Intervention Flashcards
What is a key principle of ACT?
That attempts to resist and control unwanted subjective experiences are ineffective and counterproductive and can actually increase distress.
What does ACT borrow from
CBT
What is the difference between ACT and CBT
ACT focuses on the function of psychological experiences as the target of intervention rather than form and frequency of particular symptoms
What is the key premise of CBT
That cognitions influence feelings and behaviours and that subsequent behaviours and emotions can influence cognitions
What are the two aspects of CBT
- Behaviour Therapy
2. Cognitive Therapy
What theory is the behaviour therapy component of CBT based on
It is based on th theory that behaviour is learned and can be changed
What are 4 examples of behavioural techniques
- Exposure
- Activity scheduling
- Relaxation
- Behaviour modification
What is the aim of CBT
To use cognitive restructuring and self-instructional training to replace dysfunctional thoughts with more helpful thoughts that lead to less maladaptive behaviours and distressing emotions
What are some examples of skills training in CBT
- Stress management
- Social skills training
- Parent training
- anger management
What is the overall goal of DBT
To reduce behaviours and tendencies that lead to deregulated emotions
What are the 4 modes of delivery in DBT
- A didactic relationship with the clinician
- Skills training
- Skills generalisation
- Team consultation to support clinicians working with challenging clients
What is skills generalisation
Applying techniques from therapy to real life situations
What are the 4 basic DBT skills
- Mindfulness
- Distress tolerance
- Emotion regulation
- Interpersonal effectiveness
What is EFT
Emotion focused therapy
What 2 the major intervention used in EFT
- Empty-chair and two-chair dialogues
2. Unclear bodily-felt sense
What are some of the key focuses of EFT
- Letting go of anger and hurt in relation to another person.
- Increased acceptance and compassion for oneself
- Development of a new view and understadning of oneself
What does EMDR stand for
Eye movement desensitisation and reprocession
Who developed EMDR
Francine Shapiro
What is the main purpose of EMDR
To assist clients exposed to traumatic events
What is the main technique used in EMDR
To use bilateral stimulation, right/left eye movement, or tactile stimulation to activate cognitive processes that allow the relase of emotional experiences that are trapped or buried
What does EMDR look like in a session
The clinican helps to client revisit a traumatic event and all the thoughts, feelings and sensations associated with that event. Whilst doing this they hold a finger 45 cm’s from the clients face and move the finger back and forth asking the client to track the movement with their eyes. The clinican works to move the client to more positive thoughts during this time.
What is an example of family interventions
Behavioural parent-training interventions
What is the focus of Family Interventions
Altering itneractions between family members to improve th functioning of the family and its individuals
What is involved in hypnotherpay
Education about hypnosis, discussion about common misconceptions, induction procedure likey eye fixation, deepening techniques like PMR, guided imagery, anchoring techniques and ego-strengthing, alerting phase
What is the alerting phase of hypnotherapy
When the individual becomes orientated to surroundings again
What is the underlying assumption of IPT
That mental health issues and interpersonal problems are interrelated
What is the goal of IPT
To help clients understand how the issues they face lead them to become distressed and put them at risk of mental health problems
What are 4 interpersonal problems explored in IPT
- Interpersonal disputes
- Role Transitions
- Grief
- Interpersonal deficits
What does MBCT stand for
Mindfulness-based cognitive therapy
What does MBSR stand for
Mindfulness-based stress reduction
What do MBSR and MBCT do
They interrupt rumination that can lead to depressive relapses
What is the difference between mindfulness and CBT
The aim is to change the relationship to thoughts rather than challenging them. It is not to change dysfunctional thoughts.
What is the aim mindfulness
To raise metacognitive awareness to allow individuals to experience cognitions and emotions as separate from the self
What group has Narrative Therapy been particularly usefule and why
Aboriginal and Torres Strate Islander people as it builds on the story telling that is central to their culture
What does the clinician do in Narrative Therapy
The listen and reflect back the stories people tell about their lives and highlight how these stories restrict them
What is there a major emphasis on in Narrative therapy
Identifying people’s strengths and reflecting to an individual how they have been successful in the past using these skills
How does play therapy work
It provides children with an age-appropriate language and context to communicate with the clinician
What are 2 key skills involved in play therapy
- Picking up on a child’s verbal and nonverbal cues
2. Analysing use of toys and drawings to ascertain what a child is trying to communicate
What are some major elements of the psychodynamic theory
- Confrontation
- Clarification
- Interpretation
What is psychoeducation
The provision of information to a client about what is widely know about their diagnosis
What are 5 key areas of psychoeducation
- Information about medication
- Prognosis
- Alleviating aggravting variables
- Signs of relapse
- How to monitor signs of relapse
What is the emphasis of Schema-focused therapy
Identifying and changing maladaptive schemas and the associated ineffective coping strategies
What is a schema
Schema’s are an individuals beliefs about themselves, the world and other people.
When do schema’s develop
They are developed during childhood and are a result of how our needs are met as children
What therapy does Schema focused therapy borrow from
CBT
What elements of CBT does schema focused therapy use
- Identifying and changing automatic thoughts
2. Identifying cognitive distortions
What are most self-help programs based on and when are they used
CBT and as an adjunct to traditional therapy
What is SFBT
Solution-focused brief therapy
What are the aims of SFBT
To increase optimism and positive expectancies along with the experience of positive emotion’s to improve outcomes
According to the APS what 6 interventions demonstrate level 1 evidence for treating depression
- CBT online and clinician guided
- Interpersonal therapy
- Mindfulness-based cognitive therapy
- problem-solving therapy
- psychodynamic therapy
- Psychoeducaton
According to the APS what 8 interventions demonstrate level 2 evidence for treating depression
- Acceptance comitment therapy in person and online
- DBT
- EFT
- EMDR
- Family interventions
- Online problem solving therapy
- Schema therapy
- Solution focused therapy
What is recommended for persistent severe depressive symptoms
Combined treatment that uses anti-depressants with psychological therapy
What is the first-line treatment for bipolar disorder
Pharmacotherapy
What is optimal treatment for bipolar disorder
a combination of pharmacotherapy and psychological therapy
According to the APS what intervention has level 1 evidence of treating bipolar
CBT
According to the APS what 3 interventions have level 2 support for treating bipolar
- Family interventions
- Mindfulness-based cognitive therapy
- Psychoeducation
According to the APS what intervention has level 1 support for treating GAD
CBT
According to the APS what 6 interventions have level 2 evidence support as treatment for GAD
- Act
- metacognitive
therapy (based on a single RCT), - Mindfulness-based cognitive
therapy - Mindfulness-based stress reduction,
- Psychodynamic
therapy, - Psychoeducation
According to the APS what 3 interventions demonstrate level 2 evidence for panic disorder
- Online CBT
- ACT
- Short term psychodynamic
therapy
Accordingo the APS what intervention demonstrates level 1 evidence for panic disorder
CBT
According to the APS what intervention demonstrates level 1 evidence for specific phobia’s
CBT
According to the APS what 2 interventions demonstrates level 2 evidence for specific phobia’s
- Virtual reality exposure therapy
2. Computer based exposure
According to the APS what intervention demonstrates level 1 evidence for Social Anxiety Disorder
CBT
According to the APS what 4 interventions deomnstrates level 2 evidence for Social Anxiety disorder
- ACT
- IPT
- MBSR
- Psychodynamic therapy
According to the APS what 2 interventions demonstrate level 1 evidence for treating OCD
- CBT that incorporates exposure and response prevention
2. CBT based self-help
According to the APS what intervention demonstrates level 2 evidence for treating OCD
- ACT
- Family interventions
- Metacognitive therapy
- Mindfulness-based cognitive therapy
What two treatments does the APS recommend first for PTSD
- CBT in particular trauma-focused CBT that includes exposure-based elements
- EMDR
According to the APS what 4 treatments demonstrate level 2 evidence for PTSD
- DBT
- EFT
- Metacognitive therapy
- MBSR
What would be the first intervention you would use for substance use disorder
CBT including motivational interviewing and contingency management
What alternative interventions could be used for substance use disorder
- ACT
- DBT
- Family interventions
- Mindfulness-based relatpse prevention
- Psychodynamic therapy
Is pharmocotherapy recommended for substance use disorder treatment
Yes. For certain substances
According to the APS is there level 1 evidence for any treatment of Anorexia
No there is only level 2
What 4 treatments demonstrate level 2 evidence for Anorexia
- CBT
- Online CBT
- Family interventions
- Psychodynamic therapy
What level of evidence for CBT to treat bulimia is there?
Level 1
According to the APS what 2 interventions demonstrate level 2 evidence for treatment of Bulimia
- Online and self-help CBT tehrapy
2. DBT
According to the APS what intervention demonstrates level 3 evidence for treatment of Bulimia
IPT
What 5 treatments could you use for bing eating disorder
- CBT
- DBT
- Interpersonal therapy
- MBSR
- Psychoeducation
What else might be useful when treating Binge eating disorder
Guided self-help programs
What 2 treatments could you use for adjustment disorder
- Psychodynamic therapy
2. CBT
What treament could you use for sleeping disorders
- Mindfulness-based itnerventions
What 4 treatments could you use to treat a sexual disorder
- CBT
- Interpersonal therapy
- Psychoeducation
- Mindfulness based cognitive therapy
What may particularly useful in treating a sexual disorder
Systematic desensitisation
What 2 interventios may be used for treatment of pain disorder
- CBT
2. ACT
What interventions might you you use to treat Hypochondriasis
- CBT
- Psychoeducation
- CBT based self-help
- ACT
- Mindfulness based congitive therapy
What interventions might you use to treat Body Dysmorphic Disorder
- CBT
- Online CBT
- Metacognitive therpay
- ACT
What are some of the potential therapies you could use to treat BPD
- DBT- MUST SAY THIS
- Psychodynamic therapy
- Schema Therapy
- ACT
- CBT
- IPT
- Psychoeducation
What are some of the potential therapies you could use to treat psychotic disorders
- CBT
- Family Interventions
- Psychoeducation
- ACT
- Metacognitive therapy
What treatment modes could be used for ADHD in adults
- CBT
- DBT
- Metacognitive therapy
- Mindfulness-based cognitive therapy
- Psychoeducation
When treating a child with emerging features of Bipolar using IPT and CBT what could you do if there was no reponse after 4 to 6 weeks of treatment
Incorporate family therapy as well
What does PCT-A stand for
Panic Control Treatment for Adolescents
Can EMDR be used for PTSD among children and adolescents
Yes
What is most beneficial for adolescents with substance use disorders
Multidimensional family therapy as well as gropu based CBT
What is the most beneficial treatment for adolescents with Anorexia nervosa and Bulimia
Family intervention. A multi-family approach with parent only sessions is very important
What treatment could be used with a young child demonstrating a sleep disorder
Behavioural interventions
What is the typical treatment for young people with schizophrenia
Anti-psychotic medication as well as family interventions and CBT
How would one treat an adolescent or child with ADHD
Using bhevaioural or CBT as an adjunct to medication as well as family intervnetion
What component of ADHD can be addressed by play therapy
Play therap can be used to target social skills in children with ADHD
What other components might be useful in treating an adolescent or child with ADHD
- Problem-solving strategies
2. Assertiveness/communication training
What treatment could be used for a child with Conduct disorder
CBT and family interventions in
What particular type of family intervention is important in treating Conduct Disorder
Parent training
What could be used to treat a child presenting with Enuresis
CBT using alarm therapy particularly for children with nocturnal enuresis
What is alarm therapy
It is a treatment used to target nocturnal neuresis that involves placing moisture sensor in the child’s pajamas which starts a buzzers to awake the child to go to the toilet
What is Urotherapy
Education on the anatomy and function of the LUT as well as behavior modifcation of regulating fluid intake, timed or scheduled time to use the toilet