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.

2018 ∙ 425 pages ∙ ISBN 978-1-61537-031-3 ∙ Paperback ∙ $65.00 Item #37031

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.

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.

American Psychiatric Association Publishing, 2017

2018 ∙ 425 pages ∙ ISBN 978-1-61537-031-3 ∙ Paperback ∙ $65.00 ∙ Item #37031

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Table of Contents



I: Defining CAIM: Diagnoses, Target Symptoms, and Treatment Strategies
Chapter 1. The Growth of Complementary and Integrative Medicine. . . . 3
Lila Massoumi, M.D., ABIHMst Desserts

Chapter 2. Complementary and Integrative Medicine, DSM-5, and Clinical Decision Making . . . . 9
Patricia L. Gerbarg, M.D.
Richard P. Brown, M.D.
Philip R. Muskin, M.D., M.A.

Chapter 3. Complementary and Integrative Medicine in Child and Adolescent Psychiatric Disorders . . . . 21
- Nutrition, Equine-Assisted Therapy, Art Therapy, and Neurofeedback
Deborah R. Simkin, M.D., DFAACAP, Diplomat ABIHM, BCN
Jenna Saul, M.D., DFAACAP
Judith E. Pentz, M.D.
Joel F. Lubar, Ph.D., BCIA-EEG Senior Fellow, QEEG Diplomate
Kirk D. Little, Psy.D.
Robert W. Thatcher, Ph.D.

II: Nutrients in Psychiatric Care
Chapter 4. S-Adenosylmethionine. . . . .41
Teodoro Bottiglieri, Ph.D.
Patricia L. Gerbarg, M.D.
Richard P. Brown, M.D.

Chapter 5. Acetyl-L-Carnitine, N-Acetylcysteine, and Inositol in the Treatment of Psychiatric and Neuropsychiatric Disorders . . . . 53
Sheng-Min Wang, M.D., Ph.D.
Chi-Un Pae, M.D., Ph.D.

Chapter 6. Single and Broad-Spectrum Micronutrient Treatments in Psychiatric Practice . . . . 75
Charles Popper, M.D.
Bonnie J. Kaplan, Ph.D.
Julia J. Rucklidge, Ph.D., C.Psych.

III: Plant-Based Medicines
Chapter 7. Issues in Phytomedicine Related to Psychiatric Practice . . . . 105
Mark Blumenthal, Ph.D. (Honoris Causa)

Chapter 8. Adaptogens in Psychiatric Practice . . . . 113
- Rhodiola rosea, Schisandra chinensis, Eleutherococcus senticosus, and Withania somnifera
Alexander Panossian, Ph.D., D.Sci.
Jay D. Amsterdam, M.D.

Chapter 9. Integrating Rhodiola rosea in Clinical Practice . . . . 135
- Clinical Cases
Patricia L. Gerbarg, M.D.
Richard P. Brown, M.D.

Chapter 10. St. John’s Wort (Hypericum perforatum) in the Treatment of Depression . . . . 143
Jerome Sarris, N.D., M.H.Sc., Ph.D.

Chapter 11. Ginkgo biloba . . . . 149
- Psychiatric Indications, Mechanisms, and Safety
Bruce J. Diamond, Ph.D., M.Ed.
Ashley Mondragon, B.A.

Chapter 12. Kava (Piper methysticum) in the Treatment of Anxiety . . . . 157
Jerome Sarris, N.D., M.H.Sc., Ph.D.

Chapter 13. Panax ginseng and American Ginseng in Psychiatric Practice . . . . 163
Lila Massoumi, M.D., ABIHM

Chapter 14. Theanine, Lavender, Lemon Balm, and Chamomile. . . . 169
Lila Massoumi, M.D., ABIHM
Patricia L. Gerbarg, M.D.

Chapter 15. Saffron, Passionflower, Valerian, and Sage for Mental Health . . . . 175
Shahin Akhondzadeh, Ph.D., F.B.Ph.S.
Ladan Kashani, M.D.

Chapter 16. Traditional Chinese Medicine . . . . 185
- Treatments for Depression, Anxiety, and Insomnia
Wing-Fai Yeung, Ph.D., B.C.M.
Ka-Fai Chung, M.B.B.S., M.R.C.Psych.

Chapter 17. Sceletium tortuosum. . . . 195
Olga Gericke, M.D., F.C.Psych.
Nigel Gericke, B.Sc. (Hons), M.B.B.Ch.
Dan J. Stein, Ph.D., FRCPC

Chapter 18. Bacopa monnieri for Cognitive Support . . . . 201
Carlo Calabrese, N.D., M.P.H.

IV: Neurohormones
Chapter 19. Melatonin and Melatonin Analogues for Psychiatric Disorders . . . .211
Amirhossein Modabbernia, M.D.

Chapter 20. Polyvagal Theory and the Social Engagement System . . . .221
- Neurophysiological Bridge Between Connectedness and Health
Stephen W. Porges, Ph.D.
C. Sue Carter, Ph.D.

Chapter 21. Breathing Techniques in Psychiatric Treatment . . . .241
- Stress, Anxiety, Depression, Attention, Relationships, Trauma, and Mass Disasters
Richard P. Brown, M.D.
Patricia L. Gerbarg, M.D.

Chapter 22. Use of Yoga in Managing Posttraumatic Stress Disorder . . . .251
Nilkamal Singh, M.Sc.
Shirley Telles, Ph.D.
Acharya Balkrishna

Chapter 23. Mind-Body Practices Tai Chi and Qigong in the Treatment and Prevention of Psychiatric Disorders . . . .261
Ryan Abbott, M.D., J.D., MTOM
Donald D. Chang, Ph.D.
Harris Eyre, Ph.D., M.B.B.S.
Helen Lavretsky, M.D., M.S.

Chapter 24. Mindfulness and Meditation in Psychiatric Practice. . . .281
William R. Marchand, M.D.

Chapter 25. Open Focus Training for Stress, Pain, and Psychosomatic Illness. . .293
Lester G. Fehmi, Ph.D.
Edward T. Kenny, M.D.
Susan B. Shor, L.C.S.W.

VI: Technologies
Chapter 26. Neurofeedback Therapy in Clinical Practice . . . .305
David V. Nelson, Ph.D.
Mary Lee Esty, Ph.D.
Benjamin Barone, M.A.

Chapter 27. Cranial Electrotherapy Stimulation in the Psychiatric Setting. . . .323
Jeff Marksberry, M.D.
Michel Woodbury-Farina, M.D.
Timothy Barclay, Ph.D.
Daniel L. Kirsch, Ph.D.

Chapter 28. Integrating Visual Processing Systems in Mental Health Care . . . .337
Melvin Kaplan, O.D.

Chapter 29. Using Technology-Based Mind-Body Tools in Clinical Practice . . . .353
Frederick Muench, Ph.D.
Danusha Selva Kumar, B.A.

Index . . . .367