Psychological Approaches to Common Mental Health Problem

Question 1

Prevelance of common mental health problems

Answer 1

15%

Question 2

Commonest cause of death in men under the age of 25

Answer 2

Suicide

Question 3

Common affective anxiety disorders

Answer 3

Major Depressive Disorder (MDD)
Generalised Anxiety Disorder (GAD)
Panic Disorder and Phobic Anxiety Disorders
Obsessive-Compulsive Disorder (OCD

Question 4

Common Substance Misuse Disorders

Answer 4

due to use of ALCOHOL
due to use of TOBACCO
due to use of OPIOIDS/BENZOS/STIMULANTS

Question 5

Common disorder of reactions to stress

Answer 5

PTSD

Question 6

What is Cognitive Behavioural Therapy particularly good at tackling

Answer 6

Depression, Anxiety, phobias, OCD, PTSD

Question 7

How does Cognitive Behavioural therapy work

Answer 7

The therapist helps the client identify thoughts, feelings and behaviours. They then assess whether they are unrealistic and unhelpful. The client then engages in “homework” which challenges the unrealistic or unhelpful thoughts through graded exposure and response prevention.

Question 8

Behavioural Activation

Answer 8

This focusses on avoided activities. It looks at the unintended consequences of avoiding these activities and then considering a different way to do it. Setting activities to challenge these avoidances.

Question 9

Time limit on Interpersonal Psychotherapy

Answer 9

12-16 weeks

Question 10

Theory behind Interpersonal Psychotherapy

Answer 10

Depression often follows a disturbing change in or contingent with significant event.

Question 11

What happens in Interpersonal Psychotherapy

Answer 11

“sick role” is given to the patient, an interpersonal map is constructted. An area is focussed on.

Question 12

Strength of Interpersonal Psychotherapy

Answer 12

A grade evidence for treating depression
No formal homework – may be preferable
Client can continue to practise skills beyond the sessions ending

Question 13

Limitations of Interpersonal Therapy

Answer 13

Requires degree of ability to reflect – may be difficult for some
Where poor social networks – limited interpersonal support

Question 14

Motivational Interviewing

Answer 14

Promotes behaviour change in a wide range of health care settings. It is used where behaviour change is being considered, when a patient is unmotivated to change

Question 15

Principles of Motivational Interviewing

Answer 15

Express empathy
Avoid argument
Support self-efficacy