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Intermittent Treatment with the Psychodynamic Psychiatrist: A Patient-Centered Approach.

Silvia W Olarte1, David C L Teo2, César A Alfonso3

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Summary

Patients found intermittent psychodynamic therapy beneficial, appreciating integrated supportive, cognitive-behavioral, and psychodynamic interventions. Key factors included strong therapeutic alliances and empathic listening, indicating patient acceptance of this flexible treatment model.

Keywords:
cognitive-behavioralpatient-centeredpsychodynamicpsychotherapysupportive

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Area of Science:

  • Psychiatry
  • Psychotherapy Research

Background:

  • Intermittent treatment models offer flexibility in mental health care.
  • Psychodynamic therapy, often intensive, can be adapted to intermittent schedules.
  • Patient experiences with intermittent psychodynamic treatment are not well-documented.

Purpose of the Study:

  • To explore patient experiences with intermittent psychodynamic therapy.
  • To identify helpful therapeutic factors within this treatment model.
  • To assess patient reception of an intermittent treatment framework.

Main Methods:

  • A web-based questionnaire was administered to patients with non-psychotic disorders undergoing intermittent psychodynamic treatment.
  • Survey included questions on the usefulness of supportive, cognitive-behavioral, and psychodynamic interventions.
  • Qualitative feedback was collected through open-ended questions.

Main Results:

  • 83% response rate; 75% of patients welcomed the intermittent treatment frame.
  • Highly rated factors included supportive elements (empathic listening, relating to clinician) and cognitive-behavioral techniques (understanding thought-behavior links).
  • Psychodynamic interventions (understanding past influences, affect regulation) and common factors (alliance, collaboration, attunement) were also highly valued.

Conclusions:

  • The intermittent psychodynamic treatment model is well-received by patients.
  • Patients value the integration of diverse therapeutic approaches for personalized care.
  • Common therapeutic factors are crucial patient-reported elements in intermittent treatment.