11-04 Psychotherapy Flashcards
o Purpose: Familiarity with methods used and outcomes to be expected in commonly used psychotherapies Behavioral therapy Cognitive-behavioral therapy Example of a therapy session o Discussion of the brain basis for change in illness due to psychotherapy
1
Q
Behavioral therapy
A
FOCUS ON: —changing behavior rather than understanding the problem TREATS most mood, anxiety, psychotic and substance use disorders SKILLS – relaxation training – social skills training – exposure w/ or w/o response prevention – contingency management
2
Q
CBT
A
MAIN POINT:
—thoughts, emotions, behaviors are linked
—Manualized CBT proven effective for most psychiatric illnesses - mood, panic, GAD, PTSD, bulimia, anger problems, other
ABCs of CBT
(A)ntecedent/actual event
(B)automatic thought
(C)onsequences
8-20 1hr sessions
3
Q
Brain basis for ∆ in illness due to psychotherapy?
A
EXAMPLES FROM M.D.D.
- ↑ dorsolateral PFC fxn → better exec fxn → improved problem solving
- ↓ amygdala and other areas → Assist with regulating distressing affective states
4
Q
General med vs. psychotherapy approach to tx
A
- Psychotherapy may create change “from the top down”
* Medications may create change “from the bottom up” or “from the inside out.”
5
Q
Contingency Mgmt
A
- Many behaviors are operant (child disorders, drug use disorders)
- (e.g. gift cert for drug free urine)
- Rapidly produces behavior change when properly implemented
