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Rozwój farmakoterapii w leczeniu depresji

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EN
The present work provide an overview of the various concepts of treatment for depressive disorders ranging from antiquity up to the present day. In the early days depression was perceived as a punishment from the gods, the result of bad behavior, guilt or sin. Treatment methods were signifi cantly different from those used today and did not produce the expected results, and the patients them selves were often stigmatized and excluded from society. Searching an effective remedy for depression has led to the discovery of the fi rst drug known as antidepressant – isoniazid and introduction into pharmacotherapy. Over the years, new therapeutic substances with different chemical structures and mechanisms of action have emerged. Studies on an effective drug with few undesirable side effects continues to this day. It has been proved turns out that the drugs used today are not as perfect as they might seem, and modern pharmacotherapy can not be evaluated as satisfactory for both professionals and their patients. Actually, new therapeutic substances are still in clinical trials. Moreover, many professionals begins to be more attentive to non-pharmacological methods in the treatment of depression. Some doctors consider that new neuromodulation techniques are the future of treatment of such disorders. However, most of them, apart from electroshock, still belong to experimental methods.
Logopedia
|
2018
|
vol. 47
|
issue 1
201-213
PL
Artykuł przedstawia zależności między jąkaniem i fobią społeczną, towarzyszącą często jąkaniu. W pierwszej części przedstawiono wskazówki diagnostyczne dla fobii społecznej i jąkania. W drugiej części zaprezentowano efekty leczenia fobii społecznej przy użyciu leków psychotropowych, głównie z kręgu leków przeciwdepresyjnych, które to efekty przekładają się na redukcję, a w części przypadków nawet na ustąpienie objawów jąkania. Fakt ten nie oznacza ograniczania terapii osób jąkających się z fobią społeczną tylko do podawania leków. Perspektywa zaprzestania leczenia farmakologicznego i utrzymania stanu poprawy funkcjonowania psychicznego i społecznego pacjenta wymaga nawet stosowania równoległej terapii logopedycznej nastawionej na poprawę płynności mówienia.
EN
The article presents the relationship between stuttering and social phobia, which often accompanies stuttering. The first part presents diagnostic indications for social phobia and stuttering. The second part presents the effects of the treatment of social phobia using psychotropic drugs, mainly the antidepressants, which translate into a reduction, and in some cases even into the alleviation of stuttering symptoms. This fact does not mean limiting the therapy of people who stutter with social phobia to administering drugs. The prospect of discontinuing pharmacological treatment and maintaining the state of improving the patient’s mental and social functioning requires the use of a parallel speech-language therapy aimed at improving fluency of speaking.
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