Psychotherapy is important because some conditions have no effective pharmacotherapy treatment available, medication can be contraindicated, and the patient may not want to take medication. Most importantly, most patients have social and interpersonal problems accompanying Axis I disorders either as the source of or the consequence of the illness, said Glick.
However, there are several reasons why combined therapy is not delivered, said Glick. Many providers deliver one or the other, most insurers pay for non-integrated treatment, many professionals are trained in one or the other, and there is still a presence of provider bias.
Psychotherapy has shown to improve outcomes over medication alone in bipolar disorder, childhood attention-deficit/hyperactivity disorder, MDD, schizophrenia, posttraumatic stress disorder, sleep disorders, and bulimia nervosa, said Glick.