Treatment of mental disorders
The treatment of mental disorders includes various forms of
psychotherapy, psychiatric medication, and other practices.Gazzaniga, M.S., & Heatherton, T.F. (2006). "Psychological Science". New York: W.W. Norton & Company, Inc.] National Institute of Mental Health. (2006, January 31). "Information about Mental Illness and the Brain". Retrieved April 19, 2007, from http://science-education.nih.gov/supplements/nih5/Mental/guide/info-mental-c.htm]
A major option for many mental disorders is
psychotherapy. Psychotherapy is an interpersonal intervention, usually provided by a mental health professional, that employs any of a range of specific psychological techniques. There are several main types. Cognitive behavioral therapy(CBT) is used for a wide variety of disorders, based on modifying the patterns of thought and behavior associated with a particular disorder. There are various kinds of CBT therapy, and offshoots such as Dialectical Behavior Therapy. Psychoanalysis, addressing underlying psychic conflicts and defenses, has been a dominant school of psychotherapy and is still in use. Systemic Therapyor Family therapyis sometimes used, addressing a network of relationships as well as an individual themselves. Some psychotherapies are based on a humanistic approach. Some therapies are for a specific disorder only, for example interpersonal and social rhythm therapy.
Mental health professionals often pick and choose techniques, employing an eclectic or integrative approach tailored to a particular disorder and individual. Much may depend on the
therapeutic relationship, and there may be issues of trust, confidentialityand engagement.
Psychiatric medicationis also widely used to treat mental disorders. These are licenced psychoactivedrugs usually prescribed by a psychiatristor family doctor. There are several main groups. Antidepressantsare used for the treatment of clinical depressionas well as often for anxiety and other disorders. Anxiolyticsare used, generally shorter-term, for anxiety disorders and related problems such as insomnia. Mood stabilizersare used primarily in bipolar disorder, mainly targeting maniarather than depression. Antipsychoticsare used for psychotic disorders, notably in schizophrenia. Stimulantsare commonly used, notably for ADHD.
Despite the different conventional names of the drug groups, there can be considerable overlap in the kinds of disorders for which they are actually indicated. There may also be
off-label use. There can be problems with adverse effectsand adherence.
ECTis sometimes used, for example in prolonged mood disorder unresponsive to other interventions. Psychosurgery, including Deep brain stimulation, is another available treatment for some disorders.Fact|date=October 2007
Creative therapies are sometimes used, including
music therapy[cite journal| quotes = Music therapy may provide a means of improving mental health among people with schizophrenia, but its effects in acute psychoses have not been explored |last=Crawford |first=Mike J. |authorlink= |coauthors=Talwar, Nakul, "et al." |year=2006 |month=November |title=Music therapy for in-patients with schizophrenia: Exploratory randomised controlled trial |journal=The British Journal of Psychiatry(2006) |volume=189 |pages=405–409 |url=http://bjp.rcpsych.org/cgi/content/abstract/189/5/405 |doi=10.1192/bjp.bp.105.015073] , art therapyor drama therapy.
Lifestyle adjustments and supportive measures are often used, including
peer support, self-helpand supported housingor employment. Some advocate dietary supplements. Many things have been found to help at least some people. A placeboeffect may play a role.
Often an individual may engage in different treatment modalities and use various mental health services. These may be under
case management(sometimes referred to as "service coordination"), use inpatient or day treatment, utilize a psychosocial rehabilitation program, and/or take part in an Assertive Community Treatmentprogram.
Mental health services may be based in hospitals, clinics or the community.
Some approaches are based on a recovery model of mental disorder, and may focus on challenging
stigmaand social exclusionand creating empowerment and hope [Repper, J. & Perkins, R. (2006) "Social Inclusion and Recovery: A Model for Mental Health Practice." Bailliere Tindall, UK. ISBN 0702026018]
In America, half of people with severe symptoms of a mental health condition were found to have received no treatment in the prior 12 months. [America's
Mental Health Survey, National Mental Health Association, 2001.]
Fear of disclosure, rejection by friends, and ultimately discrimination are a few reasons why people with mental health conditions often don't seek help.Fact|date=April 2007
List of treatments
Somatotherapy(type of pharmacotherapy; biology-based treatment)
Psychiatric medications ( psychoactive drugsused in psychiatry)
Antianxiety drugs (anxiolytics)
Shock therapyalso known as convulsive therapies
Insulin shock therapy(no longer practiced)
Leukotomy(prefrontal lobotomy; no longer practiced)
Deep brain stimulation
Psychotherapy( psychology-based treatment)
Cognitive Behavior Therapy
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