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4 results

  • 2 - Depression

  • Edited by Stephen Hupp, Southern Illinois University Edwardsville, Cara L. Santa Maria, Fielding Graduate University, California
  • Book:
    Pseudoscience in Therapy
    Published online:
    16 March 2023
    Print publication:
    23 March 2023, pp 11-23

  • Summary

    This chapter describes pseudoscience and questionable ideas related to major depressive disorder and persistent depressive disorder. The chapter opens by discussing controversies such as how to best consider grief as it relates to major depressive disorder. Dubious treatments include dietary supplements, the ketogenic diet, massage therapy, and apispuncture (i.e., the application of bee stings). The chapter closes by reviewing research-supported approaches.

  • 6 - Mood Disorders

  • Kenneth Carter, Emory University, Atlanta
  • Book:
    Psychopathology
    Published online:
    22 December 2022
    Print publication:
    22 December 2022, pp 170-211

  • Summary

    Identifies the major features of major depressive episodes, dysthymic episodes, manic episodes, and hypomanic episodes. Describes the essential features of major depressive disorder and persistent depressive disorder. Describes the essential features of bipolar I and bipolar II disorder. Describes the essential features of premenstrual dysphoric disorder, disruptive mood dysregulation disorder, and prolonged grief disorder. Describes the models and treatments for mood disorders.

  • 19 - CBT for Persistent Depressive Disorder

  • from Part Four - Cognitive Behavioral Therapy for Depression
  • Edited by Gillian Todd, University of East Anglia, Rhena Branch, University of East Anglia
  • Book:
    Evidence-Based Treatment for Anxiety Disorders and Depression
    Published online:
    06 January 2022
    Print publication:
    13 January 2022, pp 383-401

  • Summary

    This chapter describes evidence-based cognitive behavioral therapy (CBT) for the treatment of persistent depressive disorder (PDD) based on an randomized controlled trial conducted in the Nottingham Mood Disorders Service in collaboration with the University of Nottingham, UK. The chapter identifies three key challenges in the context of persistent depression. A case example is used to illustrate the treatment model and the implementation of a collaboratively derived psycho-bio-social formulation and its associated cognitive behavioral interventions.

  • European Psychiatric Association Guidance on psychotherapy in chronic depression across Europe

  • Part of
  • A. Jobst, E.-L. Brakemeier, A. Buchheim, F. Caspar, P. Cuijpers, K.P. Ebmeier, P. Falkai, Gaag R. Jan van der, W. Gaebel, S. Herpertz, T. Kurimay, L. Sabaß, K. Schnell, E. Schramm, C. Torrent, D. Wasserman, J. Wiersma, F. Padberg
  • Journal:
    European Psychiatry / Volume 33 / Issue 1 / March 2016
    Published online by Cambridge University Press:
    23 March 2020, pp. 18-36
  • Purpose

    Patients with chronic depression (CD) by definition respond less well to standard forms of psychotherapy and are more likely to be high utilizers of psychiatric resources. Therefore, the aim of this guidance paper is to provide a comprehensive overview of current psychotherapy for CD. The evidence of efficacy is critically reviewed and recommendations for clinical applications and research are given.

    Methods

    We performed a systematic literature search to identify studies on psychotherapy in CD, evaluated the retrieved documents and developed evidence tables and recommendations through a consensus process among experts and stakeholders.

    Results

    We developed 5 recommendations which may help providers to select psychotherapeutic treatment options for this patient group. The EPA considers both psychotherapy and pharmacotherapy to be effective in CD and recommends both approaches. The best effect is achieved by combined treatment with psychotherapy and pharmacotherapy, which should therefore be the treatment of choice. The EPA recommends psychotherapy with an interpersonal focus (e.g. the Cognitive Behavioural Analysis System of Psychotherapy [CBASP]) for the treatment of CD and a personalized approach based on the patient's preferences.

    Discussion

    The DSM-5 nomenclature of persistent depressive disorder (PDD), which includes CD subtypes, has been an important step towards a more differentiated treatment and understanding of these complex affective disorders. Apart from dysthymia, ICD-10 still does not provide a separate entity for a chronic course of depression. The differences between patients with acute episodic depression and those with CD need to be considered in the planning of treatment. Specific psychotherapeutic treatment options are recommended for patients with CD.

    Conclusion

    Patients with chronic forms of depression should be offered tailored psychotherapeutic treatments that address their specific needs and deficits. Combination treatment with psychotherapy and pharmacotherapy is the first-line treatment recommended for CD. More research is needed to develop more effective treatments for CD, especially in the longer term, and to identify which patients benefit from which treatment algorithm.