Treatment Resistance

  • Eric M. Plakun, MD, DLFAPA, FACPsych, Associate Medical Director and Director of Admissions

    Austen Riggs Center Director of Biopsychosocial Advocacy Eric M. Plakun, MD, talks about the Biopsychosocial Advocacy strategic initiative at Riggs.

  • Austen Riggs treatment approach is based on four-times weekly psychotherapy.

    The field is learning that psychiatric diagnosis is not as straightforward as in the rest of medicine and surgery, where making the single right diagnosis points toward the likely effective treatment.

  • The Austen Riggs Center treatment approach is based on four-times weekly individual psychotherapy.

    This is a good time for American psychiatry. After nearly a quarter century of a reductionistic focus on biology and medications as mutative factors in mental health, psychiatry is rediscovering what it had already known. New studies are regularly demonstrating the crucial importance of psychosocial factors in the treatment of a range of mental conditions.

  • Eric M. Plakun, MD, DLFAPA, FACPsych, Associate Medical Director and Director of Admissions

    Despite advances in research methodology and efforts in the mental health and addictions fields to move toward evidence based treatment, large numbers of patients fail to respond to our best evidence based treatments. This has led to growing recognition of the phenomenon of treatment resistance.

  • Admissions consult

    The recent 60 Minutes piece and Terry’s blog about her experience speaking to managed care reviewers are moving, powerful and frustrating. The draconian procedures sometimes used by managed care organizations make it hard to remember that, in fact, they operate from the same “limited resources” moral imperative as the environmental movement.

  • Therapeutic Relationship

    The Austen Riggs Center has a long history of treating patients who have tried and failed to respond to previous treatment efforts.  Early on, Riggs clinicians recognized the importance of so-called “treatment resistant” psychiatric disorders and their associated societal, financial and personal burdens – including death by suicide.

  • Psychotherapy

    According to the American Psychiatric Association Practice Guideline on Borderline Personality Disorder, the most effective treatment modality is not medication, but psychotherapy. This is why we make intensive individual psychodynamic psychotherapy a foundation of every treatment at Riggs.

  • David Mintz, MD

    A preview of the InContext workshop, March 23 in Atlanta, GA.


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