Cognitive Behavioral Therapy + Alternative Selective Serotonin Reuptake Inhibitor Better than Alternative SSRI Alone in Adolescent Depression

2008 ◽  
Vol 100 (6) ◽  
pp. 762-763
2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Alessandra Barbara Fioretti ◽  
Theodoros Varakliotis ◽  
Otello Poli ◽  
Manuela Cantagallo ◽  
Alberto Eibenstein

We report a case of a patient with severe hyperacusis, photophobia, and skin hypersensitivity. The patient was initially treated with sound therapy and medical therapy for 4 months and successfully with a selective serotonin reuptake inhibitor (SSRI) and cognitive behavioral therapy which improved her mood and the tolerance for sounds and light.


Author(s):  
Katharine A. Phillips

This chapter discusses insight (“delusionality”) in body dysmorphic disorder (BDD). BDD beliefs span a broad range of insight, from good to absent insight (i.e., delusional beliefs). About 70% of patients have poor or absent insight. Early emerging clues suggest possible neurobiologic bases of poorer insight in BDD. BDD’s delusional form (characterized by the absence of insight) appears to be the same disorder as its nondelusional form rather than a separate psychotic disorder. Consistent with this, serotonin-reuptake inhibitor (SRI) monotherapy is efficacious for delusional BDD as well as nondelusional BDD. Neuroleptic (antipsychotic) monotherapy is not currently recommended for delusional BDD. Cognitive-behavioral therapy (CBT) appears efficacious for both delusional and nondelusional BDD, but research is needed to determine whether a somewhat modified approach may be helpful for delusional beliefs. Insight often improves with SRIs and CBT.


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