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The Psychoanalytic Psychotherapy of Treatment Resistant Depression

Dr Joan Haliburn

 That more than a third of patients with mood disorders will go on to have a chronic course if treated exclusively with biological therapies is an established fact. For most of these patients depressed mood is often accompanied by a complexity of other factors, including trauma in the developing years, which affect personality development and therefore coping styles in later life. Early chronic devaluation may often be found at the core of their trauma, causing considerable shame that is largely unconscious, but expressed as ‘hopelessness and helplessness’ in the clinical situation. Co-morbidity is often related to treatment un-responsiveness. The focus of treatment has therefore to shift to aspects of self and relationships, as in psychotherapy, often with the addition of pharmacotherapy.

Master of Medicine and (Psychotherapy); Master of Science in Medicine (Psychotherapy)
Psychotherapy Think Tank / Grand Rounds
Mental Health Sciences Centre,
Building 112, Cumberland Hospital. NSW, Australia
Recorded: 29 April 2010

Joan Haliburn
Joan Haliburn
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Dr Joan Haliburn

Dr Joan Haliburn is a child, adolescent and family psychiatrist and trained psychotherapist in private practice at Drummoyne, NSW. She is a senior clinical lecturer, University of Sydney, on faculty at the Complex Trauma Unit, which is a service, training and research facility in trauma, dissociation and personality disorders, Western Sydney Health at Westmead and Cumberland Hospitals. She is a former President and Director of Training, ANZAP. She has published and presented papers and workshops nationally and internationally. Her recent publications are Pathological Attachment as Adaptation, in The Psychology of Trauma, Nova Science Publishers, New York and two chapters in ‘Borderline Personality Disorder and the Conversational Model – A clinician’s Manual’ by Russell Meares, Norton Books. She is an International Fellow, American Psychiatry Association, a member of ISSTD, ISSPD and IACAPAP.

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