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Psychiatry's Identity Crisis, and How to Start Fixing It

Explore the vital link between global mental health and evidence-based treatments that can enhance patient care access.

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Andres Barkil-Oteo is an assistant professor of psychiatry at Yale University School of Medicine, with research interests in systems thinking, global mental health, and experiential learning in medical education. Find him on Google+ here.

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Last spring, the American Psychiatric Association (APA) sent out a press release

[pdf] noting that the number of U.S. medical students choosing to go into psychiatry has been declining for the past six years, even as the nation faces a notable dearth of psychiatrists. The Lancet, a leading medical journal, wrote that the field had an "identity crisis"

related to the fact that it doesn't seem "scientific enough" to physicians who deal with more tangible problems that afflict the rest of the body. Psychiatry has recently attempted to cope with its identity problem mainly by assuming an evidence-based approach favored throughout medicine. Evidence-based, however, became largely synonymous with medication, with relative disregard for other evidence-based ...

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