Reported in Psychiatric Times:
The number of psychiatrists who provided psychotherapy to all of their patients declined from 19.1% in 1996-1997 to 10.8% in 2004-2005. From 1996 through 2005 psychotherapy was provided in 5597 of 14,108 office visits to psychiatrists lasting longer than 30 minutes, but the percentage of visits involving psychotherapy declined from 44.4% in 1996-1997 to 28.9% in 2005-2006.
Several predictors were associated with a greater likelihood of receiving psychotherapy.
Patients who pay out-of-pocket are more likely to get psychotherapy from psychiatrists than those who have private insurance, said Mojtabai. Patients with personality disorder or dysthymia are more likely to receive psychotherapy from their psychiatrists, whereas patients with schizophrenia are less likely.
Regional differences also were apparent, Mojtabai told Psychiatric Times. Patients in the Northeast (46.4%) are more likely to receive psychotherapy from their psychiatrists than those in the South ( 23%).
Among patients less likely to receive psychotherapy from psychiatrists are those who are black, Hispanic, or younger than 25 years and those who have public insurance such as Medicaid.
The trends identified in the analysis “highlight a gradual but important change in the content of outpatient psychiatric care in the United States and a continued shift toward medicalization of psychiatric practice.”
H/T: The News Junkie