Phone Therapy for Depression?
The Truth About What Works
by Kevin Hogan
The patients and therapists never met face to face, only over the phone, said Ludman. Patients weren't always easy to reach by phone, and the therapists worked hard to reach them all. Therapists followed a structured protocol for psychotherapy. They encouraged the patients to identify and counter their negative thoughts (cognitive behavioral therapy), pursue activities they had enjoyed in the past (behavioral activation), and develop a plan to care for themselves.
"The patients participated more fully in psychotherapy and completed more sessions than do most depressed people in the community," said Ludman. Nationally, only about half of insured patients receiving depression treatment make any psychotherapy visit, and less than a third make four or more visits. By contrast, in this study, three in four patients completed at least six phone therapy sessions. This is striking, she added, because the study did not include people who were already in counseling or planning to be.
"Giving psychotherapy to people with depression who were not seeking therapy may help them significantly," said Ludman. Depression symptoms, including feeling discouraged and avoiding other people, can prevent people from seeking help. One in four depressed people who make appointments for in-person therapy are no-shows. "They slip through the cracks," she added.
Few of the patients who received phone-based therapy--even fewer than those who did not receive it--sought in-person therapy. "This suggests the phone-based therapy met their needs, without whetting their appetite for more," said Ludman. Phone-based therapy is more convenient and acceptable to patients than in-person psychotherapy, she said.
Next, Ludman said, the researchers plan to explore the combination treatment's cost-effectiveness and impact on work and home life. They also want to compare the effectiveness of phone-based treatment with that of in-person visits.
The National Institute of Mental Health funded the study. The other authors are Greg E. Simon, MD, MPH, and Michael Von Korff, ScD, senior investigators at Group Health Center for Health Studies; and Steve Tutty, MA, now a doctoral student in clinical psychology at Brigham Young University in Provo, Utah.
Is Ringing, Buzzing or High-Pitched Noise in Your Head Causing Distress?
Tinnitus Reduction Program with Kevin Hogan
WHO SHOULD OWN THIS PROGRAM?
Anyone who suffers with tinnitus (ringing, screaming, buzzing in the head). Anyone who has looked for a tinnitus cure. And didn't find it. Now you will learn why. There are effective ways to do tinnitus therapy. There are effective tinnitus treatment strategies that work. This program is for anyone who would like to reduce the volume of their tinnitus through the use of self-hypnosis, along with other strategies presented in the program.
The Tinnitus Reduction Program has helped thousands of individuals reduce the distress associated with tinnitus. Looking for a cure for one of the most maddening experiences of life can be painstaking to say the least. In most cases, when individuals utilize the Tinnitus Reduction Program as part of a multi-modality approach to tinnitus reduction, they experience long-term improvement.
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Your 8-CD program includes three hours of information about how to reduce the volume and distress of your tinnitus. You will receive information about what is working in the area of medicine, tinnitus retraining therapy, and other modalities.
You will receive self hypnosis CDs specifically designed by Kevin Hogan, based on the tapes which Kevin made for himself in 1995 for the elimination of his tinnitus, and updated now for you. Now, you can utilize the program as part of a multi-modal effort in reducing your tinnitus volume.