Dr Google, MD: a survey of mental health-related internet use in a private practice sample

Objective : The aim of this study was to evaluate the use of the internet to access mental health-related information in a private practice sample, and to understand how this influenced health behaviours in this group. Method: We undertook a cross-sectional survey of adult outpatients attending two group psychiatric practices. The content included internet usage, types of information located, disclosure with treating psychiatrist, and perceived influence on decision-making. We collected both quantitative and qualitative data. Results: The internet was often used to access mental health-related information. Respondents most commonly looked for information about symptoms, treatment, side effects and diagnoses. Approximately one-third of those who sought mental health information on the internet discussed this with their psychiatrist, and those who did so were more likely to report an influence of this information on their decision-making. Respondents' comments suggested an appreciation of the utility of the internet, combined with an understanding of its limitations. Conclusion: Private practice patients frequently access mental health information from the internet. When discussed within the therapeutic setting, it appears more likely to influence health-related decision-making. As part of ongoing therapy, clinicians should actively discuss what patients have read on the internet.