Are Depression and Anger Two Sides of the Same Coin? Exploration through the ISTDP Model
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2018, Vol 5, Issue 3
Abstract
Background and Objectives: The research paper explores the Intensive Short-term Dynamic Psychotherapy (ISTDP) model developed by Davanloo in treating depression of a 28-year-old engineering graduate. Her presenting problem was low self-confidence and difficulty making decisions. She was caught in the crossfire between her boyfriend and her disapproving parents. She suffered somatic complaints of insomnia, low energy, lack of focus on her daily activities, and social withdrawal for the previous 6 months. She showed symptoms of depression and sought help to take control of her life. In 7 sessions, she showed marked improvement, her symptoms significantly reduced, and she was able to focus on her activities. Her dependency on her boyfriend decreased, and during this change she was able to experience anger and rage (bottled up against her parents since her childhood). She realized what her relationship pattern was: punishing herself by escaping into unhealthy relationships with men. Results: The ISTDP model was useful in understanding the complex feelings toward her parents, especially her father. Her somatic symptoms reduced after the session discussed in the paper. Conclusion: This model of addressing treatment resistant depression holds great promise for developing more effective case formulation and more effective treatment strategies. Evidence for its effectiveness with treatment resistant depression can be seen in several recent studies
Authors and Affiliations
Nimrat Singh
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