Talk Therapy’s Shrunken Role in Psychiatry

People think of a psychiatrist as someone sitting in a chair, listening to a patient on a couch. Increasingly, though, that image is a thing of the past, a New York Times article says. Now many psychiatrists don’t provide talk therapy. Instead, they talk to patients just long enough to see how they’re doing with their medicines. Then they write a prescription, adjusting as needed. The main reason for the change is insurance rates, the Times says. Psychologists and social workers charge less. And there’s no proof that psychiatrists do therapy better. So insurance companies pay the lower rates. A survey in 2005 found that only 11% of psychiatrists provided talk therapy to all patients, the Times says. Now they see many more patients, but briefly. Three 15-minute visits pay about $150, compared with $90 for a 45-minute talk therapy session.