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This review proposes an analysis of some of the many possible psychotherapeutic treatment approaches and modalities that are most effective at present according to the latest guidelines. Psychotherapy, often underestimated, plays a key role in the integrated treatment of patients presenting with various forms of psychological distress and/or psychiatric disorders and is an essential element in the healing process. The usefulness of psychological supports is too often poorly considered in general practice clinics, while its scientific value has also been recognized by Evidence Based Medicine. This paper has set out to examine the most effective current psychotherapies for the treatment of the most prevalent psychological and psychiatric disorders at present, with a focus on the so-called third-wave or third-generation psychotherapy approaches (DBT, ST, EMDR, MBT, TMI, MBCT), which represent an evolution of standard TCC and arise precisely from the need to integrate the concreteness and Evidenced-based efficacy of TCC with the most powerful elements of the psychoanalytic approach, thus creating a unique, comprehensive and integrated synthesis. [ABSTRACT FROM AUTHOR]

The work proposes a reflection on the global treatment modality of generalized anxiety disorder (Gad), certainly one of the most frequent anxiety disorders in a general medicine clinic, focusing on the approach and management of the patient from a human point of view rather than on the specific field of drug treatment. The psychological aspect, often underestimated, plays a fundamental role in the integrated treatment of patients with this disorder and it's an essential element in the healing process. The usefulness of psychological support is too often poorly considered in general medicine clinics, while its scientific value has also been recognized by Evidence Based Medicine. In particular, cognitive-behavioral therapy (Cbt) represents the treatment of first choice for various psychopathological pictures with demonstrated efficacy, according to many scientific studies and to international guidelines for diagnosis and treatment in the psychological and psychiatric field, as the NICE guidelines (National Institute for Health and Clinical Excelence, 2011). [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. 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 Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. 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: Rolandic epilepsy (RE) is the most common type of childhood focal epilepsy. Although there is no intellectual deficit, children with RE may have specific cognitive impairments. The aims of this study were to identify changes in executive functions in children with RE and to verify the influence of epilepsy and seizure variables. We evaluated 25 children with RE and 28 healthy controls. A comprehensive neuropsychological battery was utilized. The results showed that the RE children had worse performance than the control group in some categories of the Wisconsin Card Sorting Test, the Trail Making Test part B, and the Verbal Fluency Test (FAS). Children with earlier onset of epilepsy had worse performance when compared with children with later onset of epilepsy. We conclude that children with RE may show a deficit in executive function despite their normal IQ. The set of tests was more extensive than what was previously used in other studies. Our study suggests that early seizures can interfere with brain development. Regarding cognition, the term benign should be used cautiously in RE. [Copyright &y& Elsevier]

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. 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.)

Objectives: To evaluate the presence of neurological soft signs (NSS) and to correlate them with the Wechsler Intelligence Scale for Children (WISC III) in patients with rolandic epilepsy (RE)., Methods: Forty children and adolescents aged between 9 and 15 years were studied. They were divided into two groups: G1 - patients with RE (n=20) - and G2 - healthy controls without epilepsy (n=20). They were assessed with the Quick Neurological Screening Test (QNST II) - clinical trial to search for NSS -, and the WISC III - neuropsychological test., Results: No statistical difference between groups was found in WISC III and QNST II. However, children with poorer motor skills had worse performance in the QNST II and also in the execution intelligence quotient - IQ (p=0.001) and in total IQ (p=0.004), thus showing a positive correlation between them., Conclusions: The QNST II is a good screening tool for the neurologist to detect abnormalities in fine motor skills.

Background: Rolandic Epilepsy is the most common form of childhood epilepsy. It is classified as idiopathic, age-related epileptic syndrome with benign evolution. The absence of neuropsychological impairment is part of the criteria of benignity of this epilepsy syndrome. Recently, however, several deficits related to attention and language have been suggested., Aim: to assess school performance and to investigate praxis problems in patients with rolandic epilepsy in comparison to a control group of normal children, paired by age, gender and educational level., Method: nineteen patients aged between 7 and 12 years underwent clinical neurological evaluation, psychological assessment, through the Weschsler Scales of Intelligence, and language evaluation, to assess the academic performance and to investigate the presence or absence of praxis difficulties., Result: the obtained data indicate that although intellectual efficiency (measured through the Intelligence Quatient - IQ) was within average, children with rolandic epilepsy presented a significantly poorer performance when compared to the control group in tests involving writing, arithmetic and reading. Another important aspect was the absence of orofacial apraxia in children with epilepsy., Conclusion: the results of the study suggest that the assessment of children with epilepsy is necessary to investigate specific deficits that require appropriate professional assistance. Regarding the presence of oral language and/or writing disorders in these children, academic, social and emotional deficits can be avoided. The prognosis of epileptic syndrome does not exclusively depend on the control of the crises, since social or cultural problems can interfere in life quality as much as the crisis.