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Month: October 2007

CBT reduces fear and restores function for patients after cardiac defibrillator implantation

A recent article in Current Psychiatry reviews the negative effects on quality of life for people who receive an implantable cardioverter defibrillator (ICD) for irregular heart rhythms. These effects are particularly severe after the first experience of a "shock"---or ICD discharge. Though life-saving, these high-energy electrical discharges (shocks) are typically painful, and many patients experience anxiety, anger, and a sense of helplessness. After a shock, patients instinctively begin to analyze…
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Antidepressants used in combination with CBT reduces risk of teen suicide

The use of the antidepressant fluoxetine (Prozac) alone has been associated with increased suicidality among teens and children, leading to black-box warnings on antidepressants in those populations. This in turn has caused serious concern in parents and has discouraged prescription, according to some researchers. A recent report on this issue focused on combining Cognitive Behavioral Therapy (CBT) with the fluoxetine and found that "adding CBT to medication enhances the safety of…
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Adolescent Depression & Suicide Prevention: National Review of Cognitive Behavioral Therapy

A national review of treatments for depressed adolescents (ages 13-17), with special focus on preventing teen suicide, finds Cognitive Behavioral Therapy (CBT) to be highly effective. Age-appropriate adaptations of CBT yielded these key results: "CBT achieved a higher remission rate among youth (60%) than either systemic behavior family therapy (37.9%) or nondirective support therapy (39.4%)." Additionally, CBT yielded no adverse effects. (The reporting agency is a program of the US Department of Health…
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