2. Psychological Therapies Flashcards
What are the categories of common Mental Health Disorders?
- Affective / Anxiety Disorders
- Substance Misuse Disorders
- Disorders of Rection to Psychological Distress
What are the common Affective / Anxiety Disorders?
- Major Depressive Disorder
- Generalised Anxiety Disorder
- Panic Disorder / Phobic Anxiety Disorder
- Obsessive Compulsive Disorder
What are the common Substance Misuse Disorders?
- Misuse of Alcohol
- Misuse of Tobacco
- Misuse of Opioids / Benzo’s / Stimulants
What is the common Disorders of Reaction to Stress?
Post-Traumatic Stress Disorder
What are the Psychological Therapies?
- Cognitive Behavioural Therapy
- Behavioural Activation
- Interpersonal (Psycho)Therapy
- Motivational Interviewing
What is Cognitive Behavioural Therapy good for?
- Depression
- Anxiety
- Phobias
- Obsessive Compulsive Disorder
- Post-Traumatic Stress Disorder
What are the features of Cognitive Behavioural Therapy?
- Short Term
- Foxus on the Here / Now
- Problem Focused / Goal Orientated
What are the key components of Cognitive Behavioural Therapy?
- Event
- Thoughts
- Feelings
- Behaviours
Events cause Thoughts to affect Feelings to affect Behaviour
What does a Therapist do in Cognitive Behavioural Therapy?
- Identify Thoughts / Feelings / Behaviours
- Assess whether thoughts are Unrealistic / Unhelpful
- Identify what can change
- Gives “Homework” which challenges the thoughts
What is the Theory / Rationale behind Behavioural Activation?
- Focus on Avoided Activities:
- a) As a Guide for Activity Scheduling
- b) For a Functional Analysis of Cognitive Processes that involve Avoidance
- Focus on what predicts and maintains an unhelpful response by various reinforcers
- Client taught to analyse unintended consequences of their way of responding
In Depression, what are some examples of:
- Social Withdrawal?
- Non-Social Avoidance?
- Emotional Avoidance?
- Cognitive Avoidance?
- Avoidance by Distraction?
- Not answering the Telephone / Avoiding Friends
- Not taking on challenging tasks / Sitting around the House / Spending excessive time in Bed
- Use of Alcohol / Substances
- Not thinking about Relationship Problems / Not Making Decisions about the Future / Not Taking Opportunities / Not being serious about Work or Studies
- Watching T.V. / Computer Games / Gambling / Comfort-eating / Excessive Exercise
What are the features of Interpersonal (Psycho)Therapy?
- Time Limited (12-16 weeks)
- Focused on the Present
Note - This is good for Depression
What is the Rationale / Theory behind Interpersonal (Psycho)Therapy?
Depression often follows a Disturbing Change in (or contingent with) Significant I-P Event:
- Complicated Bereavement
- Dispute
- Role Transition
- Interpersonal
What are the Advantages of Interpersonal (Psycho)Therapy?
- A Grade Evidence for treating Depression
- No Formal Homework - may be preferable
- Client can continue to practise skills beyond the session ending
What are the Disadvantages of Interpersonal (Psycho)Therapy?
- Requires a degree of ability to reflect
2. Where poor social networks