Communication and Psychotherapy Flashcards
Interpersonal therapy: EBP
Data supports that it is effective for MDD, postpartum, eating disorder, social phobia, somatization, substance use disorder, borderline, adolescents.
Interpersonal therapy: Guiding principles
it’s biopsychosocial, time-limited, and posits that mental illness exists in the social/relationship realm.
Interpersonal therapy: Goals
Symptoms resolution
Improved interpersonal function
improved communication
increased social support
Interpersonal therapy: Examples of techniques
Building a strong therapeutic relationship
Examining their relationships
Problem-solving strategies to deal with relationship issues
Role playing
Communicating with others
CBT: EBP
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
CBT: Goals
Recognize dysfunctional thinking
Develop new skills to challenge thoughts and change mood
CBT: Examples of techniques
Therapeutic relationship Downward arrow (logical sequencing of reasoning) Labeling distortions Questioning evidence Automatic thought records Thoughts change record Cognitive restructuring
Cognitive distortion example: “Should” statements
Adds a value statement and guilt as a motivator if actions are not done.
If directed toward others, this leads to anger
Cognitive distortions examples: Mind-reading
Drawing a negative conclusion before you even have the facts
Cognitive distortions example: Personalization
Blaming yourself for something you weren’t primarily responsible for
Psychodynamic psychotherapy: Examples of techniques
Working backward (assess current problem in light of past situations)
Defense mechanisms:
Review page 108
DBT works for borderline and
eating disorders, and suicide reduction
DBT guiding principles
a behavioral, problem solving technique mixed with acceptance-based techniques.
it uses a detailed manual.
DBT goals
Balancing behavioral change, problem solving, distress tolerance, interpersonal effectiveness, self-management, and emotional regulation with validation, mindfulness, and acceptance of patients.
DBT: examples of techniques
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
Solution-focused therapy: EBP
used in prisons, schools
Solution-focused therapy: guiding principles
highly structured follows a manual short term avoids dwelling on problems focus on strengths
Solution-focused therapy: techniques
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
Motivational Interviewing: EBP
works with SUD and chronic medical illnesses
Motivational Interviewing: guiding principles
partnership with patient
self-efficacy
The solution is in the patient not the provider
ambivalence is normal
Motivational Interviewing: techniques
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
Group therapy: Guiding principles
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
Group therapy: Phases of group formation/development
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)
See page 116 for communication skills
116
Psychotherapy notes must be kept separate from
the medical record
