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Clinical Psych > Clinical > Flashcards

Clinical Flashcards

1
Q

What is the thought process and increasing awareness?

A

Behavior -> Thoughts -> feelings -> physical sensations -> Behavior (repeat)

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2
Q

What is a thought log? What does it ask?

A

Situation- “what happened?” ____ I went to hangout with coworkers in happy hour, i got upset and weren’t home and watched tv
Thoughts- “What did I think?” ____ they don’t want me there
Feelings- “How did I feel?” ____ sad, lonely, 100% at parking lot, at home was 95%.
Physical sensation- “how did my body feel?” ____
Behavior- “how did I respond?” I left the situation and went home

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3
Q

8 cognitive distortions

A

black or white thinking
catastrophizing (this is the worst thing ever!!)
shoulds/coulds (placing unrealistic demands on self or others, that sets up for failures) ( i should have done better)
mind reading
personalizing (that drive cut me off a use they hate me specifically)
blaming/making mistakes (its always someone else’s fault)
negative thinking (my life is awful)
minimization (i was drunken its not my fault)

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4
Q

Dysfunctional thought log- what is the process?

A

Situation
Automatic thought
Emotion
Adaptive answer
Result

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5
Q

Termination phase

A

review treatment goals and the extend to which they were achieved
review skills learned in therapy and their application to family life
anticipate future challenges and how they could be handled
self monitoring

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6
Q

Types of exposure therapy

A

Flooding
Graduated
Guided mastery
Imaginary
In vivo (repeated systematic, continues tills anxiety reduced)

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7
Q

What is the three theoretical positions of DBT

A

behavioral science - utilizing behavioral strategies to induce change (CBT components)
dialectical philosophy - empathizes wholeness, interrelatedness, and progress within that there are polarities
zen practice - utilizing techniques such as mindfulness to teach acceptance and self validation

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8
Q

DBT what does treatment involve?

A

Group therapy
individual therapy
24 hour on call telephone line
therapist consultation

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9
Q

What are dialectics?

A

A dialectic is when two seemingly conflicting things are true at the same time. For example, “It’s snowing and it is spring”. You might also see dialectics when in conflict with other people. I like to think of it as having an elephant in the room with two blindfolded people on opposite ends of the elephant.

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10
Q

Dialectic for unrelenting crisis

A

Inhibited grieving

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11
Q

Dialectic for active passivity

A

Apparent competence

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12
Q

Dialectic for emotional vulnerability

A

Self invalidation

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13
Q

What are DBT 3 minds?

A

Reasonable mind
Wise mind
Emotional mind

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14
Q

How do the 3 minds work?

A

emotional mind: has time and space, like funeral
reasonable mind: has time and space, taxes
wise mind: blend of both

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15
Q

Trauma informed care:
-what does it focus on?

A

focus on safety and engagement.
services are provided in ways that recognize the need for physical and emotional safety, as well as notice and control in ones treatment.

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16
Q

Phase 1 of Trauma informed care

A

phase 1: safety and stabilization
Usually the longest phase of treatment
includes informed consent, introduction to therapy and establishing the m therapeutic alliance
goals include:
-client education
-establish conditions of safety
-develop ability to modulate emotional arousal
-learn to approach and master triggers
-enhance sense of positive identity, -personal control, and self efficacy

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17
Q

Phase 2 of trauma informed care

A

Phase 2: processing the trauma
Goals include:
-safe self reflective disclosure of traumatic memories and associated reactions. This is accomplished through a progressive and coherent autobiographical narrative. Different models take different approaches to accomplishing
-PRESENT-CENTERED THERAPY focusing on the present while bridging a link to the past
-EXPOSURE THERAPY cognitive processing therapy (CPT), Eye movement desensitization and reprocessing (EMDR) -> this is good for single source trauma, not multiple sources of trauma

18
Q

What are SPARCS 3 interventions?

A

DBT
-trauma adaptive recovery - group education and therapy (THERAPY)
-school-based trauma/grief group psychotherapy program

19
Q

How’s does SPARCS work?

A
  • 16 one-hour group sessions
  • for chronically traumatized adolescents aged 12-21 who are still living with ongoing stress
  • based on three empirically informed interventions that were adapted and intergrated in an effort to address the topics specially relevant and adolescents exposed to chronic trauma
20
Q

Whose seeking therapy

A

women
½ have college education
½ married
majority young to middle aged adult

21
Q

Majority of people attend for less than ______ sessions

A

10

22
Q

___% dont follow up referral for psychotherapy

A

50

23
Q

Strategies to increase attendance

A

-allow clients pick time and therapist
-motivation interviewing techniques to explore reason for seeking treatment
-appointment reminders
-implement case management for severely distressed clients

24
Q

Average dose of therapy ____ seshs

A

12.7

25
Q

What types of therapy have largest effect size for client improvement

A

largest effect size for CBT, followed by behavioral, and psychodynamic, and humanistic

26
Q

Therapy skills (5 like empathy ect)

A

Empathy, active listening, clear communication, interpretation

27
Q

General systems theory

A

family interacts in a way to neutralize behavior.

28
Q

Functional Family Therapy

A

goal is microphone family relations by changing communication patterns
delinquent families show:
-high defensive communications
-little support
-teaches reciprocal supportive communication

29
Q

Multi systemic therapy (MST)

A

designed for significant adolescence behavior problems
Based on an ecological theory
functioning occurs in multiple contexts (school, church, home, social, ect)
therefore requires participants from multiple aspects of adolescents life (crim justice, school, home, ect)

Takes multiple therapists treat lashes 3-6 months but involves up to 100 hours of direct clinical contact
strategies incorporate interventions from empirically supported problem focused treatments such as:
structural/strategic
behavioral family therapy’s
behavioral parent training
cognitive behavioral therapy

30
Q

What are the 9 principles of MST?

A
  1. Find the dirt between the identified problems and their broader systemic context
  2. focus on positive and strengths as agents of change
  3. Promote responsible behavior and decrease irresponsible behavior 4.interventions are present focused and action oreitented, targeting specific and well-defined problems
  4. target sequences of behavior within and between multiple systems that maintain the identified problems
  5. developmentally appropriate
  6. involve continuous effort
  7. effectiveness is evaluate continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes
  8. designed to promote treatment generalization and long term maintenance of therapeutic change
31
Q

What are Yaloms 3 stages?

A

Stage one: orientation hesitant participants, search for meaning
Stage two: conflict, dominance, reflection
Stage three: development of cohesiveness

32
Q

Yaloms task of the therapist:

A

-Creation and maintence&

33
Q

Evidence based training programs

A

Home visiting programs
Triple P parenting
Incredible years

34
Q

What is the fast track program and it goals? What 3 things do the parents and children focus on?

A

These are designed to decrease and prevent Conduct disorder; it’s a 10 program (attrition??)
Children focus on:
- academic success
- Emotional regulation
- social skill
parents focus on:
- discipline
-supporting constructive behavior
- monitoring of activities
shows reduction of development in high risk

35
Q

Prevention of internalizing disorders.
Anxiety

A

Anxiety
a meta analysis of 65 studies found small but promising results.

36
Q

Prevention of internalizing disorders.
Depression

A

meta analysis of lifestyle prevention found reduction of incident of depressive disorder by 22%

37
Q

What is Critical Stress debriefing?

A

critical stress debriefing (CISD): wasn’t help, was harmful. Wanted to prevent PSTD, but forced people to sit down and relive and tell them what may happen to them.

38
Q

In trauma informed care, you want to establish _________________ first, then you want to _____________

A

A safe environment, process the trauma

39
Q

What is Present Centred Therapy?

A

-PRESENT-CENTERED THERAPY focusing on the present while bridging a link to the past

40
Q

What is exposure therapy? What type of trauma is this good for?

A

-EXPOSURE THERAPY cognitive processing therapy (CPT), Eye movement desensitization and reprocessing (EMDR) -> this is good for single source trauma, not multiple sources of trauma

41
Q

What strategies (therapy types) dose Mutli Systemic Therapy (MST) use?

A

strategies incorporate interventions from empirically supported problem focused treatments such as:
-structural/strategic
-behavioral family therapy’s
-behavioral parent training
-cognitive behavioral therapy

42
Q

What types of therapy does phase 2 of trauma focused therapy use?

A

PRESENT-CENTERED THERAPY focusing on the present while bridging a link to the past
-EXPOSURE THERAPY cognitive processing therapy (CPT), Eye movement desensitization and reprocessing (EMDR) -> this is good for single source trauma, not multiple sources of trauma

Clinical Psych (1 decks)

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