Merlo Gia, Sugden Steven G
NYU Grossman School of Medicine, New York, NY, USA (GM).
Huntsman Mental Health Institute, University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, USA (SGS).
Am J Lifestyle Med. 2025 Apr 19:15598276251329915. doi: 10.1177/15598276251329915.
The field of psychiatry has evolved over the past 2500 years. Between dynamic psychotherapy and psychopharmacology, lifestyle psychiatry holds a different space. This approach capitalizes on the lifestyle medicine movement, as it promotes change within 6 domains of activity. Apart from incorporating these lifestyle pillars as adjunctive therapy for either psychodynamic therapy or psychotropic medication regimens, lifestyle psychiatry is on the frontier similar to the other growing fields of precision psychiatry, advanced learning in psychiatry, psychedelics in psychiatry, digital mental health, and psychiatric genetics. Any disruption into the historical practice of psychiatry, particularly with the prescription of medications, can be met with scrutiny. We encourage the field of psychiatry to keep an open mind as our field continues to evolve. What makes lifestyle psychiatry particularly powerful and unique in its ability to assess and evaluate internal and external factors that contribute to individual behaviors, and may impact the ability to incorporate healthy lifestyle actions. Internal factors include: emotional regulation, internalized trauma, cognitive factors, and personality traits. On the other hand, external factors include environmental barriers and work-related burnout.
在过去的2500年里,精神病学领域不断发展。在动力心理治疗和精神药理学之间,生活方式精神病学占据着一个不同的领域。这种方法利用了生活方式医学运动,因为它促进了6个活动领域的改变。除了将这些生活方式支柱纳入心理动力治疗或精神药物治疗方案的辅助治疗外,生活方式精神病学与精准精神病学、精神病学高级学习、精神病学中的迷幻药、数字心理健康和精神病遗传学等其他不断发展的领域一样,处于前沿位置。对精神病学历史实践的任何干扰,尤其是药物处方方面的干扰,都可能受到审查。随着我们这个领域不断发展,我们鼓励精神病学领域保持开放的心态。生活方式精神病学在评估和评价导致个体行为并可能影响采取健康生活方式行动能力的内部和外部因素方面,具有特别强大和独特的能力。内部因素包括:情绪调节、内化创伤、认知因素和人格特质。另一方面,外部因素包括环境障碍和工作相关的倦怠。