Discontinuation of antidepressant medication in primary care supported by monitoring plus mindfulness-based cognitive therapy versus monitoring alone: design and protocol of a cluster randomized controlled trial

Antidepressant use continues to rise, mainly explained by an increase in the proportion of patients receiving long term treatment. Although treatment guidelines recommend discontinuation after sustained remiss...
Source: BMC Family Practice - Category: Primary Care Authors: Tags: Study protocol Source Type: research

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There is overlap between the symptoms of depression and burnout. Many of those with burnout are also depressed. If the depression is significant, the individual should be referred for therapy. However, many articles on therapy for those with burnout are flawed, and the best type of therapy for burnout is controversial. However, cognitive behavior therapy is usually helpful for the emotional exhaustion component of burnout. Counseling and/or coaching may be helpful for those having burnout without significant depression. There are lessons from positive psychology that may be utilized to help counsel those with burnout.
Source: Clinical Nuclear Medicine - Category: Nuclear Medicine Tags: From the American College of Nuclear Medicine Source Type: research
Abstract Cognitive behavior therapy (CBT) is the most empirically supported therapy for childhood anxiety disorders (CADs) but has not reliably outperformed other credible interventions. The current study used meta-analysis to examine the frequency with which the most common treatment components are included in outcome studies and the relation of these components to symptom improvement. Seventy-five studies were identified that included youth with an anxiety disorder treated with CBT or a comparison condition. The protocols for the 111 CBT conditions generally consisted of 12, 1-h sessions delivered to the child w...
Source: Clinical Child and Family Psychology Review - Category: Psychiatry & Psychology Authors: Tags: Clin Child Fam Psychol Rev Source Type: research
This study administered measures of multidimensional perfectionism and OCD severity at admission and discharge in a large sample (N = 154) of adult OCD patients undergoing intensive residential treatment (IRT). Results indicated that more perfectionistic patients had slightly longer treatment duration. Adjusting for treatment duration and baseline severity, pre-treatment perfectionism did not significantly predict OCD outco mes. However, all domains of perfectionism significantly improved following treatment, and changes in perfectionism significantly predicted OCD outcomes. In particular, greater reduction i...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
This article aims to provide practical considerations for the management of ADHD and associated disorders in adults, in this particular French context. PMID: 31610922 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
The objective of this study was to examine the psychometric properties of the Therapy Process Observational Coding System-Alliance Scale (TPOCS-A). The sample consisted of 20 children (19 males) ages 8 to 12 years with autism and their parents (15 mothers, 5 fathers), who completed a cognitive behavioural intervention designed to improve children's emotion regulation skills. Two trained coders rated early, middle, and late parent and child alliance using the TPOCS-A after watching video recorded therapy sessions. Therapist-reported child involvement, alliance, and adherence was also assessed. Psychometric findings revealed...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
The original version of this article contains an error in the abstract section. The 3rd line of the abstract section “In a cross-sectional design, 399 suicide attempters completed the Carver and White BIS/BAS scales, the Cognitive Emotion Regulation Questionnaire-Short version (CERQShort), the Beck Scale for Suicidal Ideation (BSSI), and the Beck Depression Inventory-II (BDI-II)” should read as “In a cross-s ectional design, three hundred suicide attempters completed the Carver and White BIS/BAS scales, the Cognitive Emotion Regulation Questionnaire-Short version (CERQShort), the Beck Scale for Suicidal I...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
As working conditions are increasingly characterized by socio-emotional demands, interpersonal interactions and relationships, and mental requirements, at least in high-income, post-industrialized societies, work and mental health has evolved as a key topic of occupational health research (1, 2). In this editorial, we focus on three main themes within this topic: (i) identifying factors at work that contribute to the onset of mental health problems and clinical mental disorders; (ii) using work as a “therapeutic tool” for individuals with mental health problems; and (iii) conducting an d evaluating interventi...
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Editorial Source Type: research
CONCLUSIONS: Clinical guidance around combined treatment (psychotherapy plus ADMs) should be reconsidered. CBT alone is superior to IPT alone and to combined treatment, while IPT alone is non-inferior to combined treatment. More research is needed to assess the moderating effect of older age and number of previous episodes on IPT efficacy. PMID: 31615583 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Conditions:   Dissociation;   Auditory Hallucination;   Trauma, Psychological;   Psychosis Intervention:   Other: Connection to Environment with Cognitive Therapy (CONNECT) Sponsors:   NHS Greater Glasgow and Clyde;   University of Glasgow Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractStoicism is an ancient philosophical tradition with the goal of teaching individuals how to live virtuously and attain tranquility. Stoicism was built upon the concept of fate and the limits of an individual ’s power to change their fate (i.e. external circumstances). Many Stoic practices aim to remind oneself of the limits of their power and to shift one’s attention and concern to phenomena in which they have control. The goal is to cultivate a rational, healthy internal locus of control. There is minimal exploration of philosophical traditions in the genetic counseling literature, and Stoic practices ...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research
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