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Is Antidepressant Ketamine a Game-Changer?

Despite Its Growing Popularity, Some Therapists are Cautious

Chris Lyford

By Chris Lyford - In just a few years, the number of clinics administering ketamine, an anesthetic-turned-antidepressant, has spiked rapidly. After about six ketamine infusions, 70 to 80 percent of participants with treatment-resistant depression no longer experience symptoms, and usually within hours. But despite the hype, some therapists are recommending caution.

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Marijuana and Mental Health

How Concerned Should Psychotherapists Be?

Tori Rodriguez

By Tori Rodriguez - The more marijuana legalization reaches mainstream acceptance, the more the divisions of opinion within the mental health field—presumably the professionals who have the most scientifically informed perspective on the debate—become apparent.

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When Depression Runs in the Family

Being Haunted Isn't the Same as Being Cursed

Martha Manning

By Martha Manning - My family is haunted by depression. My mother can trace it back in her family at least six generations. When it hits, it hits hard. My own battle with depression has focused on developing an understanding of the commonalities I share with my mother and grandmother, appreciating aspects of our shared legacies as some of the things I most valued in myself. Being haunted is not the same as being cursed.

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The Limits of Big Pharma

Psychopharmacology Has Plateaued. Does It Have a Future?

Talia Puzantian

By Talia Puzantian - In the more than quarter century since the arrival of Prozac, few medications since then have represented any real expansion of our understanding of how to regulate the nervous system with chemicals. So what lies ahead for psychopharmacology? And where might the new advances come from?

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In Your Client's Shoes

To Get a Depressed Client Unstuck, First Understand Their Thought Process

Michael Yapko

By Michael Yapko - Often when I work with depressed clients, I learn about the discriminations they didn’t make that have made matters worse. That typically leads to my asking a series of questions that begin with the word how. I’m not looking to interpret the meaning of people’s depression: I’m trying to understand the way my client is thinking that limits their perspective.

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A Paradigm of Wholeness

Offering Medication as the Primary—And Often Only—Treatment Isn't Working

Henry Emmons

By Henry Emmons - Today, medication management remains the primary role of most psychiatrists. In my view, it’s not working well, either for our patients, or for ourselves. Feeling deeply that something was missing in my own psychiatry practice, I developed a three-stage process for treating depression through more holistic, integrative work.

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VIDEO: How to Think Scientifically about Medications

Why Having a Hypothesis Works for the Non-Medical Therapist

Steven Dubovsky

Despite the increasing popularity of psychiatric meds as the go-to remedy for everything from seasonal depression to social anxiety, drugs are often not the best treatment alternative. In the following video clip, Steven Dubovsky, MD, explains why therapists should create a hypothesis about what might be causing a client’s suffering and investigate it thoroughly before deciding to recommend medication.

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VIDEO: Peter Kramer on Antidepressants and Your Practice

Today's Medications Are Leagues Above Their Predecessors

Peter Kramer

We've all heard of the undesirable side effects of certain medications that are used therapeutically. But according to psychiatrist Peter Kramer, author of the renowned Listening to Prozac, many of today's antidepressants not only have fewer side effects, but give psychotherapists more flexibility in their treatment options.

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How to Develop a Safety Plan with Suicidal Clients

A Process of Inquiry That Promotes Empathic Connection

Douglas Flemons

By Douglas Flemons - Suicide assessment is a high-stakes process infused with uncertainty. However, even the best scales can be unreliable when they’re completed in the midst of an emotional crisis. Rather than outsourcing your decision-making to an instrument, it's important that therapists learn how to conduct a conversational evaluation that builds on their therapeutic skills.

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Diagnosing and Treating Subtle Bipolar II

A Perspective on "Depression Plus"

James Phelps

By James Phelps - Treatment for bipolar disorders used to focus on medication, but like many other mood specialists, I’ve found that most clients don’t get the help they need with medication alone, or even with established therapy approaches in combination with medication. Instead, a combination of new, lesser-known therapies plus medications has been shown to produce substantial gains in mood stabilization and daily functioning.

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