title: Integrative approach to treatment of a patient with psychotic depression.
abstract: Integrative approach to treatment of psychiatric patients incorporates a variety of therapeutic procedures that overlap and are not mutually exclusive. Their objective is unique: to heal and to restore patients' proper functioning in their family, work and social environments alike. Treatment often requires integration of various therapeutic approaches. In this paper we report the efficacy of an integrative model in the case of a female patient who developed a clinical picture of psychotic depression after giving birth. Taking an individual approach alongside the continuous use of psycho pharmacotherapy enabled us to look for an appropriate model of hospital and ambulatory treatment, namely psychotherapeutic setting. This example proved individual psychotherapy to be a complementary method to psycho pharmacotherapy. This was due to a strong feeling of shame that prevented the patient from opening up and dealing with her inner conflict in the previous group treatment. Integrative and personalised treatment has resulted in a relatively quick recovery and return to her everyday duties.
authors.affiliation: University Psychiatric Clinic Rijeka, Clinical Hospital Centre Rijeka, Rijeka, Croatia. klementina.ruzic@ri.t-com.hr
authors.forename: Klementina
authors.initials: K
authors.lastname: Ruzić
authors.forename: Rajna
authors.initials: R
authors.lastname: Knez
authors.forename: Tanja
authors.initials: T
authors.lastname: Grahovac
authors.forename: Elizabeta
authors.initials: E
authors.lastname: Dadić-Hero
authors.forename: Mirjana
authors.initials: M
authors.lastname: Graovac
mesh_terms: D000328:Adult; D000341:Affective Disorders, Psychotic / Q000534:rehabilitation*; D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D017523:Croatia; D003631:Day Care, Medical; D019052:Depression, Postpartum / Q000534:rehabilitation*; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D033183:Interdisciplinary Communication; D010348:Patient Care Team; D011613:Psychotherapy
chemical_list: D000928:Antidepressive Agents