IPT/Marriage Flashcards
In the middle phase of interpersonal psychotherapy (IPT), the therapist focuses on the patient’s: (4x)
CURRENT RELATIONSHIPS
In pt with MDD and social phobia the IPT targets social isolation by (2x):
WORKING WITH THE PT TO HELP INCREASE SOCIAL CONTACTS, STRENGTHEN THE CURRENT RELATIONSHIPS.
During the initial phase of interpersonal psychotherapy (ITP), what problem is the therapist most likely to identify for therapeutic focus with the patient (x2)?
ROLE TRANSITION
F psychiatrist has been treating a 32 y/o married F pt w weekly psychotherapy for depressive sx, ambivalence about marriage. Therapy progressing well. Pt just learned she is pregnant, explores conflicted feelings about terminating pregnancy and her fears that unplanned pregnancy would trap her in marriage. Uncharacteristically, psychiatrist speaks strongly to pt about reasons not to make such a choice. Pt responds by saying “you are not going to make me feel guilty about this!” What statement would be most appropriate for therapist to make in response?
YOU FELT I WAS IMPOSING A MORAL JUDGMENT ONTO YOU, AND, APPROPRIATELY, YOU OBJECTED.
Which interview technique is illustrated by validating a patient’s inappropriate ED visit (eg. superficial wrist laceration) but also transitioning to their emotional needs?
CONFRONTATION
Interpersonal social rhythm therapy in bipolar focuses on what?
LIFESTYLE REGULARITY
IPT of adults w/ depression begins w/assessment of pt’s adjustment to stressful life events, role transitions and disputes, and:
QUALITY OF SOCIAL CONNECTIONS
Name a treatment modality that explicitly emphasizes giving pts a formal psych Dx and assigning them sick role:
INTERPERSONAL THERAPY
75 y/o pt has begun to experience insomnia and fatigue after the death of her husband. She describes feeling “down in the dumps”. She was previously active with many friends and social outlets. Psych MD decides that treatment should focus on pt’s grief as the primary problem in order to aid mourning and facilitate pt’s reintroduction into outside activities and relationships. What therapy is best?
INTERPERSONAL THERAPY
Intentionally assigning the sick role to a pt which serves to give the pt the permission and responsibility in order to recover is a tenet of which form of psychotherapy?
INTERPERSONAL THERAPY
Which Tx is contraindicated in initial treatment of pt experiencing domestic violence? (4x)
CONJOINT MARITAL THERAPY
What best illustrates a double bind in a family? (3x)
BETTY’S PARENTS ENCOURAGE COLLEGE, BUT COMPLAIN THAT EXPENSES WILL BE A HARDSHIP FOR THE FAMILY
Which psychosocial therapies for pts w/ schizophrenia has been shown to reduce relapse rates? (3x)
FAMILY PSYCHOEDUCATIONAL THERAPY
When conducting marital therapy with a couple who beginS to talk about divorce, what should the psychiatrist’s stance be? (2x)
FOCUS ON THE COUPLE’S RESPONSIBILITY TO DECIDE THE FUTURE OF THEIR RELATIONSHIP
What response is consistent with supportive therapy when a patient tells you their marital conflicts have resolved thanks to you the therapist?
IM HAPPY TO HEAR THAT THINGS ARE GOING WELL AT HOME AND THAT OUR WORK TOGETHER HAS BEEN HELPFUL
Wrap around process for youth
AN INDIVIDUALIZED, FAMILY-DRIVEN AND YOUTH-GUIDED TEAM PLANNING PROCESS
On initial psych eval, pt tells dr about recent infidelity, wants to make amends with spouse, what response would get additional info from pt?
TELL ME MORE ABOUT HOW THIS STARTED
Which of the following statements best describes the current conceptualization of family that informs family system theories and treatment approaches?
FUNCTIONING FAMILIES TEND TO HAVE CERTAIN SHARED CHARACTERISTIC ATTRIBUTES RATHER THAN COMMON STRUCTURES
Dysfunctional process in systemic therapy illustrated by mother telling 15yo son to confront his father about his excessive drinking.
TRIANGULATION
Which of the following approaches is likely to obtain the most accurate information on the factors influencing a family’s level of functioning
FAMILY COPING STRATEGIES IN RESPONSE TO PAST STRESSORS
During the initial interview of a couple presenting for therapy it is helpful to point out that the focus of therapy is primarily on the:
RELATIONSHIP PROBLEM
Typical phase of life problem in middle adulthood?
CARING FOR BOTH ONE’S CHILDREN AND PARENTS
9 yo f bib-parents for outpt evaluation due to behavior difficulties at home. Port daughter “explodes” when she doesn’t get her way. Bossy with friend. On interview, child is calm, cooperative and interactive, denies SI/HI and states “sometimes I just get mad.” What is the most appropriate level of care?
SEND THE PT HOME WITH PARENTS
9 yo f bib-parents for outpt evaluation due to behavior difficulties at home. Port daughter “explodes” when she doesn’t get her way. Bossy with friend. On interview, child is calm, cooperative and interactive, denies SI/HI and states “sometimes I just get mad.” At a follow up interview the physician learns the outbursts are related to parental disputes. What is the next treatment step?
EXPLORE REASONS FOR PARENTAL DIFFERENCES
