Depression and Headache
5.9 هزار بار بازدید -
11 سال پیش
-
Depression and Headache Nowhere are
Depression and Headache
Nowhere are the limitations of current psychiatric diagnostic schemas more apparent than at the interface of Major Depressive Disorder and chronic pain
DSM-IV-TR does not list pain as a symptom of any mood disorder and anxiety/depression are strikingly marginalized in the list of symptoms required to meet criteria for a chronic pain disorder
Several decades of research demonstrate that this segregation of mood and pain maps poorly onto clinical and neurobiological reality
Appears to be more the rule than the exception with a 30-60% co-occurrence rate
Evidence suggests that chronic pain and depression do more than co-occur, they also promote the development of each other
When comorbid, pain and depression mutually amplify each other, contributing significantly to treatment resistance in both pain and depressive disorders
Pain is a major obstacle to achieving remission in the treatment of depression and a significant risk factor for relapse
Dr. Shulman's Bio:
Dr. Shulman an Assistant Professor of Psychiatry at Rush University in Chicago, Illinois. He is also a research psychiatrist with the Treatment Research Center at Rush University Medical Center where he participates in clinical drug trials as well as NIMH sponsored research in depression and bipolar disorder.
Dr. Shulman has authored or co-authored published articles on ECT in Parkinson's disease, neuroleptic malignant syndrome, venlafaxine-associated mania, and cardiogenic shock following electroconvulsive therapy. He has lectured extensively throughout the United States and Canada on depression and its treatment and covered such diverse topics as mood disorders in the millennium, the psychiatric aspects of headaches and pain, and treating the elderly bipolar patient.
Currently, Dr. Shulman is the Director of the Psychiatry Consultation-Liaison Service at Skokie Hospital, part of the NorthShore University HealthSystem. He maintains a busy private practice in psychiatric medicine concentrating on affective disorders and the various neuropsychiatric illnesses.
Nowhere are the limitations of current psychiatric diagnostic schemas more apparent than at the interface of Major Depressive Disorder and chronic pain
DSM-IV-TR does not list pain as a symptom of any mood disorder and anxiety/depression are strikingly marginalized in the list of symptoms required to meet criteria for a chronic pain disorder
Several decades of research demonstrate that this segregation of mood and pain maps poorly onto clinical and neurobiological reality
Appears to be more the rule than the exception with a 30-60% co-occurrence rate
Evidence suggests that chronic pain and depression do more than co-occur, they also promote the development of each other
When comorbid, pain and depression mutually amplify each other, contributing significantly to treatment resistance in both pain and depressive disorders
Pain is a major obstacle to achieving remission in the treatment of depression and a significant risk factor for relapse
Dr. Shulman's Bio:
Dr. Shulman an Assistant Professor of Psychiatry at Rush University in Chicago, Illinois. He is also a research psychiatrist with the Treatment Research Center at Rush University Medical Center where he participates in clinical drug trials as well as NIMH sponsored research in depression and bipolar disorder.
Dr. Shulman has authored or co-authored published articles on ECT in Parkinson's disease, neuroleptic malignant syndrome, venlafaxine-associated mania, and cardiogenic shock following electroconvulsive therapy. He has lectured extensively throughout the United States and Canada on depression and its treatment and covered such diverse topics as mood disorders in the millennium, the psychiatric aspects of headaches and pain, and treating the elderly bipolar patient.
Currently, Dr. Shulman is the Director of the Psychiatry Consultation-Liaison Service at Skokie Hospital, part of the NorthShore University HealthSystem. He maintains a busy private practice in psychiatric medicine concentrating on affective disorders and the various neuropsychiatric illnesses.
11 سال پیش
در تاریخ 1392/02/27 منتشر شده
است.
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