KAKO POVEĆATI UČINKOVITOST TRETMANA U PSIHIJATRIJI: TEORIJA I PRAKSA KREATIVNE PSIHOFARMAKOTERAPIJE

Despite the coming of significant number of new mental health medicines into clinical practice since “the decade of the brain”, outcomes of mental disorders in our “century of mind” remain poor in both short term and long term course of the treatment. Inadequate treatment in psychiatry seems to be more commonly the rule than the exception and huge number of patients does not respond in satisfactory way, in terms of the magnitude of therapeutic response and/or the persistence of the remission. There has been an increasing concern that clinical psychopharmacology has lost its right way and biological psychiatry its soul, and because of that commonly criticized as “mindless psychiatry”. Changing treatment philosophy may be a critical step towards overcoming what some sign as „therapeutic stagnation in psychiatry“ associated with a high rate of treatment failures. A “paradigm shift” is needed from the mechanistic, formistic and reductionistic ways of thinking of technical, nomothetic, dogmatic and impersonal psychopharmacology to contextual, systemic and creative thinking with a new treatment holodigm of individualized and person-centered psychopharmacology. The best treatments are those that timely utilize and integrate multiple therapeutic modalities. The concept of creative, person-centered narrative psychopharmacotherapy gives a hope for increasing treatment effectiveness and efficiency in psychiatry and thus overcome treatment failures and resistance