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KMID : 0387420200310030213
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Korean Society of Oriental Neuropsychiatry
2020 Volume.31 No. 3 p.213 ~ p.223
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A Case Study on a Patient with Major Depressive Episode of Bipolar II Disorder Treated with a Combination of Interpersonal and Social Rhythm Therapy and Korean Medicine
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Lee Ji-Yoon
Kim Ju-Yeon
Jeong Jin-Hyung
Jung In-Chul
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Abstract
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Objectives: To determine treatment effects of a combination of interpersonal and social rhythm therapy and Korean medicine for a patient with major depressive episode of bipolar II disorder.
Methods: A patient was treated with Korean medicine (acupuncture, herbal medicine, etc.) and interpersonal and social rhythm therapy (IPSRT) for four months. Pattern identification for depressive mood and sleep associated symptoms was evaluated using Patient Health Questionnaire-9 (PHQ-9) and Social rhythm metric Ⅱ-5 (SRMⅡ-5).
Results: At the end of the treatment, depression and delayed sleep symptoms were improved and social rhythm was recovered to the regular range. The patient acquired an insight to his interpersonal tensions and conflicts.
Conclusions: Korean medicine in combination with interpersonal and social rhythm therapy can be used to treat patients with major depressive episode of bipolar II disorder. More cases are needed to develop guidelines for treating bipolar disorder.
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KEYWORD
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Bipolar disorder, Major depressive episode, Circadian rhythm, Interpersonal and social rhythm therapy, Pattern Identification
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