Selective serotonin reuptake inhibitors may change the brain to an immature state where behavior therapy may be more effective.
Although the combination of antidepressants and psychotherapy appears more beneficial than either alone for treating anxiety disorders, the neurobiological mechanism is not known. Using a mouse model of anxiety (response to fear conditioning [FC]), these investigators examined how mice that undergo FC and that receive or do not receive fluoxetine respond to extinction training (ET). ET alone produces improvement in fear response, but this effect does not endure, typically leading to a recurrence.
Fluoxetine administered before FC and ET was associated with faster extinction and less return of fear response. When fluoxetine was administered after FC (as would occur clinically), mice had faster extinction than untreated mice and showed no sign…
Reviewing Author
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)