Wellness Over Illness

In last weeks New York Times Sunday Magazine, ancountless studies (either as an alternative or in
article written by Daniel Carlat, M.D., entitled Mind overconjunction with psychotropic medications), it is
Meds, raises the hotly debated issue of the value ofcommon sense that mental health professionals need
psychotherapy versus the value of psychotropicto know the patient sitting in front them in order to
medications for treating mental illness. It also raises theprovide effective care.
issue of the unfortunate state of mental health careDr. Carlat's conclusion that psychiatry needs to
that is provided in this country.assume a more holistic approach that incorporates
Dr. Carlat, a psychiatrist and associate clinicalsupportive psychotherapy is certainly a step in the right
professor of psychiatry at Tufts University School ofdirection, but it does not address the underlying issue.
Medicine, discusses that after several years ofSpecifically, the "disease model" that is prevalent in our
practicing he has come to the realization that toculture emphasizes treatment of pathology rather than
effectively treat his patients it is necessary to do morepromotion of healthy living. It is a reactive approach
than simply diagnose and dispense medication, but alsothat simply strives to reduce symptoms. By adopting a
get to know them and provide supportivepreventive model to mental health we can reduce the
psychotherapy. I support Dr. Carlat's comments andincidence and severity of mental illness, improve the
the initiative he has taken to speak out about this veryoverall well-being of our society, as well as cut the
important topic. I hope that his article is one of severalcosts necessary to treat these diseases by drastic
efforts that are made by the field of psychiatry toamounts.
evolve beyond merely providing medication for theMoreover, there is an abundance of research, such as
treatment of mental health issues.findings from the burgeoning field of Positive
Nonetheless, I find it disturbing that getting to know andPsychology, which demonstrate that by identifying and
understand one's own patient instead of trying to pegfostering individual strengths/talents we can not only
them into a diagnostic category would be a revelationalleviate suffering but also enable people to achieve
or a novel concept. Beyond the fact that the efficacymore fulfilling and meaningful lives.
of psychotherapy has been long established by