Family Therapy
Psychotherapy, Brief
Psychoanalytic Therapy
Marital Therapy
Anorexia Nervosa
Homeless Youth
Cognitive Therapy
Psychotherapy
Treatment Outcome
Combined Modality Therapy
Family ward: a new therapeutic approach. (1/376)
This article describes a new integrated child psychiatric family ward treatment model at the Tampere University Hospital. Theoretically, the treatment is based on an integration of systems and psychoanalytical theories as well as behavioral approach. A centerpiece of the model is a 3-week treatment period for the whole family at the family day ward. The work of the multidisciplinary team on the ward focuses on family relationships, on representational level, and on the interactional behavior of the family. Interaction and relationships are also used as tools, including a reflective working model and sharing concrete interaction with the family. So far, the family ward has offered 165 family treatment periods for 113 different families. Altogether in 63% of the total treatment periods one or both parents have had mental illness and in 15% of the total treatment periods there have been serious custody disputes with accusations of sexual abuse of the child. Helping these multi-problem families is a special challenge for our treatment model and at the moment we are developing new methods for assessment and support of parenthood. (+info)Family therapy of schizophrenia. (2/376)
Family therapy of schizophrenia has long been conceived and practised under etiological premises. Familial disturbances as pathological regression/fixation (psychoanalytical) and individuation-impairing family dynamics (systemic) were addressed directly in the hope of "curing" the disorder. The efforts to prove the viability of the concepts and/or the efficacy of the therapeutic approach were largely unsuccessful. Newer strategies of family therapy of schizophrenia are both more precise in their theoretical assumptions and more performing in the pursuit of their therapeutic goals. We analyse the basis of modern family therapy in the "Expressed-Emotions (EE)"--research and propose a newer, more adequate understanding of the EE phenomenon. From our own studies and from a general review of relevant studies we derive an understanding of the rationale of family work and family therapy of schizophrenia. We discuss the results of a meta-analysis on the active ingredients and the conditions of efficacy of family interventions. (+info)Evidence-based psychosocial treatment for schizophrenia. (3/376)
Current recommendations for evidence-based schizophrenia treatment support a comprehensive, individualized approach that integrates advances in psychopharmacology with psychosocial strategies for disease management. In this issue of the Schizophrenia Bulletin, we invited clinician investigators to summarize new empirical data concerning the efficacy of psychosocial interventions that target common and particularly problematic aspects of schizophrenia. A rich formulary of psychosocial interventions with demonstrated efficacy is now available. With new neuroleptic medications, these interventions should define the current standard of care for schizophrenia. (+info)Update on family psychoeducation for schizophrenia. (4/376)
The Schizophrenia Patient Outcomes Research Team and others have previously included family psychoeducation and family support in best practices guidelines and treatment recommendations for persons with schizophrenia. In this article we review in detail 15 new studies on family interventions to consider issues around the implementation of family interventions in current practice. The data supporting the efficacy of family psychoeducation remain compelling. Such programs should remain as part of best practices guidelines and treatment recommendations. However, assessment of the appropriateness of family psychoeducation for a particular patient and family should consider (1) the interest of the family and patient; (2) the extent and quality of family and patient involvement; (3) the presence of patient outcomes that clinicians, family members, and patients can identify as goals; and (4) whether the patient and family would choose family psychoeducation instead of alternatives available in the agency to achieve outcomes identified. (+info)Psychosocial approaches to dual diagnosis. (5/376)
Recent research elucidates many aspects of the problem of co-occurring substance use disorder (SUD) in patients with severe mental illness, which is often termed dual diagnosis. This paper provides a brief overview of current research on the epidemiology, adverse consequences, and phenomenology of dual diagnosis, followed by a more extensive review of current approaches to services, assessment, and treatment. Accumulating evidence shows that comorbid SUD is quite common among individuals with severe mental illness and that these individuals suffer serious adverse consequences of SUD. The research further suggests that traditional, separate services for individuals with dual disorders are ineffective, and that integrated treatment programs, which combine mental health and substance abuse interventions, offer more promise. In addition to a comprehensive integration of services, successful programs include assessment, assertive case management, motivational interventions for patients who do not recognize the need for substance abuse treatment, behavioral interventions for those who are trying to attain or maintain abstinence, family interventions, housing, rehabilitation, and psychopharmacology. Further research is needed on the organization and financing of dual-diagnosis services and on specific components of the integrated treatment model, such as group treatments, family interventions, and housing approaches. (+info)Randomized, controlled trial of behavior therapy for families of adolescents with insulin-dependent diabetes mellitus. (6/376)
OBJECTIVE: To describe the short-term results of a controlled trial of Behavioral Family Systems Therapy (BFST) for families of adolescents with diabetes. METHODS: We randomized 119 families of adolescents with diabetes to 3 months' treatment with either BFST, an education and support Group (ES), or current therapy (CT). Family relationships, psychological adjustment to diabetes, treatment adherence and diabetic control were assessed at baseline, after 3 months of treatment (reported here), and 6 and 12 months later. RESULTS: Compared with CT and ES, BFST yielded more improvement in parent-adolescent relations and reduced diabetes-specific conflict. Effects on psychological adjustment to diabetes and diabetic control were less robust and depended on the adolescent's age and gender. There were no effects on treatment adherence. CONCLUSIONS: BFST yielded some improvement in parent-adolescent relationships; its effects on diabetes outcomes depended on the adolescent's age and gender. Factors mediating the effectiveness of BFST must be clarified. (+info)Effectiveness of cognitive-behavioural family intervention in reducing the burden of care in carers of patients with Alzheimer's disease. (7/376)
BACKGROUND: The majority of patients with Alzheimer's disease live outside institutions and there is considerable serious psychological morbidity among their carers. AIMS: To evaluate whether family intervention reduces the subjective burden of care in carers of patients with Alzheimer's disease and produces clinical benefits in the patients. METHOD: A prospective single-blind randomised controlled trial with three-month follow-up in which the experimental group received family intervention and was compared with two control groups. RESULTS: There were significant reductions in distress and depression in the intervention group compared with control groups at post-treatment and follow-up. There were significant reductions in behavioural disturbance at post-treatment and an increase in activities at three months in patients in the intervention group. Based on an improvement on the General Health Questionnaire resulting in a carer converting from a case to a non-case, the number to treat was three immediately post-treatment and two at follow-up. CONCLUSIONS: Family intervention can have significant benefits in carers of patients with Alzheimer's disease and has a positive impact on patient behaviour. (+info)Psychotherapies in psycho-oncology. An exciting new challenge. (8/376)
BACKGROUND: There is ample scope to devise forms of psychotherapy in consultation-liaison psychiatry, including the newly evolving area of psycho-oncology. AIMS: To highlight the development of psychotherapy in psycho-oncology, providing two illustrations. METHOD: We report on conceptual and clinical research in the context of oncology and palliative care, focusing on (a) an approach for families at risk of maladaptive bereavement; and (b) a group programme for women newly diagnosed with early-stage breast cancer. RESULTS: We were able to introduce new forms of psychological treatment for specific clinical groups, and anecdotal evidence points to useful benefits for participants. CONCLUSIONS: Psychotherapists should grasp the opportunity to bring their skills to the medical arena, but need to subject newly devised interventions to well-designed and methodologically rigorous research. (+info)Family therapy, also known as family systems therapy, is a type of psychological counseling that involves all members of a nuclear or extended family. Its primary goal is to promote understanding and improve communication between family members in order to resolve conflicts and foster healthy relationships. It is based on the belief that the family system is an interconnected unit and that changes in one part of the system affect the other parts as well.
Family therapy can be used to address a wide range of issues, including behavioral problems in children and adolescents, mental health disorders such as depression and anxiety, substance abuse, marital conflicts, and chronic illness or disability. The therapist will typically observe the family's interaction patterns and communication styles during sessions and provide feedback and guidance on how to make positive changes.
Family therapy can be conducted with the entire family present in the same room, or it may involve individual sessions with different family members. The number of sessions required will depend on the severity and complexity of the issues being addressed. It is important for all family members to be open and willing to participate in the therapy process in order for it to be effective.
Brief psychotherapy is a focused, goal-oriented form of psychotherapy that typically takes place over a short period of time, ranging from a few sessions to several months. It is an evidence-based treatment approach that is designed to address specific psychological issues or symptoms and help individuals make meaningful changes in their lives. The focus is on helping the person identify and modify self-defeating patterns of thought and behavior that contribute to their problems.
Brief psychotherapy can take many forms, but it often involves a collaborative approach between the therapist and the individual, with an emphasis on active participation and self-reflection. The therapist helps the individual set specific goals for treatment and provides guidance, support, and feedback as they work towards achieving those goals.
The techniques used in brief psychotherapy may include cognitive-behavioral therapy (CBT), solution-focused therapy, interpersonal therapy, or other evidence-based approaches. The goal is to help the individual develop new skills and strategies for managing their problems, improve their relationships, and enhance their overall well-being.
Overall, brief psychotherapy is a practical and effective treatment option for individuals who are seeking relief from specific psychological issues or symptoms and are willing to commit to a focused and time-limited course of therapy.
Psychoanalytic therapy, also known as psychoanalysis, is a type of in-depth talk therapy that aims to bring unconscious motivations and internal conflicts into conscious awareness. It was developed by Sigmund Freud and is based on the theory that people's behavior and feelings are strongly affected by unconscious motives.
The therapy involves regular, often frequent, sessions with a psychoanalyst. The patient is encouraged to talk freely about whatever comes to mind, including dreams, fantasies, and free associations. The analyst listens carefully and interprets the underlying meanings and patterns in the patient's thoughts, feelings, and behaviors.
The goal of psychoanalytic therapy is to help the patient understand and resolve their internal conflicts, which are often rooted in early childhood experiences. This can lead to improved mental health, better relationships, and increased self-awareness. It's important to note that this type of therapy requires a significant time commitment and can be emotionally challenging.
Marital therapy, also known as couples therapy, is a type of psychotherapy aimed at helping married or cohabitating partners understand and resolve their conflicts. It is a form of treatment that addresses the specific communication and relationship issues between two people who are in a committed relationship. The goal of marital therapy is to help couples develop skills and strategies to improve their relationship and better handle any future conflicts.
Marital therapy can be beneficial for couples facing a range of issues, including communication problems, financial stress, sexual difficulties, infidelity, addiction, and major life transitions. It is typically provided by licensed mental health professionals, such as psychologists, social workers, or marriage and family therapists. The therapy may involve individual sessions with each partner, as well as joint sessions with both partners together.
The specific approach used in marital therapy will depend on the training and preferences of the therapist, as well as the needs and goals of the couple. Some common approaches include cognitive-behavioral therapy, emotion-focused therapy, and the Gottman method. These approaches may involve exercises such as communication skills training, conflict resolution techniques, and trust-building activities. Ultimately, the goal of marital therapy is to help couples build a stronger, more fulfilling relationship.
Anorexia nervosa is a psychological eating disorder characterized by an intense fear of gaining weight, a distorted body image, and extremely restrictive eating behaviors leading to significantly low body weight. It primarily affects adolescent girls and young women but can also occur in boys and men. The diagnostic criteria for anorexia nervosa, as per the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), include:
1. Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that expected.
2. Intense fear of gaining weight or becoming fat, even though underweight.
3. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
4. In postmenarcheal females, amenorrhea (the absence of at least three consecutive menstrual cycles). A woman is considered to have amenorrhea if her periods occur only following hormone replacement therapy.
Anorexia nervosa can manifest in two subtypes: the restricting type and the binge-eating/purging type. The restricting type involves limiting food intake without engaging in binge eating or purging behaviors, while the binge-eating/purging type includes recurrent episodes of binge eating or purging through self-induced vomiting or misuse of laxatives, diuretics, or enemas.
Anorexia nervosa can lead to severe medical complications, including but not limited to malnutrition, electrolyte imbalances, heart problems, bone density loss, and hormonal disturbances. Early identification, intervention, and comprehensive treatment, which often involve a combination of psychotherapy, nutrition counseling, and medication management, are crucial for improving outcomes and reducing the risk of long-term health consequences.
There isn't a universally accepted medical definition for "Homeless Youth." However, in the context of social work, public health, and youth services, a homeless youth typically refers to an individual who is under the age of 25 and lacks fixed, regular, and adequate nighttime residence. This can include young people who are:
* Living on the streets, in parks, shelters, or other inadequate housing
* Couch surfing (moving from one place to another, staying with friends or relatives)
* Living in cars, abandoned buildings, or other inappropriate settings
* Fleeing or attempting to flee domestic violence or other dangerous situations
In the medical field, homeless youth may be at higher risk for various health issues, such as mental health disorders, substance abuse problems, chronic diseases, and infectious diseases. Therefore, healthcare providers should be aware of their unique needs and challenges to provide appropriate care and support.
Substance-related disorders, as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), refer to a group of conditions caused by the use of substances such as alcohol, drugs, or medicines. These disorders are characterized by a problematic pattern of using a substance that leads to clinically significant impairment or distress. They can be divided into two main categories: substance use disorders and substance-induced disorders. Substance use disorders involve a pattern of compulsive use despite negative consequences, while substance-induced disorders include conditions such as intoxication, withdrawal, and substance/medication-induced mental disorders. The specific diagnosis depends on the type of substance involved, the patterns of use, and the presence or absence of physiological dependence.
Cognitive Therapy (CT) is a type of psychotherapeutic treatment that helps patients understand the thoughts and feelings that influence behaviors. It is a form of talk therapy where the therapist and the patient work together to identify and change negative or distorted thinking patterns and beliefs, with the goal of improving emotional response and behavior.
Cognitive Therapy is based on the idea that our thoughts, feelings, and behaviors are all interconnected, and that negative or inaccurate thoughts can contribute to problems like anxiety and depression. By identifying and challenging these thoughts, patients can learn to think more realistically and positively, which can lead to improvements in their mood and behavior.
In cognitive therapy sessions, the therapist will help the patient identify negative thought patterns and replace them with healthier, more accurate ways of thinking. The therapist may also assign homework or exercises for the patient to practice between sessions, such as keeping a thought record or challenging negative thoughts.
Cognitive Therapy has been shown to be effective in treating a wide range of mental health conditions, including depression, anxiety disorders, eating disorders, and post-traumatic stress disorder (PTSD). It is often used in combination with other forms of treatment, such as medication, and can be delivered individually or in group settings.
The term "family" in a medical context often refers to a group of individuals who are related by blood, marriage, or adoption and who consider themselves to be a single household. This can include spouses, parents, children, siblings, grandparents, and other extended family members. In some cases, the term may also be used more broadly to refer to any close-knit group of people who provide emotional and social support for one another, regardless of their biological or legal relationship.
In healthcare settings, understanding a patient's family dynamics can be important for providing effective care. Family members may be involved in decision-making about medical treatments, providing care and support at home, and communicating with healthcare providers. Additionally, cultural beliefs and values within families can influence health behaviors and attitudes towards medical care, making it essential for healthcare professionals to take a culturally sensitive approach when working with patients and their families.
Psychotherapy is a type of treatment used primarily to treat mental health disorders and other emotional or behavioral issues. It involves a therapeutic relationship between a trained psychotherapist and a patient, where they work together to understand the patient's thoughts, feelings, and behaviors, identify patterns that may be causing distress, and develop strategies to manage symptoms and improve overall well-being.
There are many different approaches to psychotherapy, including cognitive-behavioral therapy (CBT), psychodynamic therapy, interpersonal therapy, and others. The specific approach used will depend on the individual patient's needs and preferences, as well as the training and expertise of the therapist.
Psychotherapy can be conducted in individual, group, or family sessions, and may be provided in a variety of settings, such as hospitals, clinics, private practices, or online platforms. The goal of psychotherapy is to help patients understand themselves better, develop coping skills, improve their relationships, and enhance their overall quality of life.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
Combined modality therapy (CMT) is a medical treatment approach that utilizes more than one method or type of therapy simultaneously or in close succession, with the goal of enhancing the overall effectiveness of the treatment. In the context of cancer care, CMT often refers to the combination of two or more primary treatment modalities, such as surgery, radiation therapy, and systemic therapies (chemotherapy, immunotherapy, targeted therapy, etc.).
The rationale behind using combined modality therapy is that each treatment method can target cancer cells in different ways, potentially increasing the likelihood of eliminating all cancer cells and reducing the risk of recurrence. The specific combination and sequence of treatments will depend on various factors, including the type and stage of cancer, patient's overall health, and individual preferences.
For example, a common CMT approach for locally advanced rectal cancer may involve preoperative (neoadjuvant) chemoradiation therapy, followed by surgery to remove the tumor, and then postoperative (adjuvant) chemotherapy. This combined approach allows for the reduction of the tumor size before surgery, increases the likelihood of complete tumor removal, and targets any remaining microscopic cancer cells with systemic chemotherapy.
It is essential to consult with a multidisciplinary team of healthcare professionals to determine the most appropriate CMT plan for each individual patient, considering both the potential benefits and risks associated with each treatment method.