Adler Nevo Gili W, Nefsky Colman
Department of Psychiatry, University of Toronto, Toronto, Ontario ; Sunnybrook Health Sciences Centre, Toronto, Ontario.
Department of Psychiatry, University of Toronto, Toronto, Ontario.
J Can Acad Child Adolesc Psychiatry. 2014 May;23(2):146-50.
The practice of combining pharmacotherapy with psychotherapy is advocated for as treatment of choice for many psychiatric disorders. Despite an abundance of outcome studies addressing this subject, little has been written about the process of combined treatment, leaving clinicians with insufficient guidance as to the "how" of the medication-psychotherapy merger. This case report follows the treatment course of a fourteen-year-old young woman initially diagnosed with Premenstrual Dysphoric Disorder (PMDD) and provisional Generalized Anxiety Disorder (GAD). It demonstrates the benefits, drawbacks, possible pitfalls and successful outcome of combined therapy, an outcome which may not have been achieved had only one of the modalities been used.
药物治疗与心理治疗相结合的方法被提倡作为许多精神疾病的首选治疗方式。尽管有大量关于该主题的疗效研究,但关于联合治疗过程的著述却很少,这使得临床医生在药物治疗与心理治疗结合的“方式”上缺乏足够的指导。本病例报告追踪了一名14岁年轻女性的治疗过程,她最初被诊断为经前烦躁障碍(PMDD)和疑似广泛性焦虑症(GAD)。它展示了联合治疗的益处、缺点、可能的陷阱以及成功的结果,如果仅使用其中一种治疗方式,可能无法取得这样的结果。