Year : 2020 | Volume
: 62 | Issue : 8 | Page : 172-
Psychotherapies and Alternative Treatments in Psychiatry: Role of Psychiatrists
Professor of Psychiatry, WBMES and Consultant Psychiatrist, AMRI Hospitals, Kolkata, West Bengal, India
Dr. O P Singh
MRI Hospitals, Kolkata, West Bengal
|How to cite this article:|
Singh O P. Psychotherapies and Alternative Treatments in Psychiatry: Role of Psychiatrists.Indian J Psychiatry 2020;62:172-172
|How to cite this URL:|
Singh O P. Psychotherapies and Alternative Treatments in Psychiatry: Role of Psychiatrists. Indian J Psychiatry [serial online] 2020 [cited 2020 Feb 22 ];62:172-172
Available from: http://www.indianjpsychiatry.org/text.asp?2020/62/8/172/276091
Psychotherapy, once considered the mainstay of treatment in psychiatry, is no longer a preferred method of treatment for most of the psychiatrists. Nowadays, there are contrasting views regarding psychotherapy. On the one hand, people are of the opinion that psychotherapy is declining in residency training and we should increase emphasis on psychotherapy to retain our distinctive position as a medical faculty; on the other hand, there are views that psychotherapy should not form a part of the residency training in psychiatry as there is a separate discipline taking care of psychotherapies.
However, psychotherapies are found to be effective and are sometimes the first line of treatment, particularly in childhood disorders. Psychotherapeutic interventions are found to bring about changes in brain. It becomes imperative for psychiatrists to have working knowledge of psychotherapies and also to be able to offer alternative therapies such as yoga to their patients along with pharmacotherapy. There is also a need to define areas of intervention and evidence base for these kinds of psychotherapies and maintain a uniform standard. Despite advances in biological psychiatry, neuroscience, and pharmacotherapy, psychotherapy is still recommended in clinical practice guidelines (CPGs) for different psychiatric disorders. Furthermore, psychiatrists are uniquely placed to look into the psychosocial factors and distress associated with the illness, which change the prognosis of the disease. This is applicable for all kinds of noncommunicable diseases including neoplastic diseases and cardiovascular diseases. Psychological factors, social factors, and lived experience of the patients and family members have to be recognized to provide quality mental health care acceptable to the patients. With insurance likely to cover psychotherapies also, we need to maintain competencies in psychotherapies and able to offer them to clients.
This supplement of CPG under the aegis of CPG committee and guest editors Dr. Shiv Gautam, Dr. Sandeep Grover, and Dr. Sidhartha Sarkar tries to address this need and provide a guideline and evidence base to prescribe psychotherapies and alternative therapies to the clients by psychiatrists.