The Clinical Experience of RxP-Trained Psychologists Working in Non-RxP States

  • Thomas M. Kozak
  • Andrea Kozak Miller


The purpose of this chapter is to describe the clinical experiences of psychologists who have completed prescription privilege (RxP) training and who practice in states still awaiting the passage of prescription privilege legislation for psychologists. The vignettes used are a compilation of examples experienced by many clinicians from several states in this category. To insure confidentiality, anonymity was preserved. However, the material represents real cases and is used to demonstrate how RxP training improves and enriches the therapeutic work of practicing psychologists. While psychologists with RxP training service patient of all ages, this chapter will focus on pediatric cases.


Bipolar Disorder Comprehensive Care Practice Psychologist Discontinuation Syndrome Family Session 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Ables, A. Z., & Baughman, O. L. (2003). Antidepressants: Update on new agents and indications. American Family Physician, 67, 547–554.PubMedGoogle Scholar
  2. Arthur, A. R. (2005). Layered care: A proposal to develop better primary mental health services. Primary Care Mental Health, 3, 103–109.Google Scholar
  3. Ax, R. K., Bigelow, B. J., Harowski, K., Meredith, J. M., Nussbaum, D., & Taylor, R. R. (2008). Prescriptive authority for psychologists in the public sector: Serving underserved health care consumers. Psychological Services, 5, 184–197.CrossRefGoogle Scholar
  4. Ax, R. K., Fagan, T. J., & Resnick, R. J. (2009). Predoctoral prescriptive authority training: The rationale and a combined model. Psychological Services, 6, 85–95.CrossRefGoogle Scholar
  5. Barnett, J. E., & Neel, M. L. (2000). Must all psychologists study psychopharmacology? Professional Psychology: Research and Practice, 31, 619–627.CrossRefGoogle Scholar
  6. Bhatia, S. C., & Bhatia, S. K. (1999). Depression in women: Diagnostic and treatment considerations. American Family Physician, 60, 225–234.PubMedGoogle Scholar
  7. Bush, J. W. (2002). Prescribing privileges: Grail for some practitioners, potential calamity for interprofessional collaboration in mental health. Journal of Clinical Psychology, 58, 681–696.CrossRefPubMedGoogle Scholar
  8. Dittman, M. (2003). Psychology’s first prescribers. Monitor on Psychology, 34(2), 36.Google Scholar
  9. Greenson, R. R. (1967). The technique and practice of psychoanalysis. New York: International Universities Press.Google Scholar
  10. Greenson, R. R. (1978). Explorations in psychoanalysis. New York: International Universities Press.Google Scholar
  11. Gunn, W. B., & Blount, A. (2009). Primary care mental health: A new frontier for psychology. Journal of Clinical Psychology, 65, 235–252.CrossRefPubMedGoogle Scholar
  12. Kainz, K. (2002). Barriers and enhancements to physician-psychologist collaboration. Professional Psychology: Research and Practice, 33, 169–175.CrossRefGoogle Scholar
  13. Kapalka, G. M. (2007). Parenting your out of control child: An effective, easy-to-use program for teaching self-control. Oakland: New Harbinger Publications.Google Scholar
  14. Kiraly, B., Gunning, K., & Leiser, J. (2008). Primary care issues in patients with mental illness. American Family Physician, 78, 355–362.PubMedGoogle Scholar
  15. Lavoie, K. L., & Barone, S. (2006). Prescription privileges for psychologists: A comprehensive review and critical analysis of current issues and controversies. CNS Drugs, 20, 51–66.CrossRefPubMedGoogle Scholar
  16. McDaniel, S. H. (1995). Collaboration between psychologists and family physicians: Implementing the biopsychosocial model. Professional Psychology: Research and Practice, 26, 117–122.CrossRefGoogle Scholar
  17. McGrath, R. E., Wiggins, J. G., Sammons, M. T., Levant, R. F., Brown, A., & Stock, W. (2004). Professional issues in pharmacotherapy for psychologists. Professional Psychology: Research and Practice, 35, 158–163.CrossRefGoogle Scholar
  18. Moore, B. A., & McGrath, R. E. (2007). How prescriptive authority for psychologists would help service members in Iraq. Professional Psychology: Research and Practice, 38(2), 191–195.CrossRefGoogle Scholar
  19. Norfleet, M. A. (2002). Responding to society’s needs: Prescription privileges for psychologists. Journal of Clinical Psychology, 58, 599–610.CrossRefPubMedGoogle Scholar
  20. Pace, T. M., Chaney, J. M., Mullins, L. L., & Olson, R. A. (1995). Psychological consultation with primary care physicians: Obstacles and opportunities in the medical setting. Professional Psychology: Research and Practice, 26, 123–131.CrossRefGoogle Scholar
  21. Stambur, Z. (2006). Psychology’s prescribing pioneers. Monitor on Psychology, 37(7), 30.Google Scholar
  22. Tovian, S. M. (2006). Interdisciplinary collaboration in outpatient practice. Professional Psychology: Research and Practice, 37, 268–272.CrossRefGoogle Scholar
  23. Warner, C. H., Bobo, W., Warner, C., Reid, S., & Rachal, J. (2006). Antidepressant discontinuation syndrome. American Family Physician, 74, 449–456.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Private PracticeThe WoodlandsUSA

Personalised recommendations