The Sequential Combination of Pharmacotherapy and Psychotherapy in Mood Disorders |
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Authors: | Elena Tomba Giovanni A. Fava |
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Affiliation: | (1) Affective Disorders Program and Laboratory of Experimental Psychotherapy, Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy;(2) Department of Psychiatry, State University of New York at Buffalo, Buffalo, NY, USA |
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Abstract: | The aim of this review was to consider the literature concerned with a sequential use of pharmacotherapy and psychotherapy in mood disorders. Review of the clinical trials where treatment components were used in a sequential order were identified by using MEDLINE, a manual search of the literature and the Index Medicus. In unipolar recurrent depression, the sequential use of pharmacotherapy and psychotherapy was found to improve relapse rate. In bipolar disorder, the use of psychotherapeutic strategies in patients who were already assuming mood stabilizers was also found to yield clinical benefits. The sequential model has the potential for improving the logic and timing of interventions. A conceptual shift in current assessment methods (staging) is needed. |
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Keywords: | Sequential treatment Pharmacotherapy Psychotherapy Mood disorder |
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