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Psychotherapy
1. PSYCHOTHERAPY
Dr. S. Krishnan MBBS, MD, DPM, DIP.NB,MNAMS
Associate Professor of Psychiatry
Mo-IN-Charge, Holistic and Stress Research Clinic
Department of Psychiatry
Medical College, Thiruvananthapuram
2. Definitionโฆ
โข "Psychotherapy is the treatment, by psychological
means,
โข Of problems of an emotional nature in which a trained
person deliberately establishes a professional
relationship with the patient
โข With the object of
โข (1) Removing, modifying, or retarding existing symptoms
โข (2) Mediating disturbed patterns of behavior, and
โข (3) Promoting positive personality growth and
development."
Woolberg L, The Technique of Psychotherapy, 1977.
3.
4. Psychotherapy
โข Should be a regular part of Psychiatristโs
treatment schedule
โข Very few budding psychiatrists get training
โข Most training programs end up as dramas or
theoretical sessions
5. Misconceptions
โข Psychotherapy is THE treatment
โข Psychotherapy is not a treatment at all
โข Psychotherapy does not need training
โข With the understanding of the neurobiology of
psychotherapy, psychotherapy has become a
valid treatment
โข Psychotherapy produces the same changes in the
brain as pharmacotherapy
โข And many moreโฆ
6. Psychotherapy
โข Have a diagnosis
โข Is there an indication for psychotherapy
โข Does the patient fits well into the paradigm?
7. Following steps
โข General introduction to psychotherapy
โข Guideline to initiate practice
โข Guideline to what you should be prepared to
face and do
To open or to close
the door?
12. Who can really be a psychotherapist?
Adequately trained and certified
โข Psychiatrist
โข Psychologist
โข Social worker
โข Nurse practitioner
โข Physician assistant
โข Minister, priest
Untrained persons not tested for competence!
โข Anyone can call themselves a โtherapist!โ
14. Psychotherapy
โข Fellow travelers
โข Engage in personal therapy
โข Be supportive
โข Have and teach empathy (Hyperempathy!!!)
โข Let the patient matter to you
โข Acknowledge your limitations and errors
โข Have a new therapy for each patient
17. The present โ use it, use it, use it
โข Hear with eyes and see with ears
โข Working through issues in present
โข Frame โpresentโ comments carefully
โข What lies have you exchanged
โข Be real