Psychiatry: Psychological treatments Flashcards
1
Q
What does ‘psychosocial treatment’ encompass?
A
- Recovery model
- Help with independent living, money, housing, education, employment, meaningful activities (social inclusion work)
- Psychoeducation
- Family work
- Psychological therapy and counselling
2
Q
MDT members
A
- Community mental health nurse (CPN/CMHN)
- Social worker
- Occupational therapist
- STR workers (support, time and recovery worker)
- Psychologist
- Psychiatrists
- Psychotherapist (e.g. CBT, drama therapist, art therapist, psychodynamic therapist)
3
Q
Improving Access to Psychological Therapy (IAPT)
A
- Primary care psychotherapy service
- GP or self-referral
- Work in GP surgeries
- Currently mainly for depression and anxiety but remit is expanding
- Mainly CBT and guided self-help but the range of approaches is growing
- In Sheffield IAPT includes counselling
4
Q
Psychodynamic/psychoanalytic therapy
Summary
A
- Sigmund Freud and Melanie Klein
- Uncovering past trauma to resolve present-day symptoms
- Making connections between past and present
- Helping person become more aware of unconscious processes which are giving rise to symptoms
- Help person construct a narrative of life to give meaning to the symptoms
5
Q
Psychodynamic/psychoanalytic therapy
Duration
A
- Takes around 1 year
- Weekly sessions
6
Q
CBT
Waves
A
1st wave: Behavioural therapy
2nd wave: Cognitive (behavioural) therapy
3rd wave: Combines mindfulness and acceptance techniques with the above
7
Q
CBT
Duration
A
- Generally structured and brief
- 6 - 20 sessions
- Focuses more on present day
8
Q
Counselling
Summary
A
- Often provided in primary care
- Fairly short
- Aims to help the patient be clearer about their problems and come up with their own answers
- Often used to help someone cope with events they have found difficult
9
Q
Cognitive analytical therapy
Summary
A
- Integrates cognitive and psychoanalytic approaches
- Patient describes how problems have developed from events in their life
- Focus on ways of coping and how to improve
- Therapist writes a letter at the beginning and end of treatment
- Brief (16-24 sessions), 50 minutes
10
Q
Interpersonal therapy
Summary
A
- Aims to help the patient understand how their problems may be connected to the way their relationships work
- Helps identify how to strengthen relationships and find better ways of coping
11
Q
Dialect behavioural therapy
Summary
A
- Mostly aimed at helping problems associated with a borderline personality disorder
- Individual and group sessions combined as a programme
- Regular sessions over a period of 12 to 18 months
- Goal is to help patients learn to manage difficult emotions by letting them experience, recognise and accept them
- ‘Dialectics’ means trying to balance seemingly contradictory positions
- Combines behavioural and third wave CBT
12
Q
Family therapy
Summary
A
- Family attend together
- Often used in CAMHS
- Sometimes observed by other therapists or recorded to help therapists and family reflect
- Systemic psychotherapy works with a family’s strengths to help family members think about (and try) different ways of behaving with each other
