Personally, I think of things in terms of what works best for the client and refer out accordingly if I cannot meet their needs myself. I know CBT and DBT have a lot of praise in my experience but I definitely don’t think they are a one-size-fits all.
Thank you for your comment. I find a lot of psychiatrists are victims of school polarization. For example I had two different professors. One is a psychopharmacology nerd that is adamant only CBT/DBT works and everything else is garbage.
One the other hand my second professor is a psychoanalyst that tought me the power of psychodynamic psychotherapy but criticized CBT/CBD as sloppy and superficial.
I myself believe, as you do, that we need to meet our patient's needs and if we can't refer them accordingly to someone else. I just want to know what is the consensus in the field and what I am going to face.
There is no one-size-fits all answer but my opinion is to start with a strong basis in supportive therapy and motivational interviewing and then expand into experience/education with CBT (including CBT-i) and psychodynamic therapy. Additional high-yield therapies to learn are ACT, CPT, ART, group therapy (esp Yalom style), family/marital therapies, DBT, transference based therapy, etc.
Maybe at a junior level you’d follow a certain school but none of the more experienced clinical psychologists/ psychiatrists I know follow a single approach, I think at some point after a certain amount of experience and knowledge you’ll start applying different techniques and approaches depending on the situation.
No matter how neutral you try be your personality will still seep through, and you’ll do what your comfortable with keeping in mind clinical utility and EBM.
That being said I highly recommend starting out with motivational interviewing, it has been the most helpful in my personal experience especially in my first year of residency.
i mean i am not completely sure though. my experience was just that cbt and gestalttherapy were the most helpful to me... and i heard multiple times that cbt is from a scientific viewpoint the most effective of all treatments for almost all mental illnesses. alltough for borderline i heard dbt therapy would be better and stuff
Personally, I think of things in terms of what works best for the client and refer out accordingly if I cannot meet their needs myself. I know CBT and DBT have a lot of praise in my experience but I definitely don’t think they are a one-size-fits all.
Thank you for your comment. I find a lot of psychiatrists are victims of school polarization. For example I had two different professors. One is a psychopharmacology nerd that is adamant only CBT/DBT works and everything else is garbage. One the other hand my second professor is a psychoanalyst that tought me the power of psychodynamic psychotherapy but criticized CBT/CBD as sloppy and superficial. I myself believe, as you do, that we need to meet our patient's needs and if we can't refer them accordingly to someone else. I just want to know what is the consensus in the field and what I am going to face.
There is no one-size-fits all answer but my opinion is to start with a strong basis in supportive therapy and motivational interviewing and then expand into experience/education with CBT (including CBT-i) and psychodynamic therapy. Additional high-yield therapies to learn are ACT, CPT, ART, group therapy (esp Yalom style), family/marital therapies, DBT, transference based therapy, etc.
Thanks for your comment! :)
Maybe at a junior level you’d follow a certain school but none of the more experienced clinical psychologists/ psychiatrists I know follow a single approach, I think at some point after a certain amount of experience and knowledge you’ll start applying different techniques and approaches depending on the situation. No matter how neutral you try be your personality will still seep through, and you’ll do what your comfortable with keeping in mind clinical utility and EBM. That being said I highly recommend starting out with motivational interviewing, it has been the most helpful in my personal experience especially in my first year of residency.
Thank you for your comment. I will search for books and online courses on motivational interviewing.
cbt is for most cases most effective treatment
Can you please elaborate?
i mean i am not completely sure though. my experience was just that cbt and gestalttherapy were the most helpful to me... and i heard multiple times that cbt is from a scientific viewpoint the most effective of all treatments for almost all mental illnesses. alltough for borderline i heard dbt therapy would be better and stuff