Treatment of Chronic Major Depressive Disorder by
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2010-10-14
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย
Abstract
Objective This report was to show the effectiveness of mindfulness therapyof two cases of patients with chronic major depressive disorder.Materials and methods Mindfulness practice in this report was based on theteaching of Pra-Ajahn Pramote Pamotecho. The 3 steps of modified mindfulnesstechniques were applied to the patients which are mind and body observation, emotiondistraction and bare attention of emotion.Results The first patient was diagnosed as major depressive disorder (MDD)for 5 years and his Montgomery Asberg Depression Rating Scale (MADRS) scoresdecreased from 36 prior to practice to 12 and 6, after 3 months and 3 years of practicingrespectively. He was able to stop taking medications for 3 years and had not relapsedsince then. The second patient was diagnosed as MDD for more than 20 years. HerMADRS score was 48 prior to mindfulness practice and decreased to 12 and 7, after3 months and 8 months of practicing respectively. She was able to decrease medicationsand had a better quality of life.Conclusion Modified techniques of mindfulness practice in this report helpedthese 2 cases of patients with MDD gain improvement and had a better quality of life.One of them was able to stop taking medications for 3 years.Key words : major depressive disorder, mindfulness, psychotherapy
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Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย; Volume 18 Number 3 September 2010; 189-199