Rich Daly's article about the drop in psychotherapy use in the January 7 issue was certainly consonant with my recent experience
here in New York City in closing my practice as I retire. I've continued a pattern of practice established over 40 years ago
of doing traditional, "long" talk-therapy sessions, including, sometimes, pharmacotherapy. More recently, in the last 15 years
or so, "split" therapy became prevalent with the intrusion of managed care patterns, and I continued my old approach, in addition
to seeing patients for medication management and "short" talk-therapy sessions of 30 minutes.