• Title/Summary/Keyword: Medical psychotherapy

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Analysis of Medical Records of Korean Medicine based Psychotherapy (한방정신요법의 의안 분석)

  • Jeong, Seon-Yeong;Kim, Jae-Yeong;Cho, Myoung-Ui;Kho, Young-Tak
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.2
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    • pp.43-55
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    • 2016
  • Objectives The aim of this systemic review was to summarize medical records of Korean medicine based psychotherapy and investigate its therapeutic mechanism.Methods We searched articles on Korean neuropsychiatry in Korean databases. Subsequently, we selected and analyzed medical records on Korean medicine based-psychotherapy that met inclusion criteria.Results Fifty-five medical records were included. They were classified into the following 5 categories. Five minds mutual restriction therapy in 19 medical records; counseling and persuading therapy in 12 medical records; moving essence and changing Qi therapy in 10 medical records; Kyungjapyungji psychotherapy in 2 medical records; and suggestion psychotherapy in 11 medical records.Conclusions The results indicated that emotion is mainly used for cure. Buddhism affects Korean medicine based psychotherapy. Korean medicine based psychotherapy corresponds to western psychotherapy such as short-term dynamic psychotherapy (STDP), supportive psychotherapy, cognitive therapy, behavior therapy, and guided imagery.

The Current Status and Medical Fee Propriety of Psychotherapy and Neuropsychological Test for Dementia in Korean Medicine (한방정신요법 및 치매 검사의 현황, 수가 적절성 연구)

  • Jang, Jae-Soon;Hwang, Wei-Wan;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.411-422
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    • 2014
  • Objectives: A large number of patients require psychiatric therapy. We attempted to determine the present situation regarding psychotherapy and neuropsychological tests for dementia in Korean medicine for the benefit of the Health Insurance Review and Assessment Service (HIRAS). The aim of this study was to aware of the current status about psychotherapy and neuropsychological test for dementia in Korean medicine. Methods: We searched the medical practice records for psychotherapy and neuropsychological tests in oriental neuropsychiatry between 2009 and 2013 using the Health Insurance Review and Assessment Service (HIRAS) database. The search categories were: IJeongByunGi (Medical practice code:59001), JiUnGoRoen (59002), Kyungjapyungji (59003), OhJiSangSeung (59004), neuropsychological test for dementia (29005). Results: 1. The number of patients treated with Korean Medical Psychotherapy increased annually by 151%. The total number of patients treated with Korean Medical Psychotherapy was 4,289 in 2013. 2. The total cost for patients treated with Korean medical Psychotherapy in the public health medical insurance budget was 268,032,000 won in 2013. The average medical cost for one therapy was 17,000 won in 2013. 3. The number of patients in local clinics is increasing faster than the number in Korean medical hospitals. 4. The age group between 20~30 years of age, for both men and women, is the group with the greatest density in Korean Medical Psychotherapy. 5. Neuropsychological Testing for Dementia in Korean Medicine is slowly decreasing. Conclusions: The prevalence of mental illness in Korea is increasing, therefore, the demand for Korean Medical Psychotherapy has increased recently. Authorizing Korean Medical psychiatrists to utilize Korean mental Health resources is essential. This study could be helpful in understanding the current status for the purpose of expanding Korean Medical Psychotherapy.

A Comparative Study between the Korean-medical and the Western-medical Psychotherapy on PTSD (외상 후 스트레스 장애(PTSD)의 정신치료에 대한 양·한방 비교 고찰)

  • Park, Areum;Park, Se-Jin;Son, Ah-hyun;Hur, Han-Sol
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The purpose of this study is to compare the Korean-medical and the Western-medical psychotherapy on PTSD for improving the Korean-medical psychotherapy on this issue. Methods: We surveyed recent articles relating to psychotherapy on the incidence of PTSD. Results: Under the circumstances of this study, we note that applying the qigong therapeutics would be helpful when conducting relaxation training on the identified PTSD patients. We understand that taking a systematic desensitization style in the use of the kyungja-pyungji treatment is recommended. It would also be more effective to combine other treatments such as the use of the I-Jeong-Byeon-Gi Therapy and the five minds mutual restriction therapy. We have shown that by using the five minds mutual restriction therapy for the imagery rescripting has a better a synergy effect for optimum patient outcomes for patients who have been diagnosed with PTSD. Conclusions: Our study has shown that by improving the shortcomings of the Korean psychotherapy and utilizing Western psychotherapy's merits, we expect to increase the efficacy of the Korean psychotherapy with these recommendations for changes in this case.

A study of psychotherapy by means of oriental medicine though the Giungoroen(至言高論)-Focusing on Ancient clinical document (지언고론(至言高論)에 의한 한의학적(韓醫學的) 정신치료(精神治療)에 대(對)한 연구(硏究) (의안(醫案)을 중심으로))

  • Gu Byong-Su;Kim Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.1
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    • pp.29-45
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    • 2001
  • Objectives: In order to overcome psychotherapeutic problems though the theory of oriental medicine by means of the Giungoroen(至言高論-wise saying and lofty opinion). Methods: This research was done by comparing the contents of psychotherapeutic ancient clinical document with the western medical method of psychotherapy Results: 1. Inquire into the clinical document, the psychotherapy is used treatment of wide area disease inclusive of neuropsychiatric disease different from the western medicine. 2. Inquire into the method of psychotherapy, the supportive psychotherapy and behavior therapy is applied. 3. In case of psychotherapy and treatment of medicines is done at the same time, treatment of medicines followed psychotherapy. 4. A viewpoint of Yusic(唯識-vijnaptim-atra)-a field of Buddhism, possibility of psychotherapy is showed. 5. A doctor's oriental thought and oriental medical Preservation of Health view was based. 6. The change of patient's the emotion and will is focused than disease itself. Conclusion: When western medical method of psychotherapy is complemented by a oriental thought and oriental medical Preservation of Health view, the good effects is hoped in psychotherapy.

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A Case Report of Conversion Disorder Treated with Psychotherapy of Korean Medicine and M&L Psychotherapy (한의학적 정신치료와 M&L 심리치료를 통한 전환장애 환자 치험 1례)

  • Lee, Hee-Jung;Min, Baek-Ki;Jin, Joon-Soo;Seo, JooHee
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.3
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    • pp.197-206
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    • 2018
  • Objectives: Conversion disorder is combination of clinical symptoms and can be promoted until diagnosis is confirmed. In this case, we used Korean medical psychotherapy, M&L therapy, and Korean traditional medicine for treating a conversion disorder patient. Methods: The patient was diagnosed with conversion disorder, and main complaints were lower limb dysesthesia, and anxiety. We used BAI, BDI, HRV, CSEI-S, MMPI, Drawing room of mind for assessment. We treated the patient with Korean medical psychotherapy with M&L therapy, and Korean traditional medicine including acupuncture, moxa and herbal medicine. Results: After treatment, clinical symptoms improved to 40% compared with first visit and the BAI, BDI, HRV, CSEI-S scores decreased, especially scores for anxiety and depression. Conclusions: Korean medical psychotherapy and M&L psychotherapy can be effective for treating conversion disorder.

Use of Korean Medicine Psychotherapy Including Existential Psychotherapy in a Patient with a Mild Depressive Episode Accompanied by Physical Symptoms Such as Hyposmia: A Case Report (후각 감퇴 등의 신체적 증상을 동반한 경도 우울에피소드 환자의 실존주의 심리치료를 포함한 한방정신요법 활용 1례 보고)

  • Hyung-Woo, Lee;Sang-Beom, Kim;Ju-Yeon, Cho;Jong-Min, Kim;Ga-Hyun, Lee;Se-Jin, Park
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.473-484
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    • 2022
  • Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

Case Reports: Effect of M&L Psychotherapy and Korean Medical Treatment on Psychiatric & Physical Symptoms of North Korean Defectors (북한이탈주민의 심신증상에 대한 M&L 심리치료와 한의치료 치험2례 보고)

  • Lee, Hee-jung;Kang, Da-hyun;Lim, Myong-a;Kim, Doo-ri;Sue, Joo-hee
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.3
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    • pp.185-196
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    • 2016
  • Objectives: This study was undertaken by the department of Korean neuropsychiatry, to evaluate the effects of M&L psychotherapy and Korean Medical Treatments on hospitalized North Korean defectors.Methods: We treated two patients with indigenous Korean medical therapies (acupuncture and herb-medicine) and M&L psychotherapy. Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS) were used to evaluate the patients.Results: Following observations were made after treatments. Case 1: the patient had significant improvement in Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), and Visual Analogue Scale (VAS). Case 2: similar improvements were observed. Here, the patient had undergone Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS). In addition, noticeable improvement was observed in other accompanying symptoms.Conclusions: These results suggest that M&L Psychotherapy and Korean medical treatments might be effective for treating the psychiatric and physical symptoms of hospitalized North Korean Defectors.

Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder (외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험)

  • Kim, Jin-Hyung;Sue, Joo-Hee;Lee, Go-Eun;Kim, Nam-Kwen;Choi, Sung-Youl;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.1
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    • pp.49-61
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    • 2015
  • Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

Research Status on Psychotherapy in Korean Medicine (한방정신요법의 연구현황)

  • Sue, Joo-Hee;Ryu, Chun-Gil;Cho, A-Ram;Lee, Go-Eun;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.63-88
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    • 2013
  • Objectives : We attempt to find out the present situation of a study regarding psychotherapy in Korean medicine through research journals in the JON (The Journal of Oriental Neuropsychiatry). Methods : We searched and read every JON from 1990 to 2012 and selected articles relating to Psychotherapy. We then analyzed the data and divided them into 3 categories: literature study, case studies and clinical trials. Results : 1) We found 16 literature articles, in which 6 compared Korean psychotherapy with that of the Western, 4 reinterpreted it focusing on traditional cases in Korean psychotherapy, 3 articles were on Qigong, 1 article was on Buddhism and another on Tao, and 1 article was with regards to dreams. 2) There were a total of 26 case reports about Korean psychotherapy. Among them, JiUnGoRoen had the most at 12; somatoform disorder was the most target disease in 9. 3) There were a total of 13 clinical trials on Korean psychotherapy. There were 4 trials on meditation, 6 on Qigong, each 1 of each for EFT, suggestion and autogenic relaxation. Conclusions : In spite of many resources in Korean psychotherapy, it was limited because it was not able to systematize clinically. Hence, we need to hand down and systematize Korean psychotherapy further.

A Case Report of 2 Patients Taking Antidepressants who were Treated by Korean Medical Treatments and M&L Psychotherapy (항우울제 복용환자에 대한 한의치료와 M&L심리치료 활용 2례보고)

  • Hwang, Seon-hye;Park, Areum;Song, Gun-eui;Lim, Gyo-min;Mo, Min-ju;Park, Se-jin
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.73-81
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    • 2017
  • Objectives: The purpose of this study is to show that patients taking antidepressants significantly respond to Korean medical treatments and M&L psychotherapy. Methods: We treated two patients with Korean medical treatments (acupuncture, moxibustion and Herbal Medicine) and psychotherapy including M&L psychotherapy and Li-Gyeung-Byun-Qi therapy. The patients were diagnosed based on DSM-IV diagnostic criteria for MDD. Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Visual Analogue Scale (VAS) were used to evaluate the patients. Results: The following observations were made after treatments: Case 1: the patient showed significant improvement in Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), and Visual Analogue Scale (VAS). Case 2: the patient showed significant improvement in Beck's Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Visual Analogue Scale (VAS). Conclusions: These results suggest that Korean medical treatments and M&L psychotherapy might be effective for treating patients suffering from MDD.