Year : 2020 | Volume
: 62 | Issue : 8 | Page : 171-
Preamble for Clinical Practice Guidelines for Psychotherapies
Shiv Gautam1, Sandeep Grover2, Siddharth Sarkar3,
1 Gautam Hospital and Research Center, Jaipur, Rajasthan, India
2 Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
Dr. Sandeep Grover
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh
|How to cite this article:|
Gautam S, Grover S, Sarkar S. Preamble for Clinical Practice Guidelines for Psychotherapies.Indian J Psychiatry 2020;62:171-171
|How to cite this URL:|
Gautam S, Grover S, Sarkar S. Preamble for Clinical Practice Guidelines for Psychotherapies. Indian J Psychiatry [serial online] 2020 [cited 2020 Sep 28 ];62:171-171
Available from: http://www.indianjpsychiatry.org/text.asp?2020/62/8/171/276108
Indian Psychiatric Society (IPS) had earlier published Clinical Practice Guidelines (CPGs) on Psychotherapies along with the guidelines for ethical and legal issues in 2009. The basic aspect which was covered as part of these guidelines was “Ethical and Legal Aspects of Psychotherapies.”
In the continued efforts to formulate the CPG for various clinical conditions and clinical scenarios, this year, IPS comes up with CPGs for “Psychotherapies and Alternative Methods of Treatment in Psychiatry.” For this purpose, 14 topics were selected and the lead authors were identified. The drafts prepared by the lead authors were discussed in the task force meeting held at Jaipur on July 20 and 21, 2019. For this meeting, 61 experts, including the lead authors, were invited and the drafts were presented by the lead authors to the group. Participants of the group provided feedback to the authors, and based on this feedback, the drafts were modified and finalized.
Psychological interventions form an integral part of all mental health encounters for the patients, and all mental health professionals are expected to have basic skills in imparting the various forms of psychotherapies. Many a times, psychological interventions are the only form of treatment. Available data also suggest that when pharmacotherapy is combined with psychotherapies, the overall outcome of the patients is better than either of these modalities used alone. Keeping this in mind, these guidelines were formulated, which provide the framework and the basic tenets about various kinds of psychotherapies that can be used by the psychiatrists in their day-to-day clinical practice.
The various topics covered in the guidelines include General Principles of Psychoeducation, General Principles of Supportive Psychotherapies for Patients with Mental Disorders, General Principle and Techniques of Family Therapy, Interpersonal Psychotherapies for Patients with Mental Disorders, Principle of Marital Therapies and Behavior Therapy of Sexual Dysfunction, Special Considerations for Psychotherapeutic Intervention in Children and Adolescents, Cognitive Therapy and Family Intervention for Elderly Patients of Dementia and Psychosis, Cognitive Behavior Therapies for Depression, Cognitive Behavior Therapies for Anxiety Disorders and Obsessive–Compulsive Disorder, Cognitive Behavior Therapies for Psychotic Disorders, Psychotherapies for Somatoform Disorders, Psychological Interventions for Dissociative Disorders, and Brief Intervention for Substance Use Disorders. In addition, one of the guidelines focuses on Yoga and other alternative therapies for patients with mental disorders.
While formulating these guidelines, effort has been made to take sociocultural and feasibility issues into account. However, it is important to note that these guidelines are not recommended for any specific treatment setting and the clinicians need to modify the recommendations to certain extent, without compromising on the principles, to suit the needs of the patients and their caregivers in that particular treatment setting. The guidelines, which talk about specific kind of therapies, can be applied to patients with any diagnosis, depending on the needs of the patients.