How to increase treatment effectiveness and efficiency in psychiatry: creative psychopharmacotherapy - part 2: creating favorable treatment context and fostering patients' creativity.

Any medical or psychosocial treatment has two components, one associated with the specific effects of the treatment itself, and the other related to the treatment context, individual perception, imagination, subjective meaning and psychobiological response. Psychopharmacotherapy is a context dependent practice because different contexts affect the meaning of biological variables in different ways. Creation of favorable treatment context as well as creative collaboration with patients and their families may significantly improve treatment outcome. Positive therapeutic context is fundamental for treatment success in psychiatry because it may significantly increase placebo and decrease nocebo responses. Creative approach to psychopharmacotherapy reflects a creative synergism between clinical pharmacology and positive psychology of creativity in the frame of transdisciplinary holistic, integrative and person-centered psychiatry.