University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Aerospace Medicine


Nancy Reid


Depression, among other mood disorders, is the leading cause of disability worldwide and could negatively impact pilots of fixed and rotary aviation platforms. While most depressive conditions are treatable, the effects of depression combined with rigorous physical standards and low-risk tolerance make tailoring pharmacologic treatments troubling for aviation providers. Low tolerance for risk in military and civilian agencies complicates treatment through significant oversight, additional performance measures, and long periods of stability as it can potentially impact human performance. This case study walks readers through the first known case of combination therapy for non-resistant dysthymia in a U.S Army rotary utilizing a successful tri-modal treatment of SSRIs, CBT, and rTMS.


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