Exam 3 Flashcards
Techniques often used in Family Therapy
Role reversal
What is Family Therapy
A form of psychotherapy that seeks to reduce distress and conflict by improving interactions between family members
Goals of Family Therapy
1.To develop and maintain healthy boundaries
2. Facilitate cohesion and communication
3. Promote problem-solving by a better understanding of family dynamics
Genograms
A therapy tool often used in Systemic Family Therapy
Therapy modification for older adults
1. Take more time to review new material
2. Repeat material and skills
3. Allow more time, glasses, bigger print
Interpersonal Therapy
1. Good choice for adults who present with concerns focused on loss, grief, interpersonal conflicts, role transitions
2. Helpful for patient’s who are mild to moderately depressed
The Intuitive Thought Substage
-Lasts from 4-7 years
-Marked by greater dependence on intuitive thinking rather than just perception
-children ask many questions as they attempt to understand the world around them using immature reasoning
Techniques for teaching self regulation to children
-manage your own stress
-keep the end goal in mind
-develop realistic expectations
-stay calm and model self regulation
-be supportive and encouraging
-reduce unnecessary demands
-ensure that children’s resource pool for regulation is regularly replenished
Why would you use Motivational Interviewing with children and adolescents?
Because child and adolescent resistance can be managed with less resistance and hostility
Strength-based approach with pediatric patients
-Start with what’s present and not what’s absent
-Write about what works for the child
*This approach is best during the first meeting
Example: praise youth for their efforts at maintaining control of some aspect of life
Strength-based approach with pediatric patients consists of…..
-questioning strategies to identify what works for the child and how it works so that those strategies can be continued and developed to match the child’s abilities.
-Using CBT with a family systems focus to
What is an example question the therapist may ask when using CBT with a Family Systems Focus to address bipolar using a strength based approach
“Can you tell me about the family?”
Know when to use Trauma focused CBT with pediatric patients …..
If you working with a youth who had just experienced a traumatic event the day before your visit, would you talk about the experience at this session?
(The APA practice guidelines don’t support the efficacy of talking about such events immediately); best to wait until the child asks questions about event.
Know when to use Trauma focused CBT with pediatric patients …..
Trauma focused CBT therapy is best for a child with extensive trauma history (abuse, neglect) with symptoms of poor sleep (nightmares), irritability, minor aggression, restlessness
3 main characteristics of ADHD in children…
the DSM-5 criteria
1. Inattentiveness
2. Hyperactivity
3. Impulsivity
Brain Structures believed to be involved in ADHD
Prefrontal cortex and its connections may be associated with ADHD symptoms such as distractibility, forgetfulness
What is the best behavioral, cognitive, or psychoeducational intervention to augment the medication, if a youth taking a stimulant medication (like Concerta) for ADHD and still has poor attention in school
Cognitive training focused on enhancing working memory
What are the recommended adjuncts to medication for moderate to severe ADHD?
Behavior therapy and psychosocial treatment
Know the following term: Normalizing
Person states “I am weird, I don’t like heights.”
Normalizing reply- “At times many people feel anxious when they are high up.”
Know the following term:
Exhortation
Self-help exhortations urged more drive, work ethic, and to do the hard work needed for maximal achievement
Know the following term:
Inspiration
A feeling of enthusiasm you get from someone or something, that gives you new and creative ideas
Know the following term:
Encouragement
Something that gives hope, determination, or confidence
Know the following term: Differentiation
The ability to maintain one’s feelings and thoughts in the presence and pressure of close, intimate relationships.
