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Archive for June, 2020

Cognitive Behavioral Therapy. By Our Student Pharmacist, Stephanie Brokaw.

With the increase in reports of depression and anxiety due to the COVID-19 pandemic, I would like to highlight one modality of treating depression and anxiety that can be used alone or in combination with pharmacological therapy: Cognitive Behavioral Therapy

What is Cognitive Behavioral Therapy?

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy in which a therapist helps a patient identify and correct distortive, maladaptive beliefs through education, relaxation exercises, coping training skills, stress management, or assertive training1.

Unlike other types of therapy, CBT is designed to focus on current aspects of your life which are causing your issues, instead of evaluating issues from the past2. CBT sessions generally occur once every one to two weeks and each session lasts 30-60 minutes2.

There are four major steps to CBT that your therapist will go through with you.

These are:

  • 1. Identify troubling situations in your life.
  • 2. Become aware of your thoughts, emotions, and beliefs about these problems.
  • 3. Identify negative or inaccurate thinking.
  • 4. Reshape negative or inaccurate thinking4.

To best help track these throughout your course of treatment, your therapist may ask you to keep a journal of these situations, thoughts, and feelings. Some people’s problem source relates to negative thoughts or associations they developed in early childhood and have solidified over time5. Therapists may encourage reversal of this negative thought process by encouraging patients to focus more on facts related to a situation instead of opinions5.

Who would benefit from Cognitive Behavioral Therapy?

CBT is an evidence-based treatment for patients who suffer from psychiatric disorders including:

  • depression
  • generalized anxiety disorder
  • post-traumatic stress disorder
  • panic disorder
  • eating disorders
  • obsessive compulsive disorders1

CBT can also be used in other medical disorders relating to the mind including:

  • insomnia
  • smoking cessation
  • lower back pain1

CBT is most effective in highly motivated patients who value a problem solving approach and a willingness to learn and implement skills related to self-observation1.

How effective is Cognitive Behavioral Therapy?

CBT effectiveness highly depends on an individual’s willingness to engage in therapy and complete recommendations and skills taught from therapy in everyday life1. Studies have shown CBT to be more effective in smoking cessation alone or in combination with nicotine replacement therapies in comparison to nicotine therapies alone3. CBT has been shown to have similar efficacy to pharmacotherapy in depression, and combination therapy may bring the greatest efficacy to patients3. CBT is a reliable first-line treatment for anxiety disorder and brings a positive effect to symptoms related to anxiety such as sleep dysfunction and a patient’s sensitivity to anxiety3. CBT is also effective in general stress and stress related to other medical diagnoses such as HIV or cancer3.

Local and Virtual Resources:

Free Online Worksheets to use CBT to Identify and Change Negative Thoughts and Feelings

https://positivepsychology.com/wp-content/uploads/2017/03/Coping-Styles-Formulation-Worksheet.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/ABC-Functional-Analysis-Worksheet.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/Case-Formulation-Worksheet.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/Extended-Case-Formulation-Worksheet.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/Dysfunctional-Thought-Record.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/Cognitive-Restructuring-Worksheet.pdf

https://positivepsychology.com/wp-content/uploads/2017/03/Pleasant-Activity-Scheduling-Worksheet.pdf

Therapists in Columbus:

https://ccbtcolumbus.com/

https://wexnermedical.osu.edu/mental-behavioral/psychotherapy

References:

  1. Lebow J. Overview of Psychotherapies. In: Solomon D, ed. Waltham, MA: UpToDate; 2019. www.uptodate.com. Assessed June 2, 2020.
  2. National Health Service. Overview: Cognitive Behavioral Therapy. NHS. https://www.nhs.uk/conditions/cognitive-behavioural-therapy-cbt/. Published July 16, 2019. Accessed June 4, 2020.
  3. Hoffman SG, Asnaani A, Sawyer AT, Fang A. The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognit Ther Res. 2012; 36 (5): 427-440. DOI: 1007/s10608-012-9476-1.
  4. Mayo Clinic. Cognitive Behavioral Therapy. Patient Care and Health Information Tests and Procedures. https://www.mayoclinic.org/tests-procedures/cognitive-behavioral-therapy/about/pac-20384610. Published March 15, 2019. Accessed June 4, 2020.
  5. Cully CA, Teten AL. A Therapist’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans Affairs South Central MIRECC. 2008. https://depts.washington.edu/dbpeds/therapists_guide_to_brief_cbtmanual.pdf Accessed June 4, 2020.

9-Essential-CBT-Tools

Cognitive-Distortions

PositivePyschology worksheets: https://positivepsychology.com/cbt-cognitive-behavioral-therapy-techniques-worksheets/

Welcome Our Student Pharmacist, Madeline VanLoon, for June at Plain City Druggist.

IMG_3284

This month, we are joined in the pharmacy by Madeline VanLoon, a fourth-year pharmacy student from The Ohio State University’s College of Pharmacy.

Madeline will graduate in May 2021 and will then take the test to become a registered pharmacist. Madeline will be with us throughout June, so please stop by and meet her while she is in the store.

Here is what Madeline tells us about herself:

My name is Madeline VanLoon and I am a fourth year pharmacy student at The Ohio State University”s College of Pharmacy, planning on graduating in May of 2021. I grew up in southeast Michigan in a city called Rochester Hills. 

I have always loved learning – I often say I could be a student forever. As a pharmacist, I will certainly be committed to a life of learning, as medicine is constantly evolving. Science has always been my focus. Pathophysiology, anatomy, and microbiology were some of my strongest subjects. Initially, I thought I might end up doing some sort of research. I later changed my mind after enrolling in some supplemental courses that broadened my perspective, meshing science with the humanities. These courses were Health Psychology, Sociology, Public Health, and the History of Medicine. They helped me understand how an individual’s surroundings impacts their health and wellbeing.

During my undergraduate years, I also gained some leadership/mentoring experience through serving as a teaching assistant in the microbiology lab and a chairperson in my sorority. These experiences drove me toward a career working with people.

After taking an interest in medications, I pursued a pharmacy technician position at a West Michigan based grocery store called Family Fare. There, I developed an interest in community pharmacy. I had the excellent opportunity of working at several locations in the area, meeting many pharmacists and patients, who all shared their stories with me.

I graduated from Grand Valley State University with my Bachelor of Science in Biomedical Science, a minor in Chemistry, and a Certificate in Health Humanities in 2017. In the fall, I left for Columbus, started my internship with Costco Pharmacy, and I have enjoyed every minute. 

All of my experiences, professional and academic, have cultivated my passion for outpatient pharmacy practice. It brings me joy to meet the members of my community, develop trusting, long-lasting relationships with them, and help them navigate their medications and conditions. I also enjoy teaching and mentoring, so I hope to interact with students in my future career as well. Wherever I end up in the world of pharmacy, I hope it incorporates these aspects. 

Outside of pharmacy, I enjoy spending time with my husband, family, and friends. We are huge Euchre fans, but love pretty much any board or card game. I played softball for 13 years, both on travel teams and for my high school, primarily playing shortstop and third base. In my free time, I enjoy baking and decorating cakes and cookies, skiing, jogging, and volunteering in the community. 

I am excited to be spending the month at Plain City Druggist, gaining experience in the field of independent pharmacy practice!

Please Welcome Our Student Pharmacist, Stephanie Brokaw, Who Will Be With Us at Happy Druggist on Karl Road for the Month of June.

IMG-1303

This month at Happy Druggist on Karl Road, Kristie and the gang are joined by Stephanie Brokaw, a fourth-year pharmacy student from The Ohio State University’s College of Pharmacy.

Stephanie will graduate in May 2021 and will then take the test to become a registered pharmacist. Stephanie will be at Karl Road throughout June, so please stop by and meet her while she is in the store.

Here is what Stephanie tells us about herself:

Hello customers of Happy Druggist Karl Road! My name is Stephanie and I am a fourth-year pharmacy student from The Ohio State University on rotation here for the month of June.

I am originally from Bellville, a small village about an hour north of Columbus. I am very excited to be here this month and to learn more about independent pharmacy. I look forward to meeting you all and serving your healthcare needs in any way that I can!

I always had a passion for science and math and from a very young age knew that I wanted to pursue a career in some area of health care. But it was my high school chemistry teacher who suggested that I investigate pharmacy as a possible career. I loved everything I read about becoming a pharmacist and it was the perfect blend for me of science and patient care.

After high school, I pursued a Bachelor of Science in Pharmaceutical Sciences at Ohio State and transitioned into their Doctor of Pharmacy program after graduation in 2017. Currently, I work for Walmart Pharmacy at their Lewis Center location, and I have been there for a little over four years.

I found my passion for caring for diverse patient populations through a variety of student organizations I have been involved in throughout pharmacy school. I have had the wonderful opportunity to plan and attend three medical brigades to Honduras during pharmacy school through an organization called Buckeyes Without Borders. I also volunteer at a Spanish Free Clinic, La Clinica Latina, which operates out of Rardin Family Practice on OSU’s campus every Tuesday night.

I am also a member of the Student National Pharmaceutical Association, an organization founded on the mission to “plan, organize, coordinate, and execute programs geared toward the improvement of the health, educational, and social environment of minority communities”.

I hope to continue to be involved in organizations like these after pharmacy school and help improve health equity for all patients. I am exploring all career opportunities related to direct patient care at the moment and look forward to using rotations like my month here at Happy Druggist to narrow down the specific area of pharmacy practice I want to pursue after graduation.

Outside of pharmacy school, I enjoy being very active outdoors. You can find me hiking and swimming in the summer months and snowboarding in the winter months. In addition, I enjoy exploring all the incredible social activities Columbus has to offer through diverse restaurants, festivals, and attending Columbus Crew soccer games. I am also a huge fan of podcasts. I listen to a variety of topics including current events, science, pharmacy, comedy, and the enneagram.