Why are some persons with mental health problems so difficult to help? Is it the illness that is “treatment-resistant” or is it the patient who is “treatment-resistant”?
Below is an interview with David Mintz, MD, who is a psychiatrist at the Austen Riggs Center in Stockbridge, MA. In his clinical work, Dr. Mintz is involved in the treatment of patients whose illness is complex, who have multiple comorbidities, and whose illness has not improved despite multiple treatments. These patients often have extensive histories of unsuccessful trials of medications.
Dr. Mintz needed to address the problem of resistance to psychopharmacological treatments. For this, he developed an approach and a set of technical principles that he has called “psychodynamic psychopharmacology.” He has published and lectured widely on this topic, educating clinicians about this approach.
Dr. Mintz gives us some clinically useful tips about how we can start using psychodynamic principles to better understand what is going on with the patients we are treating with medications and to be more effective as psychopharmacologists.
Click on the videos below to listen to the interview with Dr. Mintz in three parts. Make sure to listen to ALL THREE parts because Dr. Mintz covers new points in each part. (If your connection is slow, the videos may take a few moments to load.)
Mintz D. Psychodynamic psychopharmacology: Addressing the underlying causes of treatment resistance. Psychiatric Times 2011.
Mintz D. Meaning and medication in the care of treatment-resistant patients. Am J Psychother. 2002;56(3):322-37. PubMed PMID: 12400200.
Mintz D. Psychodynamic Trojan horses: using psychopharmacology to teach psychodynamics. J Am Acad Psychoanal Dyn Psychiatry. 2006 Spring;34(1):151-61. PubMed PMID: 16548753.
Mintz DL. Teaching the prescriber’s role: the psychology of psychopharmacology. Acad Psychiatry. 2005 May-Jun;29(2):187-94. Review. PubMed PMID: 15937266.
Mintz D, Belnap B. A view from Riggs: treatment resistance and patient authority – III. What is psychodynamic psychopharmacology? An approach to pharmacologic treatment resistance. J Am Acad Psychoanal Dyn Psychiatry. 2006 Winter;34(4):581-601. Review. PubMed PMID: 17274730.
Copyright 2016, Rajnish Mago, MD. All rights reserved. May not be reproduced in any form without express written permission.
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