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Mood Disorders
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
Madeleine A. Becker, Tal E. Weinberger, Leigh J. Ocker
Psychotherapy is effective and should be first-line intervention for treatment for patients with depression during pregnancy. This is in line with the current NICE guidelines (National Institute for Health and Care Excellence [NICE] guideline on antenatal and postnatal mental health) and in most practice guidelines [59] which advise clinicians to offer psychotherapy to every pregnant woman with a history of mild to severe depression [49, 53, 60]. Cognitive behavioral therapy and interpersonal psychotherapy have both been found to be effective for treatment of depression in this population [61].
Clinical Theory and Skills EMIs
Published in Michael Reilly, Bangaru Raju, Extended Matching Items for the MRCPsych Part 1, 2018
Behavioural therapy.Brief psychodynamic psychotherapy.Cognitive-analytic therapy.Cognitive therapy.Counselling.Gestalt therapy.Interpersonal psychotherapy.Primal therapy.Psychoanalytic psychotherapy.Transactional psychotherapy.
Treatment of bulimia nervosa
Published in Stephen Wonderlich, James E Mitchell, Martina de Zwaan, Howard Steiger, Annual Review of Eating Disorders Part 2 – 2006, 2018
Interpersonal psychotherapy (IPT) is an alternative to CBT-BN and one that involves about the same amount of therapist contact (Fairburn 1997). However, IPT has considerably less empirical support than CBT-BN and takes up to 12 months longer to achieve equivalent effects. NICE recommended that ‘Interpersonal psychotherapy should be considered as an alternative to cognitive behavior therapy, but patients should be informed it takes eight to 12 months to achieve results comparable to cognitive behavior therapy’.
Teaching Psychotherapy to Psychiatric/Mental Health Nurse Practitioner Students in the Virtual Classroom
Published in Issues in Mental Health Nursing, 2023
Marta Vives, Cynthia Linkes, Mark Soucy
The first challenge we faced was identifying what types of psychotherapy to teach. Accrediting agencies do not prescribe the types of psychotherapy to be taught, but the American Nurses Credentialing Center (ANCC) requires candidates be trained with “content in at least two psychotherapeutic modalities” (ANCC, 2020). Yet no current consensus exists across programs on which psychotherapy modalities should be taught nor which textbooks should form the basis for instruction. As Wheeler and Delaney (2008) discovered in their survey of 120 psychiatric-mental health nursing graduate programs investigating what psychotherapy content was taught and how, responses revealed the top five models were, 1. cognitive-behavioral, 2. psychodynamic, 3. psychoeducational, 4. behavioral, and 5. interpersonal psychotherapy. Other psychotherapies included self, narrative, gestalt, reality therapy, rational emotive, brief therapy/solution focused, existential, feminist, crisis intervention, motivational interviewing, group, and others. The plurality of therapies was further illustrated in responses received as to what textbooks programs used. At the time (before Wheeler’s first textbook Psychotherapy for the Advanced Practice Psychiatric Nurse) more than 80 different texts were in use to teach psychotherapy (Wheeler & Delaney, 2008).
Differences between Japan and Taiwan in the treatment of pregnant women with depressive symptoms by omega-3 fatty acids: An open-label pilot study
Published in Nutritional Neuroscience, 2019
Daisuke Nishi, Kuan-Pin Su, Kentaro Usuda, Jane Pei-Chen Chang, Yi-Ju Jill Chiang, Tai-Wei Guu, Kei Hamazaki, Naoki Nakaya, Toshimasa Sone, Kenji Hashimoto, Tomohito Hamazaki, Yutaka J. Matsuoka
Antidepressant agents, cognitive behavioral therapy (CBT), and interpersonal psychotherapy (IPT) are well-known treatment options. Guidelines suggest that all antidepressant drugs should be used with caution during pregnancy and that selective serotonin reuptake inhibitors such as paroxetine should be avoided.7,8 Professional guidelines recommend both CBT and IPT for pregnant women with mild or moderate depression9 and a randomized-controlled trial (RCT) showed that IPT was effective for depression during pregnancy.10 However, pregnant women do not always have access to CBT and IPT because of a shortage of trained therapists. Considering the health impact on mothers and newborns and the clinical limitations of available treatments for depression during pregnancy, exploration of alternative safe therapies is an important topic.
Treating depression in an urban primary care setting: Introducing an adapted therapeutic approach to improve behavioral health engagement in primary care
Published in Social Work in Health Care, 2018
Samantha Herrera, Lauren Peccoralo, Gregory A. Hinrichsen
One of the DCS observed while working on Interpersonal Psychotherapy (IPT) training cases in the clinic that depressed patients receiving IPT easily engaged in the therapy and that depression symptoms substantially improved. Therefore, the DCS proposed that IPT might be a more acceptable modality for patients than PST in the context of IMPACT in the IMA clinic population. However, as originally developed, IPT is delivered in weekly, 50- to 60-minute sessions, over 16 weeks. This intensity of treatment was not feasible for the DCS to provide for patients in the IMA IMPACT model because of the large caseloads (60–70 patients) and the inability for patients to come so frequently. Thus, the team felt that IPT needed to be flexibly applied in the IMA patient population. In addition, prior research has shown that a brief version of IPT, Interpersonal Counseling, had been used successfully to treat depression in primary care medical settings (Weissman et al., 2014). Thus, the three authors in this article adapted IPT in way that it could be best delivered briefly within the IMPACT protocol and sustainably within the clinic based on available resources and patient needs. The New York State grant that supported IMPACT program at IMA allowed for modifications to be made to the therapeutic modalities. Therefore, both DCSs were formally trained in the delivery of IPT for depression as well as the flexible applied version adapted by the authors. It was anticipated that the adapted version of IPT would be a better fit for the IMA patients than PST and thus increase the likelihood of sustained patient retention in the program.