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23 - Combining medication and psychotherapy in the treatment of depression

from Section 3 - Psychotherapies for mood disorders

Published online by Cambridge University Press:  05 May 2013

By
Bret R. Rutherford  and
Steven P. Roose
Edited by
J. John Mann
Edited in association with
Patrick J. McGrath  and
Steven P. Roose
J. John Mann
Affiliation:
Columbia University, New York
Patrick J. McGrath
Affiliation:
Columbia University, New York
Steven P. Roose
Affiliation:
Columbia University, New York
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Summary

This chapter reviews the evidence base for combined medication and psychotherapy treatment of depression. As a starting treatment for a patient who is not currently receiving treatment for depression, combined treatment may be best used for patients with chronic depressive episodes complicated by co-morbid personality disorder, noncompliance, or psychosocial problems. A patient may also begin a combined treatment when medication is prescribed for the onset of a significant depressive episode in the context of an ongoing psychotherapy. Alternatively, a patient who has not fully responded to one or more medication trials may begin psychotherapy, thereby beginning a combined treatment by a different route. Irrespective of the path by which the patient is prescribed combined treatment, the prescribing clinician must recognize that the execution of this treatment plan presents unique and complex challenges, which are discussed in the chapter.

Keywords

diagnostic biomarkersmajor depressive disordermood disordersborderline personality disorderAxis I disordersatypical depression
Type
Chapter
Information
Clinical Handbook for the Management of Mood Disorders , pp. 299 - 310
Publisher: Cambridge University Press
Print publication year: 2013

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