ArticleJournal of personalized medicine2024
Psychodynamic Insights into Treatment-Resistant Pharmacotherapy: A Case Study Exploring Patient-Physician Dynamics and Adherence to Evidence-Based Practices.
Article in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPharmacological resistance in severe recurrent mood and anxiety disorders remains a significant challenge in modern biological psychiatry. This case report investigates the intricate decision-making process employed by physicians when managing patients resistant to conventional pharmacotherapy.
methodsInformed consent was obtained from the patient. Following this, the case report was developed using the CARE checklist (2013) to ensure a comprehensive and systematic documentation of the treatment process and outcomes.
resultsThe patient's treatment history highlights the complex nature of pharmacological resistance and the impact of minor medication adjustments versus established clinical practices. A crucial aspect of this case was the patient-physician relationship, particularly addressing the patient's past grievances towards physicians, which played a significant role in the treatment process. Despite efforts to improve the physician's confidence and approach, challenges such as lack of continuity and a fragile therapeutic relationship contributed to treatment failure.
conclusionsThis case underscores the importance of psychodynamic models in overcoming pharmacologic challenges. A deeper understanding of the patient-physician dynamics and addressing underlying emotional factors can enhance treatment efficacy and patient outcomes, providing valuable lessons for managing complex cases of treatment resistance.
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