Psychotherapy training in Nepal: views of early career psychiatrists

Rai, Yugesh; Karki, Utkarsh; Costa, Mariana Pinto da

doi:10.1192/bji.2020.50

Cited by 6 publications

(8 citation statements)

References 7 publications

(9 reference statements)

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“…The findings from this study in Nigeria are consistent with the results from this survey in Nepal, where one-third of ECPs received psychotherapy training (Rai et al, 2021 ). The present study also observed that psychotherapy training varies in different training institutions and was not made mandatory, with low supervision rates.…”

Section: Discussionsupporting

confidence: 91%

“…Study participants were ECPs recruited from the database (containing the names and contact details) of the ECP section of the The questionnaire was distributed via email to ECPs between November 2021 and February 2022 through a google form. The questionnaire was developed for the World Psychotherapy Survey conducted by the Early Career Psychiatrists Section of the World Psychiatric Association (Eissazade et al, 2021;Rai et al, 2021;Belinati Loureiro et al, 2023;Kaya et al, 2023). The selfadministered questionnaire has 16 items covering three areas: i) socio-demographics, ii) psychotherapy training (types and modalities) and iii) satisfaction with psychotherapy training.…”

Section: Methodsmentioning

confidence: 99%

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Psychotherapy training in postgraduate psychiatry training in Nigeria – Are we doing enough?

Adiukwu,

Adedapo,

Ojeahere

et al. 2024

Camb. prisms Glob. ment. health

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Introduction: Nigeria, with an estimated 40 million people living with mental disorders, faces a critical shortage of psychiatrists to address the significant burden. Despite psychotherapy being integral to psychiatric training, it lacks structure, consistency and adequate supervision. This is alarming, particularly given the substantial demand for specialized psychotherapeutic support among those with mental illness. Methodology: A cross-sectional study utilised an online survey targeting early career psychiatrists recruited from the Early Career Psychiatrists section of the Association of Psychiatrists in Nigeria. Results:The questionnaire was distributed to 252 early career psychiatrists across Nigeria, with a 42.9% response rate, of which 50% were male, with 73.2% trainees and 26.8% early career psychiatrists. While 52.8% had received some psychotherapy training, only 2.8% were qualified psychotherapists. Notably, only 27.6% of those with psychotherapy training had over 100 hours of training. Factors such as receiving psychotherapy training during postgraduate training and having supervised psychotherapy training were found significant for having independent psychotherapy training. Conclusions: There is little emphasis on psychotherapy training in the postgraduate training in Nigeria. Those who had full training in psychotherapy were self-sponsored. Structured, supervised and mandatory psychotherapy within psychiatry training curriculum is recommended. Impact statement Global best practices promote the training of psychiatry trainees in various techniques of psychotherapy and its incorporation into the training curriculum, hence the need to assess the extent and factors associated with the completion of psychotherapy training among early career psychiatrists (ECPs). Almost half of the ECPs in Nigeria had some form of psychotherapy training, however, only a few had full psychotherapy training. This study reveals the need for the inclusion of mandatory psychotherapy in the current psychiatry training curriculum, which will consequently improve psychiatric practice and decrease the treatment gap in mental healthcare. This inclusion will go a long way in improving the quality of holistic care delivered to mental health patients by ECPs.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Psychotherapy training in postgraduate psychiatry training in Nigeria – Are we doing enough?

Adiukwu,

Adedapo,

Ojeahere

et al. 2024

Camb. prisms Glob. ment. health

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“…In Nepal, nearly all EPCs receive training in psychotherapy, and 43.3% reported being satisfied or very satisfied with their training. [1] In Iran, two-thirds of EPCs undergo psychotherapy training, the majority of which is mandatory, and 50% expressed satisfaction. [4] In the USA an internet-based survey conducted with psychiatry trainees also reported cognitive behavioral therapy and psychodynamic therapy as the most widely practiced modalities in psychotherapy training.…”

Section: Comparison With the Literaturementioning

confidence: 99%

“…Psychotherapy understanding and skills are one of the core components of psychiatry training and clinical practice. [1,2] In Europe, a survey conducted with psychiatric trainees in 23 countries about psychotherapy showed that 92% considered psychotherapy as key to their professional identity. [2] The role of learning in psychotherapy in the psychiatrist's training presents a robust foundation for developing ideal psychiatric practice and providing better outcomes for patients.…”

Section: Introductionmentioning

confidence: 99%

Psychotherapy training in Brazil: Experiences of psychiatric trainees and early career psychiatrists

Belinati Loureiro,

Ratzke,

Nogueira Dutra

et al. 2023

Medicine

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Understanding and skills in psychotherapy are fundamental aspects of clinical psychiatry practice. Learning about psychotherapy during the training of psychiatrists offers solid opportunities for developing high standards of psychiatric practice and providing better outcomes for patients. However, little is known about the extent that psychotherapy training is available to psychiatrists in America. This study aimed to analyze the status of psychotherapy training in Brazil through the experiences of early-career psychiatrists. This is a cross-sectional survey conducted between July and November 2021. A 16-item questionnaire was used to investigate: the quality of psychotherapy training; the organizational aspects of psychotherapy training; and satisfaction with training in psychotherapy. The majority of participants reported having mandatory training in psychotherapy, mainly in cognitive-behavioral therapy and psychodynamic therapy. However, only had some practical experience with psychotherapy training. This study highlights the frequent use of psychotherapy training among Brazilian early career psychiatrists. The consensus on the necessity of mandatory psychotherapy training underscores its importance in shaping psychiatric practice. While participants express satisfaction with psychotherapy supervision, the financial burden for advanced training raises concerns. These findings advocate for the improvement of the quality of psychotherapy training in Brazil.

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“…Counseling on psychosocial is short-duration training. Usually, such training has a time duration of 6 months [10]. The Psychology of Panic…”

Section: Healthcare Facilities For Mental Healthmentioning

confidence: 99%

Perspective Chapter: Prevalence and Management of the Panic Disorder in Nepal

Gurung¹

2023

The Psychology of Panic

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Although panic attacks are not life-threatening, they can be terrifying and have a substantial impact on your quality of life. Treatment, on the other hand, can be quite effective. Little attention is paid to mental health in Nepal. There is no mental health law and the National Mental Health Policy formulated in 1997 has yet to come into full effect. Unspecified anxiety disorder (15.7%), adjustment disorder (13.9%), and post-traumatic stress disorder were the most frequently diagnosed conditions (8.3%). In 2018, the KCH CAP (OPD) cared for 2477 children, of whom 1529 were men and 948 were women. The most common diagnoses were anxiety disorder (524). Children ranging in age from 6 to 18 years old took part in the study. Nepal has one general hospital dedicated to mental illness and four private mental hospitals. Inpatient mental health care is provided primarily by 19 medical schools, 36 private−public hospitals, and many 27 public hospitals. The counseling situation in Nepal is largely poor. Advanced psychotherapy is provided by 35 clinical psychologists who are licensed practitioners in Nepal. In a 2018 research with 2477 individuals, 524 incidences of anxiety disorders were identified. Supervised counseling and psychotherapy practice is a relatively new concept in Nepal.

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Psychotherapy training in Nepal: views of early career psychiatrists

Cited by 6 publications

References 7 publications

Psychotherapy training in postgraduate psychiatry training in Nigeria – Are we doing enough?

Psychotherapy training in postgraduate psychiatry training in Nigeria – Are we doing enough?

Psychotherapy training in Brazil: Experiences of psychiatric trainees and early career psychiatrists

Perspective Chapter: Prevalence and Management of the Panic Disorder in Nepal

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