Psychiatry & Psychotherapy Podcast Psychodynamic Psychopharmacology: Insights from Dr. David Mintz
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Jul 25, 2025 Dr. David Mintz, a seasoned psychiatrist with over 30 years at the Austen Riggs Center, delves into psychodynamic psychopharmacology. He discusses how medication isn't just biomedical but intricately tied to meaning and patient dynamics. Mintz emphasizes the role of patient expectations and identity in treatment responses. He highlights the critical nature of the therapeutic alliance in recovery, advocating for a personalized, holistic approach to psychiatric care that considers both psychological and physical health.
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Meaning Shapes Medication Response
- Medication response is shaped not just biologically but also symbolically by patients' expectations and meanings.
- Meaning profoundly affects medication efficacy and adherence, especially in treatment-resistant patients.
Early Adversity Influences Treatment
- Early adversity shapes patients' expectations of harm, influencing how they perceive and respond to medications.
- Understanding these transferences is essential to improve treatment outcomes.
Go Slow for Sensitive Patients
- Start medication low and go slow for patients with avoidant or fearful attachment due to their sensitivity to side effects.
- Discuss nocebo responses openly beforehand to reduce their impact and improve adherence.
