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The Family Journal
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Using Medication and Psychotherapy to Optimize Treatment Outcomes for Difficult, Depressed Couples and Families

Len Sperry

Florida Atlantic University

Depression, including chronic depression, is a common presentation in couples therapy. When a marriage and family counselor finds a history of chronic depression in one or both partners, and there is little or no response to couples therapy, integrated treatment may be indicated, that is, a referral for medication evaluation and the utilization of specialized psychotherapeutic strategies. Unlike acute depression, chronic depression is extremely treatment resistant and inevitably requires a specialized mind-brain treatment, which this article describes.

Key Words: chronic depression • psychopharmacology • cognitive behavior therapy • tailored treatment • mind-brain

The Family Journal, Vol. 12, No. 2, 189-193 (2004)
DOI: 10.1177/1066480703261983
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