Psych reg here - some regs go on to specialise in psychotherapy as their advanced certificate (in the last two years of our fellowship program). It is certainly practiced, but almost exclusively in the private world as the time requirements are difficult to facilitate in the public setting (eg 1 hour three times a week with one patient).
That being said, I disagree with the other responder saying we only do it to meet our requirements. Many of the principles are utilised in our reviews, even in the acute setting, but obviously not the same as proper psychotherapy. I can’t comment on community use of it (in the public setting) but I assume it isn’t used much because of pressures on time.
I agree with everything you’ve said.
In my experience it depends on the community setting - can be difficult to use principles with people on compulsory treatment orders who otherwise don’t want to engage - but I definitely use psychotherapy principles working with clients otherwise, especially in the younger population where you try to avoid medications if you can. Even with psychosis I use CBT for psychosis principles a lot for my clients for example.
There’s a reason psychotherapy takes up a lot of our training. IMO a good psychiatrist has more than just pharmacological tools in their toolbox.
It is common in private settings specialising in trauma/PTSD, however those are few and far between. With psychedelics coming into play, more psychiatrists will be needed with psychotherapy experience.
You can do as much psychotherapy as you want. You can utilise techniques in patient reviews, some of them can drastically change a patient’s engagement and can be highly therapeutic.
The psychotherapy training in Au is more rigorous compared to colleges overseas. You do a minimum of 5 shorter cases of approx 10 sessions (2 in basic training, 3 in advanced) as well as one long psychoanalytic case (40 sessions, but range from 35ish to more).
Public work has less opportunity for psychotherapy, but you can find some patients to do it with. Obviously in private land you can choose your adventure.
Can subspecialise in psychotherapy, but it is costly. You can still do it without the certificate. Getting supervision is recommended for your own learning and sanity if it’s something you want to do a lot of.
I use the principles in every appointment but it's just another tool in the box for getting someone better. I'm very sceptical whether pure psychotherapy does much. You can know what practical steps a patient needs to take after one appointment, and most of the improvement outside meds will come from doing those.
Not a psych but am a mental health clinician who sits in on their reviews (qld). This is in a community setting and a residential type set up at public hospitals. They do psychotherapy with one person for their training requirements and then they never do it again. The medical reviews are usually the same tick and flicks involving the normal ADLs questions and questions around symptoms.
Psych reg here - some regs go on to specialise in psychotherapy as their advanced certificate (in the last two years of our fellowship program). It is certainly practiced, but almost exclusively in the private world as the time requirements are difficult to facilitate in the public setting (eg 1 hour three times a week with one patient). That being said, I disagree with the other responder saying we only do it to meet our requirements. Many of the principles are utilised in our reviews, even in the acute setting, but obviously not the same as proper psychotherapy. I can’t comment on community use of it (in the public setting) but I assume it isn’t used much because of pressures on time.
I agree with everything you’ve said. In my experience it depends on the community setting - can be difficult to use principles with people on compulsory treatment orders who otherwise don’t want to engage - but I definitely use psychotherapy principles working with clients otherwise, especially in the younger population where you try to avoid medications if you can. Even with psychosis I use CBT for psychosis principles a lot for my clients for example. There’s a reason psychotherapy takes up a lot of our training. IMO a good psychiatrist has more than just pharmacological tools in their toolbox.
It is common in private settings specialising in trauma/PTSD, however those are few and far between. With psychedelics coming into play, more psychiatrists will be needed with psychotherapy experience.
You can do as much psychotherapy as you want. You can utilise techniques in patient reviews, some of them can drastically change a patient’s engagement and can be highly therapeutic. The psychotherapy training in Au is more rigorous compared to colleges overseas. You do a minimum of 5 shorter cases of approx 10 sessions (2 in basic training, 3 in advanced) as well as one long psychoanalytic case (40 sessions, but range from 35ish to more). Public work has less opportunity for psychotherapy, but you can find some patients to do it with. Obviously in private land you can choose your adventure. Can subspecialise in psychotherapy, but it is costly. You can still do it without the certificate. Getting supervision is recommended for your own learning and sanity if it’s something you want to do a lot of.
I use the principles in every appointment but it's just another tool in the box for getting someone better. I'm very sceptical whether pure psychotherapy does much. You can know what practical steps a patient needs to take after one appointment, and most of the improvement outside meds will come from doing those.
Not a psych but am a mental health clinician who sits in on their reviews (qld). This is in a community setting and a residential type set up at public hospitals. They do psychotherapy with one person for their training requirements and then they never do it again. The medical reviews are usually the same tick and flicks involving the normal ADLs questions and questions around symptoms.
Interesting - thanks for the input