Psychotherapeutic and pharmacological treatment of depression and sleep disorders

1999 ◽  
Author(s):  
Karl Doghramji, MD

Introduction 592 Adjustment, stress reactions, and disorders 594 Supporting the cancer patient through periods of adjustment 596 Psychological assessment 598 Depression 600 Suicide and suicidal ideas 602 Treatment of depression 604 Anxiety 606 Anxiety management 608 Pharmacological treatment of anxiety 610 Assessment and support of the anxious patient ...


2020 ◽  
Vol 22 (1) ◽  
pp. 19-30
Author(s):  
Petra Boström ◽  
Nicolina Grundström ◽  
Peter Sand ◽  
Jennifer Strand

BackgroundA substantial number of parents receive pharmacological treatment for depression. Pharmacological treatment is known to reduce symptoms, but has also various side effects.AimThe present study aimed to explore possible adverse effects of pharmacological treatment for depression on parental functioning.MethodSix mothers and four fathers, diagnosed with depression, of children younger than 13 years were recruited via outpatient psychiatric clinics. Data was collected through individual semi-structured interviews and analyzed using thematic analysis.ResultsParents described how anxiety suppressants made them fatigued and drowsy which diminished their attention and ability to focus on the child. Moreover, antidepressants and anxiety suppressants were described to cause fatigue, emotional blunting, and restlessness, which made play and stimulation difficult. Emotional blunting, in turn, affected the parents' sense of commitment, empathy, and love for the child. Finally, parents raised concerns about child safety as hypnotics and anxiety suppressants made them unable to wake up at night.ConclusionsConsidering the substantial adverse effects described, parents of minor aged children within psychiatric care needs to be identified in order to offer systematic follow-ups of the effects of pharmacological treatment on parental functioning, and to make adjustments that are feasible from a parent and child perspective.


1996 ◽  
Vol 20 (5) ◽  
pp. 282-284 ◽  
Author(s):  
Harm Boer ◽  
Nick Booth ◽  
David Russell ◽  
Roy Powell ◽  
Martin Briscoe

The pharmacological treatment of depression and the time elapsed since last seen by a doctor were investigated among 507 adults who subsequently killed themselves. The proportion of people consulting a general practitioner or psychiatrist prior to suicide was lower than reported by the British government in the Health of the Nation document. General practitioners prescribed relatively low doses of antidepressants. Nineteen out of the 115 people receiving antidepressants used the drugs to kill themselves. Our findings emphasise the importance of prescribing adequate doses of antidepressants and underline the need for safer prescribing.


2001 ◽  
Vol 16 (6) ◽  
pp. 585-592 ◽  
Author(s):  
Benoit H. Mulsant ◽  
George S. Alexopoulos ◽  
Charles F. Reynolds ◽  
Ira R. Katz ◽  
Robert Abrams ◽  
...  

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