Psychological therapies Flashcards

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1
Q

Prevalence of common mental health disorders

A

15%

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2
Q

morbidity and mortality of common mental health disorders

A

1 in 10 lost work days

suicide leading cause of death in men under 50

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3
Q

3 main categories of common mental health disorders

A

affective/anxiety disorders
substance misuse disorders
disorders of reaction to psychological stress

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4
Q

affective/anxiety disorders

A

MDD, GAD, panic, phobia, OCD

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5
Q

substance misuse disorders

A

alcohol, tobacco, opioids

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6
Q

disorders of reaction to psychological stress

A

PTSD

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7
Q

Waiting time for psychological therapies

A

18 weeks

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8
Q

Do psychological therapies have to be evidence based? If so, what guidelines?

A

Yes

NICE, SIGN, MATRIX

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9
Q

CBT - underlying idea

A

how our thoughts relate to our feelings and behaviour

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10
Q

CBT - what conditions can it be used for?

A

depression, anxiety, phobias, OCD, PTSD

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11
Q

CBT - time scale

A

short term, here and now, goal orientated

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12
Q

CBT - what does the therapist help client to do?

A

identify thoughts, feelings and behaviour

unrealistic or unhelpful thoughts eg black and white, automatic negative thoughts, perfectionism

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13
Q

CBT - what does patient do?

A

homework eg graded tasks, response prevention

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14
Q

Behavioural activation basis

A

depression - activities function as avoidance

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15
Q

theory behind behavioural activation

A

focus on avoided activities for scheduling

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16
Q

5 categories of avoidance - behavioural activation

A
social withdrawal 
non social avoidance 
emotional avoidance 
avoidance by distraction 
cognitive avoidance
17
Q

Approach in behavioural activation

A

non judgemental, empathic, collaborative
structured agenda
small changes

18
Q

IPT - used for what conditions?

A

anxiety and depression

19
Q

IPT - who developed this?

A

Klerman, 1969

20
Q

IPT - timescale

A

12-16 weeks

21
Q

IP event that depression often follows

A

bereavement, dispute, role change etc

22
Q

Theory of IPT

A

sick role given

interpersonal map

23
Q

GOAL of IPT

A

reduce depressive symptoms

increase IP functioning

24
Q

positives of IPT

A

evidence based, no homework, practice skills after time ended

25
Q

negatives of IPT

A

requires reflection, limited IP support

26
Q

Who developed MI?

A

Miller, 1993 for alcoholics

27
Q

Positives of MI

A

promotes behaviour change

more effective than advice giving

28
Q

3 Principles of MI

A

empathy
avoid argument
support self efficacy

29
Q

stages of change model

A
pre-contemplation 
contemplation 
planning 
action 
maintenance