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1048 43 |
Ultima descărcare din IBN: 2024-04-19 22:58 |
SM ISO690:2012 CĂRĂUȘU, Ghenadie. Particularităţi terapeutice în depresia rezistentă. In: Curierul Medical, 2011, nr. 2(320), pp. 34-41. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 2(320) / 2011 / ISSN 1875-0666 | ||||||
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Therapeutic Features in Resistant Depression
The aim was to develop principles and complex differential pharmaco- and psychotherapy, recovery and prevention methods of 612 patients,
depending on the clinical variants of resistant depressive syndrome. Long-term treatment was an essential factor in the therapeutic efficiency in
order to prevent relapses and chronic lower rate. Stop the treatment decision was based on the likelihood of recurrence, the frequency and severity
of previous episodes, the persistence of residual symptoms, comorbidity and the possible cooperation of the patient. In endogenous depression
resistant psychotic are necessary, primarily antidepressants, but with pharmacological therapy and psychotherapy should be started properly.
We preferred monotherapy because the combination of drugs can lead to an increase in complications and side effects. Although it is preferable
to monotherapy, there were cases in which combination therapy with other antidepressant drugs has emerged as necessary. Antidepressants
should be used in progressively increasing doses, to have reduced side effects and drug release should be also gradually as a sudden stop causes
a withdrawal syndrome. Psychotherapy has proven to be one of the basic methods and therapeutic interventions in multiple complexes was
originally applied to explain the therapeutic tactics. |
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Cuvinte-cheie refractory depression, pharmacotherapy, antidepressants, psychotherapy, patient compliance |
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