Overview

This invaluable book shows prescribing clinicans how to make the most of limited time with patients to establish a strong therapeutic relationship and maximize treatment adherence.

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9781572305960

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Reviews

The book provides a plethora of clinical pearls that will be of value to all clinicians....I particularly enjoyed the techniques for dealing with patients who present with the latest Internet reviews and who wish to switch treatment based on the latest American television commercials about a different drug or what his or her neighbour thinks. I enjoyed the techniques for dealing with comments by an incredulous pharmacist about your prescriptions....This is a valuable and quick read for all psychiatric clinicians who prescribe medications. It is particularly valuable for busy, time-pressured clinicians in mental health centres and chronic care facilities and for psychiatric residents attempting to bridge and consolidate psychotherapeutic and pharmacotherapeutic interventions....Reviewer Rating: Excellent -- The Canadian Journal of Psychiatry <br> I strongly recommend this book as a refresher to those who are teaching psychiatric trainees, as a reinforcement of our own identities as caring physicians and psychoanalysts, and as a reminder that psychoanalysts have an essential contribution to make to the medical and psychiatric enterprise. -- American College of Psychoanalysts Newsletter <br> This book is full of insight into the changes occurring in the practice of psychiatry. Those who read it and take it to heart will be better equipped to continue the best in traditional psychiatry while practicing in the world of managed care and shared care. Many primary care physicians, such as family doctors, general internists, and pediatricians, also find themselves managing the pharmacotherapy of disturbed patients. They are often under even greater pressure than the psychiatrist to make themost of 10-to 15 minute appointment slots, which may be eroded by walk-in or emergency patients. These doctors may benefit, at least as much as the psychiatrists, from reading and assimilating this book. The patients of all these physicians will be by far the greatest beneficiaries. They will be better understood, feel involved in a good therapeutic relationship, receive more useful support, and even more appropriate medication. -- The Journal of Nervous and Mental Disease <br> One of the conspicuous strengths of the book is the frequent use not only of clinical vignettes, but also of actual dialogue material from patient-doctor interactions....this is a book that should be read by any psychiatrist or resident doing, or planning to do, primarily pharmacotherapy. It is a firm reminder that psychiatrists cannot succeed with patients via the mere act of writing out a prescription. -- American Journal of Psychotherapy <br> This book allows us to apply psychodynamic principles in a practical way in our day-to-day work with patients....this book deals with critical issues that face all of us practicing psychiatry today. It provides us with a new framework and important insights about our work with patients given the limitations and handicaps we often encounter. The book comes alive via its clinical examples and provides valuable insights for both the novice resident and the senior practitioner. -- Psychiatric Times <br> Tasman, Riba, and Silk's book would be a useful addition to the libraries of psychiatrists and other physicians and mental health professionals....Recognizing the limitations that the health maintenance organization mentality has cast upon American society, the authorsprovide a model for treatment providers working within the typical 15-minute allocations of time per patient. -- NAMI Advocate <br>.,. the book is focused on the art of prescribing, and it does an excellent job in showing physicians how to enhance this art. The use of case vignettes is effective in accomplishing this task and maintaining interest....The chapter on transference and countertransference...is very practical and clinically useful....Learning to understand and to participate in the patient-physician relationship authentically and skillfully is important not only for psychiatric residents and practicing psychiatrists but for all physicians who want to increase their success in prescribing medications by enhancing the therapeutic value of their relationships with patients. This book provides some very useful guidance for that journey. -- JAMA <br>

It's the relationship that matters! That message encapsulates this volume's critically important lesson for psychiatrists. Even when medications are the primary modality of treatment and sessions are brief, the psychiatrist-patient relationship is the hinge on which the efficacy of treatment depends. Attention paid to our patients as unique individuals rewards them as well as ourselves. --Paul S. Appelbaum, MD, Zeleznik Professor and Chair, Department of Psychiatry, University of Massachusetts Medical School <br> This very valuable book emphasizes ways to improve clinical outcome through attention to developing and maintaining a therapeutic alliance through all phases of medication management, from the initial interview through the later stages of medication maintenance. The book is full of rich clinical examples that highlight both the opportunities and dilemmas that occur in the doctor-patient relationship. The authors place particular emphasis on using various interview techniq

"""It's the relationship that matters! That message encapsulates this volume's critically important lesson for psychiatrists. Even when medications are the primary modality of treatment and sessions are brief, the psychiatrist-patient relationship is the hinge on which the efficacy of treatment depends. Attention paid to our patients as unique individuals rewards them as well as ourselves."" --Paul S. Appelbaum, MD, Zeleznik Professor and Chair, Department of Psychiatry, University of Massachusetts Medical School ""This very valuable book emphasizes ways to improve clinical outcome through attention to developing and maintaining a therapeutic alliance through all phases of medication management, from the initial interview through the later stages of medication maintenance. The book is full of rich clinical examples that highlight both the opportunities and dilemmas that occur in the doctor-patient relationship. The authors place particular emphasis on using various interview techniques and understanding of transference and countertransference themes to improve outcome when the treatment is primarily pharmacologic. In this era of managed care and the rapid, 15-minute 'medication check' interview, psychiatrists need to be expert in using every tool in the clinical armamentarium. This book contains necessary information that will help every psychiatrist do a better job of treating patients."" --Jeffrey A. Lieberman, MD, University of North Carolina School of Medicine ""At last someone has written a practical work to help clinicians better manage pharmacologic treatment. The authors provide expert advice in a down-to-earth, easily understandable way on how to understand and use the doctor-patient relationship to improve compliance with treatment and enhance overall clinical outcome. This book should be required reading for psychiatrists at every stage of their careers, from residents through senior practitioners. A 'must' for every clinician's office."" --Charles Nemeroff, MD, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine ""Understanding and managing the doctor-patient relationship in pharmacologic management is a critically important issue for every clinician. This is a well organized, easy-to-read, practical text. Using case examples, the authors expertly provide the reader with ways to better understand the interplay between psychopharmacology and the therapeutic relationship. This very useful book should be required reading for every clinician. I have no question that clinical outcomes will be improved when psychiatrists apply the materials in this book to their practices."" --Alan F. Schatzberg, MD, Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University ""It is clear that this book was written by physicians who accept themselves and their patients as part of a biopsychosocial system. By listening and asking specific questions, the prescriber who appreciates the biopsychosocial system provides comprehensive care, not just a quickly written prescription. The book is readable, well referenced, and provides multiple clinical examples of what works and what doesn't work. I would recommend this book to anyone who prescribes psychiatric medications. It also should be required reading in pharmacology courses at all levels."" --Patricia Mares Miller, RN, CS, NP, Clinical Nurse Specialist, Department of Psychiatry, University of Michigan ""The book provides a plethora of clinical pearls that will be of value to all clinicians....I particularly enjoyed the techniques for dealing with patients who present with the latest Internet reviews and who wish to switch treatment based on the latest American television commercials about a different drug or what his or her neighbour thinks. I enjoyed the techniques for dealing with comments by an incredulous pharmacist about your prescriptions....This is a valuable and quick read for all psychiatric clinicians who prescribe medications. It is particularly valuable for busy, time-pressured clinicians in mental health centres and chronic care facilities and for psychiatric residents attempting to bridge and consolidate psychotherapeutic and pharmacotherapeutic interventions....Reviewer Rating: Excellent""--""The Canadian Journal of Psychiatry"" ""I strongly recommend this book as a refresher to those who are teaching psychiatric trainees, as a reinforcement of our own identities as caring physicians and psychoanalysts, and as a reminder that psychoanalysts have an essential contribution to make to the medical and psychiatric enterprise.""--""American College of Psychoanalysts Newsletter"" ""This book is full of insight into the changes occurring in the practice of psychiatry. Those who read it and take it to heart will be better equipped to continue the best in traditional psychiatry while practicing in the world of managed care and shared care. Many primary care physicians, such as family doctors, general internists, and pediatricians, also find themselves managing the pharmacotherapy of disturbed patients. They are often under even greater pressure than the psychiatrist to make themost of 10-to 15 minute appointment slots, which may be eroded by walk-in or emergency patients. These doctors may benefit, at least as much as the psychiatrists, from reading and assimilating this book. The patients of all these physicians will be by far the greatest beneficiaries. They will be better understood, feel involved in a good therapeutic relationship, receive more useful support, and even more appropriate medication.""--""The Journal of Nervous and Mental Disease"" ""One of the conspicuous strengths of the book is the frequent use not only of clinical vignettes, but also of actual dialogue material from patient-doctor interactions....this is a book that should be read by any psychiatrist or resident doing, or planning to do, primarily pharmacotherapy. It is a firm reminder that psychiatrists cannot succeed with patients via the mere act of writing out a prescription.""--""American Journal of Psychotherapy"" ""This book allows us to apply psychodynamic principles in a practical way in our day-to-day work with patients....this book deals with critical issues that face all of us practicing psychiatry today. It provides us with a new framework and important insights about our work with patients given the limitations and handicaps we often encounter. The book comes alive via its clinical examples and provides valuable insights for both the novice resident and the senior practitioner.""--""Psychiatric Times"" ""Tasman, Riba, and Silk's book would be a useful addition to the libraries of psychiatrists and other physicians and mental health professionals....Recognizing the limitations that the health maintenance organization mentality has cast upon American society, the authorsprovide a model for treatment providers working within the typical 15-minute allocations of time per patient."" --""NAMI Advocate"" .,.""the book is focused on the art of prescribing, and it does an excellent job in showing physicians how to enhance this art. The use of case vignettes is effective in accomplishing this task and maintaining interest....The chapter on transference and countertransference...is very practical and clinically useful....Learning to understand and to participate in the patient-physician relationship authentically and skillfully is important not only for psychiatric residents and practicing psychiatrists but for all physicians who want to increase their success in prescribing medications by enhancing the therapeutic value of their relationships with patients. This book provides some very useful guidance for that journey."" --""JAMA"""

Author Information

Allan Tasman, MD, currently Professor and Chair of the Department of Psychiatry and Behavioral Sciences at the University of Louisville, served as President of the American Psychiatric Association in 1999-2000. Dr. Tasman is a nationally known psychiatric educator, psychoanalyst, and cognitive neuroscience researcher. He has a longstanding interest in the clinical integration of biological, psychological, and psychosocial treatment approaches. Michelle B. Riba, MD, MS, is Clinical Associate Professor and Associate Chair for Education and Academic Affairs, Department of Psychiatry, University of Michigan. She is currently Secretary of the American Psychiatric Association; President of the American Association of Directors of Psychiatric Residency Training; and President-Elect of the Association of Academic Psychiatry. Dr. Riba is a consultation-liaison psychiatrist and is Director of the Psycho-Oncology Program at the University of Michigan Comprehensive Cancer Center. Dr. Riba has authored or edited over fourteen books, 10 chapters, and 20 papers, and lectures nationally and internationally on topics on education and combining psychopharmacology and psychotherapy in clinical practice. She serves on national guideline committees on various aspects of psycho-oncology. Kenneth Silk, MD, is Associate Professor and Associate Chair of Clinical and Administrative Affairs in the Department of Psychiatry, and Chair, Faculty Group Practice Board, at the University of Michigan Health System, Ann Arbor, Michigan. Dr. Silk obtained his medical training at Albert Einstein College of Medicine and his psychiatry training at Yale. He is an active clinician and teacher whose research interests are in the area of personality disorders. He is the editor of two books.

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