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Examining the effects of psilocybin-assisted psychotherapy on anhedonia in treatment-resistant depression.

Anhedonia, a core symptom of depression, is often resistant to conventional treatments and significantly impacts quality of life. This secondary analysis aimed to evaluate the effects of psilocybin-assisted psychotherapy (PAP) on anhedonia severity in individuals with treatment-resistant depression (TRD). Participants (n = 30) with TRD and a primary diagnosis of Major Depressive Disorder or Bipolar II Disorder received at least one 25 mg dose of oral psilocybin with psychotherapy as part of a randomized, waitlist-controlled trial (NCT05029466). The primary outcome of the present secondary anal…

The Impact of Societal Challenges on Mental Health Conditions: Implications for Research and Psychotherapy?

Mental health conditions cannot be studied in isolation and are increasingly studied as a complex system. Societal changes and challenges (the digital AI and social media era, climate change, inequality, polarization, war in Europe) have an impact on mental health, as well as the prevalence of mental health conditions. We have no idea what the accumulating effects of the combination of these societal challenges are on the prevalence of mental health conditions. At the same time, we need a mentally resilient population to deal with these societal challenges. Therefore, it is evident that mental

The Swara-Informed model of autonomic synchrony in psychotherapy: theoretical foundations and hypotheses.

BACKGROUND: Autonomic dysregulation is increasingly recognized as a central mechanism complicating psychotherapeutic work across anxiety, trauma-related, and mood disorders. Persistent hyperarousal (sympathetic activation) or hypoarousal (persistent parasympathetic activation or shutdown/ dissociation) may put clients out of their "window of tolerance," thus limiting access to cognitive, emotional, and interpersonal processes that are essential to the effectiveness of psychotherapy. Swara yoga, a traditional Indian system, assigns functional significance to nasal dominance and unilateral nostr…

Meaning in Life as an Outcome of Inpatient or Day-Hospital Psychotherapy for Personality Disorder.

Psychotherapy may contribute to the experience of meaning in life. This study investigated meaning in life among patients with personality disorders during inpatient or day-hospital psychotherapy. Meaning in life was approached from two conceptual perspectives: personality functioning with an emphasis on self-direction and existential psychology. We investigated changes in the sense of meaning in life and accounted for changes in depressive symptoms and identity and interpersonal pathology. Using pre-post measures, Livesley's General Assessment of Personality Disorder, especially, the Lack-of-…

A systematic review of deliberate practice in psychotherapy: Definitions, operationalization, and preliminary outcomes.

Deliberate practice has been introduced to psychotherapy training to improve therapist performance. The emerging empirical evidence supporting the positive impacts of deliberate practice is complicated by confusion regarding how deliberate practice should be operationalized and applied in the psychotherapy context and wider debate about its role in developing expertise. This systematic literature review aimed to appraise and synthesize the preliminary evidence available regarding the role of deliberate practice in improving psychotherapy outcomes. We searched MEDLINE, EMBASE, APA PsycInfo, CIN…

Case Report: An integrative approach to psychotherapy for the mother of a daughter with bulimia nervosa.

Caregivers is a crucial factor in recovery and psychological intervention of individuals with eating disorders which are often-overlooked. This study explores the role of integrative therapy in promoting the psychological development of the mother of a daughter with bulimia nervosa, improving family structure, and facilitating the patient's recovery. A 43-month, 54-session intervention was conducted with the mother of a woman with eating disorder using an integrative therapy approach primarily based on Bowen family systems therapy, drawing, and narrative therapy. The mother demonstrated improv

Predictors of Treatment Success of Psychotherapy in Functional Disorders: A Systematic Review of the Literature.

OBJECTIVE: Functional disorders (FDs) benefit from psychotherapy. However, the determinants predicting their efficacy remain largely unexplored. METHODS: A systematic literature review was conducted. PubMed, Web of Science, Embase, Cochrane collaboration and grey literature were screened from inception to November 2024. Randomized controlled trials on predictors of success of psychotherapy for FDs (e.g., somatoform disorders, irritable bowel syndrome [IBS], chronic fatigue syndrome/myalgic encephalomyelitis [CFS/ME], fibromyalgia [FM]) in adults (i.e., ≥ 18 years of age) were included. The re…

Effect of Biofeedback Combined with Psychotherapy on Functional Constipation Complicated with Anxiety and Depression.

Biofeedback combined with psychotherapy has been recognized as a potential treatment for patients with functional constipation, anxiety and depression disorder. To validate the therapeutic effect of the biofeedback therapy, 120 patients with a clear diagnosis of functional constipation combined with anxiety and depression disorder were recruited, and then randomly divided into the control group (patients received gastrointestinal medication and anti-anxiety and depression medication) and the treatment group (patients received combined biofeedback and psychotherapy on the basis of the control g…

A case report of the treatment of narcissistic personality disorder with transference focused psychotherapy.

The following case study provides a description of the transference-focused psychotherapy (TFP) treatment of a young man diagnosed with narcissistic personality disorder (NPD). TFP is an individual, psychodynamic therapy developed to treat a range of personality disorders. TFP is evidence-based for the treatment of borderline personality disorder and has been adapted for the treatment of NPD. This case illustrates the application of the strategies and techniques of TFP to treatment of NPD as well as challenges clinicians may face in arriving at timely diagnosis of the disorder. Although no spe…

The social-cognitive clinician: On the implications of social cognitive theory for psychotherapy and assessment.

We review Bandura's contributions to cognitive-behavioural theory, research and practice. His basic research on the causal role of cognitive processes in social learning was a major factor in the emergence of cognitive-behavioural therapies in the 1970s. His investigations on observational learning and self-efficacy beliefs led to the development of guided mastery therapy, a specific cognitive-behavioural intervention for anxiety disorders. His research on self-regulatory processes provided an empirical basis for the emergence of numerous therapies targeting self-regulation. We conclude by dis

Psychotherapy with a Caregiver of a Spouse with Parkinson's Disease: Integrating Systems and Individual Approaches.

Family caregivers of persons with neurocognitive disorders sometimes experience heightened emotional burden (i.e., caregiver burden), presenting with symptoms of depression and anxiety. The stress of caregiving may be heightened among those who identify as women, who experience disproportionate rates and consequences of the caregiving role. This case study highlights the use of Caregiver Family Therapy (CFT; i.e., a systems-directed approach targeting the caregiver role and network) and Cognitive Behavioral Therapy (CBT; i.e., an individual-directed approach targeting maladaptive cognitions) w

Adjuvant Psychotherapies to Prevent Relapse in Bipolar Disorder: A Randomized Clinical Trial.

IMPORTANCE: Several psychotherapy protocols have been evaluated as adjuncts to pharmacotherapy for patients with bipolar disorder (BD). Little is known about their comparative effectiveness. OBJECTIVE: To compare the effectiveness of 2 types of group psychotherapy, skill-oriented, material-based cognitive behavioral therapy (SEKT) and supportive, patient-centered, emotion-focused therapy (FEST), to prevent relapse in patients with euthymic BD. DESIGN, SETTING, AND PARTICIPANTS: This was a large, observer-blind, randomized clinical trial conducted over 18 months (posttreatment after 6 months;…

The efficacy of psychotherapy for social anxiety disorder, a systematic review and meta-analysis.

BACKGROUND: Given the growth in research examining the effects of psychotherapy on social anxiety disorder (SAD), an up-to-date comprehensive meta-analysis in this field is needed. METHODS: We selected studies from a database of randomized trials (RCTs) on psychotherapies for anxiety disorders (last updated search of PubMed, PsycINFO, Embase, and Cochrane (CENTRAL): 1 January 2024) We included RCTs comparing psychotherapy to a control condition for adults with SAD and conducted random effects meta-analyses to examine the efficacy of psychotherapy compared to control conditions at post-treatme…

Safety and risk assessment of psychedelic psychotherapy: A meta-analysis and systematic review.

Psychotherapies assisted by psychedelic substances have shown promising results in the treatment of psychiatric disorders. The aim of this systematic review and meta-analysis was to evaluate safety data in human subjects. We carried out a search on MEDLINE, Embase and PsycINFO databases between 2000 and 2022. Standardized mean differences between different dose ranges and between acute and subacute phases were calculated for cardiovascular data after psychedelic administration. Risk differences were calculated for serious adverse events and common side effects. Thirty studies were included in

Therapeutic Potential of MDMA- and Psychedelic-Assisted Psychotherapy for Adolescent Depression and Trauma.

PURPOSE OF REVIEW: There is a mental health crisis affecting youth, and the utility of existing treatments is often limited by lack of effectiveness and tolerability. The aim of this review is to report on outcomes of clinical trials for psilocybin-assisted psychotherapy for adults with depression and MDMA-assisted psychotherapy for adults with post-traumatic stress disorder (PTSD) and discuss recommendations for exploring these treatments in adolescent populations. RECENT FINDINGS: There have been encouraging data supporting the use of psilocybin-assisted psychotherapy for depression, includ…

Effectiveness and predictors of psychotherapy in eating disorders: state-of-the-art and future directions.

PURPOSE OF REVIEW: Psychotherapy is the cornerstone of the multidisciplinary treatment approach for eating disorders. This review examines recent evidence regarding effectiveness, predictors, and mechanisms of change of psychotherapy in eating disorders, providing a road map for clinicians and researchers. RECENT FINDINGS: Family-based treatments (FBT) are effective in adolescents with anorexia nervosa and bulimia nervosa. Evidence-based psychotherapies for anorexia nervosa have no evidence of superiority compared with treatment as usual (TAU) in adults with anorexia nervosa. Cognitive-behavi…

Не для всех: факторы, влияющие на то, кто получает психотерапию у людей с множественным склерозом.

Несмотря на то, что у людей с множественным склерозом (pwMS) широко распространены депрессия и беспокойство, доступ к психотерапии по-прежнему ограничен. ЦЕЛИ: Данное исследование было направлено на выявление клинических факторов, которые предсказывают использование психотерапии среди ПТМС. МЕТОДЫ: По результатам ретроспективного обзора работы третичной нейропсихиатрии в Торонто, Канада, были получены данные по 267 ПМС, которые прошли нейропсихиатрическое лечение (либо с помощью антидепрессантов, либо с помощью психотерапии). К числу переменных потенциальных прогнозов относятся демографические

Совпадение в аннотации оригинала
BACKGROUND: Although depression and anxiety are common in people with multiple sclerosis (pwMS), access to psychotherapy remains limited. OBJECTIVES: This study aimed to identify clinical factors that predict use of psychotherapy among pwMS. METHODS: From a retrospective chart review of a tertiary neuropsychiatry clinic in Toronto, Canada, data were obtain…

Mentalization Psychotherapy for Patients Presenting with a Psychotic Personality Structure: A Contemporary Approach.

Overt psychotic symptoms, currently understood as resulting from both neurobiological and developmental etiological factors, are also associ … is on reflective functioning. A psychodynamically informed mentalization-based individual and group psychotherapy for this subgroup of patients was developed, aiming at augmenting the patient's psychological resources through explicit transformational mentalization, rather than primarily targeting symptom reduction. This program stimulates curiosity about one's …

Efficacy of interpersonal psychotherapy in mainland China: a systematic review and meta-analysis.

OBJECTIVE: Interpersonal Psychotherapy (IPT) is an evidence-based therapy. There have been increasing demand and training opportunities of IPT in China. Reviewing current evidence on its use in Chinese patients can help us understand the applicability of IPT in China and identify knowledge gaps to encourage and better future research in this field. METHOD: We did a comprehensive search of three major electronic databases: PubMed (English), Chinese National Knowledge Infrastructure (CNKI) and WanFang Data (Chinese). We examined overall study design, outcome measures, data analyses and other pa…

Emotional and cognitive processes in psychotherapy are associated with different aspects of the therapeutic relationship.

OBJECTIVE: In this naturalistic study we aimed to investigate the relationships between two central change processes (affective and cognitiv … a primary anxiety or depressive disorder who were admitted to an inpatient program and treated with psychotherapy. The data consisted of weekly measures of cognitive (i.e., "rumination") and affective (i.e., "problems with emotional clarity") change processes as well as scores on Confidence in the therapist and Confidence in the treatment and symptom distress. …