depression III Flashcards
Cognitive Behavioral Therapy idea:
change how individuals structure and interpret their moods, experiences, and behaviors into evidence based reasoning
Cognitive therapy:
correct one’s negative, inaccurate views
Behavioral therapy:
modifying behaviors that interfere with daily living
Collaborative empiricism:
patient and therapist work together as an investigative team to develop hypothesis that can be tested and create homework assignments
cognitive behavioral therapy utilizes:
collaborative empiricism
How do CBT sessions normally go?
start with mood check, focus on clients current problems, review homework activities, set up plan and get feedback from client
CBT components:
Targeting thoughts by: thought tracking, thought stopping, and downward arrow questioning
thought tracking:
recording your automatic thoughts and analyze the situation surrounding them
thought stopping:
stop depressogenic thoughts and reroute your thinking
downward arrow questioning:
making you aware of your thoughts and feelings, and trying to target the depressogenic core belief
Example sentence in CBT:
“the problem isn’t the problem. how you’re thinking about the problem is the problem”
CBT treatments:
self monitoring and activity scheduling
Self monitoring in CBT:
record activities each hour along with their mood
Activity scheduling in CBT:
identify specific plans for activities that could increase the clients pleasure of sense of accomplishment
Problem-solving therapy:
selecting the behavioral response with the highest potential to cope with a situation
Coping with depression (12 session):
alleviate depression through 4 domains: increasing relaxation, increasing pleasant activities, changing negative cognitions, increasing social skills
Idea of these CBT treatments:
depressed people are not motivated or derive pleasure from activities and do not recognize that activities can influence motivation
Behavioral activation:
increasing activity levels that are positive and reinforcing to counteract lethargic/unmotivated symptoms
Behavioral activation components:
start with a small, doable activity so success is guaranteed and individual will not fail, and use realistic goals
Components of Dysthymia (persistent depressive):
have repeatedly experiences undesired outcome throughout their lives, lack empathy, and struggle to see others view point
Idea of cognitive-behavioral analysis system of psychotherapy:
reestablish connection between patient and external world and to target interpersonal avoidance
Strategies of cognitive-behavioral analysis system of psychotherapy:
- make a significant other list
- identify emotional timestamps
- transference hypothesis
- interpersonal discrimination
- situational analysis
What is a significant other list?
learn the major persons who have had a positive and negative influences on the patient, and examine each person
What is transference hypothesis?
based on someones past, is how they will act in the present. for example, trust issues.
what is interpersonal discrimination?
target strategies for better interactions with important people in their lives
Interpersonal therapy goal:
build interpersonal skills and understand connections between actions in interpersonal arena
Interpersonal therapy components:
address current problems and not past problems, makes sure patient understands depression as medical illness, and does not assign homework so the patient can’t fail
Interpersonal therapy early phase of treatment and how many sessions?:
- how to deal with depression
- describe procedure and goals
- relate depression to interpersonal relationships
- decides on the focal problem area
3 sessions
Interpersonal therapy middle phase treatment and how many sessions?
assess the problems areas which are:
1. grief- how to mourn
2. role disputes: is the relationship improvable or at an impasse
3. role transitions: mourn old role, recognize benefits of new role
4. interpersonal deficits: develop new relationships and skills
10 sessions
interpersonal therapy termination phase treatment and how many sessions?
- foster independence
- enhance self esteem
- anticipate future triggers
If there is no improvement in patient, this means:
the treatment failed, NOT the patient