Psychiatry & Psychotherapy Podcast

The Big Five: Neuroticism Part 2

Sep 26, 2020
Alec Zane, a fourth-year psychiatry resident and medical student, dives deep into neuroticism and its treatment options. He discusses how SSRIs, psychotherapy, and mindfulness-based cognitive therapy can affect those high in neurotic traits. Surprisingly, neurotic individuals may outperform their stable peers in high-stress job environments. The conversation highlights the balance between neuroticism and conscientiousness, showcasing how these traits can be harnessed for success and the importance of coping strategies like exercise and mindfulness.
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INSIGHT

SSRIs Reduce Neuroticism and Depression

  • SSRIs can reduce neuroticism significantly, often alongside depression improvement.
  • Neuroticism changes are often linked to depression changes rather than just side effects of treatment.
INSIGHT

Neuroticism Linked to Worse Group Therapy Outcomes

  • Higher neuroticism was linked to worse outcomes in group psychotherapy for complicated grief.
  • Extraversion, conscientiousness, and openness predicted better therapy results.
ADVICE

Use Mindfulness-Based Cognitive Therapy

  • Mindfulness-based cognitive therapy (MBCT) can significantly lower neuroticism.
  • An 8-week MBCT program targeting stress reactivity and cognitive biases helped reduce neuroticism.
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