- Paperback: 158 pages
- Publisher: Cambridge University Press; 1 edition (July 23, 2012)
- Language: English
- ISBN-10: 0521172551
- ISBN-13: 978-0748777921
- Product Dimensions: 6.1 x 0.3 x 9.2 inches
- Shipping Weight: 7 ounces (View shipping rates and policies)
- Average Customer Review: 3 customer reviews
- Amazon Best Sellers Rank: #1,208,481 in Books (See Top 100 in Books)
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Brain Stimulation in Psychiatry: ECT, DBS, TMS and Other Modalities 1st Edition
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"This pocket-sized book is up to date, practical, and user friendly and is highly recommended as an easy reference guide for anyone practicing psychiatry or neurology. It will certainly be an asset to physicians familiar with and using ECT as well as for residents, medical students, and others new to brain stimulation techniques."
Journal of Clinical Psychiatry
The field of brain stimulation is advancing at rapid pace with a growing number of techniques now approved for the treatment of psychiatric illness. This text acts both as a concise, quick reference for experienced practitioners and a guidebook for residents learning about clinical brain stimulation techniques.
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We work with rTMS centers via Brain Technology dot org, and were very interested in his approach to rTMS, especially the newest, groundbreaking work in Autism. Unfortunately, Kellner doesn't cover rTMS in Autism at all. He spends most of the brief rTMS space on depression, the only approved indication. There also are brief sections on rTMS in PTSD, OCD, Tics, Tinnitus, Schizophrenia, Mania, ADHD, Headache, Epilepsy, and Parkinson's. Kellner's bib on rTMS is excellent-- over 80 references to pretty much all the most important papers and research being done, even though very little controlled studies actually are begin done. Given the literal explosion of rTMS clinics (which he acknowledges), more coverage would have been appreciated, but the coverage he does give is topnotch and about all that is out there that's current!
We're giving this 5 stars for the niche audience that will really benefit-- clinic managers and technicians. Despite the deep science, Kellner is amazing as an "ops" guy-- even giving minimum room dimensions, equipment lists, counterindications, dangers, reporting requirements, and much more. It is obvious he's not a Monday morning quarterback, all the material (and a lot of fine print) is real world and will benefit the treator and patients, not just the researcher. He spends a LOT of space on drug interactions, patient selection and preparation, adverse effects, etc. which adds to the impression that, even with his copious article citations, at foundation he's talking to treators, including nurses, technicians and lab folks who deal with real patients daily.
If you're a student, or just looking for an overview of the field, the price/weight/content ratios might disappoint. If you want a balance of real world techniques with a lot of the most recent research, it's worth your investment. If you run one of these clinics or departments (ECT, DBS, rTMS, MST, VNS, tDCS, EpCS), it's a must have for the department and staff. Now that your size expectations are regulated, if it fits your niche, definitely buy it!
The remainder of the book is a good summary of the available evidence of other much newer methods of brain stimulation. While many of these techniques are not nearly as substantiated as ECT, they also offer hope for some of the most disabling and recalcitrant medical problems faced by modern society. Dr. Kellner offers a measured analysis of these techniques and gives what information is available regarding patient selection.
Overall, I would suggest that any psychiatrist interested in ECT should add this book to his or her collection. Without being a tome, this book gives all the practical information you'll need to get up and running and feel confident that you're helping your patients with the most effective treatment available.