine, N-Acetylcysteine, and Inositol in the Treatment of Psychiatric and Neuropsychiatric Disorders
  • Chapter 6. Single and Broad-Spectrum Micronutrient Treatments in Psychiatric Practice
  • III: Plant-Based Medicines
  • Chapter 7. Issues in Phytomedicine Related to Psychiatric Practice
  • Chapter 8. Adaptogens in Psychiatric Practice
  • Chapter 9. Integrating Rhodiola rosea in Clinical Practice
  • Chapter 10. St. John's Wort (Hypericum perforatum) in the Treatment of Depression
  • Chapter 11. Ginkgo biloba
  • Chapter 12. Kava (Piper methysticum) in the Treatment of Anxiety
  • Chapter 13. Panax ginseng and American Ginseng in Psychiatric Practice
  • Chapter 14. Theanine, Lavender, Lemon Balm, and Chamomile
  • Chapter 15. Saffron, Passionflower, Valerian, and Sage for Mental Health
  • Chapter 16. Traditional Chinese Medicine
  • Chapter 17. Sceletium tortuosum
  • Chapter 18. Bacopa monnieri for Cognitive Support
  • IV: Neurohormones
  • Chapter 19. Melatonin and Melatonin Analogues for Psychiatric Disorders
  • V: Mind-Body Practices
  • Chapter 20. Polyvagal Theory and the Social Engagement System
  • Chapter 21. Breathing Techniques in Psychiatric Treatment
  • Chapter 22. Use of Yoga in Managing Posttraumatic Stress Disorder
  • Chapter 23. Mind-Body Practices Tai Chi and Qigong in the Treatment and Prevention of Psychiatric Disorders
  • Chapter 24. Mindfulness and Meditation in Psychiatric Practice
  • Chapter 25. Open Focus Training for Stress, Pain, and Psychosomatic Illness
  • VI: Technologies
  • Chapter 26. Neurofeedback Therapy in Clinical Practice
  • Chapter 27. Cranial Electrotherapy Stimulation in the Psychiatric Setting
  • Chapter 28. Integrating Visual Processing Systems in Mental Health Care
  • Chapter 29. Using Technology-Based Mind-Body Tools in Clinical Practice
  • Index


    Jay D. Amsterdam, M.D.
    Timothy Barclay, Ph.D.
    Ryan Abbott, M.D., J.D., MTOM
    Shahin Akhondzadeh, Ph.D., F.B.Ph.S.
    Acharya Balkrishna
    Benjamin Barone
    Teodoro Bottiglieri, Ph.D.
    Mark Blumenthal, Ph.D.
    Carlo Calabrese, N.D., M.P.H.
    C. Sue Carter, Ph.D.
    Donald D. Chang, Ph.D.
    Ka-Fai Chung, M.B.B.S., M.R.C.Psych.
    Bruce J. Diamond, Ph.D., M.Ed.
    Mary Lee Esty, Ph.D.
    Harris Eyre, Ph.D., M.B.B.S.
    Lester G. Fehmi, Ph.D.
    Nigel Gericke, B.Sc. (Hons), M.B.B.Ch.
    Olga Gericke, M.D., FCPsych.
    Bonnie J. Kaplan, Ph.D.
    Melvin Kaplan, O.D.
    Ladan Kashani, M.D.
    Edward T. Kenny, M.D.
    Daniel L. Kirsch, Ph.D.
    Helen Lavretsky, M.D.
    Danusha Selva Kumar
    Kirk D. Little, Psy.D.
    Joel F. Lubar, Ph.D.
    William R. Marchand, M.D.
    Jeff Marksberry, M.D.
    Lila Massoumi, M.D.
    Amirhossein Modabbernia, M.D.
    Ashley Mondragon
    Frederick Muench, Ph.D.
    David V. Nelson, Ph.D.
    Chi-Un Pae, M.D., Ph.D.
    Alexander Panossian, Ph.D., D. Sci.
    Judith E. Pentz, M.D.
    Charles Popper, M.D.
    Stephen W. Porges, Ph.D.
    Julia J. Rucklidge, Ph.D.
    Jerome Sarris, N.D., M.H.Sc., Ph.D.
    Jenna Saul, M.D.
    Susan B. Shor, L.C.S.W.
    Deborah R. Simkin, M.D.
    Nikamal Singh, M.Sc.
    Dan J. Stein, FRCPC, Ph.D.
    Shirley Telles, Ph.D.
    Robert W. Thatcher, Ph.D.
    Sheng-Min Wang, M.D., Ph.D.
    Michel Woodbury-Farina, M.D.
    Wing-Fai Yeung, Ph.D., B.C.M.

About the Authors

Patricia L. Gerbarg, M.D., is Assistant Clinical Professor of Psychiatry at New York Medical College in Valhalla, New York.

Philip R. Muskin, M.D., M.A., is Professor of Psychiatry at Columbia University Medical Center in New York, New York.

Richard P. Brown, M.D., is Associate Clinical Professor of Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York.

In a very well organized, clearly written, and thoughtful choice of topics, Muskin, Gerbarg, and Brown have given us a book that every clinician who thinks about and cares for patients using a biopsychosocial approach will want to have on their desk. It is difficult for the busy clinician to keep up with the latest information and evidence in complementary and integrative treatments. We are so fortunate that we now have a wonderful and highly useful compendium. Kudos to Muskin, Gerbarg and Brown and their team.—Michelle B. Riba, M.D., M.S., Professor of Psychiatry, Director of the PsychOncology Program, University of Michigan Comprehensive Cancer Center

Complementary and Integrative Medicine (CAIM) is rapidly emerging in clinical practices with a burgeoning evidence base to back it up. If you have been interested but haven't found a source of reliable information to guide you through this new frontier, this is it. You can learn from the experts.—Lloyd I. Sederer, M.D., Adjunct Professor, Columbia/Mailman School of Public Health, Medical Editor for Mental Health, The Huffington Post

This is a well-referenced, reliable resource that reviews many of the available CAIM interventions. While a good percentage of our patients are already using CAIM, many of our patients do not respond to or tolerate traditional treatments. It therefore behooves us to be familiar with these interventions so we can responsibly guide and make recommendations to our patients.—Michael Easton, M.D., Doody's Book Review

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