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Brain & Heart                                                      Oxidative stress and neurological disorders



            treatment for schizophrenia.  Despite being one of the   affecting over 264 million individuals.  It stands as the
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            most commonly prescribed treatments, 5–25% of patients   leading cause of disability, according to the World Health
            may continue to experience symptoms and encounter   Organization. Characterized by its deleterious effects, high
            unwanted side effects. Talking therapies are frequently   prevalence, and early onset, MDD imposes significant
            used  alongside  medications.   The following outlines   disability,  mortality,  and financial  burden  on  affected
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            different treatment options for schizophrenia:     individuals and their families. Moreover, its negative
                                                               effects are further exacerbated by family turmoil, social
            7.1.1. Supportive therapy                          upheaval, and divorces.  Symptoms of MDD include
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            In supportive therapy, patients receive general support. After   impaired cognitive and vegetative functions, mood
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            consulting with a health professional, time is allocated for   swings, and loss of interest and pleasure in activities.  The
            listening to people’s concerns, providing encouragement,   treatment of MDD encompasses the following therapeutic
            and even assisting them with their day-to-day activities.   modalities:
            Support from family and friends also falls within the realm
            of supportive therapy. Certain interventions in supportive   7.2.1. Hormonal therapies
            psychotherapy require a trained therapist, while others,   Some patients generally fail to respond satisfactorily to
            like “befriending,” do not require specific training. 70  chemical antidepressants. Consequently, there is a pressing
                                                               need  for more effective  methods targeting  depression
            7.1.2. Avatar therapy                              treatment. Alterations in hormonal concentrations
            Certain symptoms of schizophrenia, such as AVHs, may   and endocrine functions play a significant role in the
            resist  conventional  treatment  methods.  Avatar  therapy,   pathophysiology of depression.  Cortisol, estrogen,
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            utilizing virtual reality, has emerged as a potential   and thyroid hormones, in particular, are important in
            intervention for these treatment-resistant symptoms.   addressing behavioral disorders. Extensive clinical and
            Recently integrated into schizophrenia treatment options,    preclinical studies have laid the foundation for a deeper
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            this therapy utilized virtual reality to create a controlled   understanding of the clinical application of hormonal
            environment. A  computer program generates an avatar,   therapy in depression treatment in the forthcoming years. 80
            human or non-human, resembling the entity the patient
            believes interacts with them through voices. Designed to   7.2.2. Cognitive behavioral therapy
            encourage and control dialogue between the patient and the   Many patients with chronic depressive symptoms become
            avatar, the therapy employs a virtual reality environment   resistant to conventional antidepressant treatments.
            and voice morphing program for avatar creation. Finally,   Typically, those suffering from depressive symptoms for
            the therapist uses the avatar to engage in dialog with   2 years or more do not respond to chemical treatments.
            patients and subsequently administer treatment. 72  Therefore,  patients  with  severe  to moderate  symptoms
                                                               require a novel strategy that combines both pharmacological
            7.1.3. Cognitive behavior therapy                  and psychological treatments.  CBT represents one
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            Cognitive behavior therapy (CBT) is a psychosocial   such approach. It is a goal-oriented, well-structured talk
            treatment aimed at assisting patients in re-evaluating their   therapy  aimed  at alleviating  symptoms  associated with
            experiences to alleviate distress and modify problematic   various mental health conditions, particularly depression
            behavior. The National Institute of Health and Care   and anxiety. CBT is widely regarded as the most effective
            Excellence (NICE) recommends CBT as an adjunctive   treatment for  substance abuse and co-occurring mental
            treatment for schizophrenic patients.  Developed by   disorders.  Through this therapy, patients acquire skills
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            Aaron T. Beck, CBT applies general principles such as case   to adopt healthier thinking patterns and habits, enabling
            formulation based on a cognitive model, goal setting, and   them to overcome negative thoughts and behaviors. CBT
            homework assignments to address negative symptoms.    can be used alone or in conjunction with other therapies
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            Current evidence suggests that CBT may be beneficial   and medications. Sessions typically involve a question-
            for patients with chronic schizophrenia. However, its use   and-answer format, facilitating the development of
            during acute phases should be considered based on patient   improved coping mechanisms for stress, pain, and difficult
            cooperation and feasibility issues. 75             situations.  CBT is suitable for individuals of all age groups,
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                                                               including  children.  Grounded  in theory-  and  expertise-
            7.2. Major depressive disorder                     based conversations, CBT provides a factual treatment
            Major depressive disorder, also known as unipolar   approach within a safe, supportive, non-judgmental, and
            depressive disorder or clinical depressive disorder, ranks   positive environment,  fostering  open communication
            among the most common psychiatric conditions globally,   between patients and mental health professionals. 83


            Volume 2 Issue 2 (2024)                         7                                doi: 10.36922/bh.2704
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