Crucial Conversations: Psychiatric Diagnosis and Shared Decision-Making With Adolescents in the Age of Social Media and Artificial Intelligence.

Do psychiatrists need to talk more? We are taught to listen more than we speak, to invite the patient's narrative, and to observe its unspoken undertones. But are we vocal enough in sharing our formulations with patients and explaining our thought processes as we plan and prescribe treatment? Despite the evidence that providing psychoeducation to patients and families improves mental health outcomes, many providers forgo the opportunity to engage in it, perhaps because of time constraints, lack of reimbursement, or inadequate training and skills development in the practice.1 We need to talk more, and yet, when we do offer psychoeducation, might we be talking too much? Explaining symptom constellations and relaying the evidence for proposed interventions can easily veer toward a one-sided lecture, bypassing the opportunity for dialogue and collaborative connection with patients.