Textbook of Integrative Mental Health Care

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Dr. Lake has made a significant contribution to integrative medicine in this book by helping to weave the integral tapestry around the complex issues of mental illness. In honor of his efforts to restore healing and meaning to mental healthcare, I bow deeply. --From the foreword by Larry Dossey, MD Dr. James Lake once again illumines the path to future medicine in this comprehensive, carefully researched, and intellectually engaging exploration of clinical integration of complementary and conventional therapies in mental health care. In a rigorous, dispassionate analysis he both reveals the outer frontiers of medical possibility and describes the professional boundaries necessary to reach such frontiers in ways that are clinically responsible as well as ethically unassailable. --Michael H. Cohen, JD, MBA, Assistant Clinical Professor, Department of Medicine, Harvard Medical School, and Assistant Professor, Department of Health Policy and Management, Harvard School of Public HealthDr. Lake has written the defining textbook for evidence-based integrative mental health care. He has comprehensively evaluated the research support for both conventional and natural therapies and redefined how we understand and treat mental health patients. His careful flow charts help guide the clinician through the challenge of assessment and differentiation to personalize therapies based on each patient's unique needs. Clinicians will also find of immense value his many tables, which summarize the evidence base for each intervention. This is a tour-de-force that forever redefines mental health care. --Joseph Pizzorno, ND, Founding President, Bastyr University This text offers an evidence-based approach to incorporating integrative psychiatry into practice that is pragmatic and useful, a great addition to the field of integrative medicine. --Roberta Lee, MD, Medical Director, Continuum Center for Health and HealingDr. Lake must be congratulated for this ground-breaking work on CAM in psychiatry. It not only provides a conceptual framework for a deeper understanding of disease of the mind-body-spirit, but also gives evidence-based blueprints for where we are and where we could go. A must read for mental health professionals interested in the philosophy and practice of integrative psychiatry. --Richard P. Brown, MD, Associate Professor, Department of Clinical Psychiatry, Columbia College of Physicians and SurgeonsThis text is comprehensive and authoritative, well written and widely referenced. It will, I hope, enlarge the way we think about mental health and treat psychiatric disorders. --James S. Gordon, MD, Founder and Director of the Center for Mind-Body Medicine This book provides a comprehensive review of integrative approaches in mental health. Here the practitioner will find clear guidance in an evidence-based manner. A wonderful contribution. --Wayne B. Jonas, MD, Director Samueli Institute for Information BiologyThis book is a tour de force in the emerging field of integrative psychiatry. The author presents the material in each chapter in a systematic, thoughtful, thorough, and practical manner. The text itself is integrative in the way it discusses management issues that a provider may encounter. As the number of patients who already include - or wish to add - alternative methods in their overall treatment plan continues to grow, this text provides an important comprehensive resource for busy providers. Health care professionals from many different disciplines who need a serious reference text on integrative psychiatry and who wish to optimize options for their patients with chronic psychiatric disorders will find this book indispensable. --Iris R. Bell, MD, PhD, Professor, Departments of Family and Community Medicine, Psychiatry, Psychology, Medicine, and Public Health, The University of Ariz</p>

Textbook of Integrative Mental Health Care Review

The Textbook of Integrative Mental Health Care is, in my opinion, a tour-de-force. The book opens with a forward from Larry Dossey, MD highlighting the importance of considerations of spirituality and mind-body therapies in medicine, and in mental health care.

Part 1 of the book exposes some of the philosophical (epistemological) assumptions governing biomedicine and the way such assumptions inherently deflect biomedicine toward bias against potentially valuable CAM therapies. Relevant chapters canvass not only the "evolution of integrative medicine and implications for mental health care"--a topic not satisfactorily covered anywhere else, to date; and philosophical problems inherent in biomedicine; but also the foundations of paradigms in medicine, psychiatry and integrative medicine.

Some of the stunning propositions that Dr. Lake explores in the Textbook of Integrative Mental Health Care include, for example, the notion that biomedicine relies on assumptions of causality that are paradigm-dependent, whereas "many nonconventional systems of medicine involve nondeterministic models, including Jungian synchronicity, quantum field theory, and models of psychic functioninig (psi), in efforts to explain the observed characteristics or 'meanings' of symptoms outside of a limited classical model of linear causality" (p. 41),

The fusion of philosophy, physics, psychiatry, and a wealth of knowledge from other relevant disciplines is staggering. I write this as an admirer of Dr. Lake the psychiatrist-writer as well as from the standpoint of one who knows James Lake, the man.

In Textbook of Integrative Mental Health Care, Dr. Lake is also one of the first--if not the first--to render with any authority and clarity the core philosophical underpinnings of energy medicine in ways that are plausible, if not convincing. Drawing on complexity theory, systems approaches, proton entanglement, conceptual definitions of embodiment, paradigm-dependent interpretations of pathology, and divergent notions of human consciousness, Dr. Lake's text effortlessly weaves together multiple perspectives to create a coherent whole.

All of this then leads to a unique and possibly prophetic delineation of "foundations of clinical methodology in integrative medicine," including "history taking, assessment of formulation in integrative mental health care" and "starting and maintaining integrative treatment in mental health care." All this is replete with algorithms for assessment, treatment, and follow-up care, and comprehensive references laying out the clinical data thus far.

This masterful assimilation of disparate strands of knowledge about mental health care then forms the basis for Part 2 of the Textbook of Integrative Mental Health Care, entitled, Integrative Management of Common Mental and Emotional Symptoms. In this part, Dr. Lake first outlines "symptom-focused integrative mental health care," and then goes into each of the major categories of mental health with integrative health care approaches.

Thus, he deals with:

* integrative management of depressed mood

* integrative management of mania and cyclic mood changes

* integrative management of anxiety

* integrative management of psychosis

* integrative management of dementia and mild cognitive impairment

* integrative management of substance abuse and dependence

* integrative management of disturbances of sleep and wakefulness.

Generous appendices provide Web and other references for further study.

I highly recommend the Integrative Mental Health Care for all mental health caregivers, including (and especially) psychiatrists but also counselors of all sorts and psychiatrists.

Further, since most of us spend some time in our lives in some form of either anxiety and depression (so the experts tell us--that's the bad news), the book is very helpful and accessible even to the lay reader (that's the good news!). Buy this book for yourself--heck, buy the book for your psychiatrist or therapist, and learn how best to integrate complementary and alternative medical therapies such as acupuncture, selected herbal therapies and dietary supplements, massage therapy, aromatherapy, homeopathy, chiropractic, meditation and prayer, yoga, music therapy, and mind-body and other practices generally into conventional clinic mental health care.

In sum, this book bridges the world of conventional mental health care, with its cognitive, pharmaceutical, and other therapies, and the world of complementary medicine, with its alternative-paradigm theories, practices, assessment approaches, and treatment choices. Dr. Lake has blazed a trail for many other clinicians and researchers to follow, one which surely will be of lasting service to them and to the patients (and their families) to whom they offer care.

For this reason I have profiled the book on the Complementary and Alternative Medicine Law Blog and will continue to add further detail regarding the book's contribution to integrative mental health care over time.

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