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Non-pharmacological treatments
Published in Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson, Pocket Prescriber Psychiatry, 2019
Jonathan P Rogers, Cheryl CY Leung, Timothy RJ Nicholson
Supportive psychotherapy also emphasises listening skills and is often employed by health professionals in the course of their everyday work. It is supplemented by giving advice and providing hope. It is helpful for patients with enduring illnesses.
Anxiety disorders
Published in Michael I Levi, Basic Notes in Psychiatry, 2019
Supportive psychotherapy – the supportive relationship any member of the multidisciplinary team has with a patient; the primary aim is to maintain their functioning capacity, maintain their defences and strengths and help promote their adaptation to everyday living; it can also benefit patients by providing continuing hope.
Small interventions and why they work
Published in Marian Stuart, Joseph Lieberman, The Fifteen Minute Hour, 2018
Marian Stuart, Joseph Lieberman
Traditionally, a broad distinction has been made between supportive psychotherapy and explorative psychotherapy. Before we discuss the generic elements of all psychotherapies, we would like to explain the differences between supportive and exploratory therapies. Supportive therapy is designed to restore premorbid or optimal functioning (making the patient feel competent and connected), whereas explorative therapy is concerned with uncovering personality patterns underlying the etiology of disorders (why the patient does not feel competent and connected). Techniques promoted by proponents of supportive therapy include abreaction (catharsis: giving patients a chance to talk about the problem), dependency (being there for the patient), exploration of symptomatology, encouragement of more productive behavior, and resolution through clarification. Basically, to be effective, all therapeutic interventions must be supportive, helping patients to feel competent and connected.
Effective Psychotherapists: Clinical Skills That Improve Patient Outcomes. New York & London: Guilford Press, 2021. $32. IBSN: 978-1-4625-4689-3
Published in Psychiatry, 2023
Effective Psychotherapists deserves a place in the library of any practitioner of psychotherapy, including, if not especially, psychiatrists conducting supportive psychotherapy in the context of medication prescription and management. It is clear, concise, easy to read, evidence-based, and helpfully organized. Although centered on practice of clinical psychology and the psychology research literature, it is a timely publication for the field of psychiatry where medicalization may obscure essential interpersonal aspects of care (Carlat, 2010). For both beginning and experienced mental health practitioners, the concepts of the book provide valuable insight into the impact of clinicians’ attitudes and behaviors on their patients, and useful models by which to benchmark their own professional growth.
Inpatient Suicides in Late Life: A Retrospective Analysis of a Hospital Group with Nine Psychiatric Clinics
Published in Archives of Suicide Research, 2022
Julia Christl, Nele Schröder, Roman Mennicken, Michaela Jänner, Tillmann Supprian
In general, the causality of old-age suicides is complex, as functional disabilities and physical illnesses have a significant impact on suicidal behavior. Family members and care providers reported an association of suicidal behavior with illnesses and disabilities threatening the person’s independence, sense of usefulness, value, dignity, and pleasure of life (Fassberg et al., 2016). With regard to risk factors, most studies included broad age ranges: Busch et al. (2003) analyzed suicides of 76 patients while in hospital or immediately after discharge. From this sample, 49% had a prior suicide attempt and 25% were admitted because of an attempt. Seventy-eight percent of the patients denied suicidal ideation in the last contact prior to the suicide. Neuner et al. (2008) investigated prevalence and risk factors of inpatient suicides in a psychiatric state hospital during a period of 10 years. Analysis was based on 41 suicides. They identified the following risk factors: resistance to psychopharmacological treatment, previous suicide attempts, severe side effects, and supportive psychotherapy before admission.
Kratom use disorder: a primer for primary care physicians
Published in Journal of Addictive Diseases, 2022
Destin Groff, Heather Stuckey, Carolyn Philpott, Erika Van Dyke, Matthew Silvis, Shou Ling Leong, Curtis Bone
Forging relationships with the patient to understand why they began and continue using kratom, the physical and psychological effects they experience with consumption, their support systems and triggers for kratom use, can all assist in managing recovery from kratom use disorder. Provider utilization of the theory of planned behavior to assess substance directed behavior may enhance provider understanding of the factors promoting use and lay the foundation for positive outcomes in regards to kratom use (Figure 1). Additionally, approaching patient evaluation and management with a bio-psychosocial framework (Figure 2) can provide a holistic understanding of a patient’s situation and ultimately provide guidance for an optimal treatment plan. For example, given the similarities between kratom and opioid use disorder, long term opioid agonist treatment may be ideal for this condition to address the neurobiological dysregulation that accompanies recurrent kratom exposure. At the same time, supportive psychotherapy, motivational interviewing, and/or cognitive behavioral therapy, may be critical to address a patient’s psychological needs.46,50 Finally, assessment of social wellness and addressing social determinants of health may be essential to helping facilitate recovery for patients with kratom use disorder (Figure 3).