Psychotherapy & Liaison
Competence in supportive psychotherapy is a required outcome of psychiatry residency, and the core techniques of supportive psychotherapy are widely employed in a variety of patient encounters. However, explicit teaching about supportive psychotherapy tends to be limited, and both trainees and faculty struggle to articulate what they are doing and why.
Most consultation-liaison psychiatrists are engaged in supportive psychotherapy with their patients, sometimes without recognizing it. The consultation-liaison service is also a rich environment in which to learn supportive psychotherapy: patients seen in consultation often benefit significantly from supportive psychotherapy and the structure of many teaching services allows for close supervision of trainees as they learn and practice these skills.
The 3-Step Supportive Psychotherapy Manual was developed by Deborah Cabaniss, MD as a teaching resource for busy clinical settings such as the emergency department, CL service, and psychiatric inpatient units. It provides a clear structure for residents and faculty to discuss case conceptualization, establish a treatment frame, and select techniques for intervention. Utilizing this structure adds very little time to the supervisory or patient care encounter, but allows both trainee and supervisor to share a language and mental model about what is being accomplished and why. The manual is freely available to training programs to use with their residents.
This practical, hands-on workshop will provide attendees with a refresher on the basics of supportive psychotherapy and common strategies employed in the CL setting. Attendees will receive a copy of the 3-Step Supportive Psychotherapy Manual, and use of the manual to guide interventions in a patient case will be demonstrated. Audience members will then have the opportunity to practice the steps of the manual in small group discussion.
Basics of Supportive Psychotherapy in the CL setting (20 minutes) – Fischel
Using the 3-Step Manual to Guide and Supervise Supportive Therapy on the CL Service (20 minutes) – Rackley and Shalev
Small Group Practice (40 minutes)
Large Group Discussion (10 minutes) – Fischel, Rackley, and Shalev
Attendees will leave the workshop equipped to use the manual in their own day-to-day practice, their teaching, and their faculty development efforts.