Psychological approaches to common mental health disorders Flashcards

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1
Q

What are the three most common types of mental health disorders?

A

Affective/anxiety

Substance misuse

Disorders of reactions to psychological stress

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2
Q

What are the common affective/ anxiety disorders

A

Major depressive disorder
Generalised anxiety disorder
Panic disorder and phobic anxiety disorders
Obsessive compulsive disorder (OCD)

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3
Q

What are some common substance misuse disorders?

A

Due to abuse of alcohol, tobacco and

Opiods/benzos/stimulants

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4
Q

What is the common disorder associate with an abnormal reaction to stress?

A

PTSD

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5
Q

What are two brilliant guidelines that summarise everything you need to know in these sides?

A

NICE depression guidelines

SIGN non pharmaceutical management of depression in adults

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6
Q

What is cognitive behavioural therapy?

A

How out thoughts relate to our feelings and behaviour
Particularly good for depression, anxiety, phobias, OCD, PTSD. Focus on here and now.
Short term, problem focused assessment
Individual,group or even self help book or computer program

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7
Q

How does cognitive based therapy work

A

It act son the ideas that thoughts, behaviours and feelings are all linked together. It breaks the manifestations that your thoughts have on your behaviours. Or that your behaviours have on your thoughts etc

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8
Q

What is the process of CBT

A

Therapist helps client identify their thoughts, feelings and behaviours. They assess their thinking errors and identify what can change.
Client engages in homework which challenges the unrealistic or unhelpful thoughts
this can involve graded exposure or response prevention

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9
Q

What is behavioural activation

A

used as a treatment for depression it uses activities to escape from aversive thoughts, feelings and external situations

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10
Q

What is the theory behind it?

A

Focus on activities they are avoiding and use this as a guide to schedule activities.
Clients focused to analyse their unintended consequences of their way of responding

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11
Q

What sort of avoidance behaviours occur in depression?

A

Social withdrawal- not answering telephone, avoiding friends
Non-social avoidance- spending excessive time in bed
Cognitive avoidance-not making important decisions
emotional avoidance- use of alcohol and other substances

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12
Q

What are the key aspects of behavioural activation

A

Collaborative/empathetic/ non judgemental
Structured agenda- review progress
Small changes- build towards goals

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13
Q

Why is interpersonal therapy used?

A

treatment fro depression/anxiety
Time limited
focuses on the present

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14
Q

What sort of interpersonal events can depression follow?

A

A complicated bereavement
A dispute
A role transition
An interpersonal deficit

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15
Q

What is the process of interpersonal therpay

A

Sick role is given to the patient
Construct an interpersonal map to identify the interpersonal context
Focus area is maintained so depressive symptoms can be linked to interpersonal interactions each week
Aim for a goal
Reduced depressive symptoms
Improves interpersonal functioning

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16
Q

What are the strengths and limitations to interpersonal therapy?

A

A grade evidence for depression
No formal homework
Client can practice skills after sessions are finished

Required degree of ability to reflect- may be difficult for some
Where poor social networks there is limited interpersonal support

17
Q

What is motivational interviewing

A

Promoting behaviour change in a wide range of health care settings bu providing a patient with motivation where previous they have been ambivalent to change

18
Q

What are the principles of MI

A

Expressing empathy
Avoiding arguments
Supporting self-efficacy

19
Q

What is the cycle of change

A

Pre-contemplation
Contemplation
Planning
Maintenance