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Inside and Surgeons of Ontario (CPSO) Continues FallFall 22012012 VVol.ol. 119,9, ##33 GPpsychotherapistppsychotherapistpssyyJoucrcnal of h thhe Genoeoral Pratcttice Phhsychotheerapy Arsrsociataiaon ppiisstt From the Board - August 2012 • By Muriel J. van Lierop, MBBS, MGPP So summer is nearly over and will be forwarded to the CPSO contact is [email protected] we are almost into fall with the Council for approval. CPSO . There is an invitation for a beautiful colours on the trees! Council meets every three months. representative from the GPPA to Hopefully everyone had some We will let you know as soon a� end a PPRNet Conference on time to relax. as we hear back from the CPSO. November 17, 2012 in O� awa. NOTE: There is a regulation now GPPA 25th Annual Conference that physicians, in order to renew Special Interest/Focused Practice The GPPA Conference on Models their medical licence, need to (SIFP) Medical Psychotherapy of Therapy: Joining With Patients be able to state with whom they Commi� ee of the CFPC Where They Need to Heal was are recording their educational very well a� ended and there activities. In 2007, the College of Family were members from Alberta, Physicians of Canada (CFPC) Newfoundland, Nova Scotia as Membership/Professional held a meeting of doctors to well as from Ontario. Development Policies: The discuss the growing phenomenon GPPA Board has clarifi ed two of Special Interest or Focused The GPPA Retreat, is November policies: 1. submi� ing evidence Practices (SIFPs) among family 9 -11, 2012 at the YMCA Geneva of educational credits recorded. doctors, from Sports Medicine to Park near Orillia, Ontario, which Members have always been asked Palliative Care. Vicky Winterton is a beautiful country se� ing, one to keep the a� endance certifi cates and several other GPPA members that many of you know. The and have occasionally been a� ended to ensure that SIFPs Topic is The Power of Self-Care in asked to submit them. However, in GP/Medical Psychotherapy Health Care: caring for ourselves now 5% of members, who will were represented. CFPC decided as a foundation for the care of be randomly selected, will be to establish a new Section to others. Drs. Natasha Graham and requested to submit evidence represent members who have a Larry Nusbaum will be facilitating of a� endance. The evidence to SIFP-type practice, and asked for the programme. If you would be submi� ed will be listed with applications from each area of like to register, do contact Carol the request. 2. There is now a interest. In the Spring of 2010, with Ford, our Association Manager, requirement that a minimum of the support of the GPPA Board at [email protected] to check if half the required credits per year of Directors, Vicky Winterton there any places le� . be recorded each year. Members and Janice Coates submi� ed an have been frequently asked to application for the inclusion of Applying to be a Third Pathway record the educational activities Medical Psychotherapy, which as a recognized organization as they are completed but some was accepted. for Continuing Professional have le� it to the end of the continued on page 2 Development (CPD) tracking cycle to record – this is no longer with the College of Physicians acceptable. Inside and Surgeons of Ontario (CPSO) continues. The application form The Psychotherapy Practice Introduction to Gestalt Therapy ............... 3 was received by Carol Ford, our Research Network (PPRNet). Telemedicine for Mental Healthcare ........ 6 Association Manager, on May 14 The PPRNet now has a website and was sent to the members of that is linked to the GPPA CBT Tips................................................... 8 the CPSO/CPD Sub-Commi� ee. website (www.pprnet.ca ). Dr. Storytelling Chronicles the GPPA............. 9 The completed application was Tasca is welcoming further approved by the GPPA Board and interaction with the GPPA. If Psychopharmacology Corner: Unstable Depression................................ 12 then hand-delivered to the CPSO you are interested and willing on June 11. It will be reviewed by to be involved in research at the Book Review: the Education Commi� ee of the clinical practice level, please let Why is it Always About You?.................. 15 CPSO and then, when acceptable, Ted Leyton know - Ted’s e-mail From the Board (cont’d) The purpose of the establishment of commi� ee has worked with a Next GPPA Conference is planned this section is to promote Medical group from the GPPA to develop for Friday and Saturday, May 24- Psychotherapy as a legitimate and a programme on “Ge� ing Started 25, 2013 so mark your calendars! valuable area of medical practice. in Medical Psychotherapy: Assessment, Communication Membership Renewal It is time At present, the Medical and Therapeutic Alliance”, that to renew your membership if you Psychotherapy SIFP Commi� ee will be presented as a full day have not already done so. Please is a part of the Mental Health workshop on November 17 at the note that Associate members, Program Commi� ee, and the 2012 Family Medicine Forum to who are physicians, cannot use executive members are Vicky be held in Toronto. the web application for recording Winterton, Peggy Wilkins educational credits – so consider and Christina Toplack. The GPPA Website changes The GP becoming a Clinical Member. Medical Psychotherapy SIFP held Psychotherapist Journal is now Also consider joining a GPPA a networking breakfast and up on the website with editions Commi� ee if you are not already coordinated 3 workshops at the going back to Summer 2010. a commi� ee member. It is a great 2011 Family Medicine Forum in Under “Training” there are now way to get to know other members Montreal. Catherine Carmichael three headings, Training, Events and also obtain CCI credits. The presented on the Guidelines for and Reading. Under “Reading” list of commi� ees is on the last the Practice of Psychotherapy by there is a list of “Suggested page of the Journal. Physicians, Jose Silveira presented Reading”. “Managing Uncertainty in the As very few members wish to Diagnosis of Undiff erentiated be on the Referral Service on the Mental Health Disorder in Primary website, other ways of helping Care”, and Vicky Winterton patients Find A Therapist are presented on “The Therapeutic being considered. Relationship”. This year, the GP Psychotherapist ISSN 1918-381X GP Psychotherapists Editor: Howard Schneider FOR RENT Busy Bloor Street West, near [email protected] Comfortable treatment Runnymede Subway Clinic Scientifi c Editor: Norman Steinhart room available needs PT/FT, Mondays and Wednesdays active/Semi-Retired M.D’s. Contributing Editor: Vivian Chow Excell. computerized in Thornhill, within Billing System, EDT or Production Editor: Maria Grande a multidisciplinary setting. Diskette under your CP#. Billings incl. last day General Practice Psychotherapy Association For more information before deadline. 312 Oakwood Court contact Paula Wileman 100% proof of Subm./R.A. You Newmarket, ON L3Y 3C8 Tel: 416-410-6644, at [email protected] get paid for all your services. Excellent service and Fax: 1-866-328-7974 [email protected], fi nancial arrangements struc- www.gppaonline.ca tured to your requirements. The GPPA (General Practice (416) 655-3080 Psychotherapy Association) publishes the GP Psychotherapist three times a year. Submissions will be accepted up to the following dates: OFFICE FOR RENT Winter Issue - November 2 Toronto, College/Spadina: Quiet restored Victorian offi ce Spring/Summer Issue - March 2 Fall Issue - July 2 building. Near downtown hospitals. Harbord Village, U of T, Kensington Market, Little Italy. Professional psychotherapy solo For le� ers and articles submi� ed, the editor reserves the right to edit content practices only. Competitive rate. Parking, cleaning included. for the purpose of clarity. Please submit Contact [email protected] 416-964-8713 articles to: [email protected]. 2 GPpsychotherapist Fall 2012 psychotherapist An Introduction to Gestalt Therapy • By Mel Borins, MD, FCFP, MGPP What makes Gestalt particularly relevant to Medical Psychotherapy and primary care is that at the core of its precepts is an understanding that a person is a unifi ed organism, a coherent whole (gestalt) and there is no split between mind and body. Gestalt Therapy became popular in the 1960’s and has gone through a lot of changes and interpretations depending on the therapist and their particular slant. Although no two Gestaltists practice identically, there is a basic theme of working in the “here and now”, with moment to moment awareness, avoiding over-intellectualizing and being in touch with the fi ve senses. Gestalt therapy has been prescient therefore in predating mindfulness based therapies and somatic-emotionally a� uned therapies. Gestalt Means Whole behaviour. The more fully people body and non-verbal behaviour as What makes Gestalt particularly are kept in touch with how and expressions of a person’s feelings, relevant to primary care is that what they are doing from moment inseparable from the mind. By at the core of its precepts is an to moment, the more able they are listening to the tone, and quality understanding that a person is to choose appropriate responses of a person’s voice, observing body a unifi ed organism, a coherent (response-ability). The therapist’s posture, repetitive movements, whole (gestalt) and there is no split role is to facilitate awareness from breathing pa� erns and non-verbal between mind and body. Every moment to moment. messages, the therapist can help a person is considered basically person become aware of the way healthy and is striving for balance, As an example, patient ‘John’ was his or her thoughts and feelings are health and growth. Humans are repeatedly feeling frightened when not expressed but converted into self-regulating, seen in relationship alone in a closed, dark, room by activity in the body. Sometimes, to their environment and the healing himself and thus avoided going to by ignoring the content of the task is to facilitate the removal of sleep at his trailer out in the country, words and paying a� ention to the impediments, hindrances, and where there was no electricity.
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