scholarly journals Mindfulness Training led to Catharsis and Mindfulness-To-Meaning in a Patient with Social Anxiety Disorder Comorbid with Persistent Depressive Disorder (Dysthymia) - A Case Report with Patient's Personal Note -

Author(s):  
Hisanobu Kaiya ◽  
Asuka Hasegawa ◽  
Chika Komatsu ◽  
Shota Noda ◽  
Fusaka Minami ◽  
...  

Abstract Background:The use of mindfulness in the treatment of anxiety and depression is becoming more and more widespread, but there are few reports that it has fundamentally changed patients' sense of life. Case Presentation:This report showed 9 year’s progress of treatment for Social Anxiety Disorder and Persistent Depressive Disorder in a 41year-old female patient experiencing a long-term painful married life with a carefree husband and controlling mother-in-law. During the past 25 months, she received 180 sessions of mindfulness training, resulting in complete remission of the anxiety and depression symptoms. After the 30th session she experienced an episode of the catharsis during the mindfulness training and experienced what can be called Mindfulness-To-Meaning, which is characterized by durable eudaimonic well-being in the face of adversity. Discussion and Conclutions:The psychological mechanisms that supported arriving at Mindfulness-To-Meaning were delineated as: Heightened (1) awareness which promoted (2) verbalization of the primary theme of suppression, in which the stress was (3) appraised metacognitively. Then (4) decentering permitted integrating this painful theme into a new adaptive self and world view, which resulted in (5) emotional catharsis, or release. Furthermore (6) positive appraisal of this experience enhanced awareness and led to the experience of (7) Mindfulness-To-Meaning .

2021 ◽  
Vol 17 (4) ◽  
pp. 33-40
Author(s):  
Allison Graham ◽  
Douglas Terrill ◽  
Simone Boyd ◽  
Isabel Benjamin ◽  
Madeline Ward ◽  
...  

Although previous studies have examined the impact of comorbid major depressive disorder (MDD) on social anxiety disorder (SAD), the results have been somewhat mixed. Furthermore, most studies have been conducted in inpatient or outpatient settings. Given the large body of literature that suggests that this particular comorbidity can have negative effects on treatment efficacy and outcomes, it is important to continue to explore its impact. The present study aims to clarify contradictions in the literature and expands on previous studies by examining patients in a partial hospitalization setting. Patients at Rhode Island Hospital with a diagnosis of SAD were compared to those with comorbid SAD and MDD on pre-treatment and post-treatment measures of anxiety and depression. The results indicated that while the comorbid group showed significantly less improvement post-treatment on anxiety symptoms and constructs related to remission from depression, they did not show significantly less improvement on depression symptoms. The implications of these results for clinical practice are discussed. KEYWORDS: Social Anxiety Disorder; Major Depressive Disorder; Comorbid Anxiety Disorders; Comorbid Mood Disorders; Treatment Outcomes; Partial Hospitalization Program


2019 ◽  
Vol 243 ◽  
pp. 531-538 ◽  
Author(s):  
Julia K. Langer ◽  
Natasha A. Tonge ◽  
Marilyn Piccirillo ◽  
Thomas L. Rodebaugh ◽  
Renee J. Thompson ◽  
...  

Emotion ◽  
2001 ◽  
Vol 1 (4) ◽  
pp. 365-380 ◽  
Author(s):  
Winnie Eng ◽  
Richard G. Heimberg ◽  
Trevor A. Hart ◽  
Franklin R. Schneier ◽  
Michael R. Liebowitz

Author(s):  
Julia K. Langer ◽  
Thomas L. Rodebaugh

Social anxiety disorder (SAD) and major depressive disorder (MDD) are prevalent disorders that exhibit a high rate of co-occurrence. Furthermore, these disorders have been shown to be associated with each other, suggesting that the presence of one disorder increases risk for the other disorder. In this chapter, we discuss relevant theories that attempt to explain why SAD and MDD are related. We propose that the available evidence provides support for conceptualizing the comorbidity of SAD and MDD as resulting from a shared underlying vulnerability. There is evidence that this underlying vulnerability is genetic in nature and related to trait-like constructs such as positive and negative affect. We also discuss the possibility that the underlying vulnerability may confer tendencies toward certain patterns of thinking. Finally, we discuss theories that propose additional causal pathways between the disorders such as direct pathways from one disorder to the other. We advocate for a psychoevolutionary conceptualization that links the findings on the underlying cognitions to the shared relation of lower positive affect and the findings on peer victimization. We suggest that, in addition to a shared underlying vulnerability, the symptoms of social anxiety and depression may function as a part of a behavior trap in which attempts to cope with perceived social exclusion lead to even higher levels of social anxiety and depression. Finally, we make recommendations for the best methods for assessing SAD and MDD as well as suggestions for treating individuals with both disorders.


2015 ◽  
Vol 25 (5) ◽  
pp. 212 ◽  
Author(s):  
Mayuko Onodera ◽  
Yoshinobu Ishitobi ◽  
Yoshihiro Tanaka ◽  
Sayoko Aizawa ◽  
Koji Masuda ◽  
...  

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