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Related Experiment Videos

Adding medications to ongoing psychotherapy: indications and pitfalls.

M J Dewan1

  • 1State University of New York, Syracuse 13210.

American Journal of Psychotherapy
|January 1, 1992
PubMed
Summary

Combining psychotherapy and psychopharmacology offers benefits, but medication is not always needed. Patient transference and therapist countertransference significantly influence decisions about prescribing psychiatric medications.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Psychotherapy and psychopharmacology are primary treatments for mental health conditions.
  • Combined treatment may offer synergistic benefits over monotherapy.

Purpose of the Study:

  • To explore the indications and contraindications for adding psychopharmacology to psychotherapy.
  • To examine the influence of patient transference and therapist countertransference on treatment decisions.
  • To provide guidance on effective psychopharmacotherapy integration.

Main Methods:

  • Review of existing research on combined psychotherapy and psychopharmacology.
  • Analysis of patient and therapist factors influencing medication decisions.
  • Discussion of clinical best practices for integrating medication into psychotherapy.

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Main Results:

  • Medication is not always necessary, especially when psychotherapy alone is effective.
  • Indications for medication include troublesome symptoms, clinical deterioration, or psychotherapy disruption.
  • Patient transference and therapist countertransference significantly impact prescribing decisions and patient perceptions.
  • Effective integration requires careful agent selection, fostering alliances, and patient education on side effects.

Conclusions:

  • Integrating psychotherapy and psychopharmacology requires greater skill and sensitivity than either modality alone.
  • Openly addressing patient transference and therapist countertransference is crucial for successful combined treatment.
  • Optimizing psychopharmacotherapy involves patient education and building a strong therapeutic alliance.