90837 Psychotherapy, 60 minutes with patient

Name of the Procedure:

Psychotherapy, 60 minutes with patient Common names: Talk Therapy, Counseling, Psychological Therapy

Summary

Psychotherapy, often called talk therapy, is a treatment approach in which a trained therapist works with a patient to address emotional, mental, and behavioral issues through conversation. Sessions typically last 60 minutes and involve discussing thoughts, feelings, and experiences to promote mental well-being.

Purpose

The procedure addresses a range of mental health conditions such as depression, anxiety, trauma, and emotional difficulties. The primary goals are to improve emotional regulation, develop coping strategies, and enhance overall mental health.

Indications

• Chronic or acute depression
• Anxiety disorders
• Post-Traumatic Stress Disorder (PTSD)
• Obsessive-Compulsive Disorder (OCD)
• Relationship and family issues
• Grief and loss
• Stress management
• Behavioral problems

Preparation

There are typically no specific pre-procedure instructions. Patients are encouraged to identify issues they wish to discuss and think about their goals for therapy. A prior diagnostic assessment or referral by a healthcare provider may be helpful.

Procedure Description

1. Initial Assessment: The therapist gathers information about the patient's history and issues.
2. Goal Setting: Both patient and therapist set therapy goals.
3. Therapy Session: Through guided conversation, cognitive-behavioral techniques, and other therapeutic methods, the therapist helps the patient explore their thoughts, feelings, and behaviors.
4. Homework Assignments: Sometimes, the therapist may provide exercises or tasks for the patient to complete between sessions.

No specialized tools are typically required. The setting is usually a private and comfortable room to facilitate open communication. No anesthesia or sedation is necessary.

Duration

Each session typically lasts 60 minutes.

Setting

Psychotherapy is performed in outpatient settings such as private practice offices, mental health clinics, and hospitals.

Personnel

• Licensed therapists (e.g., psychologists, clinical social workers, licensed professional counselors).

Risks and Complications

• Emotional discomfort during sessions as difficult topics are explored.
• Risk of dependence on therapy for emotional support over time.
• Potential aggravation of symptoms before improvement is observed, especially with deep-seated issues.

Benefits

• Improved mental health and emotional well-being.
• Development of effective coping mechanisms.
• Enhanced self-awareness and insight.

• Better relationships and interpersonal skills.

  Benefits are typically incremental and vary based on individual progress.

Recovery

No physical recovery period is required. Patients may feel emotionally drained or reflective after sessions. Ongoing sessions may be scheduled weekly or bi-weekly based on patient needs and therapeutic goals.

Alternatives

• Medication (e.g., antidepressants, anti-anxiety drugs).
• Group therapy.
• Self-help strategies such as reading, stress management techniques, and physical exercise.

Each alternative has its own set of benefits and drawbacks compared to psychotherapy.

Patient Experience

During psychotherapy, patients might feel a range of emotions from relief and comfort to discomfort and vulnerability, depending on session content. Therapists often provide a supportive environment and techniques to manage any distress experienced during or after the sessions.