开发一种耐治疗抑郁症咨询计划,第二部分:评估
Jay C Fournier1,2, Vitaliy L Voytenko3,4, Anna R Docherty5
1Depression Recovery Center, Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center and College of Medicine, Columbus, Ohio.
The Journal of clinical psychiatry
|May 8, 2025
概括
本研究概述了治疗耐药抑郁症 (TRD) 咨询计划的基本评估组件. 它详细介绍了诊断评估,治疗史和提供者有效TRD护理的资格.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 耐治疗抑郁症 (TRD) 在临床实践中带来了重大挑战.
- 制定专门的咨询计划对于管理复杂案件至关重要.
- 本系列的第一部分讨论了TRD计划的后勤方面.
研究的目的:
- 在TRD咨询计划中为评估包制定基于共识的建议.
- 引导开发新的TRD咨询服务.
- 为未来的TRD评估实证研究提供基础.
主要方法:
- 国家抑郁症中心网络 (NNDC) TRD工作组的12个利益相关者的专家意见.
- 通过为期一天的论坛和小组讨论,通过共识发展.
- 审查 TRD 咨询的机构程序.
主要成果:
- 建议涵盖了TRD咨询的目标,包括诊断,症状澄清和治疗史.
- 详细介绍了评估过程的关键组成部分和合适的评估工具.
- 提供了关于TRD咨询所需提供者资格的指导方针.
结论:
- 协商一致的建议为全面的TRD评估提供了一个框架.
- 这些指导方针旨在提高TRD咨询计划的有效性.
- 这些发现支持建立标准化,基于证据的TRD评估实践.
相关概念视频
Antidepressant Drugs: MAOIs and Other Agents
163
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
163
Treatment Strategies for Psychological Disorders
57
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
57
Cognitive Therapy
25
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
25
Electroconvulsive Therapy
18
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
18
Interpersonal Psychotherapy
11
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
11
Community Based Intervention
23
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
23


