{"id":4507,"date":"2025-04-14T15:55:26","date_gmt":"2025-04-14T13:55:26","guid":{"rendered":"https:\/\/studiopsicoterapiabonaventura.it\/modelet-e-depresionit-pjesa-e-trete-nje-qasje-e-integruar-njohese-sjellese-ndaj-psikoterapise-se-depresionit\/"},"modified":"2026-04-28T16:50:09","modified_gmt":"2026-04-28T14:50:09","slug":"modelet-e-depresionit-pjesa-e-trete-nje-qasje-e-integruar-njohese-sjellese-ndaj-psikoterapise-se-depresionit","status":"publish","type":"post","link":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/modelet-e-depresionit-pjesa-e-trete-nje-qasje-e-integruar-njohese-sjellese-ndaj-psikoterapise-se-depresionit\/","title":{"rendered":"Modelet e Depresionit (Pjesa e Tret\u00eb): nj\u00eb qasje e integruar njoh\u00ebse-sjell\u00ebse ndaj psikoterapis\u00eb s\u00eb depresionit"},"content":{"rendered":"\n
\"\"<\/figure>\n\n

Qasja e integruar konjitive-sjellore<\/a> e propozuar n\u00eb k\u00ebt\u00eb pjes\u00eb t\u00eb fundit t\u00eb p\u00ebrmbledhjes kushtuar evolucionit historik t\u00eb modeleve kryesore konjitive-sjellore n\u00eb psikoterapin\u00eb e depresionit<\/strong> merr shkas nga sinteza historike e A. G. Durgoni dhe p\u00ebrb\u00ebn nj\u00eb integrim funksional t\u00eb modeleve kryesore t\u00eb sjelljes<\/a> [Modelet e Depresionit (Pjesa e Par\u00eb)<\/a>] dhe modeleve klasike konjitive<\/a> [Modelet e Depresionit (Pjesa e Dyt\u00eb)<\/a>], t\u00eb p\u00ebrforcuara m\u00eb tej nga kontributi i qasjeve konjitive-sjellore t\u00eb gjenerat\u00ebs s\u00eb tret\u00eb<\/a>.<\/p>\n\n

Qasja e integruar njoh\u00ebse-sjell\u00ebse p\u00ebrfshin<\/strong> nj\u00eb s\u00ebr\u00eb nd\u00ebrhyrjesh t\u00eb nd\u00ebrlidhura q\u00eb lidhen me nivelet funksionale t\u00eb m\u00ebposhtme:<\/p>\n\n

1) Plani Mjedisor<\/strong><\/p>\n\n

Kryesisht p\u00ebrfshin familjen e personit n\u00eb depresion<\/strong> dhe synon t\u00eb modifikoj\u00eb rrethanat familjare q\u00eb veprojn\u00eb si p\u00ebrforcim<\/a> mjedisor i sjelljes depresive.<\/p>\n\n

Nd\u00ebrsa \u00ebsht\u00eb thelb\u00ebsore t\u00eb mos n\u00ebnvler\u00ebsohen kurr\u00eb ankesat e nj\u00eb an\u00ebtari t\u00eb familjes n\u00eb depresion<\/strong>, \u00ebsht\u00eb gjithashtu thelb\u00ebsore t\u00eb mos kontribuohet pa dashje n\u00eb ruajtjen ose p\u00ebrkeq\u00ebsimin e gjendjes s\u00eb tyre duke b\u00ebr\u00eb gabime n\u00eb marr\u00ebdh\u00ebnie.<\/p>\n\n

Ky aspekt \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm sepse n\u00ebp\u00ebrmjet edukimit psikologjik t\u00eb an\u00ebtar\u00ebve t\u00eb familjes s\u00eb personit n\u00eb depresion, ata m\u00ebsohen t\u00eb jen\u00eb sa m\u00eb indiferent\u00eb ndaj sjelljeve depresive<\/strong> dhe jofunksionale t\u00eb an\u00ebtarit t\u00eb familjes, t\u00eb shmangin \u00e7do form\u00eb p\u00ebrforcimi dhe, n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, t\u00eb shp\u00ebrblejn\u00eb sjelljet adaptive dhe funksionale<\/strong>.<\/p>\n\n

Ndonj\u00ebher\u00eb, nevojitet mb\u00ebshtetje m\u00eb e r\u00ebnd\u00ebsishme p\u00ebr an\u00ebtar\u00ebt e familjes s\u00eb nj\u00eb personi n\u00eb depresion, dhe \u00ebsht\u00eb e p\u00ebrshtatshme t\u00eb merret n\u00eb konsiderat\u00eb nj\u00eb seri seancash psikoterapie familjare<\/strong> p\u00ebr t\u00eb p\u00ebrpunuar ndjenjat e izolimit, trishtimit, ndjenjave t\u00eb pafuqis\u00eb, zem\u00ebrimit dhe fajit<\/a>, shpesh t\u00eb shkaktuara nga barra shtes\u00eb q\u00eb nj\u00eb ose m\u00eb shum\u00eb an\u00ebtar\u00eb t\u00eb familjes marrin p\u00ebrsip\u00ebr n\u00eb p\u00ebrballimin e p\u00ebrgjegj\u00ebsive t\u00eb l\u00ebna pas dore t\u00eb an\u00ebtarit t\u00eb familjes n\u00eb depresion dhe me mir\u00ebqenien e vet\u00eb personit n\u00eb depresion.<\/p>\n\n

2) Plani i Sjelljes<\/strong><\/p>\n\n

Q\u00ebllimi i par\u00eb i nd\u00ebrhyrjes sjellore \u00ebsht\u00eb rritja dhe rivendosja e nivelit t\u00eb aktivitetit t\u00eb personit n\u00eb depresion<\/strong> n\u00eb vlerat para kriz\u00ebs.<\/p>\n\n

P\u00ebr k\u00ebt\u00eb q\u00ebllim, \u00ebsht\u00eb e dobishme t\u00eb strukturohet s\u00eb bashku me pacientin nj\u00eb list\u00eb aktivitetesh<\/strong> q\u00eb para kriz\u00ebs konsideroheshin t\u00eb k\u00ebndshme dhe kishin nj\u00eb vler\u00eb p\u00ebrforcuese<\/strong>.<\/p>\n\n

N\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, personi n\u00eb trajtim fillon t\u00eb p\u00ebrballet me humbjen e motivimit, pasivitetin dhe idet\u00eb depresive.<\/p>\n\n

Metodologjikisht, terapisti dhe pacienti gjithmon\u00eb vazhdojn\u00eb duke filluar me programe<\/strong> t\u00eb shkurtra dhe t\u00eb lehta t\u00eb sjelljes, dhe m\u00eb pas duke kaluar n\u00eb programe m\u00eb t\u00eb v\u00ebshtira dhe m\u00eb t\u00eb gjata.<\/p>\n\n

N\u00eb k\u00ebt\u00eb faz\u00eb t\u00eb terapis\u00eb, terapisti \u00ebsht\u00eb shum\u00eb i kujdessh\u00ebm p\u00ebr t\u00eb shp\u00ebrblyer me inkurajim dhe lavd\u00ebruar p\u00ebrparimin e vog\u00ebl<\/strong> q\u00eb pacienti p\u00ebrpiqet t\u00eb b\u00ebj\u00eb \u00e7do dit\u00eb.<\/p>\n\n

Ngadal\u00eb por gradualisht, fal\u00eb efektivitetit t\u00eb p\u00ebrforcimit<\/strong>, pacienti fillon t\u00eb kryej\u00eb aktivitete dhe t\u00eb p\u00ebrjetoj\u00eb nj\u00ebfar\u00eb k\u00ebnaq\u00ebsie n\u00eb kryerjen e tyre.<\/p>\n\n

Q\u00ebllimi tjet\u00ebr \u00ebsht\u00eb t\u00eb ofroj\u00eb, n\u00ebp\u00ebrmjet trajnimit n\u00eb aft\u00ebsi t\u00eb vendosura dhe sociale<\/a> (gjithashtu n\u00ebp\u00ebrmjet p\u00ebrdorimit t\u00eb teknik\u00ebs s\u00eb Role Playing<\/a>), aft\u00ebsit\u00eb<\/strong> p\u00ebr t\u00eb kryer sjellje interaktive q\u00eb mund t\u00eb p\u00ebrforcohen shoq\u00ebrisht n\u00eb nj\u00eb m\u00ebnyr\u00eb pozitive.<\/p>\n\n

Gjat\u00eb k\u00ebsaj faze t\u00eb procesit terapeutik \u00ebsht\u00eb gjithashtu e dobishme t\u00eb p\u00ebrdoren teknika t\u00eb p\u00ebrshtatshme p\u00ebr t\u00eb adresuar dhe kap\u00ebrcyer \u00e7do problem t\u00eb performanc\u00ebs (n\u00eb pun\u00eb<\/a>, n\u00eb performanc\u00ebn shkollore<\/a> dhe n\u00eb dh\u00ebnien e provimeve<\/a>, etj.).<\/p>\n\n

3) Plani njoh\u00ebs<\/strong><\/p>\n\n

N\u00eb k\u00ebt\u00eb faz\u00eb \u00ebsht\u00eb thelb\u00ebsore t\u2019i m\u00ebsohet pacientit t\u00eb v\u00ebzhgoj\u00eb rrjedh\u00ebn e mendimeve t\u00eb tij<\/strong>, n\u00eb m\u00ebnyr\u00eb q\u00eb ai t\u00eb m\u00ebsoj\u00eb t\u00eb kuptoj\u00eb se \u00e7far\u00eb mendon n\u00eb p\u00ebrgjith\u00ebsi dhe mbi t\u00eb gjitha vler\u00ebsimet q\u00eb i b\u00ebn vetes (vet\u00ebvler\u00ebsimet<\/strong>) dhe t\u00eb lidh\u00eb mendimet e tij me gjendjet emocionale, sjelljet dhe p\u00ebrgjigjet fiziologjike (trupore).<\/p>\n\n

Pasi t\u00eb jet\u00eb m\u00ebsuar kjo aft\u00ebsi e vet\u00ebv\u00ebzhgimit<\/strong> [p\u00ebr m\u00eb shum\u00eb informacion mbi k\u00ebt\u00eb aft\u00ebsi, shihni edhe qasjen konjitive t\u00eb gjenerat\u00ebs s\u00eb tret\u00eb<\/a> t\u00eb quajtur Terapia Konjitive-Sjell\u00ebse t\u00eb Ekuilibrit Holistik<\/a> (TCCEO<\/strong> e N. Bonaventura) e proceseve t\u00eb v\u00ebmendjes<\/a>], \u00ebsht\u00eb e nevojshme t\u00eb shqyrtohet dhe t\u00eb nxirret n\u00eb pah p\u00ebrmbajtja e dialogut t\u00eb brendsh\u00ebm<\/strong> n\u00eb m\u00ebnyr\u00eb q\u00eb personi n\u00eb depresion t\u00eb v\u00ebrej\u00eb si paragjykimin sistematik negativ ndaj vetes (shpesh i shkaktuar nga nj\u00eb lidhje e pasuksesshme me figurat prind\u00ebrore<\/a>) ashtu edhe rrezikshm\u00ebrin\u00eb e k\u00ebsaj m\u00ebnyre t\u00eb interpretimit t\u00eb ngjarjeve (e karakterizuar nga ‘gabime logjike’ dhe besime irracionale<\/a>) e cila kontribuon n\u00eb rritjen e depresionit.<\/p>\n\n

Identifikuar \u2018gabimet logjike\u2019, \u00ebsht\u00eb e nevojshme t\u00eb ndihmohet pacienti t’i z\u00ebvend\u00ebsoj\u00eb ato me interpretime m\u00eb t\u00eb p\u00ebrshtatshme<\/strong> dhe, m\u00eb pas, t\u00eb neutralizohen faktor\u00ebt q\u00eb predispozojn\u00eb p\u00ebr depresion: q\u00ebndrimet, supozimet, besimet dhe bindjet q\u00eb personi ka m\u00ebsuar dhe q\u00eb jan\u00eb n\u00eb rr\u00ebnj\u00eb t\u00eb gabimit interpretues.<\/p>\n\n

K\u00ebto besime mund t\u00eb modifikohen dhe t\u00eb b\u00ebhen m\u00eb adaptive me p\u00ebrdorimin e teknikave t\u00eb Ristrukturimit Kognitiv<\/a>.<\/p>\n\n

Qasjet njoh\u00ebse t\u00eb gjenerat\u00ebs s\u00eb tret\u00eb<\/a> plot\u00ebsojn\u00eb dhe p\u00ebrmir\u00ebsojn\u00eb nd\u00ebrhyrjet tradicionale njoh\u00ebse dhe, n\u00eb vend q\u00eb t\u00eb k\u00ebrkojn\u00eb t\u00eb modifikojn\u00eb drejtp\u00ebrdrejt mendimet jofunksionale, synojn\u00eb t\u00eb arrijn\u00eb ndryshime funksionale n\u00eb proceset njoh\u00ebse t\u00eb pacient\u00ebve me depresion.<\/p>\n\n

K\u00ebto qasje rrisin vet\u00ebdijen e p\u00ebrgjithshme dhe specifike t\u00eb pacientit p\u00ebrmes vet\u00ebv\u00ebzhgimit t\u00eb v\u00ebmendsh\u00ebm, pa gjykime dhe t\u00eb shk\u00ebputur t\u00eb mendimeve, emocioneve, ndjesive dhe sjelljeve, duke u p\u00ebrqendruar n\u00eb reagimet e pacientit ndaj proceseve t\u00eb t\u00eb menduarit [TCCEO e proceseve t\u00eb v\u00ebmendjes, Mindfulness-Based Cognitive Therapy (MBCT) dhe Terapia Metakognitive (MCT)<\/a>], duke zhvilluar dhembshurin\u00eb dhe duke transformuar ndjenjat e dhimbshme t\u00eb fajit<\/a> dhe turpit (Compassion Focused Therapy<\/a>), dhe duke nxitur vet\u00ebpranimin dhe ndjekjen e vlerave personale [Acceptance and Commitment Therapy (ACT)<\/a>].<\/p>\n\n

4) Plani fiziologjik<\/strong><\/p>\n\n

Meqen\u00ebse simptomat fiziologjike<\/a> q\u00eb paraqesin t\u00eb gjith\u00eb njer\u00ebzit q\u00eb vuajn\u00eb nga depresioni jan\u00eb pothuajse gjithmon\u00eb me origjin\u00eb psikofiziologjike, \u00ebsht\u00eb e nevojshme t\u00eb rritet kapaciteti p\u00ebr vet\u00ebrregullim<\/strong> p\u00ebrmes Teknikave t\u00eb Relaksimit<\/a>, Meditimit<\/a> dhe Biofeedback-ut Periferik<\/a> (kjo e fundit p\u00ebrdor nj\u00eb kompjuter dhe nj\u00eb pajisje elektronike t\u00eb lidhur me t\u00eb), ve\u00e7an\u00ebrisht n\u00eb t\u00eb gjitha ato raste n\u00eb t\u00eb cilat \u00ebsht\u00eb e pranishme nj\u00eb sasi e caktuar ankthi<\/a> ose paniku<\/a>.<\/p>\n\n

5) Plani Emocional<\/strong><\/p>\n\n

Ndryshimet emocionale dhe t\u00eb humorit jan\u00eb shpesh rezultat i ndryshimeve, ve\u00e7an\u00ebrisht n\u00eb nivelin kognitiv, por edhe n\u00eb nivelin e sjelljes dhe fiziologjis\u00eb.<\/p>\n\n

N\u00eb disa raste (p.sh., rreziku i vet\u00ebvrasjes), mund t\u00eb jet\u00eb e dobishme q\u00eb nd\u00ebrhyrja t\u00eb p\u00ebrqendrohet n\u00eb gjendjen emocionale t\u00eb personit n\u00eb depresion, duke p\u00ebrdorur teknika specifike<\/strong> (shum\u00eb prej t\u00eb cilave p\u00ebrfshijn\u00eb imazhe mendore<\/a>, imazhe t\u00eb drejtuara<\/a> dhe, me kujdes dhe n\u00eb rastet kur nuk ka kund\u00ebrindikacione, madje edhe sugjerim hipnotik<\/a>) p\u00ebr t\u00eb p\u00ebrmbajtur dhe leht\u00ebsuar shqet\u00ebsimin emocional t\u00eb personit n\u00eb depresion dhe p\u00ebr t\u00eb menaxhuar emocionet negative<\/strong>.<\/p>\n\n

S\u00eb fundmi, ve\u00e7an\u00ebrisht n\u00eb rastet e depresionit t\u00eb madh<\/a> dhe depresionit t\u00eb vazhduesh\u00ebm<\/a> rezistent ndaj trajtimit psikoterapeutik, puna e psikoterapistit duhet domosdoshm\u00ebrisht t\u00eb mb\u00ebshtetet nga ajo e psikiatrit dhe nj\u00eb terapi e sakt\u00eb farmakologjike<\/strong> \u00ebsht\u00eb thelb\u00ebsore p\u00ebr faljen nga episodi depresiv i madh<\/a> ose p\u00ebr zbutjen e simptomave t\u00eb depresionit t\u00eb vazhduesh\u00ebm.<\/p>\n\n

<\/div>\n\n

Sh\u00ebnim: ‘Informacioni i p\u00ebrmbajtur n\u00eb k\u00ebto faqe \u00ebsht\u00eb vet\u00ebm p\u00ebr q\u00ebllime informative dhe nuk z\u00ebvend\u00ebson k\u00ebshill\u00ebn ose diagnoz\u00ebn e nj\u00eb psikologu\/psikoterapisti ose profesionisti mjek\u00ebsor.’<\/em><\/p>\n\n

<\/div>\n\n

Burimet kryesore t\u00eb referenc\u00ebs bibliografike dhe informacione shtes\u00eb:<\/p>\n\n

Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), American Psychiatric Association, Publishing, Washington, DC, 2022 dhe p\u00ebrdit\u00ebsimet pasuese.<\/p>\n\n

P. Gilbert. Introducing compassion-focused therapy<\/a>. Published online by Cambridge University Press, 2018. <\/p>\n\n

Zindel Segal, Mark Williams, and John Teasdale. Foreword by Jon Kabat-Zinn. Mindfulness-Based Cognitive Therapy for Depression. Second Edition. The Guilford Press, 2018. <\/p>\n\n

Steven C. Hayes, Kirk D. Strosahl, and Kelly G. Wilson. Acceptance and Commitment Therapy. Second Edition. The Process and Practice of Mindful Change. The Guilford Press, 2016. <\/p>\n\n

A. Wells. Metacognitive Therapy for Anxiety and Depression. Reprint Edition. The Guilford Press, 2011. <\/p>\n\n

M. Maj e N. Sartorius. Disturbi Depressivi. Seconda Edizione. CIC Edizioni Internazionali. 2004<\/p>\n\n

Bolko Pfau. I Mille Volti della Depressione \u2013 Atlante delle Forme Espressive della Depressione. Mediserve, 1995 <\/p>\n\n

Terapia del comportamento: giornale italiano di scienza e terapia del comportamento, il meglio della terapia del comportamento italiana e internazionale. N\u00b0 13 (Genn. \u2013 Marzo 1987). <\/p>\n","protected":false},"excerpt":{"rendered":"

Qasja e integruar konjitive-sjellore e propozuar n\u00eb k\u00ebt\u00eb pjes\u00eb t\u00eb fundit t\u00eb p\u00ebrmbledhjes kushtuar evolucionit historik t\u00eb modeleve kryesore konjitive-sjellore n\u00eb psikoterapin\u00eb e depresionit merr shkas nga sinteza historike e A. G. Durgoni dhe p\u00ebrb\u00ebn nj\u00eb integrim funksional t\u00eb modeleve kryesore t\u00eb sjelljes [Modelet e Depresionit (Pjesa e Par\u00eb)] dhe modeleve klasike konjitive [Modelet e […]<\/p>\n","protected":false},"author":2,"featured_media":3831,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-4507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-categorizzato"],"_links":{"self":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/4507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/comments?post=4507"}],"version-history":[{"count":6,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/4507\/revisions"}],"predecessor-version":[{"id":13060,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/4507\/revisions\/13060"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media\/3831"}],"wp:attachment":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media?parent=4507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/categories?post=4507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/tags?post=4507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}