{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:08:47Z","timestamp":1788448127394,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Accessible summary<\/jats:title><jats:sec><jats:title>What is known on the subject?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Medication does not always resolve a serious mood episode, and there is evidence that it needs to be combined with an evidence\u2010based psychotherapy to promote symptomatic and functional recovery.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>There is little known about what people with serious mood disorders want from mental health services to manage their mood.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What the paper adds to existing knowledge?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Participants in this study wanted a framework other than the medical model for understanding and managing their mood.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Their motivation to commence psychotherapy was based on a sense of having hit rock bottom and a need for understanding what was happening in order to better manage their mood.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>There is little known about the motivations for people to participate in psychotherapy for depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore why people, with a diagnosis of major depressive episode, chose to take part in a psychotherapy study and what they expected it to involve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a qualitative study of participants\u2019 motivations and understandings of psychotherapy for depression. Data were collected using semi\u2010structured interviews and analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Eight females and eight males with an age range from 21\u00a0years to 55\u00a0years were recruited. Three themes were identified that described why participants chose to participate in psychotherapy: medication was not enough, a turning point and making sense of experience. The participants chose to participate in psychotherapy after finding that medication was insufficient and this combined with a sense of crisis motivated them to engage in psychotherapy in order to learn to manage their mood differently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The participants recognized that they wanted a framework other than a medical model with its reliance on medication, in order to make sense of their experiences and develop new self\u2010management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Our study suggests that some people experiencing a serious mood disorder access psychotherapy after \u201chitting rock bottom\u201d and finding insufficient help from medications. Mental health nurses need to be aware people do not always want a medical model approach to treatment of serious mood disorders and they need to provide the opportunity of engaging in a psychotherapeutic framework in order to better understand and manage their mood.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12597","type":"journal-article","created":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T05:15:28Z","timestamp":1579497328000},"page":"417-424","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Why people choose to participate in psychotherapy for depression: A qualitative study"],"prefix":"10.1111","volume":"27","author":[{"given":"Hayley","family":"Wells","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine University of Otago Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7220-8658","authenticated-orcid":false,"given":"Marie","family":"Crowe","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine University of Otago Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maree","family":"Inder","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine University of Otago Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Diagnostic and statistical manual of mental disorders \u2010 IV","author":"American Psychiatric Association","year":"1995"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci7120156"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32802-7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415582053"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.03.008"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840600943739"},{"key":"e_1_2_6_9_1","volume-title":"Structured clinical interview For DSM\u20105\u00ae disorders","author":"First M. 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