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Psychotherapy in Emergency Psychiatry: Between Myths and Evidence Based Medicine

Published online by Cambridge University Press:  16 April 2020

C. Damsa  and
J.-R. Freymann
C. Damsa
Affiliation:
Colorado, Denver, USA
J.-R. Freymann
Affiliation:
Strasbourg, Strasbourg, France

Abstract

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The aim of this communication is to debate between two seemingly contradictory epistemological approaches in emergency psychiatry: Psychotherapy and Pharmacotherapy. Even if many international experts consider the interest of combining psychotherapy and pharmacotherapy in emergency, clinicians often find a conflict between psychotherapeutic and pharmacological skills. The question of the transference will be discussed in the emergency psychiatric settings. The newest literature data about the interest of the combining treatments (psychotherapy and pharmacology) in emergency psychiatry will be discussed by the experts from our international emergency network [1]. Then, the presentation of some preliminary research experiences of our group [2, 3], will be followed by the discussion of new unpublished data from around 10000 patients admitted consecutively in four emergency psychiatry rooms (Switzerland, Belgium, France, Romania). The clinical heterogeneity of the emergency psychiatry situations often stimulate clinicians to become creative and search for “symbiosis” between psychotherapeutic and pharmacologic treatments, as well as for clinical practice and evidence based medicine.

Type
S08-01
Information
European Psychiatry , Volume 24 , Issue S1: 17th EPA Congress - Lisbon, Portugal, January 2009, Abstract book , January 2009 , 24-E43
Copyright
Copyright © European Psychiatric Association 2009

References

References:

Damsa, C., Ikelheimer, D. Adam, E., et al.Heisenberg in the ER: observation appears to reduce involuntary intramuscular injections in a psychiatric emergency service. Gen Hosp Psychiatry 2006; 28: 431–433CrossRefGoogle Scholar
Damsa, C. Zullino, D. Andreoli, A., et al.Quality of care in Emergency Psychiatry: Developing an international network. Eur Psychiatry 2007; 22: 411–412CrossRefGoogle ScholarPubMed
Damsa, C. Adam, E. Lazignac, C., et al.A naturalistic study of consecutive agitated emergency department patients treated with intramuscular olanzapine prior to consent. Am J Psychiatry 2008; 165: 535–536Google Scholar
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