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The Effect of a Brief Intervention for Patients with Ischemic Stroke: A Randomized Controlled Trial
Depression and anxiety are common after stroke. There is inconclusive evidence of the benefit of psychotherapy for poststroke depression and anxiety. Here, we used a brief intervention, Neuro-Linguistic Programming (NLP) brief therapy plus health education, to evaluate the changes in patients with ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2015 Category: Neurology Authors: Yuehua Peng, Yun Lu, Weiquan Wei, Jincong Yu, Dongming Wang, Yang Xiao, Jinzhi Xu, Zengzhen Wang Source Type: research

Interventions for treating anxiety after stroke.
CONCLUSIONS: Evidence is insufficient to guide the treatment of anxiety after stroke. Further well-conducted randomised controlled trials (using placebo or attention controls) are required to assess pharmacological agents and psychological therapies. PMID: 28535332 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - May 23, 2017 Category: General Medicine Authors: Knapp P, Campbell Burton CA, Holmes J, Murray J, Gillespie D, Lightbody CE, Watkins CL, Chun HY, Lewis SR Tags: Cochrane Database Syst Rev Source Type: research

An Acceptance and Commitment Therapy (ACT)-Based Intervention for an Adult Experiencing Post-Stroke Anxiety and Medically Unexplained Symptoms
To date, there is little support for the use of any psychotherapy to address post-stroke anxiety. Similarly, there have been no trials of acceptance and commitment therapy (ACT) for post-stroke anxiety, but clinician opinion suggests that an ACT approach may be effective in this context. In this case study, a high-functioning younger man with post-stroke anxiety and associated medically unexplained symptoms (chest pain and dizziness) was assessed and treated using an ACT approach. Mediators of change for both ACT (psychological flexibility) and cognitive therapy (illness perceptions) were recorded as were measures of depre...
Source: Clinical Case Studies - February 25, 2015 Category: Psychiatry Authors: Graham, C. D., Gillanders, D., Stuart, S., Gouick, J. Tags: Articles Source Type: research

Application of Solution-Focused Brief Therapy (SFBT) in individuals after stroke.
CONCLUSIONS: The authors suggest SFBT as a simple, beneficial and inexpensive method to manage patients after stroke. PMID: 28696135 [PubMed - as supplied by publisher]
Source: Brain Injury - July 13, 2017 Category: Neurology Tags: Brain Inj Source Type: research

Integrative-interpersonal dynamic therapy for poststroke depression (INID): study protocol of a randomised controlled pilot trial
Introduction Depression is the most frequent psychiatric disorder following stroke, affecting about one-third of stroke survivors. Patients experience poorer recovery, lower quality of life and higher mortality compared with stroke survivors without depression. Despite these well-known malign consequences, poststroke depression (PSD) is regarded underdiagnosed and undertreated. Evidence of beneficial effects of psychotherapy to treat PSD remains scarce and inconclusive and is limited by heterogeneity in design, content and timing of the intervention. This pilot study aims to assess the feasibility of a newly developed inte...
Source: BMJ Open - August 8, 2023 Category: General Medicine Authors: Volz, M., Mundiyanapurath, S., Schauenburg, H., Meuth, S. G., Wild, B., Werheid, K., Barber, J. P., Schäfer, R., Beerbaum, L., Dinger, U. Tags: Open access, Rehabilitation medicine Source Type: research

Probable Nootropic-induced Psychiatric Adverse Effects: A Series of Four Cases
Conclusion Healthcare providers in general, and specifically those in the mental health and substance abuse fields, should keep in mind that nootropic use is an under recognized and evolving problem. Nootropic use should be considered in cases where there are sudden or unexplained exacerbations of psychiatric symptoms in patients who have been stable and medication adherent. It is also important to remember that most nootropics are not detected on standard drug toxicology screening tests. We have very little clinical information on how nootropics may interact with psychotropics (or other medications) and potentially cause ...
Source: Innovations in Clinical Neuroscience - December 1, 2015 Category: Neuroscience Authors: ICN Online Editor Tags: Case Series and Literature Review Current Issue Mental Disorders Psychiatry Psychopharmacology Substance Use Disorders Ampakines Armodafinil brain enhancer Cerebrolysin Citicoline cognitive enhancer homeopathic medicine natural r Source Type: research

Depression in the Elderly: A Common Condition That's Often Overlooked
When Suzette Santos, RN, a behavioral health nurse with the Visiting Nurse Service of New York (VNSNY), was assigned to the case of Grace*, an 89-year-old resident of Nassau County on Long Island, she had some idea what to expect. Suzette had cared for Grace a year earlier, as the elderly woman struggled to cope with depression brought on by the recent loss of her husband and lifelong partner. When Suzette reconnected with her patient this time, she could immediately see that Grace's depression had gotten worse. "She had lost a lot of weight -- about 20 pounds," Suzette recalls. "She had no interest in cooking or eating, ...
Source: Healthy Living - The Huffington Post - December 23, 2015 Category: Consumer Health News Source Type: news

Beat Depression to Stay Healthier & Live Longer: A Guide for Older Adults & Their Families
Many people find the reality of getting older depressing. And depression itself often comes with a stigma. So when we talk about depression and aging combined, what results is a very complicated — and often hard to treat — issue. Gary S. Moak, former president of the American Association for Geriatric Psychiatry, has written a new book to help. Beat Depression to Stay Healthier and Live Longer: A Guide for Older Adults and Their Families combines Moak’s years of experience working with elderly populations with the latest research on depression. Moak begins by defining depression and clarifying many of the myths...
Source: Psych Central - January 28, 2016 Category: Psychiatry Authors: Claire Nana Tags: Aging Antidepressants Book Reviews Depression Family General Psychology Self-Help Seniors Treatment antidepressants for elderly patients antidepressants for old people beat depression depression and aging depression geriatric Source Type: news

Effectiveness of paroxetine in the treatment of poststroke depression
This study retrospectively investigated the effectiveness of paroxetine for the treatment of poststroke depression (PSD). Seventy patient cases with PSD were included in this study, and were assigned to an intervention group and a control group equally. All patients received routine treatment in both groups. Additionally, patients in the intervention group underwent paroxetine, while patients in the control group received psychotherapy for a total of 8 weeks intervention. The primary outcomes included depression, measured by Hamilton depression rating scale (HAMD); and anxiety, measured by Hamilton Anxiety Rating Scale (H...
Source: Medicine - July 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

The dynamic Duo: Combining noninvasive brain stimulation with cognitive interventions
Publication date: Available online 9 October 2018Source: Progress in Neuro-Psychopharmacology and Biological PsychiatryAuthor(s): Aakash V. Sathappan, Bruce M. Luber, Sarah H. LisanbyAbstractPharmacotherapy, psychotherapy, and non-invasive brain stimulation (NIBS)1 each show efficacy in the treatment of psychiatric disorders; however, more efficacious interventions are needed as reflected by an overall unmet need in mental health care. While each modality has typically been studied and developed as a monotherapy, in practice they are typically used in combination. Research has begun to emerge studying the potential synergi...
Source: Progress in Neuro Psychopharmacology and Biological Psychiatry - October 9, 2018 Category: Psychiatry Source Type: research

Book Review: Clinical Applications of the Polyvagal Theory
Clinical Applications of the Polyvagal Theory is another work in the Norton series on interpersonal neurobiology. I have come to believe that at least three theories are indispensable in learning and understanding how and why we behave the way we do — attribution theory, attachment theory, and our underlying physiology of safety, called the polyvagal theory. The polyvagal theory was developed by Stephen Porges and presented to the Society for Psychophysiological Research in 1994. The theory takes into account how our autonomic nervous system is constantly working to keep us safe. Very simply, the components are our ...
Source: Psych Central - February 4, 2019 Category: Psychiatry Authors: Stan Rockwell, PsyD Tags: Anxiety Book Reviews Disorders General Memory and Perception Mindfulness Neuroscience Panic Disorder Personal Stories Psychological Assessment Psychology Psychotherapy PTSD Relationships & Love Relaxation and Meditation Traum Source Type: news