Competency In Combining Pharmacotherapy And Psychotherapy

Most clinicians endorse the combination of pharmacotherapy and psychotherapy as more effective and beneficial than each modality alone, but combining these treatments can be a complicated and highly variable process. Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment is designed to help psychiatrists at any stage of their career achieve competency in combining and coordinating pharmacotherapeutic and psychotherapeutic treatments for the benefit of their patients. This guide, now in its updated, second edition, addresses both integrated (single clinician) and split/collaborative (multiple clinicians) treatments, discussing for each: The selection of medication and psychotherapy The patient evaluation and opening Sequencing Evaluating, monitoring, and supervising treatment Terminating and transitioning patient care The book also offers a chapter -- new to this second edition -- that focuses on primary care access for mental health services in the context of integrated and split/collaborative care. The rapid transformation of clinical care models in new health systems means that competence in integrated and split/collaborative care is absolutely vital for long-established clinicians as well as for psychiatric professionals in the early stages of their careers. Competency in Combining Pharmacotherapy and Psychotherapy offers an unrivaled introduction to the complex process of combining medication and psychosocial treatments, clearly defining the competencies of combining two modalities. Psychiatric educators should note that this resource relates to all six main competencies of the Accreditation Council for Graduate Medical Education: patient care and procedural skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

This essential work provides the ideal text for psychiatry residents who need to develop and demonstrate competency in providing psychotherapy and pharmacotherapy in both integrated and split approaches -- a competency required by the Residency Review Committee in Psychiatry. Clinically and developmentally oriented, Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment focuses on competencies in adult psychiatry in the outpatient setting. The authors detail guidelines for assessing residents' competency to provide both integrated treatment (delivered by one professional) and split treatment (delivered in collaboration by two or more professionals). They present these guidelines in two main standalone sections, which can and should be read separately. Both sections deal with similar problems and thus contain similar information, such as selection of medication and psychotherapy, evaluation and opening, sequencing and maintenance, and termination of integrated and split treatments. Today, the combination of pharmacotherapy and psychotherapy is the most widely used treatment modality for a broad range of psychiatric disorders. Many clinicians believe that it is also far more efficacious and beneficial than either modality used alone. This volume ably addresses some of the more complicated aspects of combining treatments, such as how patient presentation affects pharmacotherapy and psychotherapy, the timing and staging of combined treatment, which therapies should be used in combination with pharmacotherapy, and which professionals should be included in split treatment. This eminently practical volume will be welcomed by residents and training directors alike as an integral part of all psychiatric residency training programs, and will also be useful to nurse practitioners, physician assistants, social workers, and psychologists.

The rapid transformation of clinical care models in new health systems means that competence in integrated and split/collaborative care is vital for both long-established clinicians and psychiatric professionals in the early stages of their careers.

Integrating Psychotherapy and Psychopharmacology: A Handbook for Clinicians is a practical guide for the growing number of mental-health practitioners searching for information on treatments that combine psychopharmacology, psychotherapy, and psychosocial rehabilitation. Research shows that combined approaches are among the most effective ways to treat an increasing number of psychiatric disorders. However, though these combined treatments are becoming the everyday practice of psychiatrists, psychologists, and other mental-health professionals, identifying the right treatment plan can be notoriously difficult, and clinicians are often left scrambling to answer questions about how to design and customize their treatment strategies. In Integrating Psychotherapy and Psychopharmacology, readers will find these questions fully addressed and the answers explained, and they’ll come away from the book with a toolbox full of strategies for helping their patients improve symptoms, achieve remission, and stay well using a combination of drug and psychological treatments.

Most psychiatrists now agree that combining pharmacotherapy and psychotherapy results in the most effective treatment for the majority of mental illnesses. Because treatment decisions are rarely simple, the clinician must choose from an array of modalities, which presents the challenge of finding the best combination of treatments. Intended for both practitioners and psychiatric residents, this book presents the most current research and clinical implications in the use of medication and psychotherapy. It covers four core areas: the ideology and process of combining medication with psychotherapy, clinical implications of research into specific disorders, other diagnostic considerations, and the clinical relationship between mind and brain. Integrating Pharmacotherapy and Psychotherapy * is DSM-III-R correlated* is illustrated throughout with case studies* includes more than 40 tables and figures* includes a summarizing introduction and conclusion for each chapter* is thoroughly referenced

"Dr. Wheeler has skillfully crafted a text that covers basic psychiatric principles and skills from developing a therapeutic relationship and assessing and diagnosing the client to providing evidence-based psychotherapy for a variety of patient populations... This text is an excellent primer for teaching therapy skills and, although targeting graduate psychiatric nursing students, would prove equally valuable for students of any mental health discipline. It is also a resource for experienced clinicians wanting to expand their understanding of trauma and how adaptive information processing might be used as an organizing framework for all psychotherapy." --Linda Mabey, Journal of EMDR Practice and Research DESCRIPTION This is a how-to compendium of evidence-based approaches to practicing psychotherapy for both the experienced and neophyte advanced practice psychiatric nurse. This book integrates neuroscience with relationship science and unites disparate psychotherapeutic approaches into a model that is concise and straightforward, yet sufficiently comprehensive to provide a framework for practice. The most useful therapeutic models are highlighted with principles, and techniques of treatment for nurse psychotherapists and those with prescriptive authority. This second edition expands the award-winning first edition, providing guidelines, forms, and case studies to assist APPNs in deciding which treatment to use based on psychotherapy outcome studies and practice guidelines. New Chapters in the Second Edition: Motivational Interviewing Dialectical Behavior Therapy Group Therapy Family Therapy Eye Movement Desensitization and Reprocessing (EMDR) Therapeutic Approaches for Addictions New CPT Codes & Reimbursement Awards and Reviews for the First Edition: APNA Media Award AJN Book of the Year Award 5 Star Amazon Reviews 4 Star Doody Review "Lays out a holistic paradigm for advanced psychiatric nursing (APN) practice by drawing upon a neuroscience of information processing, human development, attachment theory, and trauma. . . (and) explains the essentials of psychotherapy by melding principles underlying the therapeutic alliance, adaptive information processing (AIP), change, and a hierarchically arranged treatment format that fosters healing through the resolution of dysfunctional memory this important text holds true to the historical basis for psychiatric nursing being organized around phases and principles of the nurse-patient relationship." Margaret England, PhD, RN, CNS, Perspectives in Psychiatric Care "Wheeler offers the field a scholarly training manual. . . grounded in Shapiro's (2001) adaptive information processing paradigm . . .(where) the brain is viewed as an information processing system with innate self-healing mechanisms that regulate its internal environment to survive and to maintain a stable, constant condition through dynamic regulation." Robert M. Greenfield, PhD, Journal of Trauma & Dissociation

Psychotherapy for the Advanced Practice Psychiatric Nurse provides the nurse psychotherapist with a useful “how-to primer that contains practical techniques and interventions without a lot of theoretical jargon. Topics include the basics of psychotherapy, from how to respond to a patient’s initial call to termination of care. Selected approaches, interpersonal, cognitive-behavioral, and psychodynamic psychotherapy are highlighted with discussion of evidence-base research. Specific techniques for working with commonly seen patient populations that require special consideration: those who have experienced trauma, children, and older adults are included. In addition, how to integrate psychopharmacology and psychotherapy is discussed in detail. A straightforward approach to psychotherapy using a holistic nursing framework. Latest findings on the neurophysiology of psychotherapy including research on attachment, therapeutic relationships, and trauma. Evidence-based research for all approaches and populations discussed. Provides treatment hierarchy for decision making in selecting strategies for treatment from the initial contact and assessment to termination. Step-by-step guide to building the nurse-patient relationship in order to achieve quality outcomes. Includes detailed instructions on therapeutic communication techniques. Detailed instructions teach you how to use the latest therapeutic communication techniques. Includes all patient populations from children to the older adult with special emphasis on working with traumatized patients. Comprehensive appendices provide quick access to helpful forms and diagnostic tools specific to psychotherapy nursing practice.