Dysthymic Disorder IPTD

Interpersonal therapy was modified for dysthymic disorder, a disorder whose chronicity does not fit the standard IPT model. This adaptation also may provide a better fit for dysthymic patients without acute life events who previously would have been put in the interpersonal deficits category of acute IPT. IPT-D encourages patients to reconceptualize what they have considered lifelong character flaws as ego-dystonic, chronic mood-dependent symptoms: as chronic but treatable 'state' rather than immutable 'trait'. Therapy itself was defined as an 'iatrogenic role transition', from believing oneself flawed in personality to recognizing and treating the mood disorder. Markowitz (1994, 1998) openly treated 17 pilot subjects with 16 sessions of IPT-D, of whom none worsened and 11 remitted. Based on these pilot results, a comparative study of 16 weeks of IPT-D alone, SP, sertraline plus clinical management, as well as a combined IPT/sertraline cell, has been completed at Weill Medical College of Cornell University.

Browne etal. (2002) in Hamilton, Canada treated more than 700 dysthymic patients in the community with either 12 sessions of standard IPT over 4 months, sertraline for two years, or their combination. Patients were followed for two years. Based on an improvement criterion of at least a 40 % reduction in score of the Montgomery-Asberg Depression Rating Scale (MADRS) at one year follow-up, 51 % of IPT-alone subjects improved, fewer than the 63 % taking sertraline and 62 % in combined treatment. On follow-up, however, IPT was associated with significant economic savings in use of health care and social services. Combined treatment was thus most cost effective, as efficacious as sertraline alone but less expensive.

In a comparison of medication to combined treatment, Feijo de Mello et al. (2001) randomly assigned 35 dysthymic outpatients to moclobemide with or without 16 weekly sessions of IPT. Both groups improved but with a non-significant trend for greater improvement on the Ham-D and MADRS in the combined treatment group.

Exploring EFT

Exploring EFT

EFT stands for Emotional Freedom Technique. It works to free the user of both physical and emotional pain and relieve chronic conditions by healing the physical responses our bodies make after we've been hurt or experienced pain. While some people do not carry the effects of these experiences, others have bodies that hold onto these memories, which affect the way the body works. Because it is a free and fast technique, even if you are not one hundred percent committed to whether it works or not, it is still worth giving it a shot and seeing if there is any improvement.

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