British Medical Journal (BMJ)
04/18/2002
By Harvey McConnell
Training family doctors how to use brief cognitive behavior therapy techniques does not appear effective in helping the doctors treat their patients who are depressed.
Dr Oliver Davidson and colleagues at the Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, London, England, believes that doctors may require more extensive training and support to acquire the necessary skills to help patients with depression.
Although most men and women with psychological problems receive no treatment, many of those who do seek help have severe problems, and most are managed by their family doctor, the researchers point out.
Cognitive behavior therapy is as effective as pharmacotherapy for treating depression, with the benefit of reduced rates of long term relapse, Dr Davidson declares. It is also effective in depressed patients presenting to family doctors. Although cognitive behavior therapy is effective when delivered by family doctors who have received extensive instruction, most doctors do not have the time or inclination to undergo comprehensive training, he adds.
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