Communication and Psychotherapy

Question 1

Interpersonal therapy: EBP

Answer 1

Data supports that it is effective for MDD, postpartum, eating disorder, social phobia, somatization, substance use disorder, borderline, adolescents.

Question 2

Interpersonal therapy: Guiding principles

Answer 2

it’s biopsychosocial, time-limited, and posits that mental illness exists in the social/relationship realm.

Question 3

Interpersonal therapy: Goals

Answer 3

Symptoms resolution
Improved interpersonal function
improved communication
increased social support

Question 4

Interpersonal therapy: Examples of techniques

Answer 4

Building a strong therapeutic relationship
Examining their relationships
Problem-solving strategies to deal with relationship issues
Role playing
Communicating with others

Question 5

CBT: EBP

Answer 5

Data supports that it benefits lots of psych disorders including gambling and schizophrenia
It can help with certain medical issues like tinnitus and chronic pain

Question 6

CBT: Goals

Answer 6

Recognize dysfunctional thinking

Develop new skills to challenge thoughts and change mood

Question 7

CBT: Examples of techniques

Answer 7

Therapeutic relationship
Downward arrow (logical sequencing of reasoning)
Labeling distortions 
Questioning evidence
Automatic thought records 
Thoughts change record
Cognitive restructuring

Question 8

Cognitive distortion example: “Should” statements

Answer 8

Adds a value statement and guilt as a motivator if actions are not done.

If directed toward others, this leads to anger

Question 9

Cognitive distortions examples: Mind-reading

Answer 9

Drawing a negative conclusion before you even have the facts

Question 10

Cognitive distortions example: Personalization

Answer 10

Blaming yourself for something you weren’t primarily responsible for

Question 11

Psychodynamic psychotherapy: Examples of techniques

Answer 11

Working backward (assess current problem in light of past situations)

Question 12

Defense mechanisms:

Answer 12

Review page 108

Question 13

DBT works for borderline and

Answer 13

eating disorders, and suicide reduction

Question 14

DBT guiding principles

Answer 14

a behavioral, problem solving technique mixed with acceptance-based techniques.

it uses a detailed manual.

Question 15

DBT goals

Answer 15

Balancing behavioral change, problem solving, distress tolerance, interpersonal effectiveness, self-management, and emotional regulation with validation, mindfulness, and acceptance of patients.

Question 16

DBT: examples of techniques

Answer 16

Can be individual or group

Evaluate emotional events (what were the triggers etc)

give homework

family involvement

you can use CBT techniques and praise good behavior

Question 17

Solution-focused therapy: EBP

Answer 17

used in prisons, schools

Question 18

Solution-focused therapy: guiding principles

Answer 18

highly structured
follows a manual
short term
avoids dwelling on problems
focus on strengths

Question 19

Solution-focused therapy: techniques

Answer 19

Pre-session change questions (between now and the next session, I want you to notice one thing in your life that has improved)

Joining (how can I be helpful to you)

Miracle question

Exception question

Question 20

Motivational Interviewing: EBP

Answer 20

works with SUD and chronic medical illnesses

Question 21

Motivational Interviewing: guiding principles

Answer 21

partnership with patient
self-efficacy
The solution is in the patient not the provider
ambivalence is normal

Question 22

Motivational Interviewing: techniques

Answer 22

express empathy
develop a discrepancy
roll with resistance 
support self-efficacy
Reflective listening
Change talk  (explore pros and cons, look back at how things used to be different, explore their values)
Open-ended questions
Affirming statements
Summarizing 
Providing information

Question 23

Group therapy: Guiding principles

Answer 23

Instillation of hope
Universality 
Imparting information 
Altruism 
Corrective recapitulation of the primary family group
Development of socializing techniques 
Imitative behavior 
Interpersonal learning 
Group cohesiveness 
Catharsis 
Existential factors

Question 24

Group therapy: Phases of group formation/development

Answer 24

Orientation/Forming (getting used to being in the group, people share a limited amount, some anxiety)

Storming (finding your place in the group, exchange ideas, differences noticed)

Norming (you trust each other and are aligned)

Performing (Increased sharing and group ownership)

Adjourning (Termination)

Question 25

See page 116 for communication skills

Answer 25

116

Question 26

Psychotherapy notes must be kept separate from

Answer 26

the medical record