Psychiatry & Psychotherapy Podcast Psychotherapy for Psychosis with Dr. Michael Garrett
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May 19, 2023 Dr. Michael Garrett discusses combining CBT and psychoanalytic treatments for psychosis. They explore patient experiences and challenges in therapy, including altered states of consciousness and imaginative manifestations. The podcast also delves into medication skepticism, tapering antipsychotic medication, and the importance of individualized therapy for better patient care.
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Engaging Resistant Patients
- When family members are concerned about a psychotic individual, empathize with their suffering.
- Focus on their worries and pains to engage them in treatment.
Focusing on the Real Distress
- Dr. Garrett treated a man distressed by voices, not because of their content, but because his family disbelieved him.
- Treatment focused on the alienation from family, not eliminating voices.
Setting Boundaries
- Set clear expectations for civil behavior and safety within the family.
- Offer an ultimatum of treatment or alternative living arrangements if necessary.