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Depression and Anxiety Disorders

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Book cover Person Centered Psychiatry

Abstract

Depression and anxiety are highly prevalent, chronic, recurring mental disorders associated with substantial individual suffering and societal cost. However, debate surrounds the conceptualization of these conditions. A classical position often regards depression and anxiety as essentialist medical categories or brain disorders. In contrast, a critical position understands depression and anxiety as socially constructed responses and emphasizes the implicit values that individuals hold about disease, illness experiences and expectations about treatment. An integrative approach draws on both evidence-based medicine as well as values-based medicine in focusing on the underlying mechanisms involved in the pathogenesis of depression and anxiety as well as the unique illness experiences and values of the patient. A person-centred approach to depression and anxiety is arguably consistent with this integrative approach, with a focus on both symptom presentation as well as the health and illness experiences of the patient, and encouraging a collaborative relationship between the clinician and patient. In this view, the patient perspective is absolutely crucial, and consumer advocacy is a key opportunity. At the same time, this perspective also emphasizes the importance of better understanding the underlying mechanisms involved in depression and anxiety disorders, so that these can be better targeted and treated.

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Acknowledgments

Megan Campbell is supported by a URC Postdoctoral Fellowship from the University of Cape Town. Dan Stein is supported by the Medical Research Council of South Africa.

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Authors and Affiliations

  1. Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, J-Block, Groote Schuur Hospital Observatory, Cape Town, 7935, South Africa

    Megan M. Campbell PhD

  2. Professor, Department of Psychiatry and Mental Health, University of Cape Town, and MRC Unit on Anxiety and Stress Disorders, Cape Town, South Africa

    Dan J. Stein MD

Authors
  1. Megan M. Campbell PhD
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  2. Dan J. Stein MD
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Corresponding author

Correspondence to Megan M. Campbell PhD .

Editor information

Editors and Affiliations

  1. Dept. of Psychiatry, New York University Mount Sinai School of Medicine, New York, New York, USA

    Juan E. Mezzich

  2. Laboratory Ethics, Professionalism, University of Western Brittany, Bohars, France

    Michel Botbol

  3. Dept. of Psychiatry, University of Athens, Athens, Greece

    George N. Christodoulou

  4. Department of Psychiatry, WASHINGTON UNIV SCH MED Department of Psychiatry, Saint Louis, Missouri, USA

    C. Robert Cloninger

  5. Division of Alcohol and Drug Abuse, University of Miami Miller School of Medicine, Coral Gables, Florida, USA

    Ihsan M. Salloum

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© 2016 Springer International Publishing Switzerland

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Campbell, M.M., Stein, D.J. (2016). Depression and Anxiety Disorders. In: Mezzich, J., Botbol, M., Christodoulou, G., Cloninger, C., Salloum, I. (eds) Person Centered Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-39724-5_27

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  • DOI: https://doi.org/10.1007/978-3-319-39724-5_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39722-1

  • Online ISBN: 978-3-319-39724-5

  • eBook Packages: MedicineMedicine (R0)

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