Comorbid with depression

Comorbid with depression - skills but if its not working...

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Comorbid with depression, bulimia, substance abuse Prevalence: 1-2% More women in clinical settings , more even in community o Causes Genetics Family studies, twin studies What may be inherited – impulsivity, low levels of serotonin, emotional reactivity Childhood abuse More likely to report abuse than those with other disorders, especially sexual abuse 75% report a history of abuse Gene-environment interaction – impulsivity/emotional reactivity when combined with child abuse and stress in their daily lives o Treatment Medication SSRI’s and tricyclic antidepressants. Lithium reduce depression and impulsivity Problem: drug abuse, suicide attempts Dialectical behavior therapy (DBT) Developed by Linehan Key components o Individual therapy once a week o Group therapy once a week Teaching skills like distress tolerance and mindfulness o Phone coaching Help from the therapist in using your skills If you feel like you are going to cut, try to use these
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Unformatted text preview: skills but if its not working, before you do it call me and I am going to talk you through it o 1 year commitment • Main goals: o Regulate emotions and behaviors – tolerate distress o Decrease dependence on validation of others o Decrease suicidality – first topic • DBT vs. supportive therapy o ppl with DBT had less suicide attempts o Less NSSI o Lower drop out rates • From therapists perspective o Full acceptance of the client o Matter-of-fact attitude toward suicide, hit it head on, don’t tiptoe around it, almost irreverent o Support for therapists – very draining to treat BPD patients Substance-related Disorders • Psychoactive substances – alter mood, behavior, and or perception o Types Depressants Stimulants – cocaine, nicotine, caffeine Opiates – heroin, codeine Hallucinogens – LSD, pot...
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Comorbid with depression - skills but if its not working...

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