scholarly journals Prescription Use of Exercise Therapy in Depression Treatment

2019 ◽  
Author(s):  
Megan Swanson ◽  
Milica McDowell ◽  
Melanie Shaw ◽  
Eileen Paniagua

Abstract Introduction: Depression has become an epidemic worldwide, with numbers of diagnosis rising each year alongside numbers of those on antidepressant medication. Exercise therapy has been long studied and tested to prove its’ efficacy in the treatment of depression, but there are no known studies to indicate how frequently it is used in practice or in what capacity it is used. Methods: A qualitative mailed interview questionnaire was completed by 21 mental health professionals to answer questions pertaining to their knowledge of exercise therapy as a treatment method. It also assessed the value they placed on exercise, personal application of exercise and exercise therapy, and their willingness to receiving training or additional education. Results: Many participants were applying exercise therapy in treatment of individuals with depression; however very few were truly prescriptive with their treatment plans. All participants of the study found value in exercise therapy. Many felt that in order to feel confident to use the method; they would need additional information and education about how to individualize and apply it. Conclusions: Despite its’ perceived and well researched value, very few mental health professionals are able to use exercise therapy in a structured or formalized way to achieve the best results. Trainings need to be created to aide in knowledge, growth and individualization of exercise therapy as well as community development. More research needs to be done to better understand what dose is most appropriate for the treatment of depression. Keywords: Exercise; Exercise therapy; Cognitive Behavioral Therapy; Pharmacotherapy

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer

Aims.Several population studies on beliefs about depression carried out in western countries during the 1990s have shown that the public clearly favors psychotherapy over antidepressant medication. The present study examines whether this phenomenon still exists at the end of the first decade of the twenty-first century.Materials and Methods.In 2009, a telephone survey was conducted among the population of Vienna aged 16 years and older (n = 1205). A fully structured interview was administered which began with the presentation of a vignette depicting a case of depression fulfilling the diagnostic criteria of DSM-IV for a moderate depressive episode.Results.Psychotherapists were most frequently endorsed as source of professional help. Antidepressant medication still was more frequently advised against than recommended. Respondents familiar with the treatment of depression tended to be more ready to recommend to seek help from mental health professionals and to endorse various treatment options, particularly medication.Conclusion.At the end of the first decade of this century, there still exists a large gap between the public's beliefs and what mental health professionals consider appropriate for the treatment of depression. Therefore, further effort to improve the public's mental health literacy seems necessary.


Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden

Depression is one of the most common forms of mental illness, and mental health professionals in a variety of practice settings have witnessed its debilitating effects. Many pathways can lead to depression, and no single approach to treatment is successful for all clients. Chapter 1 provides an overview of self-system therapy (SST), a treatment approach that targets deficits in self-regulation. Research has shown that SST is as effective overall as cognitive therapy and that it leads to better outcomes for a subset of depressed clients who struggle with self-regulation. Suggestions are given for how the Therapist Guide and Client Workbook should be used for the treatment of depression.


2020 ◽  
Author(s):  
Yalda Tehranian-Uhls ◽  
Laurel Felt ◽  
Ellen Wartella ◽  
Andrew Sanders

BACKGROUND A conflicting corpus suggests that more research is needed to understand how globally watched television shows like 13 Reasons Why could affect the majority and minority of adolescent viewers. OBJECTIVE The current study was designed to investigate adolescents’ viewership of and show-related content engagement with 13RW, Season 3 (13RW-3), paying special attention to mental health outcomes and conversational partners. METHODS AmeriSpeak, a panel-based research platform operated by the National Opinion Research Center (NORC) at the University of Chicago, recruited 157 adolescents aged 13 to 17 from its nationally representative pool of participants. After participants completed a survey, they were directed to either watch 13RW-3 as it aired for the first time (intervention group) or NOT to watch 13RW-3 (control group). Approximately one month later, all participants were asked to complete a second survey. RESULTS We found a significant main effect with respect to increased conversations about social and mental health issues that appeared on the show (t(151)=-2.191, P=0.03). From pre- to post-test, the intervention group spoke more frequently about these issues (M=1.28) than the control group (M=.28). In the intervention group only, when asked with whom they discussed 13RW-3 and issues related to the show, friends were the most commonly cited conversational partner, selected by 68.3% of the respondents, followed by parents (50.8%). Viewers also reported significantly higher rates of depression from T1 to T2 (P=0.001, F(1, 66.715)=12.678, B=-0.292, SE=0.082). Depressed youth spoke significantly more to parents (F(3)=3.287, 0=.027), school counselors (F(8)=3.707, p=.002) and mental health professionals than viewers who reported less depression (F(8)=6.536, p<.001). Finally, approximately one-third of viewers sought additional information about bullying and mental health after watching the show. CONCLUSIONS Conversation was the most definitive outcome of watching this show, and we saw that youth are most likely to talk to friends but parents do not trail very far behind. We also discovered that viewers who may have been viscerally impacted by the content reached out for help in unique and powerful ways. Depressed youth spoke to parents and mental health professionals more. Non-heterosexual youth spoke to school counselors, sought information about sexuality, and watched the documentary Beyond the Reasons more. The potential wellness implications are considerable since conversation -- especially story-driven conversation -- can raise awareness, reduce stigma, shift attitudes, normalize/valorize certain behaviors, and strengthen supportive relationships.


Author(s):  
Beth Broussard ◽  
Michael T. Compton

For a young person with psychosis, the evaluation process can provide the start of a path toward effective treatment and recovery. Although the initial evaluation can be done in inpatient or outpatient settings, treatment of early psychosis often begins with a short stay in the hospital or related inpatient setting. In some instances, mental health professionals may be able to start treatment in the outpatient setting if there are no immediate safety concerns. The evaluation may include gathering additional information from sources other than the young person experiencing psychosis. Individuals experiencing psychosis often receive a physical exam, labs, and other tests to look for any medical problems that can cause symptoms. Understanding the evaluation process and providing mental health professionals with all available information can help in making a diagnosis and planning for the best treatment that will help the young person move toward recovery.


Author(s):  
Michael A. Tompkins

Hoarding disorder is a fascinating psychological problem. Because it is a low-insight condition, few individuals seek treatment for the condition. The author of this chapter encourages mental health professionals who wish to develop a niche practice in the treatment of hoarding disorder to broaden their expertise to include not only cognitive-behavioral therapy but also consultations to family members and to agencies who work with people who hoard; to develop or to participate on hoarding taskforces in their communities; and to educate communities by making presentations to organizations who may serve people who hoard. Guidance is provided on the training needed to enter this practice niche, the business aspects of this type of practice, and the joys and challenges of this work. Resources are provided for those interested in pursuing this niche area of practice.


2017 ◽  
Vol 41 (S1) ◽  
pp. S741-S741
Author(s):  
M. Slepecky ◽  
M. Huri ◽  
S. Sahin ◽  
H. Kayihan ◽  
J. Prasko ◽  
...  

IntroductionCognitive behavior therapy (CBT), which is used by mental health professionals including occupational therapists (OT) is a time-sensitive, structured, present-oriented therapy directed toward solving current problems and teaching clients skills to modify dysfunctional thinking and behavior.ObjectivesSupporting the development of CBT theory and efficient use by mental health professionals are vital.AimTo present the results of CBT training for OTs, which was funded by “European Union technical assistance for increasing the employability of people with disabilities” project (Europe Aid/136449/IH/SER/TR).MethodsUsing a basic CBT theoretical framework the participants attended 96 hour face to face training modules with written materials including fundamental features, preconditions and methods used in CBT. A Turkish CBT book was published for course. Participants trained their skills under supervision and send the results to educators. Pre-post of training CBT knowledge and quality of training (plan-contents, educators, and environment) were evaluated by 5-Likert scale.ResultsThirty OTs (f = 23, m = 7) mostly 43.3% PhD; 20–25 (30%) and 45–50 (26.7%) years age period were included. Total mean score for quality of education was 109.4 ± 29.4 with 23.63 ± 4.34, 47.36 ± 6.41, 38.40 ± 21.61 for plan-contents, educators, and environment subscores, respectively. CBT knowledge was increased from 15.70 ± 6.08 to 45.06 ± 4.59 (P < 0.001).ConclusionTraining increased CBT awareness and practice skills of OTs. Teaching OTs CBT may increase their understanding of person-environment-occupation approach, psychological problem solving, occupational engagement and participation of individuals. Our result supports that mental health professionals should collaborate to share ideas, develop guidelines and promote good practice examples in client-centered and holistic rehabilitation care.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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