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Barbara Milrod

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https://www.readbyqxmd.com/read/29739526/trauma-focused-psychodynamic-psychotherapy
#1
REVIEW
Fredric N Busch, Barbara L Milrod
The authors describe a psychodynamic psychotherapeutic approach to posttraumatic stress disorder (PTSD), trauma-focused psychodynamic psychotherapy. This psychotherapy addresses disruptions in narrative coherence and affective dysregulation by exploring the psychological meanings of symptoms and their relation to traumatic events. The therapist works to identify intrapsychic conflicts, intense negative affects, and defense mechanisms related to the PTSD syndrome using a psychodynamic formulation that provides a framework for intervention...
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29667870/focus-is-key-panic-focused-interpretations-are-associated-with-symptomatic-improvement-in-panic-focused-psychodynamic-psychotherapy
#2
John R Keefe, Nili Solomonov, Robert J Derubeis, Alexander C Phillips, Fredric N Busch, Jacques P Barber, Dianne L Chambless, Barbara L Milrod
OBJECTIVE: This study examines whether, in panic-focused psychodynamic psychotherapy (PFPP), interpretations of conflicts that underlie anxiety (panic-focused or PF-interpretations) are specifically associated with subsequent panic disorder (PD) symptom improvement, over and above the provision of non-symptom-focused interpretations. METHOD: Technique use in Sessions 2 and 10 of a 24-session PFPP protocol was assessed for the 65 patients with complete outcome data randomized to PFPP in a two-site trial of psychotherapies for PD...
April 18, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29212135/what-is-the-effect-on-comorbid-personality-disorder-of-brief-panic-focused-psychotherapy-in-patients-with-panic-disorder
#3
John R Keefe, Barbara L Milrod, Robert Gallop, Jacques P Barber, Dianne L Chambless
BACKGROUND: No studies of psychotherapies for panic disorder (PD) have examined effects on comorbid personality disorders (PersD), yet half such patients have a PersD. METHODS: In a randomized trial for PD with and without agoraphobia comparing Cognitive-Behavioral Therapy (CBT) and Panic-Focused Psychodynamic Psychotherapy (PFPP), PersD was assessed pre-to-post treatment with the Structured Clinical Interview for the Diagnosis of Axis-II Disorders (SCID-II). For patients completing therapy (n = 118, 54 with PersD), covariance between panic and SCID-II criteria improvements was analyzed...
March 2018: Depression and Anxiety
https://www.readbyqxmd.com/read/28965459/the-evolution-of-meta-analysis-in-psychotherapy-research
#4
EDITORIAL
Barbara Milrod
No abstract text is available yet for this article.
October 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28650192/prediction-and-moderation-of-improvement-in-cognitive-behavioral-and-psychodynamic-psychotherapy-for-panic-disorder
#5
RANDOMIZED CONTROLLED TRIAL
Dianne L Chambless, Barbara Milrod, Eliora Porter, Robert Gallop, Kevin S McCarthy, Elizabeth Graf, Marie Rudden, Brian A Sharpless, Jacques P Barber
OBJECTIVE: To identify variables predicting psychotherapy outcome for panic disorder or indicating which of 2 very different forms of psychotherapy-panic-focused psychodynamic psychotherapy (PFPP) or cognitive-behavioral therapy (CBT)-would be more effective for particular patients. METHOD: Data were from 161 adults participating in a randomized controlled trial (RCT) including these psychotherapies. Patients included 104 women; 118 patients were White, 33 were Black, and 10 were of other races; 24 were Latino(a)...
August 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28225509/psychometric-properties-of-the-reconstructed-hamilton-depression-and-anxiety-scales
#6
Eliora Porter, Dianne L Chambless, Kevin S McCarthy, Robert J DeRubeis, Brian A Sharpless, Marna S Barrett, Barbara Milrod, Steven D Hollon, Jacques P Barber
Although widely used, the Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Rating Scale (HARS) discriminate poorly between depression and anxiety. To address this problem, Riskind, Beck, Brown, and Steer (J Nerv Ment Dis. 175:474-479, 1987) created the Reconstructed Hamilton Scales by reconfiguring HRSD and HARS items into modified scales. To further analyze the reconstructed scales, we examined their factor structure and criterion-related validity in a sample of patients with major depressive disorder and no comorbid anxiety disorders (n = 215) or with panic disorder and no comorbid mood disorders (n = 149)...
August 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28076668/us-veterans-and-ptsd-who-are-they-and-how-did-it-happen
#7
Barbara Milrod
No abstract text is available yet for this article.
November 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28045286/perceived-criticism-predicts-outcome-of-psychotherapy-for-panic-disorder-replication-and-extension
#8
Dianne L Chambless, Kelly M Allred, Fang Fang Chen, Kevin S McCarthy, Barbara Milrod, Jacques P Barber
OBJECTIVE: We tested the relation of perceived criticism (PC) from a parent or spouse/romantic partner to outcome of psychotherapy for panic disorder (PD). METHOD: Participants were 130 patients with PD (79% with agoraphobia) who received 24 twice-weekly sessions of panic-focused psychodynamic psychotherapy, cognitive-behavioral therapy, or applied relaxation therapy. Patients were predominantly White (75%), female (64%), and non-Hispanic (85%). At baseline, Week 5 of treatment, termination, and at 6- and 12-month follow-up, patients rated PC from the relative with whom they lived...
January 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/27464313/psychotherapies-for-panic-disorder-a-tale-of-two-sites
#9
RANDOMIZED CONTROLLED TRIAL
Barbara Milrod, Dianne L Chambless, Robert Gallop, Fredric N Busch, Michael Schwalberg, Kevin S McCarthy, Charles Gross, Brian A Sharpless, Andrew C Leon, Jacques P Barber
OBJECTIVE: To compare cognitive-behavioral therapy (CBT), panic-focused psychodynamic psychotherapy (PFPP), and applied relaxation training (ART) for primary DSM-IV panic disorder with and without agoraphobia in a 2-site randomized controlled trial. METHOD: 201 patients were stratified for site and DSM-IV agoraphobia and depression and were randomized to CBT, PFPP, or ART (19-24 sessions) over 12 weeks in a 2:2:1 ratio at Weill Cornell Medical College (New York, New York) and University of Pennsylvania ("Penn"; Philadelphia, Pennsylvania)...
July 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27249082/can-development-of-ptsd-be-prevented-after-acute-trauma
#10
Barbara Milrod
No abstract text is available yet for this article.
May 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/26995247/adult-separation-anxiety-in-treatment-nonresponders-with-anxiety-disorders-delineation-of-the-syndrome-and-exploration-of-attachment-based-psychotherapy-and-biomarkers
#11
Barbara Milrod, Margaret Altemus, Charles Gross, Fredric Busch, Gabrielle Silver, Paul Christos, Joshua Stieber, Franklin Schneier
Clinically significant separation anxiety [SA] has been identified as being common among patients who do not respond to psychiatric interventions, regardless of intervention type (pharmacological or psychotherapeutic), across anxiety and mood disorders. An attachment formation and maintenance domain has been proposed as contributing to anxiety disorders. We therefore directly determined prevalence of SA in a population of adult treatment non-responders suffering from primary anxiety. In these separation anxious nonresponders, we pilot-tested an SA-focused, attachment-based psychotherapy for anxiety, Panic-Focused Psychodynamic Psychotherapy-eXtended Range [PFPP-XR], and assessed whether hypothesized biomarkers of attachment were engaged...
April 2016: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/26359755/what-to-do-when-a-psychotherapy-fails
#12
John C Markowitz, Barbara L Milrod
No abstract text is available yet for this article.
February 2015: Lancet Psychiatry
https://www.readbyqxmd.com/read/26130198/an-epidemiological-contribution-to-clinical-understanding-of-anxiety
#13
EDITORIAL
Barbara Milrod
No abstract text is available yet for this article.
July 2015: American Journal of Psychiatry
https://www.readbyqxmd.com/read/26115481/psychotherapies-for-panic-disorder-a-tale-of-two-sites
#14
Barbara Milrod, Dianne L Chambless, Robert Gallop, Fredric N Busch, Michael Schwalberg, Kevin S McCarthy, Charles Gross, Brian A Sharpless, Andrew C Leon, Jacques P Barber
OBJECTIVE: To compare cognitive-behavioral therapy (CBT), panic-focused psychodynamic psychotherapy (PFPP), and applied relaxation training (ART) for primary DSM-IV panic disorder with and without agoraphobia in a 2-site randomized controlled trial. METHOD: 201 patients were stratified for site and DSM-IV agoraphobia and depression and were randomized to CBT, PFPP, or ART (19-24 sessions) over 12 weeks in a 2:2:1 ratio at Weill Cornell Medical College (New York, New York) and University of Pennsylvania ("Penn"; Philadelphia, Pennsylvania)...
June 9, 2015: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/26030762/are-there-subtypes-of-panic-disorder-an-interpersonal-perspective
#15
RANDOMIZED CONTROLLED TRIAL
Sigal Zilcha-Mano, Kevin S McCarthy, Ulrike Dinger, Dianne L Chambless, Barbara L Milrod, Lauren Kunik, Jacques P Barber
OBJECTIVE: Panic disorder (PD) is associated with significant personal, social, and economic costs. However, little is known about specific interpersonal dysfunctions that characterize the PD population. The current study systematically examined these interpersonal dysfunctions. METHOD: The present analyses included 194 patients with PD out of a sample of 201 who were randomized to cognitive-behavioral therapy, panic-focused psychodynamic psychotherapy, or applied relaxation training...
October 2015: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/25882924/interpersonal-factors-are-associated-with-lower-therapist-adherence-in-cognitive-behavioural-therapy-for-panic-disorder
#16
Hana F Zickgraf, Dianne L Chambless, Kevin S McCarthy, Robert Gallop, Brian A Sharpless, Barbara L Milrod, Jacques P Barber
OBJECTIVE: The contributions of disorder severity, comorbidity and interpersonal variables to therapists' adherence to a cognitive-behavioural treatment (CBT) manual were tested. METHOD: Thirty-eight patients received panic control therapy (PCT) for panic disorder. Trained observers watching videotapes of the sixth session of a 24-session protocol rated therapists' adherence to PCT and their use of interventions from outside the CBT model. Different observers rated patients' behavioural resistance to therapy in the same session using the client resistance code...
May 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/24493661/critical-review-of-outcome-research-on-interpersonal-psychotherapy-for-anxiety-disorders
#17
REVIEW
John C Markowitz, Joshua Lipsitz, Barbara L Milrod
BACKGROUND: Interpersonal psychotherapy (IPT) has demonstrated efficacy in treating mood and eating disorders. This article critically reviews outcome research testing IPT for anxiety disorders, a diagnostic area where cognitive behavioral therapy (CBT) has dominated research and treatment. METHODS: A literature search identified six open and five controlled trials of IPT for social anxiety disorder (SAD), panic disorder, and posttraumatic stress disorder. RESULTS: Studies were generally small, underpowered, and sometimes methodologically compromised...
April 2014: Depression and Anxiety
https://www.readbyqxmd.com/read/24129927/childhood-separation-anxiety-and-the-pathogenesis-and-treatment-of-adult-anxiety
#18
REVIEW
Barbara Milrod, John C Markowitz, Andrew J Gerber, Jill Cyranowski, Margaret Altemus, Theodore Shapiro, Myron Hofer, Charles Glatt
Clinically significant separation anxiety disorder in childhood leads to adult panic disorder and other anxiety disorders. The prevailing pathophysiological model of anxiety disorders, which emphasizes extinction deficits of fear-conditioned responses, does not fully consider the role of separation anxiety. Pathological early childhood attachments have far-reaching consequences for the later adult ability to experience and internalize positive relationships in order to develop mental capacities for self-soothing, anxiety tolerance, affect modulation, and individuation...
January 2014: American Journal of Psychiatry
https://www.readbyqxmd.com/read/23768260/implementing-panic-focused-psychodynamic-psychotherapy-into-clinical-practice
#19
RANDOMIZED CONTROLLED TRIAL
Manfred E Beutel, Vera Scheurich, Achim Knebel, Matthias Michal, Jörg Wiltink, Mechthild Graf-Morgenstern, Regine Tschan, Barbara Milrod, Stefan Wellek, Claudia Subic-Wrana
OBJECTIVE: To determine the effectiveness of manualized panic-focused psychodynamic psychotherapy (PFPP) in routine care in Germany. METHOD: German psychoanalysts were trained according to the PFPP manual. Fifty-four consecutive outpatients with panic disorder (with or without agoraphobia) were randomly assigned in a 2:1 ratio to PFPP or cognitive-behavioural therapy (CBT) plus exposure therapy. Subjects (female 57.4%; mean age 36.2 years) had high rates of psychiatric (68...
June 2013: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/23680919/the-gordian-knot-of-clinical-research-in-anxiety-disorders-some-answers-more-questions
#20
EDITORIAL
Barbara Milrod
No abstract text is available yet for this article.
July 2013: American Journal of Psychiatry
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