Successful treatment of ego dystonic homosexuality, Paraphilia and transsexualism using cognitive -behavioral techniques

Gender identity disorder and paraphilia and related therapies are of debatable issues in psychiatry. The authors introduce some of the disorders which to be cured via behaviorial techniques. In all of patients the diagnosis was compatible with DSMIV criterion. Therapeutic method considered for them was cognitive behaviord regardless of any type of comorbidities. The mentioned therapeutic technique resulted in considerable improvement signs [except for one case] in these patients. Positive effects of CBT in almost all of these patients mean that morbiological treatment could be considered as an effective therapeutic approach. Although good compliance in patients was not ignorable for successful results, considering CBT in any patients should be a role before nonreversible treatments such as surgery or stigmatizing patients as treatment resistant case

Roozbeh home care program for severe mental disorders: a preliminary report

To describe a home care service developed in Roozbeh Hospital for patients with bipolar disorder and schizophrenia and report baseline and 6-month follow-up data. Roozbeh Home Care Program consists of home visits by multidisciplinary home care teams, including general practitioners, nurses, and social workers who are supervised by psychiatrists. Home visits are scheduled as biweekly for the first three months following discharge and then on a monthly basis and the care includes biopsychosocial assessments and interventions. Baseline and 6-month data were extracted using a chart review. After 10 months of the Program development. 53 patients were enrolled and a total of 349 home visits were made. Of these, 29 were followed for at least 6 months. More than 86% of the patients remained in the community throughout the follow-up period, most in full remission and a small minority [4 patients] with a mild to moderate relapse that was overcome with interventions made by the home care teams. A home care service is a feasible mode of community-based aftercare for patients discharged from the hospital. Its effectiveness should be assessed by a randomized controlled trial