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Competency in Combining Pharmacotherapy and Psychotherapy, Second Edition

Integrated and Split Treatment

Michelle B. Riba, M.D., M.S., Richard Balon, M.D., and Laura Weiss Roberts, M.D., M.A.
Series Editor: Glen O. Gabbard, M.D.

  • ISBN 978-1-61537-180-8
  • Item #37180

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Most clinicians endorse the combination of pharmacotherapy and psychotherapy as more effective and beneficial than each modality alone, but combining these treatments can be a complicated and highly variable process.

Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment is designed to help psychiatrists at any stage of their career achieve competency in combining and coordinating pharmacotherapeutic and psychotherapeutic treatments for the benefit of their patients.

This guide, now in its updated, second edition, addresses both integrated (single clinician) and split/collaborative (multiple clinicians) treatments, discussing for each:

  • The selection of medication and psychotherapy
  • The patient evaluation and opening
  • Sequencing
  • Evaluating, monitoring, and supervising treatment
  • Terminating and transitioning patient care

The book also offers a chapter—new to this second edition—that focuses on primary care access for mental health services in the context of integrated and split/collaborative care.

The rapid transformation of clinical care models in new health systems means that competence in integrated and split/collaborative care is absolutely vital for long-established clinicians as well as for psychiatric professionals in the early stages of their careers.

Competency in Combining Pharmacotherapy and Psychotherapy offers an unrivaled introduction to the complex process of combining medication and psychosocial treatments, clearly defining the competencies of combining two modalities. Psychiatric educators should note that this resource relates to all six main competencies of the Accreditation Council for Graduate Medical Education: patient care and procedural skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.


  • Preface
  • About the Authors
  • Chapter 1. Introduction to Integrated and Split/Collaborative Treatment
  • Chapter 2. Selection of Medication and Psychotherapy in Integrated Treatment
  • Chapter 3. Evaluation and Opening in Integrated Treatment
  • Chapter 4. Sequencing in Integrated Treatment
  • Chapter 5. Selection of Medication, Psychotherapy, and Clinicians in Split/Collaborative Treatment
  • Chapter 6. Evaluation and Opening in Split/Collaborative Treatment
  • Chapter 7. Sequencing and Maintenance in Split/Collaborative Treatment
  • Chapter 8. Evaluation, Monitoring, and Supervision of Integrated and Split/Collaborative Treatment
  • Chapter 9. Termination in Integrated and Split/Collaborative Treatment
  • Chapter 10. Primary Care and Split/Collaborative Care: Improving Access, Decreasing Costs, Improving Outcomes
  • Appendix: Review Questions on Competencies Related to Integrated and Split/Collaborative Care

About the Authors

Michelle B. Riba, M.D., M.S., is Clinical Professor and Program Director of the Psychosomatic Medicine Fellowship; Associate Director of the University of Michigan Comprehensive Depression Center; and Director of the PsychOncology Program at the University of Michigan Comprehensive Cancer Center in Ann Arbor, Michigan.

Richard Balon, M.D., is Professor, Departments of Psychiatry and Behavioral Neurosciences and Anesthesiology; and Associate Chair for Education and Program Director at the Department of Psychiatry and Behavioral Neurosciences at Wayne State University School of Medicine in Detroit, Michigan.

Laura Weiss Roberts, M.D., M.A., is Katharine Dexter McCormick and Stanley McCormick Memorial Professor and Chair of the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, Stanford, California.

This book is an outstanding contribution to the training literature. Written in a competency-based format, it details the specific items that residents must learn to manage combined treatment from assessment to termination; it also provides practical, specific advice about managing outpatient care in general. The ethical dilemmas often faced in current systems of care are addressed with thoughtful, straightforward advice. I would recommend the text as the basis for a stand-alone course for mid-level trainees.—Donna M. Sudak, M.D., Professor of Psychiatry, Interim Director of Training, Director of Psychotherapy Training, Drexel University

To do modern clinical psychiatry, this text should be right by your side. It describes how to integrate cutting-edge psychopharmacology with psychosocial interventions. Following their practical guidelines, you'll thank Riba, Balon and Roberts after every patient and family session.—Ira D. Glick, M.D., Professor Emeritus of Psychiatry & Behavioral Sciences, Department of Psychiatry, Stanford University School of Medicine

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