scholarly journals “When the first session may be the last!”: A case report of the implementation of “rapid tele-psychotherapy” with single-session music therapy in the COVID-19 outbreak

2021 ◽  
pp. 1-6
Author(s):  
Dominikus David Biondi Situmorang
Keyword(s):  
Music Therapy ◽  
Acute Stress ◽  
Psychiatric Patients ◽  
Rapid Test ◽  
Single Session ◽  
Psychological Assistance ◽  
Therapeutic Assistance ◽  
Psychiatric Problems ◽  
Regular Number ◽  
Psychiatric Issues

Abstract Objective Conventional psychotherapy with a lengthy and regular number of meetings is no longer relevant in the case of COVID-19, when persons with psychiatric problems, especially COVID-19 patients/clients, really require immediate psychological assistance. It is recognized as a “rapid test” in the field of body health to rapidly decide whether or not a person is affected by COVID-19. So, we should now be able to use the term “rapid tele-psychotherapy” with Single-Session Music Therapy (SSMT) in the field of mental health to characterize the mechanism of assistance provided to persons who seek therapeutic assistance virtually during this COVID-19 outbreak, so that they will easily and reliably be freed from troubling psychiatric issues. Method The author reports the case of a 33-year-old widow with asymptomatic COVID-19 who was admitted to her own home. Results The author describes the effectiveness of the implementation of rapid tele-psychotherapy with SSMT in reducing the scale of anxiety, panic, fear, depression, acute stress, insomnia, and delusions of death. Significance of results This case can provide new inputs or ideas for counselors/psychologists/psychiatrists/therapists who work in hospitals/institutions to provide rapid tele-psychotherapy with SSMT as therapeutic assistance for individuals who need psychotherapy in this COVID-19 outbreak, especially for COVID-19 patients/clients. Besides that, this concept is not only suitable for rapidly screening individuals that may face psychological problems and helping them better seek therapeutic assistance, but can also be used as an adjuvant therapy for psychiatric patients.

Responses to External Emotions or their Transitions at Central to Peripheral Nervous System Levels: A Methodological Contribution to Mental Health

2020 ◽  
Vol 16 (2) ◽  
pp. 138-152
Author(s):  
Bingren Zhang ◽  
Chu Wang ◽  
Chanchan Shen ◽  
Wei Wang
Keyword(s):  
Healthy Volunteers ◽  
Psychiatric Patients ◽  
Event Related Potentials ◽  
Emotional Stimuli ◽  
Non Invasive ◽  
Related Potentials ◽  
Different Populations ◽  
Invasive Techniques ◽  
Psychiatric Problems ◽  
Different Levels

Background: Responses to external emotional-stimuli or their transitions might help to elucidate the scientific background and assist the clinical management of psychiatric problems, but pure emotional-materials and their utilization at different levels of neurophysiological processing are few. Objective: We aimed to describe the responses at central and peripheral levels in healthy volunteers and psychiatric patients when facing external emotions and their transitions. Methods: Using pictures and sounds with pure emotions of Disgust, Erotica, Fear, Happiness, Neutral, and Sadness or their transitions as stimuli, we have developed a series of non-invasive techniques, i.e., the event-related potentials, functional magnetic resonance imaging, excitatory and inhibitory brainstem reflexes, and polygraph, to assess different levels of neurophysiological responses in different populations. Results: Sample outcomes on various conditions were specific and distinguishable at cortical to peripheral levels in bipolar I and II disorder patients compared to healthy volunteers. Conclusions: Methodologically, designs with these pure emotions and their transitions are applicable, and results per se are specifically interpretable in patients with emotion-related problems.

scholarly journals Psychiatric patients and their medical care

1992 ◽  
Vol 16 (2) ◽  
pp. 88-90
Author(s):  
Sunny Collings ◽  
Sara Myers
Keyword(s):  
Medical Care ◽  
Psychiatric Patients ◽  
Psychological Problem ◽  
Referral And Consultation ◽  
Medical Attention ◽  
Physical Medicine ◽  
Physical Problems ◽  
State Of Affairs ◽  
Psychiatric Problems ◽  
Physical Morbidity

Informal discussions between psychiatric trainees reveal frequent difficulties and frustrations in providing adequate medical care to psychiatric patients. Our writing this article was prompted by the death of a patient who had been referred to casualty with behavioural and physical problems, and who, once labelled as a ‘psychiatric patient, did not receive the medical attention he required. Other trainees will have their own similar examples, at best resulting in only inconvenience to the junior doctor. This may seem surprising given the knowledge that people with psychiatric problems suffer increased physical morbidity. We were all taught as medical students that a physical presentation may mask a psychological problem and vice versa, and that both problems may co-exist. However, this knowledge does not always impinge on hospital clinical practice. From the viewpoint of junior psychiatrists, cross-specialty referral and consultation, and the provision of adequate medical care to our patients can be difficult. In this discussion, we will deal briefly with the contribution of ‘physical’ medicine to this state of affairs and then turn in more detail to the influence of psychiatry. Recommendations for improvement are made.

Effects of group-based educational songwriting on craving in patients on a detoxification unit: A cluster-randomized effectiveness study

2017 ◽  
Vol 47 (2) ◽  
pp. 241-254 ◽  
Author(s):  
Michael J. Silverman
Keyword(s):  
Music Therapy ◽  
Future Research ◽  
Effectiveness Study ◽  
Single Session ◽  
Wait List Control ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Cluster Randomized ◽  
And Control ◽  
Therapy Intervention

Psychosocial methods for reducing craving are essential for people with substance use disorders. Although songwriting is a commonly-used music therapy intervention for people with addictions, there is no randomized controlled music therapy study systematically investigating how songwriting impacts craving in patients on a detoxification unit. The purpose of this cluster-randomized effectiveness study was to measure the effects of a single group-based educational songwriting intervention on craving with patients on a detoxification unit. To provide treatment to all participants in an inclusive single-session design, participants ( N = 129) were cluster-randomized to one of three conditions: educational songwriting targeting relapse prevention and recovery, recreational music therapy targeting social and affective gains, or wait-list control. There was a significant difference ( p = .033) in the craving subscale of expectancy between the educational songwriting and control conditions. Although no other difference reached significance, participants in the songwriting condition tended to have lower subscale and total craving mean scores than participants in the control and recreational music therapy conditions. Group-based educational songwriting interventions may temporarily relieve craving by distracting patients in an engaging, motivating, and creative intervention. Implications for clinical practice, suggestions for future research, and limitations are provided.

Morbidity of Homebound Versus Inpatient Elderly Psychiatric Patients

1998 ◽  
Vol 10 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Rona Pasternak ◽  
Andrew Rosenweig ◽  
Bridget Booth ◽  
Andrea Fox ◽  
Richard Morycz ◽  
...  
Keyword(s):  
Functional Disability ◽  
Psychiatric Hospitalization ◽  
Psychiatric Patients ◽  
Severe Depression ◽  
Outcome Data ◽  
Living Alone ◽  
Psychiatric Diagnoses ◽  
Medical Problems ◽  
Home Placement ◽  
Psychiatric Problems

This study compares the demographic and clinical characteristics of homebound (HB) elders referred for psychiatric services (N = 251) with those of inpatients (IP) admitted to a geriatric psychiatry unit (N = 594). Demographically, HB patients were older (78.8 vs. 74.7 years), were more likely to be women (83% vs. 68%), were widowed (54% vs. 44%), and had fewer years of education (10.3 vs. 11.1), but were similar in race, income, and proportion living alone. Clinically, HB patients had less functional disability, less severe depression, less cognitive impairment, and fewer medical problems. However, they were similar in the distribution of most psychiatric diagnoses except dementia (higher in the IP group) and dementia with depression (higher in the HB group). Outcome data for the HB group over 15 (range, 1 to 38) months revealed medical hospitalization in 20.7%, psychiatric hospitalization in 16.3%, nursing home placement in 9.2%, and mortality in 8.4%. These preliminary data show that the HB group had psychiatric problems that were comparable to those of the IP group but were not as severely impaired.

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