Effets neurocognitifs de la stimulation magnétique transcrânienne pour le trouble obsessionnel compulsif PDF Download

Author: Christian Gaudeau-Bosma
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Les Troubles Obsessionnels Compulsifs (TOC) sont composés de compulsions, qui sont des comportements répétés, et d'obsessions, qui sont des pensées intrusives. Leurs impacts sur le fonctionnement socio-professionnel handicapent et isolent considérablement les patients. Les traitements efficaces pour ces patients sont médicamenteux ou les thérapies cognitives et comportementales. Néanmoins, un nombre élevé de patients ne voient pas leurs symptômes diminuer suffisamment avec l'un ou l'autre des traitements ou en les combinant. Il est donc nécessaire de développer des traitements intermédiaires afin d'améliorer la palette de traitements des TOC. Une alternative thérapeutique utilisée en psychiatrie pour la dépression est la Stimulation Magnétique Transcrânienne répétée (TMS). Néanmoins, son efficacité reste difficile à démontrer dans le TOC, dû à une multitude de facteurs à prendre en compte, et peut nécessiter d'étudier le fonctionnement de la rTMS sur une population de sujets sains. Lors de notre première étude, nous avons évalué l'impact d'un protocole de rTMS sur les fonctions cognitives de sujets sains. Nous avons donc pu observer, indépendamment de la pathologie, l'effet de deux semaines de TMS sur les performances cognitives et sur l'activité cérébrale. Malgré une absence d'effet comportemental, une modification du réseau cortico-sous-cortical lié à une tâche de mémoire de travail a pu être montrée. Ces résultats orientent les recherches futures à modifier l'approche méthodologique, améliorer l'approche clinique des TOC, et changer l'approche neurophysiologique de la TMS dans le but de proposer un traitement complémentaire pour améliorer l'état clinique des patients.

Author: Thomas Péréon
Publisher:
ISBN:
Category :
Languages : en
Pages : 132

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Book Description
Le Trouble obsessionnel compulsif (TOC) est une pathologie fréquente et invalidante, pouvant engendrer des complications graves. Malgré les différentes stratégies médicamenteuses pouvant être mises en place, certains patients ne répondent pas suffisamment au traitement. L'utilisation de la stimulation magnétique transcrânienne répétitive a montré son utilité dans le traitement des troubles psychiques, dont les TOC. Elle représente une méthode alternative de traitement, mais les modifications engendrées sur la physiopathologie n'ont pas encore été totalement décrites. Afin de préciser les effets de la rTMS à basse fréquence sur les TOC, nous avons élaboré une étude monocentrique, prospective et en double aveugle afin de comparer le débit cérébral sanguin avant et après le traitement. Les analyses seront effectuées sur des données IRM en Arterial Spin Labeling, centrées sur le cortex orbito frontal, dont le rôle dans la physiopathologie des TOC a déjà été démontré.

Author: Douglas W. Woods
Publisher: Oxford University Press
ISBN: 019971228X
Category : Psychology
Languages : en
Pages : 81

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Book Description
If you suffer from Tourette Syndrome (TS), or any other chronic motor or vocal tic disorder, you know how difficult it can be to manage your symptoms. You may be taking medication or working with a medical doctor to control your tics. If you are seeking an alternative or adjunctive treatment, you may wish to try the scientifically proven behavior therapy program described in this workbook. Behavior therapy can teach you skills for effectively managing your tics. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook outlines an 11-session treatment package for adults and children with tic disorders. Behavior therapy can teach you skills for effectively managing your tics. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook outlines an 11-session treatment package for adults and children with tic disorders. The goal of this program is not to cure your disorder, but to teach you the best ways to manage it so that you can improve your quality of life and look to the future with optimism. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Author: Cristian Falup-Pecurariu
Publisher: Academic Press
ISBN: 0323851231
Category : Technology & Engineering
Languages : en
Pages : 314

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Book Description
Autonomic dysfunction is one of the most prevalent non-motor symptoms that occurs in Parkinson’s disease. Autonomic Dysfunction in Parkinson's Disease provides up to date information on this important topic, which affects quality of life of these patients. This include a large number of domains: orthostatic hypotension, excessive sweating, dry eyes, constipation, weight loss, increased sensitivity to heat and cold, sexual dysfunction. Provides comprehensive reviews on different topics of autonomic dysfunction in Parkinson’s disease Each chapter covers a specific autonomic symptom: classification, assessment, treatment Presents the newest information on each autonomic symptom in Parkinson’s disease

Author: Kieron P. O'Connor
Publisher: John Wiley & Sons
ISBN: 1119167256
Category : Psychology
Languages : en
Pages : 213

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Book Description
A pioneering guide for the management of tics and habit disorders Managing Tic and Habit Disorders: A Cognitive Psychophysiological Approach with Acceptance Strategies is a complete client and therapist program for dealing with tics and habit disorders. Groundbreaking and evidence-based, it considers tics and habit disorders as part of the same spectrum and focuses on the personal processes that are activated prior to a tic and habit rather than the tic or habit itself. By drawing on acceptance and mindfulness strategies to achieve mental and physical flexibility in preparing action, individuals can release unnecessary tension, expend less effort and ultimately establish control over their tic or habit. The authors explain how to identify the contexts of thoughts, feelings and activities that precede tic or habit onset, understand how self-talk and language can trigger tic onset, and move beyond unhelpful ways of dealing with emotions - particularly in taking thoughts about emotions literally. They also explore how individuals can plan action more smoothly by drawing on existing skills and strengths, and overcome shame by becoming less self-critical and more self-compassionate. They conclude with material on maintaining gains, developing new goals, and creating a more confident and controlled lifestyle. Managing Tic and Habit Disorders is a thoughtful and timely guide for those suffering from this sometimes all-consuming disorder, and the professionals who set out to help them.

Author: Ihor B. Gussak
Publisher: Rutgers University Press
ISBN: 0813586429
Category : Medical
Languages : en
Pages : 407

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Book Description
Iatrogenesis is the occurrence of untoward effects resulting from actions of health care providers, including medical errors, medical malpractice, practicing beyond one’s expertise, adverse effects of medication, unnecessary treatment, inappropriate screenings, and surgical errors. This is a huge public health issue: tens to hundreds of thousands of deaths are attributed to iatrogenic causes each year in the U.S., and vulnerable populations such as the elderly and minorities are particularly susceptible. Edited by two renowned cardiology experts, Iatrogenicity: Causes and Consequences of Iatrogenesis in Cardiovascular Medicine addresses both the iatrogenicity that arises with cardiovascular interventions, as well as non-cardiovascular interventions that result in adverse consequences on the cardiovascular system. The book aims to achieve three things: to summarize the available information on this topic in a single high-yield volume; to highlight the human and financial cost of iatrogenesis; and to describe and propose potential interventions to ameliorate the effects of iatrogenesis. This accessible book is a practical reference for any practicing physician who sees patients with cardiovascular issues. .

Author: Samar Reghunandanan
Publisher: OUP Oxford
ISBN: 019101687X
Category : Medical
Languages : en
Pages : 167

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Book Description
Providing clinicians and patients with the latest developments in research, this new edition is a succinct and practical introduction to the diagnosis, evaluation and management of OCD and other related disorders. Part of the Oxford Psychiatry Library series, this pocketbook includes individual chapters on the phenomenology, pathogenesis, pharmacotherapy and psychotherapy of OCD and other related disorders, and features fully updated content and research. The book also includes a helpful resources chapter, and an Appendix with summaries of the major rating scales used to assess patients with OCD, which will be of use to both clinicians and patients. Obsessive-compulsive disorder (OCD) and Obsessive-compulsive-related disorders (OCRDs) are anxiety disorders characterized by obsessions and compulsions, and varying degrees of anxiety and depression. OCRDs are considered to be one of the most disabling of psychiatric disorders and they present a tremendous economic and social burden, both for the affected individual, their family, and for society at large. In contrast to other psychiatric conditions of a comparable or lesser prevalence and patient burden, relatively little is understood about the aetiology, and cognitive effects of OCRDs.

Author: Leonardo F. Fontenelle
Publisher: Cambridge University Press
ISBN: 1107195772
Category : Medical
Languages : en
Pages : 457

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Book Description
Using a transdiagnostic framework, this book describes how mental health professionals can diagnose and treat OCD and related disorder.

Author: David Osser
Publisher: Lippincott Williams & Wilkins
ISBN: 1975151216
Category : Medical
Languages : en
Pages : 384

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Book Description
Algorithms serve an important purpose in the field of psychopharmacology as heuristics for avoiding the biases and cognitive lapses that are common when prescribing for many conditions whose treatment is based on complex data. Unique in the field, this title compiles twelve papers from the Psychopharmacology Algorithm Project at the Harvard South Shore Psychiatry Residency Training Program and presents practical ways to adopt evidence-based practices into the day-to-day treatment of patients. Psychopharmacology Algorithms is a useful resource for practicing psychiatrists, residents, and fellows, as well as psychiatric nurse practitioners, psychiatric physician assistants who prescribe, advanced practice pharmacists who prescribe, and primary care clinicians. Teachers of psychopharmacology may find it particularly valuable. Researchers in clinical psychopharmacology may find it helpful in identifying important practice areas that are in need of further study.

Author: John M. Oldham
Publisher: American Psychiatric Pub
ISBN: 9780880486767
Category : Medical
Languages : en
Pages : 314

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Book Description
Traditionally, impulsive and compulsive behaviors have been categorized as fundamentally distinct. However, patients often exhibit both of these behaviors. This common comorbidity has sparked renewed interest in the factors contributing to the disorders in which these behaviors are prominent. Impulsivity and Compulsivity applies a provocative spectrum model to this psychopathology. The spectrum model is consistent with a dimensional model for psychopathology and considers the dynamic interaction of biopsychosocial forces in the development of impulsive and compulsive disorders. In this important work on impulsive/compulsive psychopathology, leading researchers and clinicians share their expertise on the phenomenological, biological, psychodynamic, and treatment aspects of these disorders. Differential diagnosis, comorbidity of the impulsive-compulsive spectrum of disorders, and assessment by the seven-factor model of temperament and character are discussed. Chapters are also dedicated to the antianxiety function of impulsivity and compulsivity, defense mechanisms in impulsive disorders versus obsessive-compulsive disorders, and the unique aspects of psychotherapy with impulsive and compulsive patients. Clinical researchers and clinicians will be enlightened by this exceptional work. The information provided is supplemented with clinical vignettes, and the final chapter provides a synthetic summary that offers a unified, dynamic approach to impulsive and compulsive behavior.