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how does the psychodynamic approach affect treatment strategies for depressive disorder

by Jammie Braun Published 3 years ago Updated 2 years ago

Through psychodynamic therapy for depression, you may learn healthier ways to cope with issues in your life that bring up repressed and subconscious emotions. This may lead to you being able to live a more fulfilling life. Psychodynamic therapy for depression helps to promote self-examination and self-reflection.

Psychodynamic therapy for depression helps to promote self-examination and self-reflection. It will allow you to develop coping strategies to deal with new problems based on awareness and intentional action, rather than reactive feelings and behaviors.Feb 19, 2021

Full Answer

What is psychodynamic therapy for depression?

Psychodynamic therapy for depression investigates a range of emotions including sadness, anger, distress, loss of desire, etc. During therapy, clients explore a range of feelings including those that they may not have been aware of in the past (e.g., feelings of being let down, feeling unsafe).

What happens during psychodynamic therapy?

During psychodynamic therapy, the client will become aware of emotions and feelings that may have been repressed. In addition, the client will make these subconscious elements part of their present awareness so that unresolved problems and feelings can be dealt with. Psychodynamic Therapy vs. Other Therapies for Depression

Is psychodynamic therapy effective for PTSD?

Although psychodynamic therapy can be an effective form of treatment for many mental health conditions, the researchers behind one report found that it may be less effective for the following conditions: post-traumatic stress disorder (PTSD)

Is psychodynamic psychotherapy for depression heterogeneous?

Psychodynamic psychotherapy models encompass a heterogeneous group of interventions derived from early psychoanalyti … Depression and psychodynamic psychotherapy Braz J Psychiatry. Jan-Mar 2018;40(1):105-109.doi: 10.1590/1516-4446-2016-2107. Epub 2017 Jun 12. Authors

How does psychodynamic approach treat depression?

By making the unconscious elements of their life a part of their present experience, psychodynamic therapy helps people understand how their behavior and mood are affected by unresolved issues and unconscious feelings.

What is the psychodynamic approach to treatment of mental disorders?

Psychodynamic therapy focuses on the psychological roots of emotional suffering. Its hallmarks are self-reflection and self-examination, and the use of the relationship between therapist and patient as a window into problematic relationship patterns in the patient's life.

How does psychodynamic approach work?

Psychodynamic therapy is an approach that involves facilitation a deeper understanding of one's emotions and other mental processes. It works to help people gain greater insight into how they feel and think. By improving this understanding, people can then make better choices about their lives.

What does psychodynamic therapy treat?

Psychodynamic therapy is primarily used to treat depression and other serious psychological disorders, especially in those who have lost meaning in their lives and have difficulty forming or maintaining personal relationships.

Why do people use psychodynamic therapy?

It’s designed to help you find relief from mental or emotional stress. For example, your doctor may recommend it if you have depression. Proponents of psychodynamic therapy believe your present day problems are linked to unconscious conflicts arising from events in your past. They believe you must identify the roots of your psychological pain ...

What type of therapy is used for depression?

Depending on your condition, they may prescribe a combination of medication and therapy. Psychodynamic therapy is a common type of therapy.

How long does a therapy session last?

Each session will typically last 45 to 50 minutes. Your therapist will try to establish a supportive environment where you feel comfortable talking about your experiences. They will likely allow you to speak freely during sessions. They may occasionally interrupt to ask questions or redirect the discussion.

Do therapists share their opinions?

They don’t typically share their opinions on what you say. This neutrality may help strengthen your therapeutic relationship. You may communicate with your therapist on multiple levels, sometimes by indirect means. For instance, they may examine your dreams and fantasies and help you to discover their meaning.

Is psychodynamic therapy the same as psychotherapy?

Psychodynamic therapy is similar to other forms of psychotherapy. It poses minimal risk. You may struggle with the emotional impact of reliving or sharing the past. But it may improve your long-term well-being and ability to cope.

Is BPT effective for depression?

BPT in particular has been found to be superior to control conditions, equally effective as other active psychological treatments, with treatment effects that are often maintained in the long ru …. Findings reviewed in this article show that PT should be included in treatment guidelines for depression. BPT in particular has been found ...

Is BPT as effective as pharmacotherapy?

Moreover, BPT is as effective as pharmacotherapy in the acute treatment of mild to moderat e depression , and, either as monotherapy or combined with medication, BPT is associated with better long-term outcome compared with pharmacotherapy alone.

Is depression a psychodynamic condition?

Depression and psychodynamic psychotherapy. Depression is a complex condition, and its classical biological/psychosocial distinction is fading. Current guidelines are increasingly advocating psychotherapy as a treatment option.

Is depression a biological or psychosocial condition?

Depression is a complex condition, and its classical biological/psychosocial distinction is fading. Current guidelines are increasingly advocating psychotherapy as a treatment option. Psychodynamic psychotherapy models encompass a heterogeneous group of interventions derived from early psychoanalytic conceptualizations.

What is the branch of psychodynamic theory?

One popular branch of modern psychodynamic theory, known as object relations theory , is concerned with how people understand and mentally represent their relationships with others.

What is the theory of depression?

According to interpersonal theory a depressed person's negative interpersonal behaviors cause other people to reject them.

What is anaclitic depression?

Anaclitic depression involves a person who feels dependent upon relationships with others and who essentially grieves over the threatened or actual loss of those relationships.

Why do people get depression?

According to object relations theory, depression is caused by problems people have in developing representations of healthy relationships. Depression is a consequence of an ongoing struggle that depressed people endure in order to try and maintain emotional contact with desired objects.

What is the dominant school of thought within psychiatry and much of clinical psychology during the first part of the

Psychodynamic Theories. Psychodynamic theory was the dominant school of thought within psychiatry and much of clinical psychology during the first part of the 20th century, at least with regard to ideas about how psychotherapy should be conducted.

What is the theory that depression is caused by anger?

Psychoanalysts historically believed that depression was caused by anger converted into self-hatred ("anger turned inward"). A typical scenario regarding how this transformation was thought to play out may be helpful is further explaining this theory.

Why do psychologists have their own theories?

Consequently, different schools of thought within psychology have developed their own theories as to why someone becomes depressed.

Abstract

Over the last 30 years, several disorder-focused psychodynamic psychotherapies have been developed to directly address specific problem areas. This chapter will describe depression-focused psychodynamic psychotherapy as one form of these interventions.

References (31)

ResearchGate has not been able to resolve any citations for this publication.

What is ISTDP therapy?

Background Intensive Short-Term Dynamic Psychotherapy (ISTDP) is an intervention introduced by Davanloo in order to treat affective and somatic symptoms, and personality disorders. It is a brief intervention aimed to reach awareness of painful or forbidden emotions and consequently to override symptoms and self-destructive tendencies. In this review we examine the efficacy of ISTDP on symptoms of patients with Major Depressive Disorder (MDD) and Bipolar Disorder (BD). Methods A thorough search of articles in Pubmed, PsycINFO, Isi Web of Knowledge was carried out in order to obtain available studies of ISTDP for BD and MDD. We included all studies conducted on patients with a diagnosis of MDD or BD and who received ISTDP. Results Eight studies were included. These were two randomized controlled trials and six observational studies. Overall the results of the included manuscripts suggest a positive effect of ISTDP on depressive symptoms for patients affected by mood disorders. Furthermore, they suggest ISTDP maybe cost-effective through reducing doctor visits and hospitalizations in follow-up. Limitations Most studies had small samples and consisted of non-randomized trials. Conclusions These are preliminary positive results on the effectiveness of this approach for the treatment of depressive symptoms. They have to be confirmed by studies with larger sample sizes and by comparing this technique with other psychological treatments such as cognitive-behavioural therapy.

What is hypothalamic dysfunction?

Hypothalamic dysfunction is a key pathological factor in inflammation-associated depression. In the present study, isobaric tags for relative-absolute quantitation (iTRAQ) combined with mass spectrometry and gas chromatography-mass spectrometry (GC-MS) were employed to detect the proteomes and metabolomes in the hypothalamus of the lipopolysaccharide (LPS)-induced depression mouse, respectively. A total of 187 proteins and 27 metabolites were differentially expressed compared with the control group. Following the integration of bi-omics data, pertinent pathways and molecular interaction networks were further identified. The results indicated altered molecules were clustered into Ephrin receptor signaling, glutamatergic transmission, and inflammation-related signaling included the LXR/RXR activation, FXR/RXR activation, and acute phase response signaling. First discovered in the hypothalamus, Ephrin receptor signaling regulates N-methyl-D-aspartate receptor (NMDAR)-predominant glutamatergic transmission, and further acted on AKT signaling that contributed to changes in hypothalamic neuroplasticity. Ephrin type-B receptor 2 (EPHB2), a transmembrane receptor protein in Ephrin receptor signaling, was significantly elevated and interacted with the accumulated NMDAR subunit GluN2A in the hypothalamus. Additionally, molecules involved in synaptic plasticity regulation, such as hypothalamic postsynaptic density protein-95 (PSD-95), p-AKT and brain-derived neurotrophic factor (BDNF), were significantly altered in the LPS-induced depressed group. It might be an underlying pathogenesis that the EPHB2-GluN2A-AKT cascade regulates synaptic plasticity in depression. EPHB2 can be a potential therapeutic target in the correction of glutamatergic transmission dysfunction. In summary, our findings point to the previously undiscovered molecular underpinnings of the pathophysiology in the hypothalamus of inflammation-associated depression and offer potential targets to develop antidepressants.

What is anxiety disorder?

... Anxiety disorders are highly prevalent psychiatric conditions commonly associated with a diminished sense of well-being and elevated rates of incapacity (Kroenke et al., 2007;Mata et al., 2015;Sjöberg et al., 2017). The treatment of these disorders is based on the use of benzodiazepines and antidepressants (serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressant and partial 5-HT1A receptor agonists) as well as non-pharmacological treatments, such as psychotherapy and physical activity (Phillips, 2017;Marwood et al., 2018; Ribeiro et al., 2018; Kandola et al., 2019). Unfortunately, the late onset of therapeutic effects and important adverse reactions reduces adherence and success of the pharmacotherapy (Blessing et al., 2015;Pruckner and Holthoff-Detto, 2017;Artigas et al., 2018;Davies et al., 2019). ...

Is CBD good for neuropsychiatric disorders?

Cannabidiol (CBD) is a phytocannabinoid with a broad-range of therapeutic potential in several conditions, including neurological (epilepsy, neurodegenerative diseases, traumatic and ischemic brain injuries) and psychiatric disorders (schizophrenia, addiction, major depressive disorder, and anxiety). The pharmacological mechanisms responsible for these effects are still unclear, and more than 60 potential molecular targets have been described. Regarding neuropsychiatric disorders, most studies investigating these mechanisms have focused on neuronal cells. However, glial cells (astrocytes, oligodendrocytes, microglia) also play a crucial role in keeping the homeostasis of the central nervous system. Changes in glial functions have been associated with neuropathological conditions, including those for which CBD is proposed to be useful. Mostly in vitro studies have indicated that CBD modulate the activation of proinflammatory pathways, energy metabolism, calcium homeostasis, and the proliferative rate of glial cells. Likewise, some of the molecular targets proposed for CBD actions are f expressed in glial cells, including pharmacological receptors such as CB1, CB2, PPAR-γ, and 5-HT1A. In the present review, we discuss the currently available evidence suggesting that part of the CBD effects are mediated by interference with glial cell function. We also propose additional studies that need to be performed to unveil the contribution of glial cells to CBD effects in neuropsychiatric disorders.

Is depression a biological or psychosocial condition?

Depression is a complex condition, and its classical biological/psychosocial distinction is fading. Current guidelines are increasingly advocating psychotherapy as a treatment option. Psychodynamic psychotherapy models encompass a heterogeneous group of interventions derived from early psychoanalytic conceptualizations. Growing literature is raising awareness in the scientific community about the importance of these treatment options, as well as their favorable impact on post-treatment outcomes and relapse prevention. Considering the shifting paradigm regarding treatment of depressive disorder, the authors aim to provide a brief overview of the definition and theoretical basis of psychodynamic psychotherapy, as well as evaluate current evidence for its effectiveness.

Is fluoxetine effective for depression?

Background: Fluoxetine (FLU) is the first-line and widely used medication for depression; however, FLU treatment is almost ineffective in 30%-40% of patients with depression. In addition, there are some problems in FLU treatment, such as delayed efficacy, large side effects, and poor tolerance. Chaihu Shugan San (CSS) is a classic and effective antidepressant Chinese herbal medicine that has been used in China for thousands of years. CSS or coadministration of CSS and FLU has become one of the most recommended methods in the treatment of depression in China. However, the specific pathways of CSS and coadministration of CSS and FLU for antidepressant are still unclear. Objective: This study was designed to evaluate the antidepressant effects of CSS and coadministration of CSS and FLU. Methods: The chronic unpredictable mild stress (CUMS) rat model was used to simulate depression. 120 healthy adult male Sprague-Dawley (SD) rats were randomly divided into seven groups: the control group, CUMS group, low-dose CSS group, high-dose CSS group, FLU group, coadministration of low-dose CSS and FLU group, and coadministration of high-dose CSS and FLU group. The rats in different groups were given different interventions. Then, the depression-like behavior and cognitive function were evaluated by the sucrose preference test (SPT), forced swimming test (FST), open field test (OFT), and Y-maze test. What is more, the antidepressant mechanism of CSS and coadministration of CSS and FLU were studied through BDNF mRNA, ERK mRNA, CREB mRNA, BDNF, p-ERK/ERK, and p-CREB/CREB levels in the hippocampus and frontal cortex by Western blot and RT-PCR. Results: Compared with the CUMS group, CSS and coadministration of CSS and FLU could alleviate the depressive symptoms and improve cognitive function in CUMS rats (p < 0.05); CSS and coadministration of CSS and FLU could increase the expression of BDNF, p-CREB/CREB, p-ERK/ERK, and BDNF mRNA, CREB mRNA, and ERK mRNA in the hippocampus and frontal cortex (p < 0.05); CSS and coadministration of CSS and FLU could increase the expression of BDNF, p-CREB/CREB, p-ERK/ERK, and BDNF mRNA, CREB mRNA, and ERK mRNA in the hippocampus and frontal cortex (p < 0.05); CSS and coadministration of CSS and FLU could increase the expression of BDNF, p-CREB/CREB, p-ERK/ERK, and BDNF mRNA, CREB mRNA, and ERK mRNA in the hippocampus and frontal cortex (Discussion and Conclusion. Finally, we found that both CSS and coadministration of CSS and FLU play an antidepressant role, which may be due to the regulation of the BDNF/ERK/CREB signaling pathway in the hippocampus and frontal cortex. Among them, the coadministration of CSS and FLU can enhance the antidepressant effect of CSS or FLU alone, and the underlying mechanism needs further investigation.

Why is psychodynamic therapy important?

In psychodynamic therapy, the relationship between the therapist and the client is very important. It provides a container in which people can gain insights into themselves, their pasts, and their feelings. They can develop a better understanding of how they see the world and the ways in which all these factors affect their experiences.

How long does psychodynamic therapy last?

Short-term psychodynamic therapy generally lasts for 25–30 sessions . Trusted Source.

How does psychological therapy help people?

This treatment approach helps people see what is behind their problems by giving them a better understanding of their unconscious feelings, thoughts, and past experiences. Developing these psychological skills helps people make better choices and feel better in the long-term.

What is the purpose of a symptom relief?

Having this insight can lead to symptom relief, help people feel better, and allow them to make better choices.

How does experience affect behavior?

Unconscious motivations — such as social pressure, biology, and psychology — can affect behavior. Experience shapes personality, which can, in return, affect an individual’s response to that experience. Past experiences affect the present.

Who is the father of psychodynamic therapy?

This is because psychodynamic therapy is based on the work of Sigmund Freud, who many people know as the “ father of psychoanalysis .”. Although the American Psychological Association identify five general categories of therapy — with many more subtypes — most types have roots that are traceable to Freud’s groundbreaking work.

Who developed the therapy model?

Early leaders in the field who contributed to the development of this approach include Carl Jung, Melanie Klein, and Anna Freud. In its earlier stages, therapy could last for years, with a person even having several therapy sessions per week.

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