Secure Message Therapy Yields Good Results


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ScienceDaily (Sep. 27, 2011) — Treatment via the Internet enables many more patients to get help with their depression, new research suggests. This has been established by the psychologist Fredrik Holländare, who has studied the effects of Internet-based CBT (cognitive behavioral therapy) both on ongoing depression and for preventing relapses. The findings are presented in a doctoral dissertation at the School of Health and Medical Science at Örebro University.

“The purpose of Internet-based treatment is not to replace traditional therapy, face to face, for those who need it. But for many people it is an equally good, even better, alternative, since they can choose their own time and place,” he says.
“There is no single depression treatment that fits everybody. But the more treatments we have, the better the chance of finding the right treatment for the next person seeking help.”
The primary advantage is that more people can get access to treatment that it has created a long waiting list. And for patients who risk relapsing this is an especially welcome improvement, as the shortage of trained CBT therapists limits the possibility of continued treatment.

“If there are lingering symptoms following a treatment for depression, there is a great risk of relapse. But among the individuals with previous depressions who participated in our Internet-based relapse prevention, only 10 percent experienced a new period of depression, compared with 38 percent in the control group.”

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Patients have the support of a personal therapist via secure message software, but this involves about 20-30 minutes of the therapist’s work time, which compared with 45 minutes per week for 10-15 weeks in traditional CBT is quite the time saver.

“The county councils that introduced Internet treatment estimate that they will be able to treat four times as many patients as when they work face to face.”
“What’s more, society can probably save huge amounts of money if we can prevent relapses, since 10 percent of all sickness compensation in Sweden goes to individuals who are on leave owing to depression.”

What makes CBT especially suitable for TeleHealth internet-based treatment is that it’s based on a number of principles that therapists teach their patients to use in their own everyday lives.

“What’s important is not the therapist as an individual but rather the specific methods that are the core of CBT, and these can be taught in many different ways — including via the Internet,” says Fredrik Holländare, who has worked at a psychiatric outpatient unit in Hallsberg since 2002.

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