Many psychiatric problems are not treatable by medications alone. In fact, research tells us that the combination of medications AND psychotherapy is often better than either one by itself. Fortunately, Dr. Kline is a highly-trained psychotherapist with an enviable reputation. He provides psychotherapy in addition to medications. Our 20-minute visits include supportive psychotherapy. When the level of impairment is more severe, Dr. Kline conducts longer exploratory psychotherapy visits that include medication management.
Because of the high demand for psychotherapy conducted by Dr. Kline, his schedule may at times necessitate referal of some patients to other qualified psychotherapists in the area. In either case, you may rest assured that Dr. Kline will always completely assess your need for psychotherapy and provide it himself or, at times, refer you for the needed psychotherapy.
Are there advantages of seeing one doctor for both medications and psychotherapy?
Absolutely! There are four distinct advantages to seeing Dr. Kline for both psychotherapy and medications to treat your emotional problems. Most obvious is the advantage of paying just one copay rather than two. Another advantage is that you don't have to travel to two different locations for your treatment. A lesser appreciated but important advantage is that when you have a separate psychotherapist, it is difficult for the two to confer with each other and stay "on the same page." Finally, by seeing Dr. Kline you avoid the undesirable but frequent practice of some therapists who recommend medications for your primary care physician to prescribe you. This practice of prescribing by proxy is undesirable because counselors, social workers, and psychologists lack the medical and psychiatric training necessary to make these determinations safely and effectively.
What type of psychotherapy is available?
There are a variety of schools of psychotherapy. One of the oldest is psychodynamic or psychoanalystic psychotherapy. This type of psychotherapy derives from classic psychoanalysis but is less demanding of the patient's time and money. Sessions are typically scheduled twice weekly to every two weeks.
The goal of psychodynamic/psychoanalytic psychotherapy is to give the patient a deep understanding of his problems and "connect the dots." This including both intellectual and emotional processes. Psychodynamic psychotherapy explores in detail experiences during your formative years and relates them to how you respond to events in your life today. Dr. Kline likes to say that psychodynamic psychotherapy is all about changing your situation from the tail wagging the dog to the dog wagging its tail. The patient gains greater control and understanding of his or her responses and over the course of psychotherapy, the patient gains the ability to make responses to life that are more adaptive and less self-sabotaging.
This type of psychotherapy is quite successful in the appropriate patient. Most intelligent and psychologically-sophisticated patients prefer to understand their problems - not just learn "mental tricks" to deal with them. Dr. Kline, like psychoanalysts, underwent his own intensive psychotherapy, so he understands the workings of the mind by both his extensive formal training as well as his successful personal experience in psychotherapy.
How long does psychotherapy take?
As you might guess, there is no simple answer to this question. In every case, we will try to resolve acute issues in 6 to 12 visits. But often, the acute issues are only the most recent reflection of problems that are deeper in nature. In those instances, you and Dr. Kline will discuss options for longer-term treatment. By resolving the root causes of depression, anxiety, and low self-esteem, you can avoid many of the recurrent problems that occur in life and reduce your need for excessive doses of medication.
Psychotherapy vs. Medication
As previously mentioned, the combination of medication and psychotherapy usually offers greater success than either alone. But there is a distinction between the two that is very important. The effect of medication is limited to the period during which you take it, while psychotherapy provides life-long benefit as long as the patient completes the psychotherapy.
Reduced Availability of Psychotherapy due to Obama Care
Obama Care has dramatically impacted the availability of psychotherapy by psychiatrists. You deserve to know why. First, Obama Care has cost the insurance companies hundreds of millions of dollars. (UHC, for example, will lose one billion dollars in 2016!) To compensate for those huge losses, the insurers have increased deductibles and copays while restricting their drug formularies. Working families have a difficult time now affording healthcare, and some unfortunately don't pay their bill.
Second, psychiatrists have seen increasing numbers of patients with private insurance switching to Medicaid because their employers stopped their health insurance. Medicaid is the lowest payer out there. This has produced ever-increasing pressure on psychiatrist incomes.
Third, psychotherapy rates of reimbursement have always been significantly lower than the rates for shorter visits, and those rates also vary among health insurers. For example, United Healthcare rates are 40% lower than Humana's and 60% lower than Aetna's. As of 11/7/16, we will withdraw from the United Healthcare panel.
Before Obama Care, Dr. Kline could afford to provide psychotherapy to patients regardless of which insurance they had. That is no longer the case. This is just one of the consequences of Obama Care for working families.
* * * Please Note: We are no longer accepting patients with
Medicaid, Medicare, Aetna, UHC/UMR, or Suboxone patients. * * *