Zusammenfassung
Die Pharmakotherapie affektiver Störungen hat zu umwälzenden Veränderungen im Krankheitsverlauf dieser Störungsbilder geführt und hat ganz entscheidende Verbesserungen hinsichtlich der sozialen Rolle betroffener Patienten wie auch der gesundheitsökonomischen Belastung der Gesellschaft mit sich gebracht. Der Einsatz einer medikamentösen Behandlung erhöht signifikant die Chance, daß sich ein depressiver Patient innerhalb von 3–6 Wochen wieder erholen wird. Die Pharmakotherapie kann aber nicht unabhängig von einer tragfähigen Arzt-Patient-Beziehung und dem gemeinsamen Verstehen der Erkrankung gesehen werden. Eine therapeutische Allianz dient nicht nur der Veminderung einer unzureichenden Compliance von Patienten, sondern erleichtert es auch, die möglicherweise auftretenden medikamentösen Nebenwirkungen und die zu erwartende Latenzzeit bis zum Ansprechen auf die Behandlung ausführlich zu besprechen sowie den Stellenwert der medikamentösen Behandlung und ihre voraussichtliche Dauer im Kontext eines Gesamt-behandlungsplanes klarzumachen.
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Shergill, S.S., Katona, C.L.E. (2000). Pharmakotherapie affektiver Störungen. In: Helmchen, H., Lauter, H., Henn, F., Sartorius, N. (eds) Psychiatrie der Gegenwart 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59626-1_23
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