So Brain Medications Help? Cry the Beloved Mind
By Vernon
M. Neppe, MD, PhD
Cry
the Beloved Mind; A Voyage of Hope
represents a series of voyages in the pharmacology
of psychiatry and neurology. This book reflects
a single message: There is hope for the
anguished patient. People can be helped,
provided we are aware of the exact biochemical
or electrical abnormalities involved and
we have the appropriate interventions to
alleviate the problems. Each of the twelve
chapters is a unique voyage directed toward
the same destination of exploration and
hope. |
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In the early 1990s, I listened to a variant
of troubling words that I had already heard
many times before. "Doctor, I've consulted so
many people, been on so many different treatments
and nothing helps. It seems the only thing left
for me is to die." This patient did not die.
Instead, she improved immeasurably. Experiences
such as this were the defining moments
that inspired me to write a book for patients
and family members. The world of psychiatric
and neurological medication is extremely complex,
yet proper and often detailed evaluation should
help even the most difficult of patients.
I began to make rough notes and to dictate ideas.
I thought the book would be completed in six
months. After all, what I planned would be just
another book on psychopharmacology -- brain
medications. I wanted the focus to be a self-help
book, providing my opinions on treatment guidelines
based on solid scientific information. But it
was not to be. I realized that I had an obligation
to produce the highest quality book I could.
This meant it not only had to be readable; it
had to be something more. I wanted to fascinate
my readers with my own personal voyage of exploration,
sharing with them the excitement that discovery
can make and by so doing help others. However,
it is important to note that people respond
differently and they should always consult their
physicians and not rely on this book (disclaimer)
. Gradually, Cry the Beloved Mind: A Voyage
of Hope was born. The gestation period was not
six months but seven years of re-writing, re-thinking
and re-directing.
Respect and hope were the key themes of this
book. I tried to identify, compassionately,
with every unique and important patient, to
respect them, and to allow the reader to participate
in an engaging medical detective mystery of
finding solutions to the seemingly insoluble.
I endeavored to make this book far more than
pharmacology, and to deliver meaning for those
who had lost it.
I hoped the reader will share with me some wonderful
voyages of discovery. These included the first
successful treatment of profound tardive dyskinesia,
the awakening of the catatonic patient, the
dousing of brain fires in both non-epileptic
psychotic and aggressive patients, and the normalization
of patients who have lost efficacy on antidepressants.
The chapters in Cry the Beloved Mind form
a series of linked stories blending several
real patients together into one using the new
literary style of "sciction"---- science through
fiction (actually science through literature
as the book is classified as non-fiction). Through
composite case histories with fictitious dialogue,
I tried to explore how correction of the underlying
biology of the brain can do wonders for one's
mind. The extensive dialogue allowed me to simplify
complex areas and more easily target specific
areas of the book, such as depression, anxiety,
seizures, psychoses and movement disorders,
for those who did not want to begin the book
at the beginning. Finally, I realized I must
emphasize how drugs interact with each other,
and recognize that fashionable alternative medicines
like St. John's Wort are commonly being used.
Also, there are deliberate diversions within
each chapter to explore important social, medical
and psychological issues such as normality,
cause and effect, searches for meaning, gun
control, informed consent, labeling of patients,
generic substitution, jet lag, regulation of
medications, historical perspectives in psychiatry,
shock treatment, and techniques such as measurement
of brain waves at home.
Finally, I wanted this to be a valuable reference
work so I ended the book with comprehensive
glossaries
, as well as an index; An electronic
version can be downloaded from the internet
at: https://brainvoyage.com/digital/index.php.This
allows not only electronic searching for information
but also allows readers outside the U.S. to
easily acquire it.
No form of treatment is a panacea. While this
book is intended to communicate how even the
most difficult of patients may be helped by
medication, it is not a comprehensive didactic
exposition on pharmacology or on psychiatric
disease. The appropriate medical specialist,
not this book, should determine how, why and
when to use a specific drug.
My primary hope is to help many in need, by
enhancing knowledge of medical and neuropsychiatric
conditions. I also offer the new literary direction
of sciction -- a scientific non-fiction opinion
linked with dialogue and composite case histories.
I hope this will be the first in a series of
Cry the Beloved books.
Vernon Neppe MD, PhD
Biography:
Vernon
Neppe MD, PhD, FFPsych, FRCPC is an
internationally respected neuropsychiatrist,
an expert on brain medications. He is the author
of two previous books intended for professionals,
Innovative Psychopharmacotherapy and The Psychology
of Déjà Vu. Cry the Beloved Mind
is his first book targeted towards the general
public. He and his family live in Seattle, WA,
where he practices medicine as Director of the
Pacific
Neuropsychiatric Institute, as University
of Washington clinical faculty and as Attending
Physician at Northwest Hospital. Dr. Neppe also
is adjunct Professor of Psychiatry and Human
Behavior at St. Louis University, St. Louis,
MO. He has acquired numerous board certifications,
specialist qualifications and professional awards
and he has published and lectured extensively
around the world. |