Chapter 21. Individual and Family Psychotherapies

Wayne S. Fenton, M.D.
DOI: 10.1176/appi.books.9781585622986.254845



The role of the psychiatrist in the treatment of schizophrenia varies widely based on treatment setting and availability of resources. In strained public systems and cost-conscious managed care environments, economic constraints circumscribe the psychiatrist's role to that of "medication management." In some instances medication management and crisis services are the only care provided to individuals with schizophrenia. This practice is contrary to substantial evidence that combining medication with psychosocial treatment yields better outcomes than medication alone, particularly for those with the most severe disabilities (Mojtabai et al. 1998).

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Table Reference Number
Table 21–1. Flexible psychotherapy hierarchy of clinical needs: interventions, goals, and evidence-based practices


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