{"id":1577,"date":"2015-06-28T02:00:06","date_gmt":"2015-06-28T02:00:06","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1577"},"modified":"2015-08-03T22:18:28","modified_gmt":"2015-08-03T22:18:28","slug":"depression-section-35","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1577","title":{"rendered":"Depression Section 35"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 720px; float: left;\">\n<div style=\"height: 720px;\"><a id=\"depressionmap1a\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1812\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa.jpg\" alt=\"depr1Aa\" width=\"448\" height=\"567\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1Aa-237x300.jpg 237w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1507\/#depressionmap1a\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1509\/#depressionmap1a\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap1a\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1553\/#depressionmap1a\">23<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap1b\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1814\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B.jpg\" alt=\"depr1B\" width=\"448\" height=\"556\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr1B-242x300.jpg 242w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1511\/#depressionmap1b\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1513\/#depressionmap1b\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap1b\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1525\/#depressionmap1b\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1527\/#depressionmap1b\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1529\/#depressionmap1b\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1531\/#depressionmap1b\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1533\/#depressionmap1b\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1535\/#depressionmap1b\">14<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap2\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1817\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a.jpg\" alt=\"depr2a\" width=\"442\" height=\"642\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a.jpg 442w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr2a-207x300.jpg 207w\" sizes=\"auto, (max-width: 442px) 100vw, 442px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1516\/#depressionmap2\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap2\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1539\/#depressionmap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1545\/#depressionmap2\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1549\/#depressionmap2\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1551\/#depressionmap2\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1555\/#depressionmap2\">24<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1557\/#depressionmap2\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap2\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1596\/#depressionmap2\">44<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap2\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1605\/#depressionmap2\">47<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1607\/#depressionmap2\">48<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap3\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1820\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3.jpg\" alt=\"depr3\" width=\"442\" height=\"636\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3.jpg 442w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr3-208x300.jpg 208w\" sizes=\"auto, (max-width: 442px) 100vw, 442px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap3\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1563\/#depressionmap3\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1565\/#depressionmap3\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1567\/#depressionmap3\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1571\/#depressionmap3\">32<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1573\/#depressionmap3\">33<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1575\/#depressionmap3\">34<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1577\/#depressionmap3\">35<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1579\/#depressionmap3\">36<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1581\/#depressionmap3\">37<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap3\">39<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap4\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1822\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4.jpg\" alt=\"depr4\" width=\"450\" height=\"453\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4-150x150.jpg 150w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr4-298x300.jpg 298w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\/#depressionmap4\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1569\/#depressionmap4\">31<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1584\/#depressionmap4\">38<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1586\/#depressionmap4\">39<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1588\/#depressionmap4\">40<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1590\/#depressionmap4\">41<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1592\/#depressionmap4\">42<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1594\/#depressionmap4\">43<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1598\/#depressionmap4\">45<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap4\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1605\/#depressionmap4\">47<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1609\/#depressionmap4\">49<\/a><\/div>\n<div style=\"height: 720px;\"><a id=\"depressionmap5\"><\/a><strong>DEPRESSION AND GRIEF MAPS:<\/strong> <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=443\">1A<\/a> | <a title=\"Depression Map 1B\" href=\"https:\/\/treatmentmaps.net\/?page_id=445\">1B<\/a> | <a title=\"Depression Map 2\" href=\"https:\/\/treatmentmaps.net\/?page_id=447\">2<\/a> | <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=451\">3<\/a> | <a title=\"Depression Map 4\" href=\"https:\/\/treatmentmaps.net\/?page_id=453\">4<\/a> | <a title=\"Depression Map 5\" href=\"https:\/\/treatmentmaps.net\/?page_id=455\">5<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1825\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5.jpg\" alt=\"depr5\" width=\"448\" height=\"453\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5.jpg 448w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/01\/depr5-297x300.jpg 297w\" sizes=\"auto, (max-width: 448px) 100vw, 448px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1518\/#depressionmap5\">6<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1521\/#depressionmap5\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1523\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1602\/#depressionmap5\">46<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1611\/#depressionmap5\">50<\/a><\/div>\n<\/div>\n<div style=\"overflow: auto; width: 458px; height: 720px; float: right;\">\n<strong>35. INDIVIDUAL SUPPORTIVE PSYCHOTHERAPY<\/strong><\/p>\n<ul>\n<em>Follows <a title=\"Depression Map 1A\" href=\"https:\/\/treatmentmaps.net\/?page_id=1553\/#depressionmap1a\">Section 23<\/a> on Map 1 and <a title=\"Depression Map 3\" href=\"https:\/\/treatmentmaps.net\/?page_id=1567\/#depressionmap3\">Section 30<\/a> on Map 3<br \/>\n<\/em><\/ul>\n<p>Supportive interventions of various kinds may be a part of any psychotherapy. It involves working with a person&#8217;s strengths, to help him\/her cope more effectively with current issues.<br \/>\nIt may be the treatment of choice for people who<\/p>\n<ul>\n<li>are in crisis<\/li>\n<li>have ego weaknesses that prevent them from engaging in fruitful self-examination.<\/li>\n<\/ul>\n<p>Technically, it is a form of psychoanalytic psychotherapy that focuses on conscious thinking in the present, rather than examining conflicts, interpreting behavior, attempting personality change, looking for origins in the patient&#8217;s childhood, etc. Thus it also shares treatment goals and techniques with cognitive approaches.<\/p>\n<p><strong>35a. Treatment Goals<\/strong><\/p>\n<p>Generally, treatment goals are<\/p>\n<ul>\n<li>better functioning without depending on greater insight to achieve it.<\/li>\n<li>reduction of stress<\/li>\n<\/ul>\n<p>Expressed in psychoanalytic terms, the goals can be broken down to include [Rockland, 74-80]\n<ul>\n<li>Strengthened reality testing<\/li>\n<li>Improved regulation and control of drives<\/li>\n<li>Improved object relations<\/li>\n<li>Improved thinking<\/li>\n<li>Supporting adaptive defenses<\/li>\n<li>Reducing reliance on splitting and primitive defenses<\/li>\n<li>Undermining excessive superego<\/li>\n<li>Reduced environmental stress<\/li>\n<\/ul>\n<p><strong>35b. Techniques<\/strong><\/p>\n<p>The therapist [Rockland 17-20]\n<ul>\n<li>is relatively active and real<\/li>\n<li>offers advice and personal values for enhanced self control<\/li>\n<li>suggests environmental changes<\/li>\n<li>focuses on reality<\/li>\n<li>does not interpret unconscious conflict<\/li>\n<li>discourages regression and free association<\/li>\n<li>encourages logic and rational thought<\/li>\n<\/ul>\n<p>Specific techniques may include [Rockland,84-90]\n<ul>\n<li>encouraging the therapeutic alliance<\/li>\n<li>giving reassurance and hope<\/li>\n<li>giving suggestions<\/li>\n<li>educating<\/li>\n<li>accepting emotional expression<\/li>\n<li>suggesting or making environmental changes<\/li>\n<li>setting limits<\/li>\n<li>giving praise<\/li>\n<li>clarifying and confronting<\/li>\n<\/ul>\n<p>In addition, the therapist may provide&#8230;<\/p>\n<ul>\n<li>encouragement during setbacks and relapses<\/li>\n<li>information about medications, especially dealing with side effects and the urge to discontinue<\/li>\n<li>information about depression and the reasonableness of the patient&#8217;s experience<\/li>\n<\/ul>\n<p><strong>35c. Change of Treatment<\/strong><\/p>\n<p>You should watch for patient changes that indicate a need to modify the treatment.<\/p>\n<p>A common change for an essentially intact patient in crisis is that as the crisis passes, the need for continued psychotherapy is lessened, and termination is a possibility.<\/p>\n<p>Another possibility is that for a patient with ego deficits, as the patient is strengthened, his\/her ability to make use of psychodynamic psychotherapy is greater, and you may move in that direction.<\/p>\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\"><div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/depression\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>DEPRESSION AND GRIEF MAPS: 1A | 1B | 2 | 3 | 4 | 5 SECTIONS: 1 | 2 | 8 | 23 DEPRESSION AND GRIEF MAPS: 1A | 1B | 2 | 3 | 4 | 5 SECTIONS: 3 | 4 | 8 | 9 | 10 | 11 | 12 | 13 | &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":631,"menu_order":35,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1577","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1577"}],"version-history":[{"count":6,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1577\/revisions"}],"predecessor-version":[{"id":2247,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1577\/revisions\/2247"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/631"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}