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Handbook of Drug Therapy In Psychiatry, 3e [Hardcover]

Jerrold G. Bernstein MD (Author)
5.0 out of 5 stars  See all reviews (3 customer reviews)


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Book Description

0801681014 978-0801681011 January 15, 1995 3rd
"Handbook of Drug Therapy in Psychiatry" is a practical guide to the effective and safe use of psychiatric drugs. Written for both general practitioners and specialists, the book examines the nature and effects of a variety of different drugs. The major chapter headings include: receptors, drugs and neurotransmitters; antipsychiatric drugs; tricyclic and heterocyclic antidepressants, electroconvulsive therapy; phobias; medical complications of psychiatric drugs; psychiatric drugs in pregnancy and lactation and psychopharmacology in children and adolescents.

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Product Details

  • Hardcover: 576 pages
  • Publisher: Mosby; 3rd edition (January 15, 1995)
  • Language: English
  • ISBN-10: 0801681014
  • ISBN-13: 978-0801681011
  • Product Dimensions: 9.2 x 6.2 x 1.1 inches
  • Shipping Weight: 1.8 pounds
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Best Sellers Rank: #1,733,468 in Books (See Top 100 in Books)

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6 of 6 people found the following review helpful:
5.0 out of 5 stars R.I.P. -- Jerrold G. Bernstein, M.D., April 16, 2004
By 
D. A Flory (Houston, TX USA) - See all my reviews
This review is from: Handbook of Drug Therapy In Psychiatry, 3e (Hardcover)
I was deeply discouraged recently to learn that Dr. Bernstein has passed away. The fact that there will not be a fourth edition of the *Drug Therapy in Psychiatry* under Dr. Bernstein's authorship is a great loss to those who suffer from potentially terminal mental illness.

Most psychopharmacology books today appear to be written by people who have no practical experience with life-threatening mental illness or even the drugs they write about. Major side effects of the modern drugs are ignored. There is almost no information about drug augmentation, or the use of off-label drugs. The sections on the older (and often more effective) antidepressants are perfunctory and mainly emphasize that they should never be used. (I'm thinking in particular of the APA's *Textbook of Psychopharmacology*--but my criticism applies to all the modern psychpharm books I have seen).

Dr. Bernstein, in contrast, writes for real doctors who are treating patients who are completely disabled or suicidal. If a patient does not respond to one medication, he tries something else. If the patient can't tolerate the side effects, he offers other options, including daring and often effective augmentation strategies that no modern book would touch. He describes in detail ways in which MAOI's can be combined with tricyclics, lithium, and dopamine enhancers, the use of tricyclics with SSRI's, and even the augmentation of MAOI's with stimulants! (not to be done casually, of course!) The implicit philosophy of the book stands in stark contrast to modern psychiatry: never give up on a patient, never be afraid to take risks, and never be satisfied with anything less than significant remission without disabling side effects.

All serious psychiatrists should own a copy of this book. It is an essential, and sadly unique resource for anyone who wants needs detailed clinical information on the use of tricyclic and MAOI antidepressants, antipsychotics, drug augmentation, the use of lithium, and novel off-label uses of "non-psychiatric" drugs. The references are extensive, and the discussions of potential side effects and special patient populations are very useful.

Quite simply, the intellectual and clinical sophistication of this book puts it in a class by itself. Buy the modern psychiatry/psychpharm books to pass your boards. Get *Drug Therapy in Psychiatry* if you want real advice on how to save the lives of your sickest patients.

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1 of 1 people found the following review helpful:
5.0 out of 5 stars Best Foundation for Psychopharmacology, bar none, March 13, 2010
By 
Dr. P. Pecoraro (Smithtown, NY United States) - See all my reviews
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This review is from: Handbook of Drug Therapy In Psychiatry, 3e (Hardcover)
I recently purchased two copies of this text to give as gifts to psychologist colleagues who are starting out in practice. I first came across this book in 1986 while in Psychiatry residency in New York City. At the time it was given away free by the pharmaceutical companies, in the days when we actually received items of clinical utility from these concerns. I have owned every edition since. Dr. Bernstein, who died just a few years back, was a board certified internist as well as a psychiatrist in the George Engel M.D. tradition of "doctor" psychiatrists comfortable in either domain. He was chairman at MGH for a number of years. The textbook is no doubt dated in that it does not address some of the more recent additions to the psychiatric pharmacopeia. That being said, for those who trained in the post-tricyclic and post-MAOI era, it is indeed worth its weight in gold. There really are few people in practice these days who use tricyclic antidepressants or MAO inhibitors, yet both can be effective when the newer, lower side-effect agents are ineffective. It behooves every practitioner in my opinion to know these older agents, which have continued clinical utility. Unfortunately given our American system of drug development and the fact that our American marketplace prices the newer agents at a premium to what is charged in other countries, older agents are sent to the marketing scrap heap while they still have a role to play in the treatment of patients. Buy this book to learn sound principles of psychopharmacology and add the newer drugs where they fit into the overall picture. You will not regret it.

In the interest of full disclosure, I am an internist and psychiatrist currently in government full-time clinical practice.
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5.0 out of 5 stars Great Book, February 16, 2011
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This review is from: Handbook of Drug Therapy In Psychiatry, 3e (Hardcover)
This book is a little aged but it has useful information that we need to keep in mind. I'm currently working in corrections and we don't use the latest, and least tested drugs.
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