Depression - a disease state of depressed mood in humans, in which there is a constant sadness, melancholy, apathy, fear, feeling of being lost, irritability and loss of interest in daily activities.The disease is twice as common in women and is usually episodic.Unlike normal sadness or grief, most episodes of depression last for weeks, months or even years.Some people with depression have chronic mild form of the disease, called dysthymia.Fewer patients suffering from manic-depressive psychosis in which bouts of depression alternating with periods of elevated mood.
Although depression is usually not considered life-threatening, it can lead to thoughts of suicide and attempted suicide.Up to 70 percent of suicides are associated with depression, and 15 percent of people in a very depressed commit suicide.Fortunately, the vast majority of people with depression can be helped by using psychotherapy, antidepressants or other means of reducing the risk of suicide.
Numerous studies have shown that depres
key to therapy is patient contact with a physician, to be emotional, based on relevant knowledge about the disease and medical information about the patient and his family.
Practical application of psychotherapy involves a certain phasing.
At the beginning of therapy a patient receives necessary medical explanations about the upcoming treatment (even if it is in the gravity of his condition, the conversation with the doctor refers indifferently).
The purpose of the initial stage - to establish a therapeutic partnership with the patient and maintain it in the process of further treatment with the doctor performs the following tasks.
If necessary, the therapeutic process should involve the patient's family.
immediate objectives of the main stage of psychotherapy:
known foreign treatment options that are considered most effective in depression:
is used in the treatment of outpatients "mild" depression.Dates 12-16 weeks of therapy.
primary goal: reducing the severity of disease symptoms through the use of patient education techniques methods maintain their own health and solve interpersonal problems.
techniques that are implemented in the IPT:
1. Gather information about the patient, its existing disorders and problems (direct and indirect).
2. Help the patient in recognizing the painful affect, in overcoming it with positive interpersonal effects.
3. Clarification (bonds), in which the patient feels constrained and inconsistent.
4. Help the patient to overcome maladaptive behaviors.
5. Using therapeutic interaction of physician and patient as a model for other interactions (relationships).
6. Changing patient behavior, which should help with the doctor to solve relatively simple problems (role-playing games, and so on. N.).
founded on the idea that depression is a member of the cognitive triad consisting of a negative assessment of himself, the world and the future.Such a negative type of cognitive activity is indicated by the term "scheme".Patients with depression makes systematic errors in thinking that nourish and negative "scheme".
suggests the following approach:
assumed that depression develops in connection with the loss of the ability to restore emotional equilibrium after all sorts of severe events (death of loved ones, sudden changes in the environment).
purpose of - reduction of adverse reactions recorded in the specially designed experimental therapeutic situations and under the influence of the relevant circumstances of life.
psychotherapy Rules depression Kilgoltsa
Basic medical mistakes made during psychotherapy
initial period of psychotherapy aimed at trying to "alienation" of the disease in the patient's system of relations.The patient's consciousness must be formed conviction that this painful condition is not organically inherent in it, it's an alien pathological phenomenon, which requires treatment, and in addition to this daily willpower.
The initial psychotherapeutic contact must be given to patients to talk (especially if there is an alarm), to listen to them sympathetically.
further therapy is in the nature of suggestion in the waking state and carried out imperatively, on the high emotional incandescence.
In the subsequent period, the patient is offered (initially, when their condition is satisfactory, for example, in the evening hours) as much as possible to try to feel into various natural phenomena.When you visit the doctor asked to tell what they saw as seeking to break out of the vicious circle of their experiences, that made an impression on them (seeking the maximum possible extroversion behavior).
For each of the patients individually chosen occupation, hobby, or produced more emotionally highly significant "strategy" vital interests against the more distant future.
special place is given to training patients to confront a possible exacerbation of the state in the future, including:
Improperly conducted psychotherapy may aggravate the emotional and cognitive disorders, increasing anxiety and depression, suicidal thoughts actualizing.
• Although the first episode of depression can not be prevented, subsequent seizures can be controlled or avoided by using a constant therapy and / or medication.The longer a person is treated, the less likely a repeat attack.