"Unsafe" Psychotherapy Supervision.

Psychotherapy supervision is essential to conveying knowledge and protecting patients and is critical to the development of psychiatric trainees. Both supervisors and supervisees generally find it rewarding. The authors describe and discuss two surprising parallel instances in which psychiatric residents at different programs abruptly terminated psychotherapy supervision, declaring it psychologically "unsafe.

The 16-Minute Hour: Combining Abbreviated Psychotherapy With Medication Visits. Part 3: Psychodynamic Therapy.

Psychiatrists increasingly practice psychotherapy by integrating their therapeutic training into brief medication visits. Insurance companies reimburse this approach using the 90833 Current Procedural Terminology (CPT) code, which corresponds to 16 to 37 minutes of add-on psychotherapy combined with pharmacotherapy. As scholarship focused on such short-form combined therapy is scarce, this 4-part series addresses the practice gap, providing guidance to practicing professionals.

Linguistic predictors of response to internet-based written CBT for PTSD symptoms of 9/11 world trade center recovery workers and survivors.

Trauma-focused cognitive-behavioral therapies (CBT) are the mainstay of posttraumatic stress disorder (PTSD) treatment, but treatment response is heterogeneous. We used automated linguistic analysis to identify markers of PTSD symptom improvement in response to integrative testimonial therapy (ITT), an internet-based, therapist-assisted written CBT for PTSD, for 9/11 World Trade Center rescue and recovery workers and survivors with PTSD symptoms. Therapy comprised 11 written narratives, separated into biographical reconstruction, exposure, and cognitive reappraisal narrative modules.

The 16-minute Hour: Combining Abbreviated Psychotherapy With Medication Visits. Part 2: Supportive Psychotherapy.

Psychiatrists increasingly practice psychotherapy by integrating their therapeutic training into brief medication visits. Insurance companies reimburse this approach using the 90833 Current Procedural Terminology code, which corresponds to 16 to 37 minutes of add-on psychotherapy combined with pharmacotherapy. As scholarship focused on such short-form combined therapy is scarce, this 4-part series addresses the practice gap, providing guidance to practicing professionals.

Efficacy of cognitive behavioral therapies with a trauma focus for posttraumatic stress disorder: An individual participant data meta-analysis.

Objective: This individual participant data meta-analysis aimed to investigate the effectiveness of cognitive behavioral therapy with a trauma focus (CBT-TF) for posttraumatic stress disorder (PTSD). Furthermore, we examined the effect of moderators on PTSD symptom severity.

Method: This study included randomized controlled trials comparing CBT-TF to an inactive or active comparison group for adults with PTSD.

Betrayal experiences among individuals living in war zones: A longitudinal study.

Objective: Betrayal, a component of moral injury, refers to the harm caused by the deliberate actions or inaction of someone trusted, violating one's values and beliefs. This study examines the impact of betrayal experiences-specifically perceptions of failure by political and military leadership-on mental health outcomes among civilians in Israeli conflict zones, focusing on anxiety, depression, and posttraumatic stress disorder (PTSD). It also explores the relationship between betrayal and war-related factors such as traumatic loss, forced displacement, and income loss, along with the roles of gender and ethnicity.

Israeli mental health in the aftermath of the October 7 terrorist attack: risks, challenges, and recommendations.

Background: The October 7, 2023 terrorist attack and subsequent war in Israel have created an unprecedented mental health crisis. This commentary examines emerging data on the psychological impact of these events and argues for a paradigm shift in the Israeli mental healthcare system.

Main Body: Recent studies reveal a dramatic increase in PTSD, depression, and anxiety among the Israeli populace.

The 16-minute Hour: Combining Abbreviated Psychotherapy With Medication Visits. Part 1: Introduction.

Psychiatrists increasingly practice psychotherapy by integrating their therapeutic training into brief medication visits. Insurance companies reimburse this approach using the 90833 Current Procedural Terminology code, which corresponds to 16-37 minutes of add-on psychotherapy combined with pharmacotherapy. As scholarship focused on such short-form combined therapy is scarce, this 4-part series addresses this practice gap, providing guidance to practicing professionals.

Treatment stigma mediates relationships between morally injurious events and depression, PTSD and anxiety symptoms.

Morally injurious events (MIEs), encompassing personal transgressions, witnessing others commit transgressions, or experiencing betrayal by leaders, can conflict with one's moral/ethical principles, evoking outrage and profound mistrust. Although MIEs are associated with depression, PTSD, and anxiety, the mechanisms linking MIEs to psychiatric symptomatology remain unclear, especially among civilians in times of collective trauma. This study explored one potential mechanism: stigma toward mental-health treatment, which can deter help-seeking and exacerbate guilt, shame, and mistrust.

The effects of war-related experiences on mental health symptoms of individuals living in conflict zones: a longitudinal study.

On October 7, 2023, a large-scale attack in southern Israel and the subsequent war resulted in extensive loss of life and injuries, with many individuals experiencing traumatic losses, such as family members or close friends being killed or kidnapped. This study aims to longitudinally examine its effects on mental health, specifically, clinical symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). We anticipated greater symptom severity among individuals who experienced traumatic loss, were forcibly displaced, or suffered income loss, as well as among women and members of ethnic minorities.

Brief video intervention to increase treatment-seeking among individuals living in a conflict zone: A randomized controlled trial.

Background: On October 7, 2023, a large-scale attack in Southern Israel and the ensuing war led to widespread casualties and the displacement of hundreds of thousands in Southern and Northern Israel. The conflict has exacerbated mental health issues. This randomized controlled trial assessed a brief social-contact-based video intervention on a large sample of individuals living in conflict zones, aiming to examine its effects on increasing treatment-seeking intentions.

Predictors of study dropout in cognitive-behavioural therapy with a trauma focus for post-traumatic stress disorder in adults: An individual participant data meta-analysis.

Background: Available empirical evidence on participant-level factors associated with dropout from psychotherapies for post-traumatic stress disorder (PTSD) is both limited and inconclusive. More comprehensive understanding of the various factors that contribute to study dropout from cognitive-behavioural therapy with a trauma focus (CBT-TF) is crucial for enhancing treatment outcomes.

Objective: Using an individual participant data meta-analysis (IPD-MA) design, we examined participant-level predictors of study dropout from CBT-TF interventions for PTSD.

Comparative efficacy of interpersonal psychotherapy and antidepressant medication for adult depression: a systematic review and individual participant data meta-analysis.

Interpersonal psychotherapy (IPT) and antidepressant medications are both first-line interventions for adult depression, but their relative efficacy in the long term and on outcome measures other than depressive symptomatology is unknown. Individual participant data (IPD) meta-analyses can provide more precise effect estimates than conventional meta-analyses. This IPD meta-analysis compared the efficacy of IPT and antidepressants on various outcomes at post-treatment and follow-up (PROSPERO: CRD42020219891).

Interpersonal Psychotherapy for Posttraumatic Stress Disorder: A Critical Review of the Evidence.

Extensively researched, exposure-focused therapies have dominated the treatment of posttraumatic stress disorder (PTSD). No treatment benefits all patients. Interpersonal psychotherapy (IPT), a nonexposure, affect-focused treatment, has emerged over 2 decades as an alternative evidence-based PTSD intervention.

Comparing brief video interventions to reduce public and self-stigma: Randomized control trial.

Aim: Stigma is a major mental healthcare barrier. This study compares the efficacy of two types of brief video interventions, targeting public and self-stigma, in reducing public stigma towards people living with psychosis. We hypothesized both interventions would similarly reduce public stigma and outperform the control group.

The role of income and emotional engagement in the efficacy of a brief help-seeking video intervention for essential workers.

Background: Recently we showed that a brief video-based intervention can improve openness to help-seeking and decrease treatment-related stigma among essential workers, particularly for female and Black individuals viewing demographically matched protagonists. The current randomized controlled trial explored two additional factors which may enhance the efficacy of this intervention: income level, known to be associated with help-seeking, and emotional engagement, which may enhance a person's ability to engage with the intervention. We hypothesized that income level and emotional engagement would correlate with changes in openness to help-seeking ("openness") and stigma.

Randomized Controlled Trial of a Brief Video Intervention to Reduce Self-Stigma of Mental Illness.

Self-stigma, a phenomenon wherein individuals internalize self-directed negative stereotypes about mental illness, is associated with negative outcomes related to recovery. This randomized controlled study assessed the efficacy of a brief social contact-based video intervention in reducing self-stigma in a large sample of individuals ages 18-35 endorsing an ongoing mental health condition. We hypothesized that the brief video would reduce self-stigma.

Geographical distance predicts psychiatric treatment retention for Hispanic women with comorbid major depression and breast cancer.

Purpose: Depression is among the most common comorbid psychiatric disorders of patients with breast cancer. Depression decreases patient quality of life and, if untreated, can adversely affect cancer treatment. We sought to identify treatment barriers for women with breast cancer receiving psychotherapy for depression.