In this podcast, they discuss setting behavioral goals during medication visits for patients with no motivation. They explore integrating CBT and medication management, using behavioral activation with TMS, understanding delirium muscetins, and the importance of accountability in behavioral assignments. They also reflect on the life of Sinead O'Connor and her impact on mental illness stigmatization.
Setting small, achievable tasks with accountability can help patients with depression experience a sense of accomplishment and self-confidence.
Shifting the focus from quantity to quality of activities can improve the overall experience and help treat depression.
Deep dives
Setting specific and feasible goals for patients with depression
Dr. Michael Posternak suggests setting specific and concrete goals during med management visits for patients with depression. Instead of vague goals relying on willpower and motivation, he encourages patients to set small, achievable tasks, such as going for a daily 20-minute walk. Adding accountability, like having someone to report to, further increases the success rate of completing the task. The focus is on breaking the cycle of feeling overwhelmed by a large to-do list and promoting a sense of accomplishment and self-confidence.
Changing the experience of what patients do to treat depression
Dr. Chris Aiken and Dr. Michael Posternak discuss the importance of changing the experience of activities to combat depression. They emphasize the value of consistency and doing one thing at a time to provide positive experiences. By setting goals and accomplishing them consistently, patients can interrupt negative thought patterns and rumination cycles. This approach can be particularly beneficial for patients who tend to carry a heavy burden of tasks or exhibit perfectionistic tendencies. Shifting the focus from quantity to quality of activities can improve the overall experience and help treat depression.
Behavioral activation and treating depression with TMS
The discussion touches on the integration of behavioral activation with transcranial magnetic stimulation (TMS) as a treatment for depression. Dr. Aiken suggests that engaging in a specific activity before each TMS session can enhance treatment effectiveness. For patients undergoing TMS, completing a pre-treatment activity like walking in the woods can create a positive mindset and improve the overall experience. This approach aligns with the concept that changing patients' experiences and thoughts during treatment can enhance the therapeutic outcomes.
Do you see patients who have no motivation to do anything? Michael Posternak has a novel strategy for working with this depressive symptom during the medication visit in this special tribute to the late psychiatrist.
Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
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