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CME
Treating Depressive Disorders
 

PSYCHOTHERAPY

Psychotherapy is used either as an independent intervention or as an adjunct to antidepressant medication. Both cognitive behavioural therapy and interpersonal therapy are widely regarded as useful tools in the management of mood disorders.

 

Cognitive Behavioural Therapy (CBT)
Interpersonal Therapy (IPT)

 

 

 

Cognitive Behavioural Therapy (CBT)
The goal of CBT is to help patients correct cognitive distortions and negative beliefs regarding the self, other people, situations and events. This is done by employing logical analysis of the patient's automatic tenets. CBT is standardized and short-term. The skills required to perform CBT can be acquired through CME workshops or by collaborating with a psychiatrist.

Interview: Cognitive Behavioural Therapy – Text

Cognitive Behavioural Therapy
Zindel Segal, MD

Head, Cognitive Behavioural Therapy Unit
Centre for Addiction and Mental Health, Clark Division, and
Head, Psychotherapy Research
Department of Psychiatry
University of Toronto Psychotherapy Program

Interpersonal Therapy (IPT)
IPT is a focused, short-term, time-limited therapy that focuses on current interpersonal relations of the depressed patient while recognizing the role of genetic, biochemical, developmental and personality factors in the causation of and vulnerability to depression. Clinical experience and research evidence indicate that psychotherapeutic interventions directed at an interpersonal context will facilitate recovery from an episode of depression and possibly have preventive effects against relapse and recurrence.

IPT has been used as a single modality of treatment and also in combination with antidepressant medication. The first goal of IPT, namely to reduce depressive symptoms, is achieved by helping patients understand that their vague and confusing experiences are part of a depressive syndrome which is well understood and quite common. Practitioners emphasize that depression responds to a variety of treatments and the prognosis if good - between 70 to 80% of patients respond. As one of treatments, IPT encourages patients to explore factors that may be contributing to their depression.

Practitioners also help patients develop more successful patterns for dealing with social and interpersonal problems associated with onset of depression. Major problem areas here include delayed or distorted grief reactions; interpersonal role disputes; role transitions and interpersonal deficits. By determining which of the four common problem areas are present and by focusing IPT around one or two of these problem areas, patients learn to master current social roles and resolve interpersonal conflicts.

Diagnosing Depressive Disorders Menu

Treating Depressive Disorders Menu

 

 



Over one million Canadians suffer from some form of depressive illness.