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Integrating Care: Combining Medications and Psychotherapy (5 of 5) - David L. Mintz, MD (Recorded self study)
Course 5 of 5 - The Art of Pharmacotherapy: Enhancing Outcomes by Integrating Patient-Centered, Psychodynamically-Informed Perspectives
Other courses in this series
This presentation explores the complexities of combining pharmacotherapy and psychotherapy in psychiatric care, examining the challenges of achieving true integration, as opposed to simply adding modalities. We will consider implications of established treatment guidelines for when to use combined pharmacotherapy/psychotherapy as a first-line or second-line approach to psychiatric illness, as well as aspects of the evidence-based which provide guidance about how to select one treatment over the other for common psychiatric conditions. We will consider the intricacies of these two treatments may be additive, synergistic, or antagonistic, and how, particularly for complex patients, the two treatments may not only support one another, but may also be used defensively by patients and providers alike, in ways that undermine the effectiveness of one or both treatments. We will also explore how pharmacotherapy may influence treatment both alliance and patient defenses in ways that are either helpful or unhelpful to the psychotherapy. With this as a basis, we will consider how to optimize benefits of combining treatments and minimize interferences to the healthy use of one or both treatments. Participants will develop a deeper understanding of the technical, psychological, and systemic factors influencing integrated care and practical strategies for addressing these challenges in clinical practice.
Target Audience
______ Introductory __x__ Intermediate ______ Advanced
Learning Objectives
- Define the difference between combined and integrated treatment and identify the competencies required for successful integration.
- Evaluate evidence-based criteria for selecting patients who may benefit most from concurrent psychotherapy and pharmacotherapy.
- Discuss the psychological and symbolic roles of medications in the therapeutic process and their effects on defenses and the therapeutic alliance.
- Analyze the benefits and challenges of split versus integrated treatment models in psychiatric care.
- Formulate practical strategies to improve communication and collaboration in interprofessional treatment settings involving split treatments.
David L. Mintz, MD, is a staff psychiatrist who joined the Austen Riggs Center in 1996. He presently serves as the director of psychiatric education, the associate director of training, and as a team leader. He also is principal investigator for the research initiative in Psychodynamic Psychopharmacology and author of the book Psychodynamic Psychopharmacology: Caring for the Treatment-Resistant Patient (2022, American Psychiatric Association Publishing). Dr. Mintz also coordinates the Elective in Psychodynamic Psychiatry at the Austen Riggs Center.
Professional Affiliations/Organizational Memberships
- American Psychiatric Association, former leader of the Psychotherapy Caucus
- American Academy of Psychoanalysis and Dynamic Psychiatry, Psychoanalytic Fellow and elected Trustee
Certifications/Appointments
- Editorial Board member of Psychodynamic Psychiatry
- Medical Student Education Committee member of the American Psychoanalytic Association
Awards/Recognitions
- Teichner Scholar at Cooper Medical School of Rowan University Psychiatry Residency Program
Research Interests
- Psychological aspects of taking and prescribing medications, psychodynamic aspects of medical education, professionalism, and clinical care of psychiatric patients with treatment-refractory conditions.
Austen Riggs Center Inc. adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. All those at Austen Riggs Center involved in the planning of this activity, including the presenter(s) listed above, report they have no relevant financial relationships with an ineligible company*.
The views and opinions expressed in this presentation are those of the presenter(s) and do not necessarily represent the official policy or position of the Austen Riggs Center.
* An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Available Credit
- 1.50 AMA PRA Category 1 Credit™
ACCME - As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for a maximum of 1.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.50 APA
As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for 1.50 continuing education credit(s) (CE) for psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
- 1.50 ASWB-ACE
As a Jointly Accredited Organization, The Austen Riggs Center, Inc is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organization, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this. Social workers completing this Enduring will receive 1.50 continuing education credit(s).Austen Riggs Center, Inc is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0843.
- 1.50 Contact Hours/ ParticipationA certificate of attendance for all Learners.