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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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Not a Standalone Treatment: Considerations for Psychedelic-Assisted Therapy.

Sharon Murphy1, Elizabeth Stewart1, Jacqueline Winship1

  • 1Ramsay Clinic Northside, St Leonards, New South Wales, Australia.

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Summary

Psychedelic-assisted therapy (PAT) is most effective when integrated with external therapists, not as a standalone treatment. Collaboration between external therapists and PAT teams is crucial for patient safety and optimal therapeutic outcomes in treating conditions like depression and PTSD.

Keywords:
PTSDdepressionpsychedelicspsychotherapy

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Area of Science:

  • Psychiatry and Psychology
  • Clinical Therapeutics
  • Mental Health Treatment

Background:

  • Psychedelic-assisted therapy (PAT) is emerging as a treatment for resistant depression and PTSD.
  • Clinical integration of PAT necessitates clear frameworks for safe and effective delivery.
  • The role of external therapists in supporting patients through PAT requires definition.

Purpose of the Study:

  • To examine how external therapists can support patients undergoing PAT.
  • To explore models, challenges, and opportunities in collaborating with PAT teams.
  • To identify beneficial characteristics of external therapy and future research priorities.

Main Methods:

  • A comprehensive literature review of empirical studies, theoretical papers, and position statements.
  • Integration of findings with multidisciplinary clinical experience.
  • Development of guiding principles and practical considerations for clinicians.

Main Results:

  • No current cohesive framework exists for external therapist-PAT team collaboration.
  • External therapists are vital in preparation, dosing, and integration phases of PAT.
  • Identified models for external therapist involvement present unique opportunities and challenges.
  • Practical strategies proposed to mitigate collaboration risks.

Conclusions:

  • PAT is most effective when integrated into a broader therapeutic process, not as a standalone intervention.
  • Effective collaboration between external therapists and PAT teams is essential for maximizing patient outcomes and safety.
  • Further research is needed to refine clinical frameworks and best practices for integrated PAT.