Part V: Canadian Psychiatrists' Use of Psychotherapy

Leszcz, Molyn; Mackenzie, Roy; Atkinson, Mark J.; Wiesenthal, Stephanie

doi:10.1037/e495802004-001

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…30 It is worth noting that nearly one-half of recently surveyed Canadian psychiatrists expressed an interest in further training in such evidence-based therapies as IPT and CBT. 1 Compared with training in CBT, training in group therapy and brief psychodynamic therapy is also underrepresented among graduating residents in Canada.…”

Section: Discussionmentioning

confidence: 99%

“…B y virtue of their training, psychiatrists are uniquely situated to integrate psychological and biological components of patients' care. [1][2][3] An essential part of this training involves developing a thorough understanding of psychological processes and psychotherapy-something that also distinguishes psychiatrists from their other medical colleagues. [1][2][3] Although once at the very core of both psychiatric training and practice, psychiatry's relation to psychotherapy has become less evident in recent years.…”

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confidence: 99%

“…[1][2][3] An essential part of this training involves developing a thorough understanding of psychological processes and psychotherapy-something that also distinguishes psychiatrists from their other medical colleagues. [1][2][3] Although once at the very core of both psychiatric training and practice, psychiatry's relation to psychotherapy has become less evident in recent years. [3][4][5][6][7][8][9][10] There has even been some doubt expressed as to whether psychotherapy will remain in the armamentarium of future psychiatrists.…”

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confidence: 99%

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A National Survey of Canadian Psychiatry Residents' Perceptions of Psychotherapy Training

Hadjipavlou

Ogrodniczuk

2007

Can J Psychiatry

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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A National Survey of Canadian Psychiatry Residents' Perceptions of Psychotherapy Training

Hadjipavlou

Ogrodniczuk

2007

Can J Psychiatry

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“…However, our findings are consistent with a previous Canadian study, which sampled psychiatrists from different provinces but still found that psychotherapy was central to the practice of psychiatrists, with 92% of psychiatrists spending just under one-half their time providing psychotherapy. 29 The lower provision of psychotherapy among recent graduates found in that 2001 study corresponds with the bottom of the U-shape pattern we observed. Interestingly, they also found that psychiatrists who completed their training before 1984 were significantly more likely to practice psychotherapy, which is remarkably consistent with our results showing greater provision of psychotherapy by clinicians who have been in practice for more than 20 years, and parallels the psychotherapy practice of recent graduates.…”

Section: Discussionmentioning

confidence: 77%

Psychotherapy in Contemporary Psychiatric Practice

2015

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Objective: American data suggest a declining trend in the provision of psychotherapy by psychiatrists. Nevertheless, the extent to which such findings generalize to psychiatric practice in other countries is unclear. We surveyed psychiatrists in British Columbia to examine whether the reported decline in psychotherapy provision extends to the landscape of Canadian psychiatric practice. Method:A survey was mailed to the entire population of fully licensed psychiatrists registered in British Columbia (n = 623). The survey consisted of 30 items. Descriptive statistics were used to characterize the sample and psychotherapy practice patterns. Associations between variables were evaluated using nonparametric tests. Results:A total of 423 psychiatrists returned the survey, yielding a response rate of 68%. Overall, 80.9% of psychiatrists (n = 342) reported practicing psychotherapy. A decline in the provision of psychotherapy was not observed; in fact, there was an increase in psychotherapy provision among psychiatrists entering practice in the last 10 years. Individual therapy was the predominant format used by psychiatrists. The most common primary theoretical orientation was psychodynamic (29.9%). Regarding actual practice, supportive psychotherapy was practiced most frequently. Professional time constraints were perceived as the most significant barrier to providing psychotherapy. The majority (85%) of clinicians did not view remuneration as a significant barrier to treating patients with psychotherapy. Conclusions:Our findings challenge the prevailing view that psychotherapy is in decline among psychiatrists. Psychiatrists in British Columbia continue to integrate psychotherapy and pharmacotherapy in clinical practice, thus preserving their unique place in the spectrum of mental health services.W W W La psychothérapie dans la pratique psychiatrique contemporaineObjectif : Des données américaines suggèrent une tendance à la baisse de la prestation de psychothérapie par les psychiatres. Néanmoins, la mesure dans laquelle ces résultats se généralisent aux pratiques psychiatriques d'autres pays n'est pas claire. Nous avons interrogé des psychiatres de la Colombie-Britannique pour examiner si la baisse de la prestation de psychothérapie s'étend à l'ensemble de la pratique psychiatrique canadienne.Méthode : Un sondage a été posté à toute la population des psychiatres pleinement licenciés enregistrés en Colombie-Britannique (n = 623). Le sondage consistait en 30 items. Des statistiques descriptives ont servi à caractériser l'échantillon et les modèles de pratique de psychothérapie. Les associations entre variables ont été évaluées à l'aide de tests non paramétriques.Résultats : En tout, 423 psychiatres ont renvoyé le sondage, pour un taux de réponse de 68 %. Globalement, 80,9 % des psychiatres ont déclaré pratiquer la psychothérapie. Aucune baisse de la prestation de psychothérapie n'a été observée; en fait, il y a eu une augmentation de la prestation de psychothérapie chez les psychiatres qui ont commencé leur pratique da...

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“…20 In a Canadian sample of 291 psychiatrists, 92% spent less than half of their clinical time employing some form of psychotherapy, with 20% of this subset specifically practicing CBT. 23 Conse quently, the demand for CBT currently exceeds availability, leading to longer wait times.…”

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confidence: 99%

Is Immediate Adjunctive CBT More Beneficial than Delayed CBT in Treating Depression?

Rizvi

Zaretsky

Schaffer

et al. 2015

Journal of Psychiatric Practice

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Cognitive-behavioral therapy (CBT) is an efficacious first-line therapy for patients with major depressive disorder (MDD). Due to the limited accessibility of CBT, long wait lists result in delayed treatment, which may affect treatment outcomes. The goal of this pilot study was to obtain preliminary data from a randomized controlled trial to determine whether delayed CBT reduces the effectiveness of the therapy compared to immediate CBT in patients with MDD receiving pharmacotherapy. Patients were randomized to receive immediate CBT (n=18) or to begin CBT after 6 months (n=20) and received 14 weekly sessions, followed by two additional booster sessions. During the active treatment months, patients in the immediate group demonstrated reductions in scores on the Beck Depression Inventory II (BDI-II) that were similar to those in the delayed CBT group. However, when the analysis was performed using only data from patients in the delayed group who were still in a depressive episode, there was an overall greater decrease in BDI-II scores in the immediate group vs. the delayed group over the active treatment months, but not specifically at the 6-month endpoint. These findings suggest delays in depression treatment, similar to what occurs with real-world wait list times, may not have a significant impact on the effectiveness of CBT in patients who are already receiving treatment as usual. However, such delays may affect the effectiveness of CBT in those patients who remain depressed during the time delay. A larger trial is necessary to confirm these findings. (Journal of Psychiatric Practice 2015;21:107-113).

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Part V: Canadian Psychiatrists' Use of Psychotherapy

Cited by 5 publications

References 9 publications

A National Survey of Canadian Psychiatry Residents' Perceptions of Psychotherapy Training

A National Survey of Canadian Psychiatry Residents' Perceptions of Psychotherapy Training

Psychotherapy in Contemporary Psychiatric Practice

Is Immediate Adjunctive CBT More Beneficial than Delayed CBT in Treating Depression?

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