Non Pharmaceutical Psychiatric Treatments Flashcards
What consitutes counselling?q
Unstructured discussion to facilitate emotional expression, reflexion and reassurance. Used for stress, adjustment disorders, bereavement, mild depression and anxiety
What is the behavioural aspect of CBT?
Encourages positive behaviour with structured focus on what patient must change in their life and thoughts. Challenges behaviour in the hope that feelings follow
What is the cognitive aspect of CBT?
Identift automatic negative thoughts and core beliefs and work to replace them with postive helpful ones
What is CBT used for?
Depression
Anxiety
Personality Disorder
Eating Disorders
How are Phobias treated?
Stepwise Exposure to allow habituation
Behavioural management therapy- links behaviour to outcomes
Behahioural Activation- plan activity to comfront fears.
How is Borderline Personality Disorder treated?
Dialectal Behavioural Therapy:
Group and individual sessions for 1 year, mindfulness and counsellor available 24/7. Aims to target self harm and coping strategies
What does psychodynamic therapy involve?
Patient talks freely and therapist interprets this for many years. Transference and counter transference occur.
What is transference?
Patient re lives long standing emotions towards earlier stimuli but directed at therapist
What is Counter tranference?
Therapist experiences strong feelings towards patient
What are examples of psychodynamic therapy
Psychoanalysis
PSychodynamic Psychotherapy
Therapeutic Communities
Interpersonal Therapy
What is ECT?
Electro Convulsive Therapy:
Induction of moderate cerebral seizure
When is ECT indicated?
Catatonia
Prolonged mania
Severe depression
4th line for schizophrenia
What are the contraindications for ECT
None
What are relative contraindications for ECT?
Crescendo angina
Raised ICP
Recent stroke or MI
What are side effects of ECT?
Cognitive impairment Orientation Retrograde amnesia Postictal headaches Confusion
