Impaired Autonomy & Performance - Dependence/Incompetence

Question 1

What is the core idea?

Answer 1

I am incompetent, therefore I must rely on others

Question 2

How do patients often present?

Answer 2

With depression or anxiety afraid to leave partner similar to parent because afraid couldn’t survive on own

Question 3

Goals of treatment?

Answer 3

Increase sense of competence - build confidence and skills

Decrease dependence - try tasks alone

Question 4

Key to treatment?

Answer 4

Give up dependence
Response prevention
Stop self from turning to others for help
Handle tasks on my own
Accept that making mistakes is how I’ll learn
Persevere until I’m successful
Prove to myself that I can generate my own solutions to problems

Question 5

What are some cognitive strategies for dependence schema?

Answer 5

Flash cards 
Rational responding 
Breathing & relaxation techniques 
Dialogue between healthy side and schema
Problem solving to make decisions
Challenge negative thoughts
Focus on needs for autonomy and self expression