Magazine article Clinical Psychiatry News

Therapy: We Must Stay in Forefront

Magazine article Clinical Psychiatry News

Therapy: We Must Stay in Forefront

Article excerpt

I am in total agreement with Dr. Robert T. London when he talks about the need to change our thinking about psychotherapeutic care ("Refraining Therapy for the 21st Century," The Psychiatrist's Toolbox, January 2009, p. 16).

We psychiatrists are seen more as "pill pushers" than as clinicians who both understand the biology and the psychosocial issues of the mind, I was at meeting at a mental health center, and the director brought up the issue of changing the billing codes for the services of the psychiatrists "because we do not perform therapy." I pointed out that the treatment we offer has to include "talk therapy" in order to determine the source of the dysphoria or aggravated psychosis. A patient experiencing mood changes secondary to a loss may not need his medication adjusted as much as supportive therapy. A patient who decompensates after a break-up and has self-deprecating thoughts needs help to challenge the negative thinking--not an increase in the antidepressant.

We, however, must change the way we provide our services and devise methods to determine our effectiveness. …

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