ABC of Anxiety and Depression E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Serie: ABC Series
• Sprache: Englisch

Seitenzahl: 234

Veröffentlichungsjahr: 2014

Beschreibung

ABC of Anxiety and Depression is a practical guide to the assessment, treatment and management of patients with anxiety and depression as they commonly present in primary care.

It begins with an introduction to views on the understanding of anxiety and depression. The following chapters cover how anxiety and depression present in different patient groups such as children and young people, adults, older people and during antenatal/postnatal periods. It then addresses anxiety and depression as comorbidities with chronic illness, and within special populations and settings.

The options for treatment and management of anxiety and depression are considered with guidance on when referral to secondary care may be appropriate and the current best practice in psychological therapies, drug treatment and social interventions. Cases are used to illustrate the complexities of managing patients with anxiety and depression.

The title concludes with an important chapter on practitioner well-being.

ABC of Anxiety and Depression is a practical resource all general practitioners and family physicians working with patients with anxiety and depressive disorders. It is also relevant for primary health care professionals who are part of clinical teams treating patients with anxiety and depression, and conditions where anxiety and depression are common comorbidities, as well as psychologists, counsellors, social workers, and medical and nursing students.

Leseprobe

CONTENTS

Cover

Series page

Title page

Copyright page

Contributors

Preface

Acknowledgements

List of Abbreviations

Chapter 1: Introduction

Diagnosis and multimorbidity

Epidemiology of depression and anxiety

What causes depression and anxiety?

Summary

Further reading

Chapter 2: Anxiety and Depression in Children and Adolescents

Primary care – an opportunity to make a difference

Depression in children and adolescents

Anxiety disorders in children and adolescents

Assessment and intervention

Summary

Further reading

Chapter 3: Anxiety and Depression in Adults

Anxiety and depression in adults in primary care

Assessment

The management of depression and anxiety in primary care

Continuation and relapse prevention

Summary

Further reading

Resources

Chapter 4: Anxiety and Depression in Older People

Summary

Further reading

Resource

Chapter 5: Antenatal and Postnatal Mental Health

Background

Depression

Anxiety

Impact of depression and anxiety during pregnancy

Case-finding and assessment

Suicide and risk assessment

Interventions

Summary

Further reading

Advice on prescribing

Chapter 6: Anxiety and Depression

The nature of the problem

Theories about aetiology

Case-finding

Management

Barriers to effective care

Two neglected topics: the family and prevention

Summary

Further reading

Resources

Chapter 7: Bereavement and Grief

Understanding bereavement, grief and mourning

What happens when someone grieves?

When is grief ‘abnormal’?

Bereavement and depression

Treating complicated grief

Summary

Further reading

Resources

Chapter 8: Anxiety, Depression and Ethnicity

Anxiety and depression in people from ethnic minority groups

Management of depression and anxiety

Models of care

Summary

Further reading

Chapter 9: Special Settings

Background

Assessment and formulation

Management

Improving services

Summary

Further reading

Chapter 10: Brief Psychological Interventions for Anxiety and Depression

Introduction

Principles of working briefly with psychological interventions

Summary

Further reading

Chapter 11: Anxiety and Depression

When should the use of medication be considered to treat anxiety and depression?

Do antidepressants actually work?

How do antidepressants work?

How should antidepressants be used to treat depression and anxiety?

Prescribing with comorbid illnesses

Pregnancy

Prescribing to patients of different ages

Next step treatments

Further reading

Chapter 12: Psychosocial Interventions in the Community for Anxiety and Depression

The context

Problems with accessing care for anxiety and depression

‘Social problems’

Social prescribing

Improving access

Summary

Further reading

Resource

Chapter 13: Looking After Ourselves

Why do some people seem to be more vulnerable to the impact of their work pressures than others?

Why is it so difficult for doctors to ask for help?

Can resilience be learned, or are we just the way we are?

Summary

Resources

Appendix 1

Appendix 2

Appendix 3: Geriatric Depression Scale GDS30

Appendix 4: Abbreviated mental test score (AMTS)

Appendix 5

Appendix 6

Appendix 7

Appendix 8

Index

End User License Agreement

List of Illustrations

Chapter 09

Figure 9.1 A psychosocial formulation.

Chapter 10

Figure 10.1 The ABC cycle.

Figure 10.2 John’s ABC cycle.

Chapter 11

Figure 11.1 Algorithm for treating patients with depression and/or anxiety with antidepressants.

Chapter 12

Figure 12.1 Multifaceted model to improve access to mental health care.

Guide

Cover

Table of Contents

Begin Reading

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Anxiety and Depression

EDITED BY

Linda Gask

University of Manchester

Manchester, UK

Carolyn Chew-Graham

Research Institute, Primary Care and Health Sciences and

National School for Primary Care Research, Keele University, Keele, UK

This edition first published 2014, © 2014 by John Wiley & Sons, Ltd

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Library of Congress Cataloging-in-Publication Data

ABC of anxiety and depression / [edited by] Linda Gask, Carolyn Chew-Graham.  p. ; cm. Includes bibliographical references and index.

 ISBN 978-1-118-78079-4 (pbk.)I. Gask, Linda, editor. II. Chew-Graham, Carolyn, editor. [DNLM: 1. Depression. 2. Anxiety. WM 171.5] RC537 616.85′27–dc23

2014020553

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Contributors

Sarah AldersonLeeds Institute of Health Sciences, University of Leeds, Leeds, UK

Clare BaguleySix Degrees Social Enterprise CIC, The Angel Centre, Salford, UK

Richard ByngPrimary Care Group, Institute of Health Services Research, Plymouth University Peninsula School of Medicine and Dentistry, University of Plymouth, Plymouth, UK

Carolyn Chew-GrahamResearch Institute, Primary Care and Health Sciences and National School for Primary Care Research, Keele University, Keele, UK

Jody ComiskeySix Degrees Social Enterprise CIC, The Angel Centre, Salford, UK

Ceri DornanHonorary Secretary, UK Balint Society; email: [email protected]

Chloe PrestonSix Degrees Social Enterprise CIC, The Angel Centre, Salford, UK

Judith ForrestDerbyshire Healthcare NHS Foundation Trust, UK

Linda GaskUniversity of Manchester, Manchester, UK

Carol HenshawLiverpool Women’s NHS Foundation Trust, Crown Street, Liverpool, UK

Allan HouseLeeds Institute of Health Sciences, University of Leeds, Leeds, UK

Louise IvinsonScottish Association of Psychoanalytical Psychotherapists/British Psychoanalytic Council, 19–23 Wedmore Street, London, UK

Cornelius KatonaDepartment of Psychiatry, University College London, London, UK

David KesslerSchool of Social and Community Medicine, University of Bristol, Bristol, UK

R. Hamish McAllister-WilliamsInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK

James PattersonGreenmoss Medical Centre, Scholar Green, Stoke on Trent, UK

Jane RobertsClinical Innovation and Research Centre, Royal College of General Practitioners, London, UK

Aaron VallanceMetabolic and Clinical Trials Unit, Department of Mental Health Sciences, The Royal Free Hospital, London, UK

Waquas WaheedNational School for Primary Care Research, University of Manchester, Manchester, UK

Sarah YatesInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK

Preface

We hope this book will be a useful resource for anyone who is interested in the management of common mental health problems in the primary care setting. Anxiety and depression are common and often overlap, and patients who suffer from these symptoms are usually managed in primary care.

We have drawn on our clinical experience, working in primary and secondary care, and across the interface. We have used ‘cases’ of fictitious characters interlinked by living in one street to illustrate the breadth of problems under the umbrella of ‘anxiety and depression’, reflecting our professional experiences. We hope that this makes the book appealing to a broad range of readers, including students of health and social care professions, general practitioners and primary care nurses, and practitioners working in specialist care and the voluntary (or ‘third’) sector.

Above all, we would like this text to contribute to an improvement in the care of people with anxiety and depression in the future.

Linda Gask

Carolyn Chew-Graham