Treatment FAQ

what is the maintence phase of treatment

by Curtis Ledner Published 2 years ago Updated 2 years ago
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The maintenance phase of the patient’s care is an ongoing process during which all members of the oral health team share in the same philosophy and treatment goals. The role of the administrative staff includes: • Keeping dental records up to date

Treatment guidelines recommend continuing antidepressant medication for at least 8 months after symptom remission and regimen stabilization, and this period is referred to as the maintenance phase of treatment.

Full Answer

What happens in the maintenance phase of psychotherapy?

The doses of medication in the previous phases are usually maintained. The type of psychotherapy employed dictates the frequency of visits in the maintenance phase (e.g., cognitive behavioral therapy and interpersonal therapy decrease to once a month, while psychodynamic psychotherapy maintains the same previous frequency).

What are the terms of use for maintenance therapy?

Terms of Use. MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. Maintenance therapy: Treatment designed to help the original primary treatment to succeed. Maintenance therapy may be given to patients who have cancer that is in remission to prevent a relapse.

What is the maintenance stage of change?

The goal of the Maintenance stage isn’t to expect endless progress without more life potholes to take care of. The goal is to be aware we always have more potholes, and enjoy filling in more of them to build resilience. People in this stage are seeing results from their change, and working to keep it up.

What is the difference between maintenance phase and continuation phase?

Continuation Phase – Remission is preserved and relapse prevented (usually 16 – 20 weeks in duration). Maintenance Phase – Susceptible patients are protected against recurrence or relapse of subsequent major depressive episodes (duration varies with frequency and severity of previous episodes).

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What is maintenance in dentistry?

Dental Team Focus. The Oral Health Team and the Maintenance Phase of Treatment. The maintenance phase of the patient's care is an ongoing process during which all members of the oral health team share in the same philosophy and treatment goals.

What are the phases of treatment plan?

Treatment plan sequencing Complex treatment plans often should be sequenced in phases, including an urgent phase, control phase, re-evaluation phase, definitive phase, and maintenance phase.

What is the second phase of psychotherapy?

Phase 2: During the second phase of treatment, the therapist ensures that the client has several different ways of handling emotional distress. The therapist may teach the client a variety of imagery and stress reduction techniques the client can use during and between sessions.

What is dental treatment phase?

The phases of care framework can be used by dental practitioners to formulate a treatment plan for patients using a methodical and patient-centered approach. The phases are broken into key stages: urgent phase, control phase, re-evaluation phase, definitive phase, and maintenance phase (Sivakumar et al. 2021).

What is the first phase of addiction treatment?

For some, this phase may include detoxification.

How to view the treatment process?

One way of viewing the treatment process is in phases or steps. These phases are not always linear, and they can sometimes overlap. An individual may move forward through these steps, only to then revert to an earlier phase, before moving forward again. Each person’s recovery journey is unique; the stage theory of addiction is only one model ...

How does behavioral therapy help with substance abuse?

Behavioral therapy can help the individual recognize how addiction contributes to the problems faced in daily life and prevents forward movement. During this phase, new life skills and coping mechanisms can be established, which will help the individual avoid relapse in the future.

How does behavioral therapy help with addiction?

Behavioral therapy can help the individual recognize how addiction contributes to the problems faced in daily life and prevents forward movement. During this phase, new life skills and coping mechanisms can be established, which will help the individual avoid relapse in the future.

What happens after abstinence?

The time after establishing abstinence can involve feeling emotionally fragile, overwhelmed, and confused. An addiction can be pervasive and function as an individual’s main coping strategy in life; once substance use is taken away, it can be difficult to initially establish new, healthier ways of coping.

What is the first step in treatment for substance use disorder?

Phase 1: Treatment Initiation. Phase 2: Early Abstinence. Phase 3: Maintenance of Abstinence. Phase 4: Advanced Recovery. Continuing the Healing Process. Treating a substance use disorder takes a significant amount of time. Many people relapse throughout this process, and some may complete multiple treatment programs before lasting recovery is ...

What is the stage theory of addiction?

Each person’s recovery journey is unique; the stage theory of addiction is only one model that can be used to understand the treatment process. Various models exist describing the overall phases of treatment, but most have elements in common. The National Institute on Drug Abuse (NIDA) describes four stages of treatment: initiation, ...

What is the goal of acute phase treatment?

Although the goal of acute phase treatment is to return patients to their functional and symptomatic baseline , it is common for patients to have a substantial but incomplete response to acute phase treatment. Structured tools that measure depression severity and functional status may be used for follow up assessment (e.g., PHQ- 9, Beck Depression Inventory, etc.). It is important to not conclude treatment for these patients at this phase as it may be associated with poor functional outcomes. The degree of an “adequate response” to treatment of depression has been loosely defined: non-response is the decrease in baseline symptoms of 25% or less; partial response is a 26 – 49% decrease in baseline symptoms; partial remission is 50% or greater decrease in baseline symptoms with residual symptoms; and remission is the complete absence of symptoms). When patients have not fully responded at this phase, the most important first step is increasing the dose.

What factors influence the length of maintenance treatment?

Factors that may influence this period may be frequency and severity of recurrent episodes, persistence of symptoms after a period of recovery, tolerability of treatment, and patient preference. Some patients may require indefinite maintenance treatment.

What is remission in psychology?

Remission is the return to the patient’s baseline level of symptom severity and functioning. Remission should not be confused with significant but incomplete improvement. Relapse is the re-emergence of significant depressive symptoms or dysfunction after remission has been achieved.

What is the best treatment for depression?

The combination of antidepressant medication and psychotherapy may be the initial treatment approach for patients with moderate depression in the presence of psychosocial stressors, interpersonal difficulties, intra-psychic conflict, and personality disorders.

What is the treatment for mild depression?

For patients with mild to moderate major depression, the initial treatment modalities may include pharmacotherapy alone, psychotherapy alone, or the combination of medical management and psychotherapy. Antidepressant medications can be used as initial treatment modality by patients with mild or moderate depression.

What clinical features suggest that antidepressant medication is preferred over other modalities?

Clinical features that may suggest that antidepressant medication is preferred over other modalities are a positive response to prior antidepressant treatment, significant sleep and appetite disturbance, severity of symptoms, or anticipation by the physician that maintenance therapy will be needed.

How long does ECT last?

This “continuation phase” should last for 16 – 20 weeks after remission. “Psychiatric management” should continue in this phase. The American Psychiatric Association recommends the medication doses used in the acute phase be maintained in the continuation phase. There is increasing data to support the continued use of specific effective psychotherapy in this phase. The use of ECT in this phase has not been well researched. The frequency of visits in the continuation phase may vary. Stable patients may be seen once every 2 – 3 months. Patients in active psychotherapy may be seen several times a week.

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