ظاهرة مقاومة العلاج: تعريفها وكيفية علاجها

2014 ?????? ?? ????????

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??? ??? ?? ????? ?? ????? ???? ?????? ??? ?????? ?????? ?? ??? ?????? ??? ?????? ????? ?? ????????? ????? ????? ?? ??? ?????? ?? ????? ????? “?????? ??????”(Treatment Resistance)? ????? ??? ??????? ????? ???? ?????? ???????? ??????? ???????? (??? ??? ????? SSRIs ?? SNRIs ????? ???????? ???????? ??????).

??? ??? ?????? ?? ???? ?????? ??????? ???? ?? ???? ??? ???? ??? ????? ??????? ?????? ????? ???? ????????? ??????? ???? ???????????? ????? “???????” ?? (Augmentation).

 

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????? ??? ??????? ??????? ????? ???? ??? ?????? ???????? ?????????? ????????????? ??????? ????????? ???? ?????? ???? ??? ??? ?????? ???????? ??????? ????? ?????? ?? ?? ???????? ?????? ????? ?? ??? ?????.

??? ?? ??????? ??????? ???? ???? ?????? ?? ??? ?????. ???? ???? ??????? ?? ?? ?????? ?? ????? SSRI ??? Escitalopram (Lexapro) ??? ????? ????? ????? Bupropion (Wellbutrin)? ?? Venlafaxine (Effexor)? ?? Mirtazapine (Remron)? ?? ??? TCA.

??????? ??????? ?????? (Mood Stabilizers) ??? ???????? ??????? ?????? (Antipsychotics) (?????? ??? ?? ???????? ???? ??????) ????? ??? Aripiprazole (Abilify) ?????? ?????? ?????? ??????? ???????? ?????????? ????? ??? ??????? ????? ?????? ?? ???? ???????? ??????? ?????? ??? ???? ??? ?? ????? ?? ??? ?????? ???? ???? ??? ???? ??????? ????? ????? ?????? ?????.

???????? ?????? ???? ?????? ???? Buspirone (Buspar)? ??? ???? ???? ????? ??? ??????? ????? ????? ??????? (Thyroid Hormone) (??? ??? ??? ?????? ???????). ?? ??????? ??????? ?????? ????? ??? ?????? ???? ??? ?? ????? ?? ???? ????? ??????? (Augmentation Methods).

 

 

 

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??? ??? ??????? ?? ????? 3 ???? ????? ?????? ??????? ???????? ???????? ?????? ???????? (Psychotherapy)? ?? ?? ????? ??????? ???????? ??? ?? ????? ????? ?? ???? ??????? ??? ???????? ??? ????? ?? ???? ???????? ??????? ?? ???? ?????? ?????? ????? ??? ?????? ???????? ?? ?????? ???????.

???? ??????? ??? ??????? ?????? ???? ???? ???????: CBT (????? ?? ??????? 4? 6)? ??????? ???????? (????? 7)? ????? ????? ????? ?????? ??? ????? ??? (????? 11).

?? ??? ????????? ??? ????? ????? ?????? ????? ???? ????? ???????? ???? ??? ??? ?????? ????? ??? ????? ?????? ????? ?????.

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