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제2형 양극성 장애의 주요우울 삽화에 대한 복합 한방 치료 사례보고: 대인관계 및 사회적 리듬 치료와 변증 치료를 중심으로

A Case Study on a Patient with Major Depressive Episode of Bipolar II Disorder Treated with a Combination of Interpersonal and Social Rhythm Therapy and Korean Medicine

동의신경정신과학회지 2020년 31권 3호 p.213 ~ 223
이지윤, 김주연, Jeong Jin-Hyung, 정인철,
소속 상세정보
이지윤 ( Lee Ji-Yoon ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
김주연 ( Kim Ju-Yeon ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
 ( Jeong Jin-Hyung ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
정인철 ( Jung In-Chul ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry

Abstract


Objectives: To determine treatment effects of a combination of interpersonal and social rhythm therapy and Korean medicine for a patient with major depressive episode of bipolar II disorder.

Methods: A patient was treated with Korean medicine (acupuncture, herbal medicine, etc.) and interpersonal and social rhythm therapy (IPSRT) for four months. Pattern identification for depressive mood and sleep associated symptoms was evaluated using Patient Health Questionnaire-9 (PHQ-9) and Social rhythm metric Ⅱ-5 (SRMⅡ-5).

Results: At the end of the treatment, depression and delayed sleep symptoms were improved and social rhythm was recovered to the regular range. The patient acquired an insight to his interpersonal tensions and conflicts.

Conclusions: Korean medicine in combination with interpersonal and social rhythm therapy can be used to treat patients with major depressive episode of bipolar II disorder. More cases are needed to develop guidelines for treating bipolar disorder.

키워드

Bipolar disorder; Major depressive episode; Circadian rhythm; Interpersonal and social rhythm therapy; Pattern Identification

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