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Re: OCD as an example Squiggles

Posted by Squiggles on October 15, 2006, at 8:26:17

In reply to Re: OCD as an example alexandra_k, posted by Squiggles on October 15, 2006, at 6:56:58

In support of your argument, here is one search
result-- take a look at related articles on the right hand side of the PubMed title:

------------------------

1: Harv Rev Psychiatry. 2000 Sep;8(3):126-40. Links
Effectiveness of psychosocial treatments in bipolar disorder: state of the evidence.

* Huxley NA,
* Parikh SV,
* Baldessarini RJ.

International Consortium for Bipolar Disorder Research (Drs. Huxley, Parikh, and Baldessarini).

Cost-effective psychotherapeutic interventions can enhance pharmacotherapy and improve outcomes in major depression and schizophrenia, but they are rarely studied in bipolar disorder, despite its often unsatisfactory response to medication alone. Following a literature search, we compiled and evaluated research reports on psychotherapeutic interventions in bipolar disorder patients. We found 32 peer-reviewed reports involving 1052 patients-14 studies on group therapy, 13 on couples or family therapy, and five on individual psychotherapy-all supplementing standard pharmacotherapy. Methodological limitations were common in these investigations. Nevertheless, important gains were often seen, as determined by objective measures of increased clinical stability and reduced rehospitalization, as well as other functional and psychosocial benefits. The results should further encourage rising international interest in testing the clinical and cost-effectiveness of psychosocial interventions in these common, often severe and disabling disorders.

PMID: 10973937 [PubMed - indexed for MEDLINE]
Related Links

* Psychosocial interventions for bipolar disorder. [Psychiatr Clin North Am. 1999] PMID: 10550862
* Psychological interventions in bipolar disorder: From wishful thinking to an evidence-based approach. [Acta Psychiatr Scand Suppl. 2004] PMID: 15330936
* Clinical and cost-effectiveness of electroconvulsive therapy for depressive illness, schizophrenia, catatonia and mania: systematic reviews and economic modelling studies. [Health Technol Assess. 2005] PMID: 15774232
* The package of care for patients with bipolar depression. [J Clin Psychiatry. 2005] PMID: 16038600
* Psychotherapy for bipolar disorder. [Br J Psychiatry. 1995] PMID: 8564312
* See all Related Articles...


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Notice these words in the abstract:

"despite its often unsatisfactory response to medication alone."

That is the foundation of this article. For those who have an unsatisfactory response to medication alone for bipolar, adjunct psychotherapy might help. Please feel free to avail yourself of this if it helps you. For me, my medication has worked for 25 years, with a lapse in a corrupted batch from a pharmacy, which sent me into mixed states, and a personal suspension, which started a depression. In both cases, resumption of the medication stabilized me from a dangerous situation.

If it were not for the level-headed, prompt response of my doctor, i may be dead now.
Still, the side effects leave a lot to be desired.

Check out PubMed, Stanley Foundation, NAMI, American Psychiatric Association, Canadian Psychiatric Association and others on the net, under the key words for adjunct talk therapy with meds-- i doubt that any will say it is *not* helpful, but it is also not a substitute.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=pubmed


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