3 - PSY - Psychotherapy

Question 1

all talking therapies share these common characteristics

Answer 1

non-judgemental, positive regard for patient
building of therapeutic relationship
confidential
supervision of therapist

Question 2

The psychological cycle

Answer 2

Thoughts -> create feelings –> Feelings -> create behaviour –> Behaviour -> reinforces thought –> Thoughts

Question 3

When can CBT be used as a stand alone treatment

Answer 3

depression

Anxiety disorders

Question 4

CBT can be used as an adjunct in these conditions

Answer 4

Schiz

Bipolar

Question 5

The ABC of CBT

Answer 5

Antecedent (triggering event) –> Belief (thoughts, attitudes, beliefs triggered by event) –> Consequences (emotions, behaviours, physiological changes)

Question 6

4 different sources of CBT

Answer 6

computerised CBT
Self help books (available on prescription)
Apps like Mood Gym
CBT Therapist

Question 7

initial CBT sessions are mainly for

Answer 7

building the therapeutic relationship

Question 8

Focus of CBT is

Answer 8

on challenging and correcting cognitive errors + replacing maladaptive with more adaptive coping mechanisms

Question 9

Explaining CBT - main points

Answer 9

check prior knowledge
explain why CBT considered
Explain mechanism of action - relating to specific pt's Sx
explain process
Mention possible SE - restlessness, agitation
Do meds need to continue?
Check understanding
signpost to self help resource

Question 10

Psychodynamic Psychotherapy - means?

Answer 10

our current state is influenced by unconscious motives that are the result of early childhood experiences

Question 11

How do we peek into our unconscious mind?

Answer 11

Dream analysis
Free association (therapist behind pt - pt talks about anything)
Slips of the tongue
Transference + counter-transference

Question 12

What is transference

Answer 12

unconscious redirection of ones feelings toward people in childhood, on to the therapist

Question 13

counter transference?

Answer 13

therapist transposing their feelings that they may have held for others in childhood to the patient

Question 14

Psychodynamic Triad

Answer 14

Childhood events

Defence mechanisms

Current Sx

Question 15

Mature defense mechanisms

Answer 15

altruism
anticipation
humour
sublimation (eg competitive sports channelling aggression)
suppression
affiliation

Question 16

Neurotic defense mechanisms

Answer 16

displacement (transfer -ve feelings for one person to another)
externalization (blame others)
intellectualization (avoid by getting stuck in detail)
repression
reaction formation (do opposite to unacceptable impulse)

Question 17

Primitive defense mechs

Answer 17

denial
autistic fantasy (day dreaming)
passive aggressive
acting out
splitting (black white thinking)
Projection (false attribution of unacceptable feelings to others)

Question 18

5 other talking therapies

Answer 18

Dialectical behavioural therapy
problem solving therapy
interpersonal therapy
supportive therapy
family therapy

Question 19

Why DBT over CBT

Answer 19

DBT good for patients who experience particularly intense emotional responses