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Gabbard's Treatments of Psychiatric Disorders, 4th Edition | Part IV. Schizophrenia and Other Psychotic Disorders > | Chapter 21. Individual and Family Psychotherapies Sections: Individual Psychotherapy and the Role of the Psychiatrist, Investigative Psychotherapy, Supportive Psychotherapy, Empirical Studies, Current Research Perspectives: Evidence-Based Practice, Illness PhaseSpecific Cognitive-Behavioral Therapy, Treatment Integration and Flexible Psychotherapy, Shared Decision Making and Recovery, Initiation of Outpatient Psychotherapy, Medication Compliance, Family Support, Family Psychoeducation in Routine Care, Conclusion, References. Topics Discussed: schizophrenia.
Excerpt:
"The role of the psychiatrist in the treatment of schizophrenia
varies widely based on treatment setting and availability of resources.
In strained public systems and cost-conscious managed care environments,
economic constraints circumscribe the psychiatrist's role
to that of "medication management." In some instances
medication management and crisis services are the only care provided
to individuals with schizophrenia. This practice is contrary to
substantial evidence that combining medication with psychosocial
treatment yields better outcomes than medication alone, particularly
for those with the most severe disabilities (Mojtabai et al. 1998).As described in the American Psychiatric Association's Practice
Guideline for the Treatment of Patients With Schizophrenia (Lehman et al. 2004b), therapeutic efforts in schizophrenia must
be comprehensive, multimodal, and empirically titrated to the individual
patient's response and progress. Individual psychotherapy,
whether provided by a psychiatrist or another mental health professional,
addresses..."
DOI: 10.1176/appi.books.9781585622986.254845
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