By Michelle B. Riba, Richard Balon

ISBN-10: 1585621439

ISBN-13: 9781585621439

ISBN-10: 1585626708

ISBN-13: 9781585626700

This crucial paintings presents the suitable textual content for psychiatry citizens who have to improve and exhibit competency in delivering psychotherapy and pharmacotherapy in either built-in and cut up approachesAa competency required by way of the Residency overview Committee in Psychiatry. Clinically and developmentally orientated, Competency in Combining Pharmacotherapy and Psychotherapy: built-in and break up therapy makes a speciality of abilities in grownup psychiatry within the outpatient surroundings. The authors element guidance for assessing citizens' competency to supply either built-in therapy (delivered through one expert) and break up therapy (delivered in collaboration by means of or extra professionals). They current those directions in major standalone sections, which could and will be learn individually. either sections take care of related difficulties and hence include comparable info, akin to choice of drugs and psychotherapy, review and starting, sequencing and upkeep, and termination of built-in and break up remedies. this day, the combo of pharmacotherapy and psychotherapy is the main usual therapy modality for a vast diversity of psychiatric problems. Many clinicians think that it's also way more efficacious and necessary than both modality used on my own. This quantity ably addresses a number of the extra complex elements of mixing remedies, comparable to how sufferer presentation impacts pharmacotherapy and psychotherapy, the timing and staging of mixed remedy, which treatments could be utilized in blend with pharmacotherapy, and which execs may be incorporated in cut up therapy. This eminently useful quantity should be welcomed by way of citizens and coaching administrators alike as a vital part of all psychiatric residency education courses, and also will be invaluable to nurse practitioners, medical professional assistants, social employees, and psychologists.

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Additional resources for Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment (Core Competencies in Psychotherapy) (Core Competencies in Psychotherapy)

Example text

Often even the most experienced clinician may not be able to finish the initial evaluation and establish a preliminary diagnosis within the time frame of the first contact, and a subsequent evaluation session may have to be scheduled. Most initial evaluations of adult patients include evaluation of the patient himself or herself. The evaluation, however, may involve an interview of relatives or significant others in some cases. An evaluation of a child or adolescent should always, if possible, include an interview of parents or guardians (together with the child and also separately).

Residents are usually more confident about medication in the hospital setting because there are more professionals around to help the patient deal with the side effects and to provide education and support. In addition, residents can arrange consultations with other physicians should there be worries about interactions with patients’ other medical problems. Family meetings are usually organized to discuss a range of issues, and medications can be an item for discussion if the family and patient so choose.

Depending on the clinical material provided by the patient, one may ask questions that may later help in the treatment selection (medication, psychotherapy, or both). The questioning usually becomes more direct and targeted through the interview. It may not always be possible to clearly separate the history of the present illness from the past psychiatric history or history of previous psychiatric illnesses. An example is the case of recurrent major depression. The most recent episode of depression may represent the present illness, but one should not totally separate it from previous episodes of depression.

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Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment (Core Competencies in Psychotherapy) (Core Competencies in Psychotherapy) by Michelle B. Riba, Richard Balon


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