KevinMD March 1, 2024
Arthur Lazarus, MD, MBA

As far as I know, time travel is fodder for science fiction thrillers and movies. It doesn’t actually exist on Earth. However, I can time travel in my mind, and I do it frequently, reminiscing about the 40 years between the time I completed my psychiatric residency (in 1984) and now. What has changed in my specialty in that interval?

Mainly, there are fewer psychiatrists practicing psychotherapy – less than half, to be exact. They have become psychopharmacologists, content to let the drugs do all the work while referring patients to “therapists” of all ilk to handle the complex psychodynamics underpinning mental illnesses. For mental health issues related to “problems in living” – relationship problems, financial hardship, job stress, and...

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