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Essay / Research Paper Abstract
This 6 page paper discusses the use of cognitive behavior therapy with an adolescent female with several psychological conditions. She is diagnosed with a depressive disorder, an eating disorder, Anxiety Disorder NOS (Not Otherwise Specified), and who harms herself. Experts and research are reported as evidence of the effectiveness of this approach. Bibliography lists 9 sources.
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6 pages (~225 words per page)
File: MM12_PGtldpet.rtf
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which has been found to be effective with each of these disorders. Depressive and anxiety disorders are usually treated with a combination of medications and therapy. Cognitive behavioral therapy
has been found to be especially effective with mild cases but in moderate to severe cases, medication is needed. An NIMH (National Institute of Mental Health) study focused on treating
adolescents with depression (NIMH, 2005). The study was conducted at 13 different sites across the nation and included 439 adolescents between the ages of 12 and 17 diagnosed with major
depressive disorder (NIMH, 2005). The study compared the effects of Prozac and cognitive behavioral therapy (NIMH, 2005). This was the first government-funded large study investigating the effects of antidepressant medications
with adolescents diagnosed with moderate to severe depression (NIMH, 2005). Participants were divided into four groups: one group received both Prozac and cognitive behavioral therapy, one group received only Prozac,
one received only cognitive behavioral therapy and the last group received a placebo pill (Weeks, 2004). Results showed 71 percent of the group receiving the combination improved, 60.6 percent
of the group receiving Prozac improved, 43.2 percent receiving therapy improved and 34.8 percent of the group receiving a placebo improved (Weeks, 2004; NIMH, 2005). Suicidal ideation was present in
29 percent of the entire group of patients at the beginning of the study (Weeks, 2004; NIMH, 2005). This rate was reduced in all four groups with the greatest reduction
in the group receiving both Prozac and cognitive behavioral therapy (Weeks, 2004; NIMH, 2005). The incidence of "harm-related adverse events (aggression towards self and/or others) was higher among patients who
took the medication (10 percent) than among those who did not (5 percent)" (NIMH, 2005). In fact, the incidence of "suicidal-related adverse events" (NIMH, 2005) was higher in the two
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