Nevertheless, SD is the only established antidepressant therapy that acts within hours, and therefore, can be applied in patients with treatment-resistant depression with a chance of approximately 50% of seeing an immediate, although temporary, relief from depressive symptoms without major side effects. In addition, even in patients who do not respond to SD, an elevation of mood insomnia, which is frequently accompanied by depression, may be substantially improved at least in the recovery night. The experience of realizing that depression can be lifted and sleep can improve is very important for the further therapy motivation of treatment-resistant depressed patients. In recent years, we have learned much more about the clinical effects of SD. TSD and PSD are efficient. Both can be combined with antidepressant medication, predominantly serotonergic agents, with bright light therapy and with a phase advance of sleep cycles. All these strategies have been able to provide a chance to stabilize the SD response, at least in a subgroup of patients.
SD is the only established antidepressant therapy that acts within hours, and therefore, can be applied in patients with treatment-resistant depression with a chance of approximately 50% of seeing an immediate, although temporary, relief from depressive symptoms without major side effects. … The experience of realizing that depression can be lifted and sleep can improve is very important for the further therapy motivation of treatment resistant depressed patients. … [Sleep deprivation] can be combined with antidepressant medication, predominantly serotonergic agents, with bright light therapy and with a phase advance of sleep cycles. All these strategies have been able to provide a chance to stabilize the SD response, at least in a subgroup of patients.
.
and Myers algorithm, underlined in wavy red.
Nevertheless,‧SD‧is‧ the‧ only‧ established‧ antidepressant‧ therapy‧ that‧ acts‧ within‧ hours,‧ and‧ therefore,‧ can‧ be‧ applied‧ in‧ patients‧ with‧ treatment-resistant‧ depression‧ with‧ a‧ chance‧ of‧ approximately‧ 50%‧ of‧ seeing‧ an‧ immediate,‧ although‧ temporary,‧ relief‧ from‧ depressive‧ symptoms‧ without‧ major‧ side‧ effects. ‧‧In‧ addition,‧ even‧ in‧ patients‧ who‧ do‧ not‧ respond‧ to‧ SD,‧ an‧ elevation‧ of‧ mood‧ insomnia,‧ which‧ is‧ frequently‧ accompanied‧ by‧ depression,‧ may‧ be‧ substantially‧ improved‧ at‧ least‧ in‧ the‧ recovery‧ night.‧ …‧ The‧ experience‧ of‧ realizing‧ that‧ depression‧ can‧ be‧ lifted‧ and‧ sleep‧ can‧ improve‧ is‧ very‧ important‧ for‧ the‧ further‧ therapy‧ motivation‧ of‧ treatment -‧resistant‧ depressed‧ patients. ‧‧In‧ recent‧ years,‧ we‧ have‧ learned‧ much‧ more‧ about‧ the‧ clinical‧ effects‧ of‧ SD.‧ TSD‧ and‧ PSD‧ are‧ efficient.‧ Both …‧ [Sleep‧ deprivation]‧ can‧ be‧ combined‧ with‧ antidepressant‧ medication,‧ predominantly‧ serotonergic‧ agents,‧ with‧ bright‧ light‧ therapy‧ and‧ with‧ a‧ phase‧ advance‧ of‧ sleep‧ cycles.‧ All‧ these‧ strategies‧ have‧ been‧ able‧ to‧ provide‧ a‧ chance‧ to‧ stabilize‧ the‧ SD‧ response,‧ at‧ least‧ in‧ a‧ subgroup‧ of‧ patients.
# | Part | Valid? | Explanation |
---|---|---|---|
1 |
|
× no | Deletions must be indicated, eg by ‘ … ’ or [replacement]. |
2 |
SD‧ |
||
3 |
|
✓ yes | Deletion is followed by a valid insertion. |
4 |
‧ |
✓ yes | Insertion is an ellipsis. |
5 |
The‧ |
||
6 |
|
× no | Deletions must be indicated, eg by ‘ … ’ or [replacement]. |
7 |
‧
|
× no | A single added space must either follow or precede a valid insertion. |
8 |
resistant‧ |
||
9 |
|
✓ yes | Deletion is followed by a valid insertion. |
10 |
‧ |
✓ yes | Insertion is an ellipsis. |
11 |
[Sleep‧
|
✓ yes | Insertion is properly bracketed. |
12 |
‧ |
Click this button to copy the embed code, then paste it where you want the diff to appear: