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All Journal Gadjah Mada Journal of Professional Psychology (GamaJPP) Journal of Psychiatry Psychology and Behavioral Research (JPPBR)
Kurniawan, Fenny
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Humanities Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Brief Cognitive Behavioral Therapy for an Adult Woman with Depression Who Receives Antidepressant Medication Faradiba, Andi Tenri; Kurniawan, Fenny
Gadjah Mada Journal of Professional Psychology (GamaJPP) Vol 11, No 2 (2025)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/gamajpp.99687

Abstract

Depression profoundly disrupts interpersonal relationships and impairs daily functioning. It is primarily associated with dysregulation of key neurotransmitter systems, making pharmacological intervention essential. Evidence indicates that combining pharmacotherapy with cognitive behavioral therapy (CBT) produces superior outcomes compared to pharmacotherapy alone in managing depression. This case study examines the application of CBT alongside antidepressant medication in the treatment of a 26-year-old woman working in the financial sector who experienced chronic anxiety and pervasive feelings of inadequacy. Her cognitive distortions led her to interpret neutral stimuli as threatening. The administration of quetiapine improved her sleep quality and enhanced emotional resilience under stress. Subsequently, she completed four brief online CBT sessions, which resulted in significant cognitive restructuring and enabled her to critically evaluate and modify negative automatic thoughts in daily life. As a result, she demonstrated greater self-efficacy and developed a more positive self-concept. This case contributes to the growing body of evidence supporting the effectiveness of combined pharmacotherapy and CBT in reducing depressive symptoms among adult women.
PSYCHIATRIC MANIFESTATION AS PART OF PSEUDOBULBAR AFFECT IN POST-STROKE PATIENTS – CASE REPORT Gunawan, Marco; Kurniawan, Fenny
Journal of Psychiatry Psychology and Behavioral Research Vol. 7 No. 1 (2026): Multidimensional Perspectives on Mental Health Across the Lifespan and Social C
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jppbr.2026.007.01.7

Abstract

Introduction: Pseudobulbar affect (PBA) is a neurological disorder characterized by involuntary episodes of laughing or crying that are incongruent with emotional state. This condition is frequently underrecognized after stroke and may significantly impair quality of life, particularly in settings where first-line pharmacological therapy is unavailable. Methods: We report a case of a 53-year-old woman with a history of ischemic stroke who developed recurrent episodes of uncontrollable laughter and crying for five years. Clinical assessment included CNS-LS, PLACS, and MADRS scores, with follow-up conducted after pharmacological management. Results: During follow-up, a gradual reduction in the frequency and intensity of emotional outbursts was observed after treatment with sertraline. Improvement in depressive symptoms occurred alongside the reduction of pseudobulbar affect episodes. This therapeutic response represents an individual clinical observation rather than evidence of treatment efficacy. Discuss: This case highlights the clinical relevance of recognizing pseudobulbar affect in post-stroke patients and suggests that SSRIs may be considered as an alternative option in resource-limited settings. Conclusion: Careful clinical evaluation of emotional dysregulation after stroke is essential. Observational improvement in this case underscores the importance of accurate diagnosis and highlights the need for further studies to establish effective management strategies for pseudobulbar affect. Keywords: pseudobulbar affect, stroke, antidepressant.
Co-Authors Faradiba, Andi Tenri Gunawan, Marco