How Often Do Psychiatrists Provide Psychotherapy?

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Why psychiatrists are doing less and less talk therapy

sessions? A study recently published in the American Journal of Psychiatry by Daniel Tadmon and Mark Olfson examines “Trends in Outpatient Psychotherapy Provision by U.S. Psychiatrists: 1996-2016.”

These investigators examined data from the National Ambulatory Medical Care Survey. This is an annual survey conducted by the Centers for Disease Control and Prevention to obtain “a nationally representative sample of outpatient visits to non-federally funded and non-hospital-based physicians’ practices.” The survey instrument defines psychotherapy as the intentional administration of verbal techniques targeting a person’s emotional life in order to reduce symptoms.

What did the study demonstrate? The researchers found that the percentage of psychiatrist visits involving psychotherapy lasting more than 30 minutes decreased steadily from 1996 to 2016. For the bulk of their analyses, the investigators divided the data into three 7-year intervals: 1996–2002, 2003–2009, and 2010–2016.

 

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Are they even trained to? Psychotherapists and counselling psychologists undergo extensive therapy themselves and work within supervision. Do psychiatrists even have this level of psychotherapeutic training? I understand they have medical expertise, but what about psychotherapy?

It sucks, honestly. I was diagnosed 5 months ago w/ADHD & have talked w/a dismissive psychiatrist once for 20 min about my meds. It seems psychology today is labeling & meds, but no help. Unless you’re having a psychiatric emergency, then “hang up & dial 911.” psychiatry

Psychotherapy isn't a chat with a friend. When most effective, it enables a new experience of oneself or relationship with others. 'Talk therapy' doesn't convey all the tools a therapist can use - oneself, the relationship, sensory experience, emotions, art, movement, etc.

Talk therapy works that's a shame it has decreased..yet the suicide rate as increased since 2000, From 2000 through 2016, the age-adjusted suicide rate increased 30%, from 10.4 per 100,000 standard population to 13.5. The rate increased 21%, from 17.7 in 2000 to 21.4 in 2016.CDC

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