Saturday, February 03, 2007

The Attributes of Psychotherapy For Depression

The Attributes Of Psychotherapy For Depression

by Susan E. Erbaugh, PhD, LP

The efficacy of psychotherapeutic treatments specific to depressive mood disorder has been shown to be comparable to that of pharmacologic treatments in alleviating symptoms. In addition, these therapies reduce residual psychosocial impairments, improve psychosocial function, and prevent depression relapse. Depression-specific psychotherapeutic approaches include cognitive-behavioral, interpersonal, behavioral, and short-term dynamic therapies, which are often integrated in clinical practice. The effectiveness of depression-specific psychotherapy can be enhanced by medical-psychotherapeutic collaboration and use of guided self-directed change efforts, marital or family therapy, and participation in therapy groups. A coordinated program of care combining the benefits of pharmacologic and psychosocial interventions and drawing on the expertise of physicians and psychotherapists is recommended for the treatment of depression.
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Who should treat depression?
The high incidence of clinical depression has led to some encouragement for treatment to be delivered by primary care physicians, who are likely to offer medications and some form of limited supportive counseling. Findings indicating substantial and lasting benefits of a range of psychotherapeutic strategies suggest that quality of care may be better achieved when timely referral to qualified mental health therapists is incorporated into treatment plans.

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