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Psychotherapy Assessment and Treatment Selection

Published online by Cambridge University Press:  02 January 2018

Richard Tillett
Richard Tillett*
Affiliation:
Wonford House Hospital, Dryden Road, Won ford, Exeter EX2 5AF
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Abstract

Background

Current acceptance of the need for a wide range of treatments and growing pressure for cost-effectiveness suggest the need for a more discriminating approach to assessment of psychotherapy.

Method

Medline and manual literature searches, and personal experience of over 1000 assessments in a district psychotherapy service.

Results

There is substantial evidence for the general efficacy of psychotherapy; differential benefits are beginning to be identified. Short-term treatments are appropriate in a wide variety of situations and can be surprisingly effective. Chronic/complex psychopathology is likely to need longer term therapy.

Conclusions

Effective use of scarce psychotherapy resources requires knowledge of the research evidence of treatment effectiveness, careful assessment of the patient and a logical and collaborative approach to treatment planning.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 168 , Issue 1 , January 1996 , pp. 10 - 15
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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