Pub Date : 2023-08-02DOI: 10.17352/2455-5460.000080
Ramírez Zhindón Marina del Rocío, Ramón Herrera Angel Ricardo, Ortega Jimenez David Mauricio
Objective: To determine the prevalence and incidence of anxiety disorders and depression with loneliness in a sample of adolescents. Material and methodology: Quantitative, correlational, cross-sectional study including 330 Ecuadorian adolescents selected by non-probabilistic purposive sampling. The Ad Hoc Questionnaire, the Depression, Anxiety, and Stress Scale (DASS-21), and the UCLA Loneliness Scale were used for data collection. Results: Of the 330 adolescents, 65.5% were male, and the mean age was 16.8 years. Sixty, 60% are in their third year of high school and 39.4% are in their second year. Most of them live in the province of Pichincha 36.1%. In anxiety they present an average of 6.4 and in depression of 5.7; they have an average of 42 in loneliness. There is a positive correlation between anxiety, depression and loneliness. Finally, females have higher levels of depression. Conclusion: Adolescents do not present anxiety or depression disorders, however, they present high levels of loneliness. There is a positive correlation between anxiety, depression, and loneliness, that is, the higher the levels of loneliness, the higher the probability that adolescents present anxiety or depression. Likewise, there is evidence of higher levels of depression in females.
{"title":"Prevalence of anxiety and depression in ecuadorian adolescents","authors":"Ramírez Zhindón Marina del Rocío, Ramón Herrera Angel Ricardo, Ortega Jimenez David Mauricio","doi":"10.17352/2455-5460.000080","DOIUrl":"https://doi.org/10.17352/2455-5460.000080","url":null,"abstract":"Objective: To determine the prevalence and incidence of anxiety disorders and depression with loneliness in a sample of adolescents. Material and methodology: Quantitative, correlational, cross-sectional study including 330 Ecuadorian adolescents selected by non-probabilistic purposive sampling. The Ad Hoc Questionnaire, the Depression, Anxiety, and Stress Scale (DASS-21), and the UCLA Loneliness Scale were used for data collection. Results: Of the 330 adolescents, 65.5% were male, and the mean age was 16.8 years. Sixty, 60% are in their third year of high school and 39.4% are in their second year. Most of them live in the province of Pichincha 36.1%. In anxiety they present an average of 6.4 and in depression of 5.7; they have an average of 42 in loneliness. There is a positive correlation between anxiety, depression and loneliness. Finally, females have higher levels of depression. Conclusion: Adolescents do not present anxiety or depression disorders, however, they present high levels of loneliness. There is a positive correlation between anxiety, depression, and loneliness, that is, the higher the levels of loneliness, the higher the probability that adolescents present anxiety or depression. Likewise, there is evidence of higher levels of depression in females.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43990819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.17352/2455-5460.000079
B. Michel
The regulation of the control of the emotional experience is one of the determining parameters of the adaptation of an individual to his environment. Bipolar disorder is a psychiatric pathology in which disturbances in the processing of emotions are particularly marked during acute episodes and persist during the interictal period. Treatment with mood stabilizers generally improves the perception of emotions, while antidepressants are brakes on this perception. Finally, simple psychological measures can be useful in controlling emotions.
{"title":"How to help managing emotions felt by bipolar patients?","authors":"B. Michel","doi":"10.17352/2455-5460.000079","DOIUrl":"https://doi.org/10.17352/2455-5460.000079","url":null,"abstract":"The regulation of the control of the emotional experience is one of the determining parameters of the adaptation of an individual to his environment. Bipolar disorder is a psychiatric pathology in which disturbances in the processing of emotions are particularly marked during acute episodes and persist during the interictal period. Treatment with mood stabilizers generally improves the perception of emotions, while antidepressants are brakes on this perception. Finally, simple psychological measures can be useful in controlling emotions.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44675551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-20DOI: 10.17352/2455-5460.000078
B. Michel
Anxiety disorders are among the main comorbidities encountered in patients with bipolar disease. Numerous clinical and epidemiological studies show an increased prevalence of anxiety pathologies (generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder) in bipolar subjects compared to the frequencies in the general population. Anxiety disorders are not without consequences on the evolutionary course of the mood disorder, including a significant reduction in euthymia time and less sensitivity to conventional medicinal therapies.
{"title":"Managing anxiety disorders in bipolar patients","authors":"B. Michel","doi":"10.17352/2455-5460.000078","DOIUrl":"https://doi.org/10.17352/2455-5460.000078","url":null,"abstract":"Anxiety disorders are among the main comorbidities encountered in patients with bipolar disease. Numerous clinical and epidemiological studies show an increased prevalence of anxiety pathologies (generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder) in bipolar subjects compared to the frequencies in the general population. Anxiety disorders are not without consequences on the evolutionary course of the mood disorder, including a significant reduction in euthymia time and less sensitivity to conventional medicinal therapies.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43259890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.17352/2455-5460.000077
B. Michel
A growing international scientific literature demonstrates the existence of sleep abnormalities and sleep/wake (or circadian) rhythms in bipolar disorder. These abnormalities exist during the acute phases of the disease, with the classic presentation of insomnia or hypersomnia during depressive episodes and a reduced need for sleep without feeling tired during manic episodes. But these disturbances can also appear or persist during phases of mood stability. However, it has now been clearly demonstrated that these disturbances can precipitate a new depressive or manic episode.
{"title":"Sleep and bipolar disorder","authors":"B. Michel","doi":"10.17352/2455-5460.000077","DOIUrl":"https://doi.org/10.17352/2455-5460.000077","url":null,"abstract":"A growing international scientific literature demonstrates the existence of sleep abnormalities and sleep/wake (or circadian) rhythms in bipolar disorder. These abnormalities exist during the acute phases of the disease, with the classic presentation of insomnia or hypersomnia during depressive episodes and a reduced need for sleep without feeling tired during manic episodes. But these disturbances can also appear or persist during phases of mood stability. However, it has now been clearly demonstrated that these disturbances can precipitate a new depressive or manic episode.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46561635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-17DOI: 10.17352/2455-5460.000076
Chatlos John Calvin
A recently developed Cognitive Behavioral Theory (CBT)-based process has been used to understand and explore the nature of spirituality and spiritual experience and its healing characteristics. Experiences of self-worth and dignity (both are operationalized) as the core of spirituality are directly injured by bullying with resultant depression and anxiety. Bullying experiences with progression to actively bullying are devastating to our spiritual core and undermine fundamental faith in self, others and life. This level of injury is often not recognized by many bullying programs. This preliminary communication is presented for researchers in these areas to consider how this process may be used for further research and prevention and intervention efforts.
{"title":"Bullying, spirituality, anxiety and depression","authors":"Chatlos John Calvin","doi":"10.17352/2455-5460.000076","DOIUrl":"https://doi.org/10.17352/2455-5460.000076","url":null,"abstract":"A recently developed Cognitive Behavioral Theory (CBT)-based process has been used to understand and explore the nature of spirituality and spiritual experience and its healing characteristics. Experiences of self-worth and dignity (both are operationalized) as the core of spirituality are directly injured by bullying with resultant depression and anxiety. Bullying experiences with progression to actively bullying are devastating to our spiritual core and undermine fundamental faith in self, others and life. This level of injury is often not recognized by many bullying programs. This preliminary communication is presented for researchers in these areas to consider how this process may be used for further research and prevention and intervention efforts.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-09DOI: 10.17352/2455-5460.000075
Carmeli Eli, Grencel Irit, Fogelman Yacov
The success of a patient's rehabilitation depends greatly on many variables. Stroke survivors are often not sufficiently or fully aware of their mental health condition, and as a result are unresponsive, frustrated, and have difficulty with executive functions. The aim was to investigate the effect of the "Golden Circle" cognitive exercise on the quality of life of post-stroke patients. The subjects were 30 volunteers at a subacute stage after an ischemic stroke. They were randomly allocated to either an experimental group (n = 15) or a control group (n = 15). Quality of life questionnaire and Visual Analogue Scale administered. They were asked to draw a circle on a blank A4 page and at the top to write a title, and within the circle to write their problems, their suggested solutions and to intuitively write associations to a color, a taste, an animal, and a general physical sensation, and below these the date. Following the intervention experimental group showed improvement in walking, standing up, daily activities and general quality of life. Using the "Golden Circle" exercise to improve self-awareness and motivation in stroke survivors contributes to coping and taking responsibility for their rehabilitation.
{"title":"The effect of the \"Golden Circle\" exercise on personal goal achievements of stroke survivors: Preliminary findings","authors":"Carmeli Eli, Grencel Irit, Fogelman Yacov","doi":"10.17352/2455-5460.000075","DOIUrl":"https://doi.org/10.17352/2455-5460.000075","url":null,"abstract":"The success of a patient's rehabilitation depends greatly on many variables. Stroke survivors are often not sufficiently or fully aware of their mental health condition, and as a result are unresponsive, frustrated, and have difficulty with executive functions. The aim was to investigate the effect of the \"Golden Circle\" cognitive exercise on the quality of life of post-stroke patients. The subjects were 30 volunteers at a subacute stage after an ischemic stroke. They were randomly allocated to either an experimental group (n = 15) or a control group (n = 15). Quality of life questionnaire and Visual Analogue Scale administered. They were asked to draw a circle on a blank A4 page and at the top to write a title, and within the circle to write their problems, their suggested solutions and to intuitively write associations to a color, a taste, an animal, and a general physical sensation, and below these the date. Following the intervention experimental group showed improvement in walking, standing up, daily activities and general quality of life. Using the \"Golden Circle\" exercise to improve self-awareness and motivation in stroke survivors contributes to coping and taking responsibility for their rehabilitation.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48462085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-13DOI: 10.17352/2455-5460.000074
Alqahtani Mohammed Qasem
Mental health is one of the 3 essential health columns which is defined according to WHO as "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".
{"title":"Prevalence and predictive factors of depression among medical health care workers and medical residents","authors":"Alqahtani Mohammed Qasem","doi":"10.17352/2455-5460.000074","DOIUrl":"https://doi.org/10.17352/2455-5460.000074","url":null,"abstract":"Mental health is one of the 3 essential health columns which is defined according to WHO as \"a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity\".","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41845549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-28DOI: 10.17352/2455-5460.000073
GP Felipe Da Silva, Gabriel Rezende M, Scapatici Lohana Pompelli, de Araujo Luísa Zanelatto, Lombardi Bruna Carrara, Vidal Caroline, Wiedmer David Batista, Schoeler Lucas, Gisele Minhoto R, R. Andreatini
Objective: Major Depressive Disorder (MDD) has as diagnostics characteristics chronic deep sadness, anhedonia, sleeping disorder, lower energy, and cognition impairment like memory deficits. Among the pharmacological treatments that have been used until the moment, most of them act by monoaminergic pathways. Overall, the antidepressant effects promoted by this kind of medication usually delay starting, resulting in treatment resistance by the patients; moreover, in some cases, this kind of treatment has shown to be inefficient in depression remission. With this, new treatments have been studied for resistant cases and an immediate antidepressant effect, for example, ketamine – whose action occurs in glutamatergic pathways. This study aimed to analyze, from a literature review, the molecular mechanisms involved in the action of ketamine - focusing on the neuroplastic hypothesis of depression. Methods: A literature search was conducted in PubMed, MEDLINE, and SciELO databases using the following terms as descriptors: "ketamine AND depression AND neuroplasticity," with criterion PICO, resulting in 60 bibliographic texts. Results/discussion: The studies analyzed demonstrated that ketamine could exert its antidepressant effects through the inhibition of GABAergic interneurons, activation of TRK-B/AKT/mTORC pathways involved with cell survival/growth through the neurotrophine BDNF and increased activation of AMPAr by glutamate. Furthermore, it is evident that the pharmacodynamics of ketamine involves different molecular cascades present in the impaired neural plasticity pathways in individuals with MDD. Conclusion: Thus, more research on the effectiveness of ketamine is needed to consolidate its use in MDD and to evolve with glutamatergic pharmacological therapy for other mental disorders, such as bipolar and neurodegenerative affective disorders, an example of Alzheimer's disease.
{"title":"Antidepressants and memory effects of ketamine under the neuromolecular view: A literature review","authors":"GP Felipe Da Silva, Gabriel Rezende M, Scapatici Lohana Pompelli, de Araujo Luísa Zanelatto, Lombardi Bruna Carrara, Vidal Caroline, Wiedmer David Batista, Schoeler Lucas, Gisele Minhoto R, R. Andreatini","doi":"10.17352/2455-5460.000073","DOIUrl":"https://doi.org/10.17352/2455-5460.000073","url":null,"abstract":"Objective: Major Depressive Disorder (MDD) has as diagnostics characteristics chronic deep sadness, anhedonia, sleeping disorder, lower energy, and cognition impairment like memory deficits. Among the pharmacological treatments that have been used until the moment, most of them act by monoaminergic pathways. Overall, the antidepressant effects promoted by this kind of medication usually delay starting, resulting in treatment resistance by the patients; moreover, in some cases, this kind of treatment has shown to be inefficient in depression remission. With this, new treatments have been studied for resistant cases and an immediate antidepressant effect, for example, ketamine – whose action occurs in glutamatergic pathways. This study aimed to analyze, from a literature review, the molecular mechanisms involved in the action of ketamine - focusing on the neuroplastic hypothesis of depression. Methods: A literature search was conducted in PubMed, MEDLINE, and SciELO databases using the following terms as descriptors: \"ketamine AND depression AND neuroplasticity,\" with criterion PICO, resulting in 60 bibliographic texts. Results/discussion: The studies analyzed demonstrated that ketamine could exert its antidepressant effects through the inhibition of GABAergic interneurons, activation of TRK-B/AKT/mTORC pathways involved with cell survival/growth through the neurotrophine BDNF and increased activation of AMPAr by glutamate. Furthermore, it is evident that the pharmacodynamics of ketamine involves different molecular cascades present in the impaired neural plasticity pathways in individuals with MDD. Conclusion: Thus, more research on the effectiveness of ketamine is needed to consolidate its use in MDD and to evolve with glutamatergic pharmacological therapy for other mental disorders, such as bipolar and neurodegenerative affective disorders, an example of Alzheimer's disease.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41841789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-17DOI: 10.17352/2455-5460.000072
B. Michel
Bipolar disorder is a chronic illness, defined by a succession of depressive and/or manic periods separated by free intervals. Its evolution with aging is marked by a high suicide mortality rate. Bipolar disorders raise the question of their evolution when the age of the subject, in particular with regard to their frequency, their clinical characteristics, their prognosis and their management. The evolution of bipolar disorder with aging poses several difficulties in clinical practice due to its underestimated frequency and its misleading presentation and in particular by the presence of sometimes significant cognitive alterations leading sometimes to dementia.
{"title":"Bipolar disorder and aging","authors":"B. Michel","doi":"10.17352/2455-5460.000072","DOIUrl":"https://doi.org/10.17352/2455-5460.000072","url":null,"abstract":"Bipolar disorder is a chronic illness, defined by a succession of depressive and/or manic periods separated by free intervals. Its evolution with aging is marked by a high suicide mortality rate. Bipolar disorders raise the question of their evolution when the age of the subject, in particular with regard to their frequency, their clinical characteristics, their prognosis and their management. The evolution of bipolar disorder with aging poses several difficulties in clinical practice due to its underestimated frequency and its misleading presentation and in particular by the presence of sometimes significant cognitive alterations leading sometimes to dementia.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48300930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.17352/2455-5460.000071
Kizilhan Jan
The increasing size of displaced populations seeking protection in third countries, should be considered in public health and especially in Psychotherapy in that countries. Refugees from the Middle East, usually from collective cultures, require special skills and modifications in the treatment setting. The cultural formulation (CF) of illness and suffering, as described in the recent version of medical standard manuals, is part of this challenge. Besides bridging cultures, the specific nature of trauma, especially highly complex issues such as a genocidal environment, - in our case example - the both transgenerational and the immediate persecution experienced by the Yazidi ethnic and religious minority - the therapist must also consider aspects of distress caused by displacement and exile. The article discusses the needed adaptations in the therapeutic setting, using the case of a Yezidi woman surviving ISIS violence abduction. Within the framework of our treatment, she received cognitive behavioral therapy with individual and group therapies (multimodal interventions) over a period of 10 weeks. Besides establishing stability, safety and orientation and strengthening her self-consciousness, her traumatic experiences were considered from an individual, collective, socio - cultural and political point of view. Both the causes and maintaining conditions of the symptoms as well as the symptoms themselves are being worked on. The sensitive confrontation with the trauma was particularly helpful for the patient. In addition, she learned to participate actively in everyday life and in new social contacts again during therapy. She was able to overcome the passive - avoidant lifestyle since the traumatic event in a somewhat stable manner, although she will still need time to develop a stable perspective in the long term. She was offered the prospect of renewed follow-up treatment if necessary.
{"title":"Transcultural aspects in the treatment of posttraumatic and situational distress among middle eastern refugees","authors":"Kizilhan Jan","doi":"10.17352/2455-5460.000071","DOIUrl":"https://doi.org/10.17352/2455-5460.000071","url":null,"abstract":"The increasing size of displaced populations seeking protection in third countries, should be considered in public health and especially in Psychotherapy in that countries. Refugees from the Middle East, usually from collective cultures, require special skills and modifications in the treatment setting. The cultural formulation (CF) of illness and suffering, as described in the recent version of medical standard manuals, is part of this challenge. Besides bridging cultures, the specific nature of trauma, especially highly complex issues such as a genocidal environment, - in our case example - the both transgenerational and the immediate persecution experienced by the Yazidi ethnic and religious minority - the therapist must also consider aspects of distress caused by displacement and exile. The article discusses the needed adaptations in the therapeutic setting, using the case of a Yezidi woman surviving ISIS violence abduction. Within the framework of our treatment, she received cognitive behavioral therapy with individual and group therapies (multimodal interventions) over a period of 10 weeks. Besides establishing stability, safety and orientation and strengthening her self-consciousness, her traumatic experiences were considered from an individual, collective, socio - cultural and political point of view. Both the causes and maintaining conditions of the symptoms as well as the symptoms themselves are being worked on. The sensitive confrontation with the trauma was particularly helpful for the patient. In addition, she learned to participate actively in everyday life and in new social contacts again during therapy. She was able to overcome the passive - avoidant lifestyle since the traumatic event in a somewhat stable manner, although she will still need time to develop a stable perspective in the long term. She was offered the prospect of renewed follow-up treatment if necessary.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49077148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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