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From Circuits to Sessions: Linking 'Chemical Imbalance' to Rapid Tele-Psychotherapy With Music

Dominikus David Biondi Situmorang, Shella Satiwi Guci

Journal of Psychiatric and Mental Health Nursing, 2025

Abstract

BACKGROUND

Progress in neuroimaging research has provided insight into the neurobiological mechanism underlying depression, specifically motivational anhedonia, which compromises patients' ability to initiate goal-directed action. Breit et al. formerly, using the same cohort versus controls; correlations with reduced motivation were observed within superiority SLF and precuneus and authors emphasized that such results should pave the way to biomarkers in drug grounded development.

OBJECTIVE

This paper seeks to cross-fertilise neurobiological understandings of motivational anhedonia with novel therapeutic approaches, specifically showcasing how the confluence of rapid tele-psychotherapy with single-session music therapy (RTP-SSMT) represents a neurobiologically informed and scalable intervention for depressive disorders.

CONTENT

Building on literature from diffusion tensor imaging (DTI) and resting-state fMRI, this review discusses the involvement of reduced local correlation in the precuneus-a key hub within DMN related to self-referential processing and rumination-coordinated with white matter alterations in the SLF connecting parietal and frontal cortices. It is suggested that RTP-SSMT may act to trigger dopaminergic reward pathways, re-normalize motivational circuits and augment behavioral activation tenets with a brief and technologically-driven approach. This paper also considers policy implications for incorporating creative-arts-based tele-therapies within…

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