Henren- Psychotherapies Flashcards
What are 4 major types of therapy models for understanding and treating mental disorders?
- CBT
- Behavioral, , familial, cultural, biopsychosocial
- Psychodynamic psychotherapy (“insight-oriented psychotherapy”)
- Supportive psychotherapy
What are the 4 psychotherapy formats?
- Individual therapy
- Group Therapy
- Couple Therapy
- Family and Systems Therapy
What are the 3 principles of CBT?
Behavior, thoughts, emotions
How is the principle of thoughts described in CBT therapy?
What we think affects how we and .
feel
act
The principle of emotions in CBT therapy is described as:
How we feel affects what we and .
think
do
The principle of behavior in CBT is described:
What we do affects how we and .
think and feel
What was developed by Aaron Beck and focused on maladaptive information processing?
CBT
• Extensive research has demonstrated robust efficacy for for many psychiatric diagnosis
CBT
What 3 characteristics may make one a good candidate for CBT?
– They’re highly to get better
– They are willing and able to complete weekly
– They value a approach to treatment
motivated
homework
problem-solving
activation is a form of behavioral therapy that is particularly effective for MDD
Behavior
Which therapy is particularly effective for MDD and focuses on:
–Increasing pleasure or mastery
–Increasing approach behaviors and decreasing avoidance behaviors
–Establishing routines
–Structuring and scheduling activities
–Using contingencies to promote motivation
–Teaching skills for prescribed activities
–Practicing new activities in session
–Teaching alternative behaviors to decrease rumination
Behavior activation therapy
Behavior activation therapy:
–Increasing pleasure or
–Increasing approach behaviors and decreasing behaviors
–Establishing
–Structuring and scheduling activities
–Using contingencies to promote
–Teaching skills for prescribed activities
–Practicing new activities in session
–Teaching alternative behaviors to decrease
mastery
avoidance
routines
motivation
rumination
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
Drawing conclusions on the basis of just one of many elements of a situation
select abstraction
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
Downplaying the importance of a positive thought, emotion, or event
minimisation
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
Attributing personal responsibility for events which aren’t undera a person’s control
Personalization
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
Drawing conclusions when there is little or no evidence
Arbitrary inference
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
“Making a mountain out of a molehill”- blowing things out of proportion
Magnification
CBT for MDD can address several maladaptive processes, which maladaptive process is being described?
Making sweeping conclusions based on a single event
overgeneralisation
The following is an example of using CBT to treat what type of disorder?
CBT for social anxiety disorder
CBT can also treat anxiety disorder with workbooks
generalized
What disorder is being treated with CBT in this model?
CBT for Panic Disorder
Which 3 therapies can treat PTSD:
Prolonged exposure therapy, CBT, EMDR
What is the CBT for treating borderline personality disorder?
DBT
CBT can treat sleep disorders, such as .
insomnia
CBT can be used to treat psychosis, eating disorders, bipolar disorder, pain, and use disorders.
chronic
substance
Before CBT, what was the most common type of therapy?
interpersonal psychotherapy
What type of therapy addresses interpersonal difficulties that lead to symptoms?
interpersonal psychotherapy
What 4 areas of a person’s life does interpersonal psycotherapy focus on:
- grief over
- disputes
- transitions
- interpersonal deficits
loss
interpersonal
role
skill
Best evidence base for interpersonal psychotherapy is for which psychiatric disorder?
depression
Which type of interviewing technique focuses in moving through the stages of change:
– Precontemplation
– Contemplation
– Decision
– Action
– Maintenance
Motivational interviewing
What technique is occuring in motivational interviewing:
connect with the patient so that a safe place for diatlogue is created
express empathy in motivational interviewing
What technique is occuring in motivational interviewing:
Use open-ended questions to garner patient-centered reasons that bad behavior is working against them
Develop discrepancy
What technique is occuring in motivational interviewing:
Avoid didactic verbal exchanges. When encountering resistance, shift the focus so that resistance becomes opportunity to offer a motivational suggestion
roll with resistance
What technique is occuring in motivational interviewing:
encourage the belief in accomplishment, Your support is one of the most powerful ways for patients to believe in themselves again. When discussing treatment, utilize a patient selected menuj of alternatives whenever possible
suppory self efficacy
What are 3 instances when CBT is not indicated?
psychosis, dementia, not motivated
Which type of therapy focuses on relationships, patterns and unconscious mental processes
Psychodynamic psychotherapy
Which therapy has the goal of ”insight-oriented psychotherapy” making unconscious conscious?
Psychodynamic psychotherapy
As concerning psychotherapy:
• Evidence generally shows inferiority/non-inferiority to more rigorously studied methods
non-inferiority
What refers to attitudes, feelings, thoughts and wishes that originate with important figures in the past (e.g. parents) and are unconsciously reenacted with individuals in the present?
transference
What is transference on the part of the clinician toward the patient?
countertransference
Both transference and countertransference are shaped by and individual’s uniqie set of lived
.
experiences
What concept is being described:
constitute the broad, overall category. They are any reaction stimulated by the clinical situation.
is triggered mostly, if not exclusively, from the patient. Most people would react to the patient in the same way, regardless of their personal psychodynamics.
This should not be confused with countertransference
counter-reactions
As concerning cultural transference
• The recognition of the contributing role of the therapist’s own in psychodynamically oriented practice cannot be more vital than in the treatment of patients whose culture, race, or class markedly differ from that of the therapist.
subjectivity
What is viewed as a matrix of intersecting cognitive and affect-laden beliefs/experiences that exist within the therapist at varying levels of consciousness as it relates to cultures that differ from therapist
cultural transference
What are are used when we experience stress. They are automatic, unconscious and affect our perception of external and internal reality in an effort to avoid the experience of anxiety and/or depression. Are utilized by an individual are related to the maturity of their developmental stage and to their character structure and personality.
psychological defense mechanisms
What levle of defense mechanisms;
– Denial
– Projection =see stuff you don’t like about yourself in others
– Splitting = can only see people as bad or good, not both
early developmental defenses
What level of defense mechanisms and usualy during what stage of life?
– Acting out
– Regression
– Counter-phobic behavior
– Identification or imitation
– Reaction Formation =replace unwanted desire with the opposite behavior
– Repression or suppression
– Displacement
mid-level developmental defenses
What are the 5 later developmental defenses (more healthy)
– Isolation of affect =avoiding the experience of an emotion
– Rationalization and intellectualization
– Sublimation
– Humor
– Altruism
What therapy can help with both smoking cessation and pain control?
hypnosis
What type of therapy is being described:
• Evidence is mixed and study quality is generally low
mindfulness and meditation
Group therapy is particularly effective for what 3 issues?
– Substance use disorders
– Bereavement
– Chronic illness
Which therapy has been effective for the following?
- Preventing references of major depression (maintenance treatment)
- Treating acute symptoms of major depression
- Managing treatment-resistant depression when used as an augmenting strategy along with medications
- Residual depressive symptoms
- Severe affective instability
Mindfulness-based cognitive therapy (MBCT)
- Many studies have shown that Telehealth is effective and non-inferior to in-person care delivery, and may be for some diagnoses and populations
- Telehealth may be more than inperson care delivery
superior
cost-effective
Psychotherapy should generally be thought of as an addition to, not for, medications when medications are indicated
replacement
Therapists should generally disclosing personal information to patients unless that information is directly relevant or helpful to the patient
avoid
