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Copyright of New Trends in Qualitative Research is the property of Ludomedia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Current Neurology / Aktualno?ci Neurologiczne is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional is the property of Cadernos de Terapia Ocupacional da UFSCar and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Psicologia: Teoria e Pesquisa is the property of Universidade de Brasilia, Instituto de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gerais: Revista Interinstitucional de Psicologia is the property of Gerais: Revista Interinstitucional de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of HORIZONTE: Revista de Estudos de Teologia e Ciências da Religião is the property of HORIZONTE: Revista de Estudos de Teologia e Ciencias da Religiao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Subjetividades is the property of Revista Mal-estar e Subjetividade and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of PSICO is the property of PSICO and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Bioética is the property of Revista Latinoamericana de Bioetica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Physis: Revista de Saúde Coletiva is the property of CEPESC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gambling may be a leisure activity, but overdoing it can lead to adverse consequences such as Gambling Disorder. Despite the serious damage caused by the disorder, both Gambling Disorder and its treatment strategies are little known in Brazil. This study investigates Gambling Disorder and its treatment, emphasizing the contributions of the psychodynamic approach. The paper presents the main psychodynamic hypotheses in the literature and comments on the psychodynamic psychotherapy carried out in facilities treating pathological gamblers in São Paulo, such as the Pathological Gambling Outpatient Program (PRO-AMJO) of the Psychiatric Institute of Hospital das Clínicas (IPq HC-FMUSP). Finally, some examples of pathological gambler profiles are discussed. [ABSTRACT FROM AUTHOR]

Copyright of Revista Latinoamericana de Psicopatologia Fundamental is the property of Associacao Universitaria de Pesquisa em Psicopatologia Fundamental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Lumen Veritatis is the property of Lumen Veritatis and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The void pathologies are increasingly present in contemporary society, requiring the knowledge of intervention strategies to be used with patients who arrive at the psychotherapists' offices. Therefore, this study aimed to identify which pathologies are commonly associated with void and which psychoanalytic techniques are used to treat these patients in Brazil. An integrative review were performed through searches in three databases: Virtual Health Library (VHL), Scielo and Pesic. A total of 1323 articles were located, remaining nine papers after applying the inclusion and exclusion criteria. The main findings suggest that depressive conditions and eating disorders are associated with void in Brazil. It was observed that the brazilian literature lacks of publications that address the psychoanalytic intervention techniques used to treat the void pathologies. Those results are discussed with international literature that demonstrates psychoanalytic interventions for the treatment of some of the conditions associated with void. National empirical studies are recommended to investigate whether the techniques used internationally are equally effective in Brazilian patients. [ABSTRACT FROM AUTHOR]

Copyright of Avaliação Psicológica is the property of Instituto Brasileiro de Avaliacao Psicologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Estudos e Pesquisas em Psicologia is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Psicopatologia Fenomenológica Contemporânea is the property of Revista Psicopatologia Fenomenologica Contemporanea and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Occupational Therapy of University of São Paulo / Revista de Terapia Ocupacional da Universidade de São Paulo is the property of Revista de Terapia Ocupacional da USP and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Análise Psicológica is the property of Instituto Superior de Psicologia Aplicada and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Análise Psicológica is the property of Instituto Superior de Psicologia Aplicada and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract This theoretical essay, based on González Rey’s Theory of Subjectivity, discusses research on psychotherapy grounded in Theory of Subjectivity, embracing the view that the singularity of psychotherapy - in relation to other practices - is its devotion to care. This paper aims to debate the specificities care imposes on research in Theory of Subjectivity based psychotherapy. The considerations woven represent innovations in this field, whose current view on psychotherapy interpret it as similar to other spaces in which research is also undertake. This article is based on authorial reflections related to Theory of Subjectivity current state. Thus, research in psychotherapy based on Theory of Subjectivity demands of the psychotherapist that he or she develops it as a tool of care, therefore depriving it from the position of main objective that it generally holds in Theory of Subjectivity. Some ethical issues connected to this thesis are also presented.

This paper takes up Jung’s concept of Alchemy and applies the theory of this transformational process to prison psychotherapy. In particular, it discusses the manifest meanings in the prison system, how those can be made present and manifest, and how psychotherapy can prove an event, a moment when transformation can take place. It then discusses the openness and closedness of the client and the therapist to the transformational possibilities of the event, and the consequences of those fluid positions. Contextualizing the degree of openness is the adjacent possible in this potentially very human form of relating, and how the apparatus of prisons situated within a broader culture informs the transformational alchemy of forensic psychotherapy. Este artículo recoge el concepto de alquimia de Jung, y aplica la teoría de este proceso transformativo a la psicoterapia de prisiones. En particular, se tratan los significados evidentes del sistema de prisiones, cómo éstos se pueden hacer presentes y evidentes, y cómo la psicoterapia puede probar un evento, un momento en el que la transformación puede tener lugar. Seguidamente analiza la apertura y cerrazón del cliente y el terapeuta a las posibilidades transformadoras del evento, y las consecuencias de esas posiciones flexibles. Contextualizar el grado de apertura es el adyacente posible en esta forma potencialmente muy humana de relacionarse, y cómo el sistema de prisiones situado en una cultura más amplia, informa de la alquimia transformacional de la psicoterapia forense. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2624907

OBJETIVO: Revisar sistematicamente a literatura sobre programas psicoterapêuticos para a esquizofrenia com enfoque em CS, cujos métodos envolvam estratégias metacognitivas. MÉTODOS: Foi realizada uma busca na base MedLine, por trabalhos publicados em inglês ou português utilizando a frase "Social cognition" AND "Schizophrenia" [Mesh] AND "Psychotherapy" [Mesh] e os limitadores "Humans", "Clinical Trial", "Meta-Analysis" e "Randomized Controlled Trial". Adicionalmente, foram elaborados critérios de inclusão para selecionar os trabalhos com abordagem metacognitiva. RESULTADOS: Dezessete estudos foram selecionados, abrangendo essencialmente programas de reconhecimento do afeto facial e de emoções, Teoria da Mente (ToM), imitação e tomada de perspectiva em situações sociais. CONCLUSÃO: A maior parte dos estudos mostrou que seus programas são eficazes para melhorar medidas de psicopatologia, CS e funcionamento social. Futuras pesquisas deverão esclarecer sobre segurança, especificidade e durabilidade dessas intervenções.OBJECTIVE: To reviewsystematically the literature on psychotherapeutic programs focusing on SC, designed to schizophrenia, which methods include metacognitive strategies. METHODS: A search on MedLine base for papers published in English or Portuguese has been performed, using the phrase "Social cognition" AND "Schizophrenia" [Mesh] AND "Psychotherapy" [Mesh] and the limits "Humans", "Clinical Trial", "Meta-Analysis" and "Randomized Controlled Trial". Additionally, inclusion criteria have been formulated in order to select papers with metacognitive approach. RESULTS: Seventeen articles have been selected, which comprised essentially facial emotion recognition, emotion recognition, Theory of Mind (ToM), imitation and perspective taking in social situations. CONCLUSION: The great majority of papers have shown that their programs are effective in improving measures of psychopathology, SC and social functioning. Future research might clarify about safety, specificity and durability of such interventions.

Copyright of Revista Subjetividades is the property of Revista Mal-estar e Subjetividade and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Studies show that certain types of music can promote the maintenance of mental health, reduce or prevent stress, alleviate physical fatigue and induce emotions, which leads us to reflect on its use as a therapy resource. This paper aims at discussing about the use of music to induce relaxation, the benefits of this resource in the therapeutic process and its application in the Personal Integration Therapy by Unconscious Direct Approach method (ADI/TIP). For this, we performed a literature review explaining the history of the use of music for therapeutic purposes, its effects on the physiological and emotional states and consequent benefits to its use from the induction of relaxation. It was observed that considered sedative music, with slow tempo and few rhythmic variations can reduce stress and promote relaxation, which points to the benefits of its use as a facilitator of the therapeutic process of (ADI/TIP). [ABSTRACT FROM AUTHOR]

This paper, which has been produced from the experience that we have developed since 1995 with multi-family groups, intends to highlight the multifamily therapy in the field of psychotherapy, group therapy and family therapy. Family therapists have been faced with several families who live in contexts of extreme vulnerability. These families are marked by intense suffering and helplessness engendered more by socio-cultural issues than by psychiatric "deviations". This fact has made rethink the psychotherapy practice, based on the tradition of individualistic psi practices with the necessity of recovering the historical and social dimension of subjectivity production and psychological distress, to rescue the collective strength, both in the disease production and in the invention of health. Believing in healthy resources of families and communities, the redemption of subjectivity and citizenship of these suffering individuals as protagonists of their stories can be through the sharing of their pains and hopes. Thus, the aim is to present the creative and "subversive" alternative of multi-family groups - subversive of some ideological postures that operate in favor of the dichotomy between public and private, alleging that mental suffering, often perceived as a private matter, is actually produced in collective, therefore, social and political, rather than intrapsychic or familiar. Initially, we describe the emergence of group therapy in its historical, theoretical and epistemiological aspects, as well as the incorporation of multifamily and networks paradigm in the family therapy field. Some concepts about group therapy and multifamily group therapy, as well as some advantages and disadvantages of these approaches are presented. [ABSTRACT FROM AUTHOR]

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper derives from a psychoanalytical piece of research about an important clinical phenomenon that articulates depersonalization and derealization, which, according to Winnicott, are known as the "inability to feel alive and real". This is a typical phenomenon found in borderline and psychotic clinical profiles, the manifestations of which have demonstrated to be frequent in contemporary society. The analytical object in use was a psychoanalytical narrative employed in the movie picture known as Fight club - understood as a fictional human event. Seven diverse fields were created/found as parts of a greater field - "to be or not to be". By establishing a dialogue with Winnicott and Bauman, it was possible to conclude that the clinical issue in question is intimately concerned with the new forms of organizing the liquid-modern society, which paradoxically develop a certain type of individualism while they make it hard to personal growth in a sense of developing one's ability of feeling alive, real and able to provide spontaneous gesture to transform the self and the world. [ABSTRACT FROM AUTHOR]

This article brings some reflections to bear upon the current relevance of psychoanalytic theory and practice, using concepts and theories derived from institutional psychotherapy. These concepts, originally developed under the rubric of institutionalism, led to both important contributions and ruptures within psychoanalysis. Taking as references the idea of the decentralization of the subject as proposed by Freudian theory concepts of the unconscious subject, and the importance of the word in clinical practice, the goal of this paper is to draft elements which will facilitate our continued questioning into the achievements, advancements, and stagnations of Freudian work. By bridging some of the gaps in the psychoanalytic universe, it is possible to incorporate the necessary criticisms and contributions, enabling us to continue thinking about and practicing psychoanalysis in a critical fashion. [ABSTRACT FROM AUTHOR]

Persons with generalized anxiety disorder often do not seek treatment, and if they do, it is more often for the somatic symptoms (muscle tension, insomnia) or for a secondary depression than because of the cardinal feature of generalized anxiety disorder: worry. The worry aspect becomes apparent when the patient is proposed to try anxiolytic medication. The physician will then need to be prepared to answer many questions regarding the potential hazards and benefits of such medication. These patients tend to have a sceptical attitude, having informed themselves on websites that display claims that are based on anything from evidence-based scientific guidelines to distorted, erroneous and unfounded allegations. Which are the frequent questions that worried patients pose to the physician before accepting anxiolytic pharmacotherapy? Having seen anxious patients in my practice during 25 years, and having conducted several clinical trials of anxiolytics I have put together evidence-based answers in plain language to these questions in this paper. [ABSTRACT FROM AUTHOR]

Copyright of Revista Psicologia, Diversidade e Saúde is the property of Revista Psicologia, Diversidade e Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of CAP - Public Art Journal is the property of AP2 - Associacao para a Participacao Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper is about a case study of a brief psychotherapeutic sandplay process with a vitiligo barrier patient. Based on analytical psychology theory that understands the disease as part of the psychological self regulation process, it discusses the symbolic nature of the skin and its pathological expressions. During the ten psychotherapeutic sessions an evolution of the initial situation was observed through the symptoms displacement and the increase of imaginative abilities. Sandplay scenes building helps shadow aspects of the patient personality to became more conscious. Psychological characteristics described in literature are observed, such as the conflictive relation with the mother's figure, the appearance of the symptoms after an emotional stress due to situation of loss and so on. At the end of the psychotherapeutic process the interruption of the vitiligo stain development was observed. [ABSTRACT FROM AUTHOR]

Winnicott's playing theory brought significant modifications on contemporaneous psychoanalytic thought. The analytic relation became to be considered the creation of a potencial space in which two people have the possibility of playing together. Only then, the patient can find his self and develop his creativity. Transposed to the situation of infantile analysis, the mutual playing between patient and analyst is the principal realization of psychotherapy. Through the report of the playing of a six-year-old girl in psychoanalytic treatment, this paper aimed to demonstrate the therapeutical and changing capacity of the playing experience in the analytic relation. It was found that the mutual playing between patient and analyst made possible that significant transformations could happen. [ABSTRACT FROM AUTHOR]

A theoretical model, with the application derived from it, born in a specific moment of social organization, has to undergo modifications to maintain its efficacy when there are organizational changes. The present paper discusses the importance of diagnosis as an instrument for comprehension of potentiais of the individual situation. The brief psychoanalytic therapy can be extended to borderline patients, with careful consideration of theoretical and technical changes and evaluation of the efficacy of the new procedures. Puerperium can be classified as a period of crisis, although it leads to great changes and to a reorganization of the family group. This article presents some instances of the clinical psychologist's intervention in hospitals and health institutions in the following arros: neonatology, hospital psychiatric, heart transplant. [ABSTRACT FROM AUTHOR]

This article is aimed to enlarge the discussion about both the indications and limitations of the brief psychodynamic psychotherapies as well as the possibilities in the technical management which are permitted by them. In order to establish the bases to discuss the psychic change mechanisms, the paper coments the meaning of the therapeutic process and the intended objectives in the psychotherapy. This discussion offers a broad view on the curative factors pointed out in different forms of brief psychodynamic psychotherapies, including both the more restrictives in their indications and the wider ones. The conclusion points out the importance on emphasizing the more suitable curative factors to the resources presented by both therapist and patient to achieve an attainable objective. [ABSTRACT FROM AUTHOR]

This paper aims to reflect on questions about the interpretation on the psychotherapy context. The significance given to the speech and secondary processes by psychoanalysis and the relevance of images and primary processes to analytical psychology. This discussion was based on texts of a Freudian author (HERRMANN,1991), JUNG (1986,199 1) and Jungians authors (HILLMAN,1989; MIGLIORINI, 1993; WEINRIB, 1993.) [ABSTRACT FROM AUTHOR]

Copyright of Revista Portuguesa de Psicanálise is the property of Sociedade Portuguesa de Psicanalise and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract The aim of this paper is to present the Brazilian version of the instrument APQ (Adolescent Psychotherapy Q-Set), including its translation and initial adaptation, followed by the construction of psychotherapy prototypes for psychoanalytic and cognitivebehavioral approaches. A total of 10 psychoanalytic and 10 cognitive-behavioral therapists were asked to classify the APQ items in relation to relevance to their theoretical model. Data were analyzed with factor analysis. The extraction of two factors explained 48.07% of the total variance. The Cronbach’s alpha for the psychoanalytic factor was 0.85 and for the cognitive-behavioral factor, 0.86. The former presented factor loadings ranging from .61 to .73, whilst the latter from .49 to 80. The prototypes were developed through linear regression calculations of each APQ item’s contribution to each of the factors. It was observed that the two prototypes adequately discriminated psychoanalytic and cognitive behavioral approaches, indicating that the APQ is an appropriate tool for research in psychotherapy.

Abstract: The mind-skin connection has been studied since the nineteenth century. The last 40 years have set the development of new research areas which allowed the clarifying of how these two dimensions interact. The diseases that involve skin and mind constitute the field of psychodermatology and require that specialists in dermatology, psychiatry and psychology together and integrated take part in it, since skin, nervous system and mind are simultaneously affected. This paper aims to expose how psychodermatoses are currently conceptualized and the need of integration of these three specialties for conveniently treating the patients.

This paper is a theoretical review whose general objective was to analyze the complex links between two frequently recurring phenomena in the field of mental health: the stress and depression, from the psychoneuroendocrinological point of view, considering the implication of the cortisol hormone on the relationship mentioned above. For this purpose we proceeded through a database search in Medline, Pubmed, Wiley Online Library, and Scielo data. It was concluded that chronic stress and some forms of depression would establish a continuum. They have neurobiological and pathophysiological basis with many similarities. In addition, a hostile environment during early childhood would increase the vulnerability to the stress and to suffering from depression in the adulthood. The epigenetic studies indicated the methylation of glucocorticoid receptor gene as mechanism associated with the development of this vulnerability. Finally, so much the psychotherapy cognitive behavioral as the administration of antidepressing medication, they have demonstrated to reach his therapeutic effects across the increase in neural plasticity on cerebral key structures in the neurobiological processes involved in the stress.

Pessoas com transtorno de ansiedade generalizada geralmente não procuram tratamento e, se o fazem, é mais devido aos sintomas somáticos (tensão muscular, insônia) ou a uma depressão secundária do que por causa da característica central do transtorno de ansiedade generalizada: preocupação. O aspecto da preocupação torna-se aparente quando se propõe que o paciente tome uma medicação ansiolítica. O clínico terá então que estar preparado para responder a muitas perguntas sobre os riscos e benefícios potenciais de tal medicação. Esses pacientes tendem a ter uma atitude cética, por terem obtido informações em websites que apresentam afirmações que não têm nenhum embasamento científico ou alegações distorcidas, equivocadas e infundadas. Quais são as perguntas freqüentes que os pacientes preocupados colocam ao clínico antes de aceitarem a farmacoterapia ansiolítica? Tendo atendido a pacientes ansiosos em meu consultório por 25 anos, e tendo realizado vários ensaios clínicos com ansiolíticos, reuni neste artigo, em linguagem simples, as respostas baseadas em evidências a essas perguntas.Persons with generalized anxiety disorder often do not seek treatment, and if they do, it is more often for the somatic symptoms (muscle tension, insomnia) or for a secondary depression than because of the cardinal feature of generalized anxiety disorder: worry. The worry aspect becomes apparent when the patient is proposed to try anxiolytic medication. The physician will then need to be prepared to answer many questions regarding the potential hazards and benefits of such medication. These patients tend to have a sceptical attitude, having informed themselves on websites that display claims that are based on anything from evidence-based scientific guidelines to distorted, erroneous and unfounded allegations. Which are the frequent questions that worried patients pose to the physician before accepting anxiolytic pharmacotherapy? Having seen anxious patients in my practice during 25 years, and having conducted several clinical trials of anxiolytics I have put together evidence-based answers in plain language to these questions in this paper.