Why #psychiatry research seems to exist in a parallel universe: "Academic psychiatrists who pursue research careers may not have patients after residency, let alone practice psychotherapy." -- psychologist Jonathan Shedler https://www.psychiatrictimes.com/view/psychoanalysis-re-enchantment-psychiatry-jonathan-shedler-phd
"But aren’t we seeing the same kind of arrogance & reductionism in #psychiatry today?....I cannot tell you how many depressed patients I’ve worked with...successfully....who had been on 1 medication after another for years or decades with little benefit." https://www.psychiatrictimes.com/view/psychoanalysis-re-enchantment-psychiatry-jonathan-shedler-phd
"These patients often go from #antidepressants to mood stabilizers to atypicals....We see polypharmacy nightmares, with patients on 5 or 6 or more #psychiatric medications, and they are just as depressed as when they started." https://www.psychiatrictimes.com/view/psychoanalysis-re-enchantment-psychiatry-jonathan-shedler-phd
Awais Aftab: "The poor long-term efficacy outcomes of status quo treatments for depression, whether these are #antidepressant medications or manualized therapies, are well-recognized within the [mental health] profession but rarely advertised." https://www.psychiatrictimes.com/view/psychoanalysis-re-enchantment-psychiatry-jonathan-shedler-phd
Awais Aftab: "The uncomfortable truth is that majority of patients with depression (and other disorders, such as PTSD, anxiety, etc.) do not experience sustained recovery with either medications or short-term manualized therapies" (which are often CBT). https://www.psychiatrictimes.com/view/psychoanalysis-re-enchantment-psychiatry-jonathan-shedler-phd