Abstract
CME Educational Objectives 1. Understand the potential benefits of combined psychotherapy and medication management. 2. Appreciate subtleties in conducting these two processes simultaneously. 3. Develop a further understanding of the intensive short-term dynamic psychotherapy (ISTDP) model. Intensive short-term dynamic psychotherapy (ISTDP) is based on the psychoanalytic theory of unconscious conflict but departs from standard psychodynamic therapy in a number of significant ways. This highly active form of treatment is designed to mobilize intense feelings, regulate anxiety, and overcome defense and resistance. It has a growing body of evidence of clinical effectiveness across a wide range of patients and has demonstrated significant cost savings. 1 This article explores unique elements of ISTDP, as well as practical issues that arise when ISTDP is introduced into a psychiatrist’s practice. It will offer examples of how ISTDP can positively impact an outpatient practice where psychotherapy and medications are integrated. ISTDP’s unique approach to assessment and diagnosis will be described and compared to the standard psychiatric evaluation. Additionally, the relationship between ISTDP and medication treatment is explored.
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