Monday, February 3, 2020

Less Than 11% of Austin Psychiatrists Practice Psychotherapy 

 

Less Than 11% of Austin Psychiatrists Practice Psychotherapy!

In a 2011 New York Times article titled Less Talk, More Medicine, the newspaper points out a shocking statistic. Austin, and other psychiatrists nationwide, practice psychotherapy 11 percent of the time, according to the nationwide average. Since the article includes Austin psychiatrists that practice psychotherapy in less than 11 percent of cases, we felt a need to write about these facts. (Article posted here)

Tara Parker-Pope outlines fundamental shifts in the practice of psychiatry away from psychotherapy.  In her article, she quotes a 2005 study showing only 11% of psychiatrists performing psychotherapy.  In the time since her article, I haven’t seen a shift towards reversing this trend and would, unfortunately, suspect the number of national and Austin psychiatrists actively practicing psychotherapy has decreased since 2011.  At Pondworks we are a clinic that still believes and actively practices both psychotherapy and medication management.   So if you are looking for an Austin psychiatrist and an outpatient psychiatry clinic that still combines these treatments, Pondworks may be a good fit for you 

89% of Psychiatrists Do Not Practice Psychotherapy in Austin!

89 percent do not practice Psychotherapy in Austin

Why Is Practicing Psychotherapy Even That Important?

“Why would I care if my psychiatrist can practice psychotherapy and why is this even important?” you may ask.

My first answer would be talk therapy works often as well as medications.  My second would be research suggests combination medications with talk therapy offers the most powerful benefit.  So if talk therapy is important wouldn’t you want your provider to be able and willing to provide this?  You would want your surgeon to be actively performing a procedure you need…..right?   Why would it be different for your psychiatrist?  If a provider spends little to no time practicing psychotherapy and has had minimal training in the latter, he or she will look to define you through what they practice.  This typically means focusing your problems through the symptom checklist.   If a provider is unable or unwilling to practice the broadening, humanizing aspects that psychotherapy represents, it may become difficult to remember how to integrate a unique life with treatment plan.     

The Less Talk, More Medicine Approach To Mental Health And The Austin Psychiatrists That Practice Psychotherapy

What about if you have a therapist already and finding an Austin Psychiatrist to provide “Less Talk…and More Medicine” is really what you’re looking for?   Why should you care about your psychiatrist providing therapy?  A valid question certainly, but let me suggest there still benefits in seeking out  psychotherapy providing psychiatrist.  Here’s my reason why.  Practicing the art of psychotherapy means working towards being an “expert” at forming therapeutically helpful relationships with peopleWouldn’t you rather see someone who is more likely to understand what the work is your doing with your therapist?  This helps them to understand how medication can support therapy and when to communicate with your therapist. 

What Questions You Can Ask Your Austin Psychiatrist To Make Sure They Are Part Of The 11 Percent?

When interviewing myself or a nurse practitioner working with me ask us “Do you schedule weekly psychotherapy sessions with your patients?” and “How many slots do you have set aside on a weekly basis for therapy?”  I would recommend you ask this question of any Austin psychiatrist you would consider seeing.  As I mentioned,  wouldn’t you want your surgeon to be actively performing a procedure you need?   So if you live in Austin and you are in need of a psychiatrist think of Pondworks Psychiatry and Psychotherapy.  If we run out of psychotherapy slots (as we often do…they are in high demand), we hope you will still seek medication treatment with us or another psychotherapy providing Austin psychiatrist. 

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Pondworks Psychiatry & Psychotherapy

Tuesday, January 28, 2020

Your Mental Health Team – An Austin Psychiatrist Committed to Teamwork 

,

Because

Your Mental Health Team – An Austin Psychiatrist Committed to Teamwork

Here at Pondworks, outpatient psychiatry works because our team of providers. This is becasue we ALL work together as a team. Our founder, Bernard Kim, MD heads the clinic and demonstrates his commitment to the highest level of outpatient care available. Thats because when you look for a psychiatrist in Austin you are looking for the highest level of training. That high level of education can be found to take care of your mental health. Most importantly you want to find your mental health team and an Austin psychiatrist committed to teamwork. Unfortunately, the number of people looking for appointments with psychiatrists exceeds the number available to care for you.  Long wait times for initial appointments become the “new normal”. Therefore, this puts a lot of pressure on making a relationship with the psychiatrist work even when it may not be the greatest match.

Teamwork for Your Mental Health Provider In Austin Texas

A Strong Mental Health Team Starts With Teamwork!

Teamwork Prevents Shorter Appointments and Abandoning Psychotherapy.

Worse yet, the need for appointments has pushed psychiatrists to shorten appointments. In some cases completely abandoning performing psychotherapy. Your mental health team and your Austin psychiatrist should be committed to quality care. Dr. Kim fears that the current state of demand may have diluted the quality of care. This dilution falls to an unacceptable level that leaves many patients unsatisfied with their care.  In an effort to give access to care to many we may be creating a standard of care. This current standard we’re not happy with.

Dr. Kim is an experienced and knowledgable Austin psychiatrist committed to expanding access to care. Dr. Kim has created a team approach to balance. It combines a psychiatrist’s expansive training and experience base with longer appointment times and shorter wait times for new evaluations.

We’re Committed To Training Our Mental Health Team to Understand the Healing Power of Talking. 

This truly is a team where Dr. Kim is in the office devoting time each day to training. Dr. Kim and his team help new nurse practitioners in how to not just write prescriptions but understand the healing power of talking. When you look up Austin Psychiatrist on Google and schedule an appointment at Pondworks you are getting a unique treatment. For example,  Dr. Kim schedules standing weekly full therapy slots for supervision for each of his providers. This helps to meet and talk about care at a deeper level.

The time in supervision helps the Pondworks provider improve a particular person’s treatment plan. Because of this, it reflects clearly that we are saying “lives matter beyond symptoms”.  It is a large commitment of time and energy Dr. Kim is proud to uniquely offer in Austin. The results that Dr. Kim and his team prove this.

Visit Our Top Rated Team Of Trained Nurse Practitioners in Austin

So look up Pondoworks psychiatry in Austin, review the bio for one of our excellent nurse practitioners.  Then know Dr. Kim is there as well.  His picture and bio connect him to Pondworks and his commitment to be woven into your treatment with a Pondworks nurse practitioner shows on this website and he will always there to help make your time at Pondworks meaningful.   

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Pondworks Psychiatry & Psychotherapy

Monday, December 9, 2019

Can Genetic Testing Predict A Patient’s Response Medications?

Can Genetic Testing Predict A Patient’s Response To Medications?

A question we hear, that comes up often in our Austin clinic. Can Genetic Testing Predict A Patient’s Response Medications? Another question comes up too. Is genetic testing better for a company like Ancestry.com or 23&Me and their bottom lines than your emotional well being? Let dig into this a bit further.

 At Pondworks, Austin we strive to provide a balance between new technologies and good old fashioned care.  Sometimes this can be hard work with all the advertisements and proposed new treatments.  There was one recent product to show up at our doorstep. It came in the form of gene testing to guide the choice of psychiatric medication.  After hearing the proposed benefits, I was surprised at the level of benefit proposed and also the cost associated with testing.  Could I be missing some large body of research that gave substance to this level of confidence?

Can Genetic Testing Predict A Patient's Response Medications?

Can Genetic Testing Predict A Patient’s Response Medications?

A Balance Between New Care And Proven Care 

As part of the Pondworks mission to provide this balance between “new care” and the “proven care”  I often find myself spending time outside of clinical care researching claims such as this.  After a review of large psychiatric texts and journals, I was unable to gain confidence in companies selling genetic testing for making choices regarding psychiatric medications.  Do we feel that maybe in the decade-plus future these claims can be made with confidence? I concluded now is not the time to utilize these services. 

I’d like to say the story was simple and ended there, but it has been an ongoing concern.  Patients often come to me with tests in hand and understandably have an expectation to be fixed by the suggested medication. It takes time to build trust with them that the report they bring in may not deliver what they expect. And to not lose their hope about feeling better in the process.  Sometimes that time is precious to starting a successful treatment relationship, and I worry that at times that their care is adversely affected.   

True to our Pondworks mission, we have continued to have this dialogue with patients. There are times though, I have to admit I found it frustrating.  I thought that there should be a larger organization that could help. That organization could lend their voice to ours in establishing the value of genetic testing of this sort.

A Warning From The FDA Regarding Genetic Testing

I was delighted when the FDA issued a safety communication about this subject titled,  

The FDA Warns Against the Use of Many Genetic Tests with Unapproved Claims to Predict Patient Response to Specific Medications: FDA Safety Communication (https://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm624725.htm).  In addition, it has also issued a warning letter to Inova, a company operating in this area.  Here is what the FDA had to say about depression and anxiety medications and genetic testing:   

 the FDA is aware of genetic tests that claim results can be used to help physicians identify which antidepressant medication would have increased effectiveness or side effects compared to other antidepressant medications…..

……However, the relationship between DNA variations and the effectiveness of antidepressant medication has never been established.

Austins High-Quality Mental Healthcare Provider

The safety advisory audience includes both providers and patients.  If you are included, I encourage you to check out the advisory and consider the suggestions the FDA offers.  It will fit with what you will hear from our clinic and possibly your Pondworks provider as we look to provide balanced high-quality mental healthcare. 

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Pondworks Psychiatry & Psychotherapy

Tuesday, November 12, 2019

Online Reviews And Your Mental Health (Good Yelp is Hard to Find)

Online Reviews And Your Mental Health

Can You Trust Online Yelp or Google Reviews For Your Mental Health Provider?

Can You Trust Online Yelp or Google Reviews For Your Mental Health Provider?

Online Reviews And Your Mental Health. Online reviews can help you (or hurt) find the best mental health provider. I’d like you to picture this scenario. You’re trying to find a great mental health provider in Austin. Do you have a recommendation from a trusted friend or colleague? It’s likely that you really don’t know where to ask. Naturally then, you do as many people do, and you turn to the internet to help. Some review sites come up and you choose to look at them. But here is the question, can reading online reviews help?

Finding your ideal mental health provider is not easy.  It’s a deeply personal matchmaking process that falls, on the stressful relationship spectrum, somewhere between a blind date and a job interview.

Among the many factors to consider are interpersonal chemistry, gut-level comfort, logistical convenience, professional training, and approach, as well as affordability. How exactly do you find “the one”?   You: seeking a trained professional you feel safe with, and with whom, over time, you might work through important issues and experience significant breakthroughs.  Your ideal mental health provider?  Simply, he or she is looking for clients with whom to have a productive therapeutic relationship.

A Mental Health Therapist Strikes A Balance Between Providing Simple Facts While Remaining Approachable Online

From a mental health care provider’s perspective, marketing is extremely tricky.  Whether it’s online or on paper, a therapist must strike a balance. They provide simple facts about training and skills while remaining approachable to the many kinds of people who might seek help.  Therapists work really hard to gain qualifications and professional certificates to meet the basic government requirements. And that’s just to work with you!  They also pursue additional education to treat different issues. These can be are based on their personal interests and goals.  Each step along the way adds more complicated-sounding words and letters.

We think it depends on your own familiarity and education level. As all of those words can become more of a barrier than a warm invitation.  Many of us have cold-searched online for a therapist or psychiatrist. You already know that understanding a provider’s background can be like eating a thick, tasteless bowl of alphabet soup. A soup spiced with stale jargon and garnished with mystery acronyms.  You want someone with sound qualifications. You also want them to be nice.  The person with the most letters is no better than the one with whom you feel comfortable.

You Will Never Know Another Side Of  The Story With Online Reviews

Let’s go ahead assume you’ve already done your homework and gotten recommendations from your primary care doctor.  Maybe you’ve contacted a local university or the chapter of a professional association.  Maybe friends or family have given you some names based on their own positive experiences.  Let’s say you’ve gone so far as to narrow down your list, and you don’t (yet!)  have a clear preference about which one is “the one.”  The logical next step? You’re going to turn to the Internet, right?  Right!  However, there are a few things you should understand about the value of what you might find there, specifically when it comes to a mental health provider.

The main way that mental health care recommendations online are different than other online reviews is that you will never know another side of the story.

You already know that online reviews can be extremely subjective and are limited to one person’s experience on what might have been a really bad day.  This is true for restaurants, bed and breakfasts, and other service-oriented businesses, and it’s especially true in mental health care.      The main way that mental health care recommendations online are different than other online reviews is that you will never know another side of the story.

Mental Health Providers Aren’t Allowed To Say Much Of Anything Online

Because of the ethical standards of licensed professionals, not to mention federal health care privacy laws, health care providers must maintain strict confidentiality.  While reviewers online may freely reveal their identity and personal circumstances to the world, providers cannot.  Providers aren’t even allowed to say whether someone ever contacted or set foot in their office, much less whether the reviewer in question stuck around long enough to make an informed or accurate opinion.  Conversely, you’ll never know whether the provider stuck with the reviewer through a long, exhausting history of thick and thin, listened empathically, or asked important questions.

Also, mental health care providers are set apart from other businesses and services by a plain truth of life: Sometimes, it feels worse before it feels better.  When we visit a museum, hire a mechanic, or get a haircut, we expect a certain degree of gratification, comfort, and norms of etiquette.  We may even expect that we, the customer, are always right.  But when we seek out a professional who is trained to help us recognize limiting beliefs and behaviors, we’re there to grow.  We ought to be prepared for the possibility of sensitive, uncomfortable, even painful “a-ha” moments.  One would hope that the story doesn’t end there, that the discomfort leads, eventually, to awareness and greater happiness…unless, of course, we huff off, leaving only a trail of nasty online breadcrumbs behind us, reducing a complex experience down to one snapshot moment.

Online Reviews Are Likely Overgeneralized And Possibly Unhelpful.

For you the patient, it’s important to consider the source of the information you read online. You might have already gotten recommendations and are just trying to narrow it down. If you find “the one,” online reviews like these are likely to be overgeneralized and possibly unhelpful.  Sometimes a former patient of some length of time declares that an office or therapist is globally “terrible”. That doesn’t mean that your patient experience with the location, the office staff, the provider, the insurance copay—will be the same.  It’s possible, but also worthy of skepticism.

In the end, you absolutely need to trust your own selection process and intuition when choosing a mental health provider. You should expect it to take time, and to feel confused before you feel sure.  But you should expect to feel sure at some point.  If a relationship with a provider isn’t working, it’s best to at least make the attempt to address it directly.  Your conversation may turn out to be clarifying and productive for you. I’d suggest that even more so than writing an online review could ever be.

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mental health

business

marketing

online reviews

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Pondworks Psychiatry & Psychotherapy

Wednesday, October 30, 2019

 How Much Support Is Your Local Austin Mental Health Provider Getting? 

 How Much Support Is Your Local Provider Getting? 

APondworks we work hard to create a unique work opportunity for our nurse practitioners.  How this translates to you as our patient is as follows.  The nurse practitioner you see has a whole team supporting his/her work with you.  Our providers want to take care of people!  They want quality, caring and efficient clinical support to improve their ability to work with you.  They also don’t want to be slowed down by the dizzying amount of paperwork and other clerical tasks that can create stress and burn out for providers.

Our Top Priority As Mental Health Service Providers In Austin

Our goal at Pondworks is to create a full service clinical and administrative team to support our nurse practitioners.  The end result should be well supported, happier clinicians who can focus on providing excellent care to you!

Take a look at what we das described below and see how it fits our motto for working at Pondworks: 

  • Come to learn sound general psychiatric skills.
  • Come to learn psychotherapy. 
  • Stay for the team and support you get to working here! 

Clinical Settings and Your Therapists, Psychologists & Councilors  Education

Ensuring quality psychiatric care starts with supervision time devoted to each provider.  Education and supervision opportunities at Pondworks are thoughtful, designed to help providers “level out” needed skills as well as to further areas of strength.  Weekly individual meetings with board-certified psychiatrist Bernard Kim, MD have been “scheduled and kept since Pondworks opened its doors in 2014.   These meetings offer a chance to review cases covering general psychiatry and psychotherapy skills.   

Support and education of your local Austin Therapists, Psychologists, Counseling

How Much Support Is Your Local Provider Getting?

In addition group meetings including informal case conferences, formal lectures as well as access to Dell Medical School grand rounds occur each month. 

The final anchor to support providers stems from having a board-certified psychiatrist practicing on-site and being physically available.  This means individual questions or problems can be addressed face to face.  Many nurse-practitioners provide care at sites without the benefit of immediate access to a physician physically present on-site. 

  

Administrative Tasks And Distractions That A Mental Health Provider Deals With.

There are too many tasks to list them all!  How many distractions can a provider handle before your care get impacted?  Even though there is no exact answer, at Pondworks our belief is they do affect care and we aim to remove as many possible.  This means important daily tasks are handled like:   

  • Getting medical records
  • Handling scheduling
  • Answering administrative questions
  • Making sure things are working
  • The office is well stocked. 

It also means many behind the scenes activities are kept up with like: 

  • Provider credentialing with insurance companies
  • Handling problems with getting insurance to pa
  • Answering calls
  • Scheduling visits. 

 

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Pondworks Psychiatry & Psychotherapy

Friday, October 25, 2019

Increasing Our Patients Access To Psychotherapy With Therapists In Residence

Increasing Our Patients Access To Psychotherapy With Therapists In Residence

I want to introduce our day to day operations at Pondworks from time to time in our blog.   Especially when our commitment to provide balanced care can be showcased and explained to you.  We are making efforts every day to expand psychotherapy care for our community as this is often the resiliency factor in treatment.

increase our patients access to psychotherapy Austin Therapists, Psychologists, Counseling

Austin Therapists, Psychologists & Counseling

In early January 2019, we launched a pilot program titled “Therapist in Residence” at Pondworks.  The goals were to increase our patient’s access to psychotherapy, create trusted connections with community therapists, and establish a standard of psychotherapy care for our patients.  Our first round is working well.  We established our first therapist in residence and are on track to meet the goals set forth for the project.  That leads to our announcement!  We are looking for our second therapist in residence.  See below our letter the Austin community of psychotherapists and our commitment to the best quality of care for you. 

Introducing Pondworks Second Therapist-in-Residence Position 

Hello All!

We are again excited to launch our second Pondworks Therapist-in-Residence position!
Our first position launched earlier this year and we’re ready to continue building close relationships with our Austin community of psychotherapists.  Our goals for the position continue to focus on improving patient access to psychotherapy and also communication between therapist and medical provider in the split treatment setting. 

This position gives a therapist access to “in-house” case communication, supervision and exposure opportunities. This is for a therapist to be psychoanalytically informed on biopsychosocial care within a team environment. The opportunity currently extends for one year physically at Pondworks. After the first year, we plan to continue supporting our graduated therapist-in-residence by providing them referrals and split-treatment care as a Pondworks associate.  

Please consider the position and feel free to pass on this opportunity to others.  Follow Therapist-in-Residence <https://www.pondworkspsychiatry.com/pondworks-therapist-in-residence/> link for details and online application.

Thanks in advance and please feel free to contact me directly,

Bernard Kim, MD  

Direct Link:
https://www.pondworkspsychiatry.com/pondworks-therapist-in-residence/ 

 

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Pondworks Psychiatry & Psychotherapy

Wednesday, October 16, 2019

Nurse Practitioner Job Post

Looking for a motivated, team-oriented PMHNP (psychiatric mental health nurse practitioner) for full time employment.

Now Hiring Looking for a motivated, team-oriented PMHNP (psychiatric mental health nurse practitioners in Austin

Now Hiring: Team-oriented PMHNP (psychiatric mental health nurse practitioner) in Austin, Texas

Great Central Austin location? Competitive compensation? Biopsychosocial care? Team Environment? Is it possible? ….Yes! 

  • We are looking for a motivated, team-oriented PMHNP (psychiatric mental health nurse practitioner) for full time employment. Join us in providing excellent care on a team led by board certified MD. Our office is located 6 miles northwest of the capitol in the Arboretum area. 

————————What you will get————————————— 

Weekly face to face supervision included at no extra charge to you: 

  • Learn psychotherapy 
  • Strengthen general psychiatric skills 

Group Education and Supervision at no extra charge to you: 

  • Physician-led group supervision 
  • Clinical Inquiry – Pondworks education hour covering psychotherapy and psychopharmacology 
  • Access to Dell Medical School Grand Rounds with CME 

Access to a board-certified physician, Bernard Kim, MD with top-tier credentials: 

  • Dartmouth General Psychiatric Residency 
  • 15+ years’ training and experience in psychotherapy and psychopharmacology 
  • Dell Medical School affiliate faculty member 
  • UT PMHNP preceptor and guest lecturer 

Reasonable and Flexible Schedule

Have enough time to get to know your patients 

  • 1 Hour New Evaluations 
  • 45 Minute Psychotherapy appointments 
  • 30 Minute Medication Management 
  • Set your own schedule within a typical clinic work week 

Competitive pay based on clinical hours worked: 

  • Reward yourself for productivity 

Pondworks Start-up support: 

  • Receive subsidized base monthly pay in the first year with a longevity reward loan forgiveness program 

And More… 

  • Medical/Dental Health Care 
  • SIMPLE IRA Retirement Plan with Pondworks contributing up to 3% of your annual salary 
  • Malpractice Insurance Coverage (recommended for NP Providers to carry their own policy as well per TMA recommendations) 
  • Full administrative support 
  • Beautiful office space 
  • An opportunity to feel really good about the care you provide patients and expand access to quality mental health care to more Austinites 

Website:  www.pondworkspsychiatry.com 

*Please submit

1) a cover letter/personal statement describing your interest in the position

2) a resume/C.V. 

NOTE: We will not consider any applicant who submits a CV without a cover letter. The purpose of the cover letter is to demonstrate your written communication skills, provide details about your work history, and explain why you would like to work at Pondworks.* 

 

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Pondworks Psychiatry & Psychotherapy