Different psychotherapies

Question 1

Diagnoses that can benefit from ECT?

Answer 1

• MDE
• BPAD – acute mania, bipolar depression
• Schizophrenia – catatonia, positive symptoms, affective symptoms
• Postpartum psychosis
• Catatonia due to other causes
• OCD
• Delirium
• NMS
• On-off phenomenon of Parkinson’s Disease

Question 2

Although not entirely sure, what is a theory for how ECT us so effective?

Answer 2

• Neurotransmitter hypothesis
  
  • increase chemicals that are low in depression (dopamine, noradrenaline, serotonin)

Question 3

What is the standard Tx regieme for ECT course of therapy

When do you stop

Answer 3

ECT 2-3x per week

for 6-12 sessions

Endpoint – monitor when reaches plateau then add 2 extra sessions.

Question 4

What drugs are involved in ECT

Answer 4

Anaesthetic + muscle relaxant (to avoid post-ictal sx)

Then a seizure is stimulated

Question 5

Side effects of ECT

Answer 5

• Headache
• Brief retrograde memory loss
• Muscle stiffness
• NO BRAIN DAMAGE

Question 6

CAT

Who needs it:

Basis of therapy is?

Answer 6

cognitive analytical therapy

Personality disorders

That our behaviours have origin in past experiences.
Therefore neurotic behaviour is linked to past survival techniques.

Question 7

DBT

Who needs it?

Basis of therapy is?

Answer 7

Dialectical Behavioural Therapy

Specifically for Boderline Personality Disorders

Focuses on increasing interpersonal skills and teaching techniques to manage and regulate negative emotions
Based on CBT principles

Question 8

IPT

Who needs it?

Basis of therapy is?

Answer 8

Interpersonal Therapy

For MDD, complicated bereavement, anxiety and BN

Focuses on life events having a direct impact on psychological outcomes (mood, other sx)

Question 9

Different types of behavioural therapies

Answer 9

• ERP: Exposure + response prevention (OCD)
• flooding: (Panic disorder)
• Graded exposure: (specific/social/agoraphobia)

Question 10

EMDR

Who needs it?

Basis of therapy is?

Answer 10

Eye Movement Desensitisation and reprocessing

For PTSD

Traumatic event is recalled and visualised by the client whilst simultaneously making specific voluntary eye movements –

Facilitates re-processing of cognitive/emotional associations.

Question 11

CBT

Who needs it?

Answer 11

For MDD, Depression with psychosis, post-natal depression, anxiety, BN/AN, OCD, schizophrenia

Question 12

CBT

Basis of therapy is?