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If you tell your healthcare provider that you’re feeling anxious or depressed, chances are they will prescribe you a medication. Millions of people take anti-anxiety pills or antidepressants, and many find that the medicine makes life more bearable. But can you understand what makes your life meaningful? For that, you might need to tell your story to a compassionate listener who can reflect it back to you and help you make sense of it. That’s why psychotherapy matters.
Talking with Dr. Robert Waldinger About Why Psychotherapy Matters:
A few months ago, we spoke with Dr. Robert Waldinger about his book, The Good Life. In it he described a long-running study about the factors that contribute to happiness and a meaningful life. For more than eight decades, Harvard researchers have studied two groups of people as they proceed through life: Harvard undergraduates and kids from struggling families in the Boston area. The scientists wanted to learn what helps people thrive, and they found that relationships are key. We were so intrigued by Dr. Waldinger’s background as a Zen master, meditation expert and psychiatrist that we wanted to know more about how the study affected him and how he uses psychodynamic therapy in his practice. In this conversation, we discuss why psychotherapy matters.
Psychotherapy Matters, and So Do Medications:
In treating people with mental illness, psychiatrists often use some psychoactive medicines, including antipsychotics like Zyprexa or Geodon as well as antidepressants like Paxil or anti-anxiety drugs like Xanax. Insurance companies rarely balk at covering these medications. However, insurance doesn’t always cover talk therapy. Why don’t they embrace it as enthusiastically as pharmacotherapy? It may take concerted lobbying to get them to acknowledge that psychotherapy matters too.
How does psychodynamic therapy, which is what Dr. Waldinger practices, differ from classic psychoanalysis? We find out how he prepares psychiatry residents for this kind of healing. Talk therapy can be used as part of the treatment for serious mental illness as well as to help people with less acute suffering gain some perspective on their situations.
We also discuss why the unconscious mind is so powerful. It is what seems to drive us to make similar mistakes in relationships over and over again. When we start to understand what we are doing, we can adopt a different approach that may be more successful. We were intrigued to learn how Dr. Waldinger’s experience with Zen has shaped his approach to psychotherapy.
Finding a Listener:
Telling your story is crucial, and so is a compassionate listener. Dr. Waldinger suggests that finding a person who “gets” you is more important than that the therapist have a certain type of credential. In some cases, clergy may be able to fill this role. A nurse practitioner or a social worker may also be skilled in listening and helping a person reframe their own story. Compassion and understanding are why psychotherapy matters.
This Week’s Guest:
Robert Waldinger, MD is a professor of psychiatry at Harvard Medical School, director of the Harvard Study of Adult Development at Massachusetts General Hospital, and cofounder of the Lifespan Research Foundation. Along with being a practicing psychiatrist and psychoanalyst, Dr. Waldinger is also a Zen master (Roshi) and teaches meditation in New England and around the world. Dr. Waldinger, with co-author Marc Schulz, PhD, is the author of The Good Life: Lessons From the World’s Longest Scientific Study on Happiness.
Robert Waldinger, MD, author of The Good Life
Listen to the Podcast:
The podcast of this program will be available Monday, April 1, 2024, after broadcast on March 30. You can stream the show from this site and download the podcast for free.
Ann
My primary dr. referred me to a psychologist for cognitive behavioral therapy. Thank goodness Medicare pays for this otherwise it would of been out of pocket with one who pushes pills for anxiety.
Helen
It is stunning that this therapist/psychoanalyst/zen therapist would list nurse practitioners and social workers as “may also be skilled in listening”. And he suggests this after stating that “clergy may be able” to fill the role. Nurse practitioners and social workers are highly skilled and licensed, specifically for those skills, and more so than all the clergy I’ve ever worshipped with. Unfortunate bias, perhaps sexism from the author.
David
Medication is a bandaid. All it does is blunts the emotions and feelings that cause the hurt and dysfunction in the first place. Psychotherapy is like a surgeon opening up the wound and cleaning out the infection. It hurts in the beginning but it takes awhile for the infection to heal. Of course even with psychotherapy and the pain is gone you still have the scar to deal with which will always be a reminder of the pain that was once there. There are times when even psychotherapy do not heal the wound like schizophrenia and psychosis but will with proper medication moderate the symptoms (help you deal with your demons)
Nancy
Dr. Waldinger may be a good therapist, but the vast majority of American psychiatrists are only interested in prescribing and monitoring medications, and even that not very effectively. My family member with schizophrenia has been through 8 psychiatrists and 10 different medications, all of which have horrible side effects like weight gain, diabetes and facial tics, among others. Psychiatrists in this country do not do talk therapy; for that, one needs an LCSW, a psychiatric social worker, or counselor interested in a long-term relationship with a client. This podcast gives your readers a false idea of how it really is– and it’s really awful. Any psychiatrist you’re lucky enough to find who DOES do talk therapy, Cognitive Behavioral Therapy, or any other beneficial talk therapy, will not take any insurance; it’s self pay, and it’s beyond most people’s ability to pay for it. How about an article or podcast about how to find a good therapist while on Medicaid, Medicare or private insurance? That would be more helpful.
Luke
In my opinion, psychotherapy is the best treatment, because you restructure the brain’s learning/coping mechanisms. However, sometimes medications are needed. Regardless, I believe that people should still be getting psychotherapy even when on medications.