Pscyhological therapies Flashcards
Depression in adults recognition and management
Step 1
Step 2
Low-intensity psychological interventions;
Individual guided self-help based on principles of CBT.
Computerised CBT (CCBT)
Group CBT
Step 3
High-intensity psychological intervention;
CBT
Interpersonal Therapy (IPT)
Behavioural Activation (though evidence for CBT and IPT greater)
Behavioural couples therapy
Step 4
High-intensity psychological intervention (as above, but possibly delivered in inpatient setting).
OCD treatment
CBT and ERP
Prevention and management of psychosis and schizophrenia in adults
Family intervention
Individual CBT for psychosis/schizophrenia
CBT purpose
Help change way you think and behave about X
Concept behind CBT
that our thoughts, emotions, physiological sensations and behaviours are interconnected
With depression, anxiety etc…negative thoughts, feelings, physiological sensations, and behaviours can trap you in avicious cycle
What happens in CBT?
Tends to focus more on the here and now than on historical life events (though these are important to acknowledge as they shape our beliefs).
Looks at identifying situations/triggers that cause distress.
As a therapy CBT is;
Structured
Collaborative
Focussed
What does interpersonal therapy aim to do?
Reduce the symptoms of depression
Improve social adjustment and interpersonal functioning.
What does interpersonal therapy focus on?
conflict with another person
life changes that affect you and how you feel about yourself and others
grief and loss
difficulties in starting or keeping a relationship going.
What is interperonal therapy used for?
Used to treat acute depression (rather than chronic depression)
What is EMDR designed to do?
Intended to help people recover from distressing events and the problems they have caused e.g. flashbacks, intrusive images/thoughts, depression and anxiety.
What is the aim of EMDR?
Intended to help people recover from distressing events and the problems they have caused e.g. flashbacks, intrusive images/thoughts, depression and anxiety.
How does EMDR work?
Person has to recall the traumatic event while they also move their eyes from side-to-side, hear a sound in each ear alternately, or feel a tap on each hand alternately. This effectively stimulates the “stuck” processing system in the brain so that it can reprocess the information more like an ordinary memory, reducing its intensity
What should family intervention do?
include the person with psychosis or schizophrenia if practical
be carried out for between 3months and 1year
include at least 10planned sessions
take account of the whole family’s preference for either single‑family intervention or multi‑family group intervention
take account of the relationship between the main carer and the person with psychosis or schizophrenia
have a specific supportive, educational or treatment function and include negotiated problem solving or crisis management work.
What is cognitive analytic therapy?
Integrates cognitive and analytical approaches. Looks at relationships/roles.
What is dialectical behavioural therapy?
Targets those with emotional regulation difficulties/personality difficulties
