What we’ve said about Good psychiatric management

“Good psychiatric management is supposed to apply to patients with borderline personality disorder. However, and to me, it's a great overview of the approach to med management appointments for patients like that. But I think the principles generalize so well”

“way we view treatment is that you're trying to have them get a life. Them getting better doesn't occur in treatment. It occurs with you helping them to have better relationships and more involvement in work”

“Two is be active, not reactive. Being responsive assures patients that you're interested, involved, and don't catastrophize. Three is be thoughtful. So you're a container for your patient's anxieties and a role model for thinking first”

“enforcing accountability is not just about making somebody culpable or blaming them, right? Accountability philosophically is equivalent with agency. We're trying to build agency in our patients, make them able to control and direct their lives”

“work actually provides a structure that's very protective for a lot of conditions. So when you're doing these disability assessments, you need to be talking to the person about the downsides of disability”

“If this is not the kind of work that you think you can do well and responsibly, refer out. Don't be afraid to refer out. Or rely on a very strict and concrete and reality-based agreement about what you're going to do”