Interesting Abstract About Online Counseling

Medscape Medical News from the • American Psychiatric Association (APA) 2015 Annual Meeting This coverage is not sanctioned by, nor a part of, the American Psychiatric Association. Medscape Psychiatry An Internet Depression Therapy as Effective as Drugs? Bret S. Stetka, MD; Jan Philipp Klein, MD Editor's Note: While browsing a poster session at the American Psychiatric Association's 168th Annual Meeting in Toronto, Ontario, Canada, Medscape spoke with Dr Jan Philipp Klein of the Lübeck University (Lübeck, Germany) Department of Psychiatry and Psychotherapy about the efficacy of a new Internet-based depression therapy. Medscape: What was the objective of your study[1]? Dr Klein: We were interested in studying Internet-based psychological interventions for depression, in part due to the large treatment gap associated with the condition. Many patients don't get adequate treatment for depression. Prior to starting the study we knew that there is an evidence base for psychological Internet interventions in treating depressive symptoms. However, in previous studies, the sample size was much smaller, and depressive symptoms were only self-rated. This was the first study to also include clinician ratings over time. Medscape: How big was the study? Dr Klein: We recruited over 1000 participants with mild to moderate depressive symptoms, and...

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DEPRESSION, WHAT IT IS, WHAT NOT TO SAY TO SOMEONE WHO HAS IT

Here is a link to a blog article about depression and what well intentioned people shouldn't say to anyone who is depressed. The interesting thing about what not to say is that most people will be tempted to say at least one of the eleven listed because they seem so, well, helpful or distracting or humorous. None of these eleven statements are helpful to people suffering from depression. Depression can be situational or a person may have a genetic predisposition for depression and, in either case, there are better things to do. For one, encouraging a depressed person to share with you what they're feeling then listening and responding with empathic statements like, "It sounds like you're having a hard time right now," or "Tell me how you're feeling so I can try to understand." Taking the time to listen without comparing what they're saying to what you feel or your Aunt Gertrude feels can be very comforting and even helpful to a depressed person. Here's the link to what not to say: www.medicalbillingandcoding.org/blog/11-things-you-should-never-say-to-someone-with-depression  

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SUFFERING

“The foundation of all mental illness is the avoidance of legitimate suffering.” -Carl Jung No one who is suffering wants to be told that their suffering is legitimate suffering. Mentally Healthy people want the suffering to stop, want to return to a mental place where they are no longer suffering. That makes sense. Emotional suffering can be just as awful as physical suffering. I can tell someone that their suffering won’t last, that even if they do nothing a better day will come or, at the very least, they will grow and learn new ways to be that are more rewarding  but no one has ever skipped out of my office praising the virtues of suffering no matter what I say to them. Still, Carl Jung, the founder of analytical psychology, made a good point with his statement. Suffering is part of the human condition. No one escapes suffering. The question is what is legitimate suffering? Here’s a partial list: 1. You lost a loved one to death, divorce, or illness. 2. You lost something you valued, a job, a home, a pet. 3. You have become a caretaker and, even though you want to do the caretaking or feel...

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