Psychotherapy of anxious and depressive states in patients with stroke

Author(s):  
M. N. Teterina ◽  
I. A. Meshandin

The article describes the basic principles of cognitive-behavioral and client-centered psychotherapy of patients who have had a stroke and suffer from protracted affective disorders of an anxiety-depressive nature. The importance of psychotherapeutic component in the context of complex medical and rehabilitation care for such patients is demonstrated. The work is done in the Z. P. Solovyov Research and Clinical Center for Neuropsychiatry.

1983 ◽  
Vol 13 (2) ◽  
pp. 399-405 ◽  
Author(s):  
Clive Hyde ◽  
David Goldberg

SYNOPSISThis study investigates the effects of assigned diagnostic labels, with their accompanying predictions of therapeutic response, and prescribed psychotropic drugs. It was thought that such ‘labelling’ effects might be important in ambiguous situations, such as neurotic anxiety–depressive states, where diagnoses of ‘reactive depression’ or ‘anxiety state’ might justifiably be made and treatment with either diazepam or nortripyline legitimately given. The depression label and its concomitant two-weekly prediction of improvement with antidepressants produced a set towards slower response with higher self-report depression. Nortriptyline produced significantly more improvement in self-report depression than diazepam in the first 2 weeks of treatment. No significant interaction effects were detected between diagnosis or drug. One month after the initial diagnostic evaluation there were no significant effects from either diagnostic label or drug.


1959 ◽  
Vol 105 (441) ◽  
pp. 1123-1126 ◽  
Author(s):  
J. T. Leyberg ◽  
J. C. Denmark

Drug treatment of depressive states has hitherto been somewhat disappointing but recent reports by Kuhn (1957, 1958), Kielholz and Battegay (1958) from Switzerland, and Azimo and Vispo (1958) from Canada have claimed that imipramine hydrochloride (Tofranil) has “thymoleptic” qualities and is of specific therapeutic value in states of endogenous depression and allied affective disorders.


1995 ◽  
Vol 7 (4) ◽  
pp. 561-571 ◽  
Author(s):  
Robert W. Grant ◽  
David A. Casey

Depression is a common psychiatric disorder of the aged. This article briefly reviews the literature on the use of cognitive behavioral therapy (CBT) with the elderly, and suggests some changes in using CBT with the elderly based on the authors' clinical experiences. Recommended changes in technique and common themes when dealing with the frail elderly are described, including the use of “supportive CBT” for patients with mild cognitive impairment. The authors' experiences suggest that CBT is an effective treatment for depression and other affective disorders of the frail elderly, and is especially useful when somatic treatments are contraindicated or produce intolerable side effects.


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