Psychotherapy of refractory depressions

✍ Scribed by Michael E. Thase

• Publisher: John Wiley and Sons
• Year: 1997
• Tongue: English
• Weight: 107 KB
• Volume: 5
• Category: Article
• ISSN: 1091-4269
• DOI: 10.1002/(sici)1520-6394(1997)5:4<190::aid-da5>3.0.co;2-h

✦ Synopsis

Psychotherapy is a potentially valuable intervention for treatment-resistant depression. This review provides a brief, general overview of the use of psychotherapy to treat depression and more focused consideration of time-limited interpersonal, behavioral, and cognitive behavioral strategies for patients who are not responsive to antidepressant medication. Effective strategies emphasize individualized assessment, psychoeducation, a high level of structure and therapist activity, operationalized short-term goals, self-help and homework activities, and an empirical-collaborative approach to treatment. Although some treatment-resistant patients respond to therapy alone, more promising evidence is emerging from studies of combined strategies. Depression and Anxiety 5:190-201, 1997.