E-Book Overview
One of the difficulties that all psychiatrists encounter when they see patients for less than fifty minutes is how to be empathic while on the run. Nowadays the psychiatrist, often behind schedule, has but a Twenty Minute Hour to evaluate a patient’s level of functioning and current symptoms and side effects; to judge their responsiveness to medication; to do some teaching about medication and/or disease management; and finally to complete the chart. <STRONG>Prime Time gives pointers from an experienced clinician on how to deal more effectively and efficiently within time constraints. It is designed to assist psychiatrists with medication and evaluation, and to allow for psychotherapy in addition to the requisite psychopharmacology. The primer provides a number of short cuts and clinical maneuvers in initiating and ending sessions that can help promote positive transference, assist effective flow of information, and aid in closing out the session without falling behind schedule.
E-Book Content
PRIME
TIME
PRIME
TIME
Maximizing the Therapeutic Experience A Primer Psychiatric CliniciansMeasures Insights fromforthe New Implicit
Frederick G. Guggenheim
New York London
Routledge Taylor & Francis Group 270 Madison Avenue New York, NY 10016
Routledge Taylor & Francis Group 2 Park Square Milton Park, Abingdon Oxon OX14 4RN
© 2009 by Taylor & Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-13: 978-0-415-80109-6 (Softcover) 978-0-415-80203-1 (Hardcover) Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Guggenheim, Frederick G. Prime time : maximizing the therapeutic experience : a primer for psychiatric clinicians / by Frederick G. Guggenheim. p. ; cm. Includes bibliographical references and index. ISBN 978-0-415-80203-1 (hardback : alk. paper) -- ISBN 978-0-415-80109-6 (pbk. : alk. paper) 1. Psychotherapists--Time management. 2. Psychotherapy--Practice. I. Title. II. Title: Maximizing the therapeutic experience. [DNLM: 1. Psychotherapy, Brief--methods. 2. Mental Disorders--therapy. 3. Professional-Patient Relations. 4. Time Management--methods. WM 420.5.P5 G942p 2009] RC465.5.G84 2009 616.89’140068--dc22 2008054210
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Contents
Introduction Preface
ix xi
Part 1
Ways to Make the 20-Minute Hour Work for You 1 Beginnings—Not a Moment to Spare
1 3
2 Measuring Symptoms
19
3 Setting the Contract
27
4 Decisions, Decisions
33
5 Psychoeducation/Teaching
43
6 Shortcuts
51
7 Early and Later Pitfalls
65
8 Terminating Treatment
77
v
vi
Contents
Part 2
Quick-Grab Chapters 9 Working With the Depressed Patient
85 87
10 Working With the Bipolar Patient
97
11 Working With the Anxious Patient
105
12 Working With the Traumatized Patient
117
13 Working With the Angry or V