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Psychotherapy by Primary-Care Providers: Results of a National Sample

Received September 20, 2005; revised December 29, 2005; accepted January 9, 2006. From the Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD. Send correspondence and reprint requests to Seth Himelhoch, M.D., M.P.H., Department of Psychiatry, Division of Services Research, 737 Lombard St., Room 516, Baltimore, MD 21201. e-mail: shimelho{at}psych.umaryland.edu
© 2007 The Academy of Psychosomatic Medicine

The authors used the National Ambulatory Medical Care Survey to examine visit characteristics associated with psychotherapy by primary-care physicians, as compared with psychiatrists. Chi-square tests and hierarchical logistic-regression models were developed to examine visit characteristics associated with receiving psychotherapy by primary-care physicians versus psychiatrists. Over 19% of all psychotherapy visits were reported by primary-care physicians. Visits to primary-care physicians, versus visits to psychiatrists, were significantly greater among those over age 65, in Hispanic patients, and those in rural areas. Primary-care physicians are reporting that they provide psychotherapy and may be filling a void for underserved populations.

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