Eh I'm writing from my iPhone in bed so can't look up the study but you misunderstood what I said. I asked for what kind of patient would exposure therapy not work for? I'm pretty sure I can find studies showing meds are ineffective but that feels like too much work at the moment.
I never said exposure therapy doesn't work, I have no idea where you got it from. I said exposure therapy is not the only form of treatment, and medications and other therapies are often needed as well. However, this is what you stated: Which is not true at all. Also, for every one study you find that states medication is ineffective, you will find 10 more which states it is. You as a professional should know very well that medication is equally as important. Of course, medications can be ineffective for some patients, but the same goes for exposure therapy. Every individual is different and respond differently. However, I'm pretty sure an overwhelming majority amongst all fields of science and medicine would agree that medication is effective in general.
You have reading comprehension problems and are annoying. You are going to make me get up to look up meta analyses that should shut this particular conversation down.
Whatever. Anyways, I did some research on the topic and have found out that I may have understated the potential benefit of medication. Evidence does seem to suggest that exposure therapy is the most effective but there is also good evidence for drug therapies. Below I will post an article about an effective adjunctive therapy for social anxiety disorder published by some of my colleagues. I don't mind admitting that I was wrong. I believe it's most important to put out accurate information for interested people. My main area is treating PTSD and violence perpetrators anyway Augmentation of Exposure Therapy With D-Cycloserine for Social Anxiety Disorder. Authors: Hofmann, Stefan G., Department of Psychology, Boston University, Boston, MA, US, shofmann@bu.edu Meuret, Alicia E., Department of Psychology, Boston University, Boston, MA, US Smits, Jasper A. J., Department of Psychology, Southern Methodist University, Dallas, TX, US Simon, Naomi M., Department of Psychiatry, Harvard Medical School, Boston, MA, US Pollack, Mark H., Department of Psychiatry, Harvard Medical School, Boston, MA, US Eisenmenger, Katherine, Department of Psychology, Boston University, Boston, MA, US Shiekh, Michael, Department of Psychology, Southern Methodist University, Dallas, TX, US Otto, Michael W., Department of Psychology, Boston University, Boston, MA, US Address: Hofmann, Stefan G., Department of Psychology, Boston University 648 Beacon St, Sixth Floor, Boston, MA, US, 02215, shofmann@bu.edu Source: Archives of General Psychiatry, Vol 63(3), Mar, 2006. pp. 298-304. Page Count: 7 Publisher: US: American Medical Assn. ISSN: 0003-990X (Print) Language: English Keywords: exposure therapy, social anxiety disorder, D cycloserine, psychotherapy Abstract: Context: Social anxiety disorder (SAD) is common and debilitating. Although exposure therapy is one of the most effective forms of psychotherapy for this disorder, many patients remain symptomatic. Fear reduction in exposure therapy is similar to extinction learning, and early clinical data with specific phobias suggest that the treatment effects of exposure therapy for SAD may be enhanced with D-cycloserine, an agonist at the glutamatergic N-methyl-D-aspartate receptor. Objective: To determine whether short-term treatment with 50 mg of D-cycloserine enhances the efficacy of exposure therapy for SAD. Design: Randomized, double-blind, placebo-controlled augmentation trial examining the combination of D-cycloserine or pill placebo with exposure therapy for SAD. Setting: Patients were self-referred from the general community to 1 of 3 research clinics. Participants: Twenty-seven participants meeting DSM-IV criteria for SAD with significant public speaking anxiety. Interventions: Following a diagnostic interview and pretreatment assessment, participants received 5 therapy sessions delivered in either an individual or group therapy format. The first session provided an introduction to the treatment model and was followed by 4 sessions emphasizing exposure to increasingly challenging public speech situations with videotaped feedback of performances. One hour prior to each session, participants received single doses of D-cycloserine or placebo. Main Outcome Measures: Symptoms were assessed by patient self-report and by clinicians blind to the randomization condition before treatment, after treatment, and 1 month after the last session. Results: Participants receiving D-cycloserine in addition to exposure therapy reported significantly less social anxiety compared with patients receiving exposure therapy plus placebo. Controlled effect sizes were in the medium to large range. Conclusion: The pilot data provide preliminary support for the use of short-term dosing of D-cycloserine as an adjunctive intervention to exposure therapy for SAD. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
The above stated, I still question the care that White is receiving and will argue to the death that he does indeed have a choice in behaviors he engages in or doesn't engage in. Whether exposure therapy or exposure + drug therapy is the best option for him is not really relevant to the general topic.
Precisely. :grin: I see your facts but I believe we have different interpretations of them. As with all things in life, things are not static, everything needs context. Exposure therapy is the most effective BB but the picture is so much more complicated than that. Medications and cognitive therapy before that etc. to ensure the initial exposure has the higher probability to be interpreted as a success by the patient. Do they need to encourage him to get on out there? Absolutely, but he has got to do it on his own terms. He goes out there before he is really consenting and that's when things get really messy. More leaves of absences, even lower confidence, etc.. What could be a one or two week thing turns into months of dragging. As with some anxious situations simply attending is enough (getting on a plane, going to the store, etc..) Royce has to perform too.
Man some of you guys really don't understand how debilitating Anxiety disorders can be. He has General Anxiety Disorder, co-morbid with Panic Disorder and who knows what else.. He's an incredibly brave person just for being so open about it and persevering with a public mental condition. How dare some people belittle him. The Rockets don't need him right now, let him fight this without turning your backs on him. Most of us wouldn't be able to function with half the stress he deals with. I'm closing my rant here but come on guys, educate yourselves and don't ignorantly dismiss his condition
That's fine and I'm glad he is relatively functional, but he probably shouldn't be trying to play NBA basketball if he can't get on airplanes consistently.
He's either lying or telling the truth. He's either a screw up or has mental health problems. Either way, the Rockets will probably get rid of him, and since he just killed his own trade value, I predict he goes on IR until they can send him to D League.
