scholarly journals Clinical case: OnLine intervention proposal for a patient with symptoms of depression and anxiety

2021 ◽  
Vol 3 (5) ◽  
pp. 25-31
Author(s):  
Alinne Cristina Vargas Olmedo ◽  
María A. Carrizales Tabares ◽  
Andrea C. Azpeitia Ayala ◽  
Yenissa Galicia Salazar ◽  
Christian Gonzalez Camarillo

Anxiety and depression are some of the biggest mental health issues that have been increasing because of the actual contingency that was established because of the coronavirus (COVID-19). Therefore, several studies have developed treatment proposals, an objective that is shared within this case study. The work carried out is a proposal for an intervention based on the Cognitive Behavioral Theory to a 21-year-old female patient, who manifests symptoms of depression and anxiety. The patient was evaluated with the State-Trait Anxiety Inventory, Hamilton Anxiety Scale, Manifest Anxiety Scale in Adults-C, Hamilton Evaluation Scale for Depression, and the Beck-II Depression Inventory. To expand the data, resources such as the Clinical Map of Pathogenesis and the Map of Scope of Goals were used for the functional analysis of the behavior for the formulation of the case. On the other hand, based on the collection of data from the patient and the results obtained, it was determined that the proposal of the most effective strategies for the case was the following: 1. psychoeducation, 2. cognitive restructuring technique, 3. training in breathing techniques, 4. relaxation technique training, 5. sleep hygiene training, and 6. mindfulness technique.

2021 ◽  
Vol 13 (6) ◽  
pp. 48-54
Author(s):  
D. S. Petelin ◽  
I. V. Niinoya ◽  
O. V. Sorokina ◽  
D. V. Troshina ◽  
O. N. Voskresenskaya ◽  
...  

Objective: to study the efficacy, safety and tolerability of agomelatine in mixed anxiety and depressive disorder.Patients and methods. Agomelatine was administered to 30 patients diagnosed with mixed anxiety and depressive disorder for 3 months. The patients' condition was assessed using a battery of psychometric methods – the Hamilton Depression Scale, the Hamilton Anxiety Scale, and a short form of the SF-12v2 quality of life questionnaire.Results and discussion. It was shown that agomelatine effectively reduces both symptoms of depression and anxiety, begins to have a therapeutic effect a week after the start of administration, however, the drug shows the best clinical effect when administered for a period of three months or more. The predictors of complete remission on agomelatine therapy in this sample were: the presence of sleep disorders (early and medium, but not late insomnia), a greater severity of somatized anxiety, the presence of complaints of decreased workplace performance and activity.Conclusion. Our study has shown that agomelatine is an effective, safe and well-tolerated drug in the treatment of mixed anxiety and depressive disorder.


1979 ◽  
Vol 134 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Evaristo Gomez ◽  
Adib R. Mikhail

SummaryThe use of cerebral electrotherapy (CET) in methadone detoxification was studied in 28 patients. Fourteen patients received active CET; the other 14 acted as controls and received either simulated CET or only methadone detoxification therapy. One patient dropped out of the study. The Taylor Manifest Anxiety Scale and the Hamilton Anxiety Scale were administered before and after the study period. Nine of the patients receiving active CET were drug-free by the end of 8 to 10 days, and all experienced a marked reduction of their symptoms; the control group did not show significant changes. CET was clearly beneficial in the treatment of patients undergoing methadone withdrawal.


Author(s):  
Hanum Nindialoka

Prisoners when facing the period of parole are certain to experience anxiety problems because of the negative stigma and social responses.The purpose of this case study is to reduce the prisoners’s anxiety symptoms by using Group Reality Therapy. The assessment method uses semi-structured interviews, observation, and the TMAS (Talyor Manifest Anxiety Scale) scale. The subjects were four inmates, male aged 22-23 years. The results of the assessment showed that the anxiety problems experienced by the subjects were at a moderate level of anxiety. Analysis by comparing before and after psychological intervention. The results of psychological intervention using Group Reality Therapy showed a decrease in anxiety symptoms.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sadhna Verma ◽  
James Donovan ◽  
Hari S. Tunuguntla ◽  
Renuka Tunuguntla ◽  
Babu V. Gupta ◽  
...  

Background: Depression, anxiety, and disordered sleep are some common symptoms associated with sub-optimal mental health. During the COVID-19 pandemic, mental health issues have grown increasingly more prevalent in the population. Due to social distancing and other limitations during the pandemic, there is a need for home-based, flexible interventions that can improve mental health. The Yoga of Immortals (YOI) mobile application provides a structured intervention that can be used on any mobile device and applied from the user's home.Methods: A total of 1,505 participants were enrolled in the study and used the YOI app for an 8-week period. Participants were asked to fill out three questionnaires: The Patient Health Questionnaire, 8 items (PHQ-8), the Generalized Anxiety Disorder questionnaire (GAD-7) and the Insomnia Severity Index (ISI). These three items were completed by 1,297 participants a total of four times: before starting YOI, two more times during use, and a fourth time after the 8-week usage period. Changes in PHQ8, GAD7 and ISI in participants were compared to a control group, who did not use the YOI app but completed all questionnaires (590 controls finished all questionnaires).Results: Participants reported significant decreases in depression and anxiety-related symptoms. Compared to baseline, PHQ-8 scores decreased 50% on average after the 8-week period. GAD-7 scores also decreased by 40–50% on average, and ISI scores decreased by 50%. These changes were significantly greater (p < 0.05) than that observed in the control group. Participants who reported a previous diagnosis of depression and generalized anxiety reported significantly larger decreases in PHQ-8 and GAD-7 as compared to participants with no prior diagnosis (p < 0.05).Conclusions: Regular use of the YOI intervention over an 8-week period led to significant decreases in symptoms of both depression and anxiety, as well as alleviation of insomnia.


2007 ◽  
Vol 100 (3) ◽  
pp. 827-837 ◽  
Author(s):  
Kirsty F. Weir ◽  
Paul E. Jose

Depression and anxiety are typically measured in college samples using adult scales. However, some child and adolescent versions of internalizing symptoms may be appropriate for use with college samples. Child versions may be appropriate to use with college samples when multi-sample designs are utilized, e.g., both children and adults are assessed. To explore this possibility, 149 college students ( M age = 21.9 yr., SD = 6.3; 43 men, 106 women) were assessed on child and adolescent versions and adult scales of anxiety, i.e., the Revised Children's Manifest Anxiety Scale and the Beck Anxiety Inventory, and depression, i.e., the Children's Depression Inventory and the Beck Depression Inventory. Both sets of depression scores were highly correlated ( r = .81), which suggests that the children's measure can be used in college samples. Although scores on the two anxiety scales were also significantly correlated, these scales shared less common variance. An exploratory factor analysis provided evidence that a single factor composed of all items for depression was an optimal solution. It was concluded that the Children's Depression Inventory can be used with college samples; however, the Revised Children's Manifest Anxiety Scale should not.


Author(s):  
Brianne E. Scott ◽  
Katie K. Sacco

The purpose of this chapter is to examine the integration of the existentialist counseling approach and MSJCC as it relates to the case study of Aaron. Authors review the case of Aaron, a college student, who identifies within the LDS faith, struggling with symptoms of depression and anxiety. The authors include a review of the foundation and history of the LDS church, as well as the modern structure and implications for counseling. The authors also describe their own cultural backgrounds and counseling approaches when working with Aaron. Following this review is a case conceptualization through an existential theoretical lens with the inclusion of short-term and long-term goals alongside a treatment plan.


1997 ◽  
Vol 80 (3) ◽  
pp. 723-732 ◽  
Author(s):  
Philip M. Drucker ◽  
Carolyn Greco-Vigorito ◽  
Gregory Coil ◽  
Martha Moore-Russell ◽  
Jeannine Avaltroni

144 5- to 13-yr.-old children of substance abusers, enrolled in an expressive arts therapy program, were tested for depression on the Children's Depression Inventory and for anxiety on the Revised Children's Manifest Anxiety Scale prior to treatment. Total scores for anxiety were significantly higher for girls than for boys; however, total depression scores did not differ between boys and girls. Analysis of subscale scores on each of the tests indicated several sex differences. Age was positively correlated with certain symptoms of depression for boys but not for girls. Conversely, age was negatively correlated with certain symptoms of anxiety for boys but not for girls. When compared to known norms for these assessments, girls scored significantly higher on total Depression but not differently than normals on total Anxiety. Boys, however, scored significantly lower on total Anxiety but did not score differently than normals on total Depression. We interpreted these findings as indicating that young children of substance abusers may be at risk for certain symptoms of anxiety and depression following their parents' addiction. Also, these symptoms may be manifest differently by boys and girls of various ages.


2011 ◽  
Author(s):  
Elizabeth S. Molzon ◽  
Stephanie E. Hullmann ◽  
Angelica R. Eddington ◽  
Carmen A. Del Olmo Vazquez ◽  
Larry L. Mullins

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