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Self-Assessment Questions

Psychiatry


Answer 1
  1. Combined treatment and split treatment. In the example, both medications and psychotherapy are being used in combination to treat this patient’s recurrent major depressive episode. Combined treatment refers to the combination of both of these modalities and does not refer to the use of 2 or more psychotropics. Combined treatment also is known as collaborative treatment, concurrent treatment, shared treatment, and parallel treatment.1 Combined treatment can be carried out using a split treatment arrangement, with one provider prescribing medication and the other performing the psychotherapy, or via an integrated treatment arrangement in which the same practitioner provides both psychotherapy and pharmacotherapy. In this example, the PCP provides the SSRI and the mental health provider the IPT, constituting a split treatment arrangement.

    REFERENCE
    1. Riba MB, Balon R. The challenges of split treatment. In: Kay J, editor. Integrated treatment of psychiatric disorders. Washington (DC): American Psychiatric Publishing; 2001.

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