{Reference Type}: Case Reports
{Title}: Psychodynamic therapy for non-compliance: a case report.
{Author}: Saha S;McCarthy C;Dhillon R;
{Journal}: Australas Psychiatry
{Volume}: 27
{Issue}: 3
{Year}: Jun 2019
{Factor}: 1.837
{DOI}: 10.1177/1039856219828168
{Abstract}: <B>OBJECTIVE: </B>This paper outlines the use of psychodynamic psychotherapy as an adjunct to treatment as usual for addressing challenging behaviours in a patient with schizophrenia under the care of a community mental health team (CMHT) in South Australia.<BR><B>METHODS: </B>Ms P suffered from schizophrenia and demonstrated challenging behaviours in the context of being administered depot medication under a community treatment order (CTO). Multiple attempts at addressing non-compliance and consistently disruptive behaviour through conventional methods had failed. Consequently, the novel approach of fortnightly psychodynamic psychotherapy sessions was trialled for 5 months, augmenting treatment as usual.<BR><B>RESULTS: </B>Psychodynamic psychotherapy proved effective for this patient. With treatment, she showed an improved compliance and overall engagement. Additionally, consequent to regularly receiving medication, her mental state improved and hospitalisations decreased.<BR><B>CONCLUSIONS: </B>Further research could lead to a better understanding of how and in what contexts, psychodynamic therapy and psychodynamic thinking can be utilised in the public health system.