Combining Psychotherapy and Pharmacotherapy: Introduction | Definition of Integrated and Split Treatment | Integrated Treatment | Split Treatment | Ethical, Legal, and Managerial Issues | Training Issues | Combined Treatment: General Clinical Applications1 | Conclusion | Key Points | Suggested Readings | References
The past 50 years of psychiatric practice have
seen a burgeoning of new types and classes of psychotropic agents
for major and minor psychiatric disorders (Olfson et al. 1999, 2002; West et al. 2003). Along with new pharmacological modalities,
there is increased understanding to support and recommend that psychotherapy
be provided along with pharmacological treatments for disorders
including schizophrenia, bipolar disorder, and major depression
(American Psychiatric Association 1994, 1997, 2000a).
In addition, guidelines and position papers have been provided by
the American Psychiatric Association to assist its members and mental
health professionals in understanding the complexities of providing
combined treatments in the form of both psychotherapy and pharmacotherapy
(American Psychiatric Association 1980, 2002a).