*Corresponding author:Amrish Kumar, Department of Pharmaceutical Technology, Meerut institute of engineering and technology meerut, N.H. 58, Delhi-Roorkee Highway, Baghpat road crossing, Meerut, Uttar Pradesh 250005, India
Received: October 03, 2018; Published: October 11, 2018
To view the Full Article Peer-reviewed Article PDF
Psychiatric symptoms are very frequent in medical practice, up to 40% of the people that have physical problems present anxiety or depressive symptoms associated to physical illness. Due to this, psychiatric liaison is an important part of hospital attention and many people usually have psychiatric drugs associated to other treatments. In the second half of the last century, many clinicians mostly psychoanalytically oriented-have opposed the use of psychoactive drugs for the treatment of mental illness, particularly in the course of psychotherapy, arguing that they suppress conflicts and states of mind considered essential for the understanding of suffering. Furthermore, psychoactive drugs were supposed to have a negative influence on psychotherapy by making it less effective. In reality, in 1974 research demonstrated that integrated therapy (i.e. combined use of medication and psychotherapy) is not harmful to the patient but is actually useful. However, the conflict between pharmacotherapy and psychotherapy had already made a great disservice to patients, sometimes delaying the required drug treatment (e.g. the importance of duration of untreated psychosis for the prognosis of schizophrenia) or other avoiding effective psychological interventions that could lead to a better quality of life and reduce the risk of suicide. This may be the case when considering dialectical behavior therapy (DBT) or exposure and response prevention (ERP) techniques in cognitive behavioral therapy (CBT) for borderline personality disorder (BPD) and obsessive-compulsive disorder (OCD), respectively. Unfortunately, today, despite a much-vaunted integration of treatments, on the one hand we often deal with reductionist attitudes that judge psychotherapy as irrelevant and consider drug therapy alone sufficient for treatment. On the other hand, we deal with extreme psychological assumptions that consider psychiatric illness as a social problem and treatable solely and only-through psychosocial interventions, including psychotherapy. Over time, psychiatry seems to move from a “brainlessness” approach to a “mindlessness” one. In fact, before the introduction of psychoactive drugs the psychiatrist’s attention was almost exclusively on unconscious and intrapsychic conflicts supposed to affect the mind (as separate from the brain). After 1956, attention moved to neurotransmitters and other aspects of the brain, consequently with an extensive use of drugs and less interest for the exploration of the life stories of patients and focused on symptoms. Therefore, a biological model of mental illness prevailed, causing an important crisis for psychotherapy. In my opinion, the cause of this crisis is simple: psychiatry reductionists, using data from scientific research, support the biological causes of psychiatric illness (e.g. excess dopamine, serotonin deficiency, etc.), and therefore were supposed to be able to say when, how and why a treatment protocol is effective, describing the mechanisms of action, therapeutic effects, limitations and side effects.
Keywords: Psychiatric drugs; Psychotherapy; Psychosis; Dialectical behavior therapy; Cognitive behavioral therapy; Obsessive compulsive disorder
Abbreviations: DBT: Dialectical Behavior Therapy; ERP: Exposure and Response Prevention; CBT: Cognitive Behavioral Therapy; BPD: Borderline Personality Disorder; OCD: Obsessive-Compulsive Disorder; SSRI: Serotonine Selective Reuptake Inhibitors; AP: Antipsychotics
Bio chemistryUniversity of Texas Medical Branch, USA
Department of Criminal JusticeLiberty University, USA
Department of PsychiatryUniversity of Kentucky, USA
Department of MedicineGally International Biomedical Research & Consulting LLC, USA
Department of Urbanisation and AgriculturalMontreal university, USA
Oral & Maxillofacial PathologyNew York University, USA
Gastroenterology and HepatologyUniversity of Alabama, UK
Department of MedicineUniversities of Bradford, UK
OncologyCirculogene Theranostics, England
Radiation ChemistryNational University of Mexico, USA
Analytical ChemistryWentworth Institute of Technology, USA
Minimally Invasive SurgeryMercer University school of Medicine, USA
Pediatric DentistryUniversity of Athens , Greece
The annual scholar awards from Lupine Publishers honor a selected number Read More...
We know the financial complexity of Individual read more...
The annual scholar awards from Lupine Publishers honor a selected number read more...