How psychiatric therapy is changing:
The expanded use of pills and insurance policies that favor short office visits are among the reasons . . .
. . . Today’s psychiatrists get reimbursed by insurance companies at a lower rate for a 45-minute psychotherapy visit than for three 15-minute medication visits, he explained.
With cognitive therapy getting the shaft in primary care and psychiatry, doctors are simply responding to incentives.
Changing physician behavior starts with reforming the payment system.
