DC Psychiatrist Dr. David J. Fischer's Logo for Columbia Center for Psychiatry
Dr. David J. Fischer's Logo for Columbia Center for Psychiatry
COLUMBIA CENTER FOR PSYCHIATRY

DAVID J. FISCHER, M.D.
MEDICAL DIRECTOR

PHONE: 202-363-4333
PHONE: 202-686-0114
DC Psychiatrist Dr. David J. Fischer's Logo for Columbia Center for Psychiatry

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About Dr. David J. Fischer

Psychiatric Evaluation and Assessment

Psycho-Education

Psycho-Therapy

Psycho-Pharmacology

Conditions and disorders we specialize in

Our forensic department at Columbia Center


THE THERAPIST'S ROLE

(return to philosophy of psychotherapy page)

  • It is the therapist’s responsibility to establish the boundaries of the therapy situation. This includes providing a comfortable safe environment and establishing a warm, caring therapeutic culture. It is also the therapist’s role to define what exactly psychotherapy is, because what constitutes psychotherapy is different for different therapists. It is also important for the therapist to define clearly the administrative rules that apply to the therapeutic situation. This amounts to a contract between the therapist and the patient. The therapist provides professional services to the patient for a fee, the patient agrees to be responsible for keeping appointments, being compliant with medications, if prescribed, and paying their bills.
  • The therapists role in psychotherapy - psychiatric - psychiatryA major part of the professional role of the therapist is to facilitate the awareness, growth and psychological development of the patient.
  • The uniqueness and strength of the patient-therapist relationship forms a vehicle for therapeutic inquiry and growth. The therapist is responsible for building rapport with the patient through empathic listening, caring and warmth. It is understood that the rapport between therapist and patient is one of the most consistent predictors of successful treatment. As trust builds between the therapist and the patient so does self-knowledge and understanding for the patient.
  • Therapy is a relationship between the patient and the therapist in which both are expected to change through their interaction in the process of therapy. This is an asymmetrical process in that the patient is expected to change more than the therapist.
  • One of the goals of therapy is to explore the factors that may interfere with the relationship between the patient and the therapist. By delving into these factors and identifying them, effective strategies can be developed to overcome them. Typically the barriers to a better relationship in therapy are a microcosm of the barriers to better relationships with people outside of therapy.
  • The therapist needs to be congruent in this relationship. This means being authentic, genuine and transparent. The patient strives to become congruent in their interactions with the therapist as well as striving to be congruent outside of the therapeutic situation.



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