90807 Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services

Name of the Procedure:

Individual Psychotherapy, Insight-Oriented, Behavior Modifying and/or Supportive, with Medical Evaluation and Management Services (45-50 minutes)

Summary

Individual Psychotherapy is a therapeutic technique involving a one-on-one session between a therapist and a patient. The session typically lasts 45 to 50 minutes and is conducted in an office or outpatient facility. It combines insight-oriented therapy, behavior modification strategies, and supportive counseling. When necessary, medical evaluation and management services are also provided.

Purpose

Individual Psychotherapy is used to address various mental health conditions such as depression, anxiety, panic disorders, and emotional distress. The goal is to help the patient gain insights into their thoughts and behaviors, develop coping mechanisms, and provide emotional support. Medical evaluation and management are included to monitor and adjust psychiatric medications as needed.

Indications

• Persistent symptoms of depression or anxiety
• Panic disorders
• Emotional and behavioral issues
• Conditions requiring both therapy and medical management
• Patients who need a combination of psychotherapy and medication adjustments

Preparation

• No specific physical preparation required.
• Patients may need to fill out pre-session questionnaires or screening tools.
• Existing medical conditions should be discussed with the therapist.
• Bring a list of current medications.

Procedure Description

1. Initial discussion to understand the patient's history, concerns, and symptoms.
2. Conducting a psychiatric assessment and mental health evaluation.
3. Engaging in insight-oriented therapy to explore underlying issues.
4. Applying behavior modification strategies to change negative behaviors.
5. Providing supportive counseling to bolster emotional health.
6. Reviewing and adjusting any current psychiatric medications.

Tools and Technology:

• Questionnaires and screening tools
• Medical records for review
• Standard office equipment

Anesthesia/Sedation:

• Not applicable

Duration

Typically lasts 45 to 50 minutes per session.

Setting

The procedure is performed in an office or outpatient facility.

Personnel

• Licensed Psychotherapist
• Psychiatrist (for medical management services)

Risks and Complications

• Emotional discomfort, particularly when discussing traumatic events
• Temporary increase in distress or anxiety
• Potential for dependency on therapy sessions
• Rare medication side effects that require monitoring

Benefits

• Improved mental health and emotional well-being
• Better understanding and management of mental health conditions
• Strategies for effective behavior modification
• Insight into personal issues and improved coping mechanisms
• Potential adjustment and optimization of psychiatric medications

Recovery

• No physical recovery time required.
• Patients may feel emotionally drained immediately following a session.
• It’s important to follow through with any therapist-recommended activities or coping strategies.
• Regular follow-up appointments may be scheduled.

Alternatives

• Group therapy: Provides peer support but less individualized attention.
• Medication-only treatment: Focuses on chemical management rather than behavior and thought modification.
• Cognitive Behavioral Therapy (CBT): Focuses more specifically on changing negative thought patterns.

Patient Experience

• Patients may feel a range of emotions during sessions, including relief, discomfort, or anxiety.
• Sessions typically include a comfortable, private setting to facilitate open communication.
• Post-session, patients might feel emotionally uplifted or temporarily drained.
• Ongoing sessions are often necessary to achieve optimal outcomes.