Nonpharmacological therapies

Question 1

How would you counsel someone about ECG?

Answer 1

1) Affects on short term memory - existing memory can get worse
2) Muscle soreness from muscle relaxants or seizure
3) Irregular HR and rhythm, rise in BP followed by a slowing.
4) Sometimes stroke or HA can occur
5) Must fast from the night before, dress in loose comfortable clothing and ensure hair is clean/dry. DO NOT take sleeping tablets, can interfere with process.
6) Go to the toilet beforehand.
7) Cannot leave hospital for 2 hours afterwards on the wards.
8) Common:
a. n/v
b. Headache
c. Pain/bruising
d. Soreness or dry throat
e. Blurred or double vision

Question 2

List some psychotherapies

Answer 2

CBT - cognitive based therapy

• newer forms are:
  
  • ACT (acceptance and commitment therapy)
  • DBT (Dialectical behavioural therapy)
  • mindfulness based cognitive therapy

IPT (interpersonal psychotherapy)

Family based therapy

ECT

TMS

Question 3

Explain the two core principles of CBT

Answer 3

1) that cognitions control feelings and behaviours

2) that behaviours affect thought patterns

Question 4

Outline the general treatment structure of CBT

Answer 4

• Acute treatment is 12-20 weekly sessions followed by 3-6months of booster sessions.
  ○ Activity scheduling
  ○ Challenging dysfunctional thoughts

Question 5

What is family based therapy and what specifically is it used in?

Answer 5

Family based therapy

- Emphasizes family relationships as important factors in psychological health. 
- Found particularly useful in AN.

Question 6

What is IPT?

Answer 6

IPT - interpersonal psychotherapy

- Treatment for depression. Connection between onset of symptoms and current interpersonal problems. 
- 12-16weekly sessions.