Psychological Therapies Flashcards
what is CBT used for?
> depression > anxiety > OCD > PTSD > phobias
what does cognitive behavioural therapy involve?
> seeing how thoughts relate to feelings
problem focused and goal orientated
individual/group/self help book/computer programme
patient engages with homework
what does the therapist do in CBT?
> identifies what can changes
identifies thoughts and feelings and assesses if they are unhelpful (automatic negative thoughts, unrealistic beliefs, cognitive distortion, catastrophising, black and white)
what Is interpersonal therapy used for?
> depression
> anxiety
what does interpersonal therapy involve?
> giving sick role
identifying interpersonal context
goals
improving interpersonal functioning
what are the strengths of interpersonal therapy?
> a grade evidence for depression
no formal homework
client continues to practice skills beyond session ending
what is behavioural activation used for?
in depression activities that function in avoidance and escape from adverse thoughts, feelings and external situations
what does behavioural activation involve?
> focus on what predicts ad maintains unhelpful response
collaborative
focus on avoided activities (activity scheduling, functional analysis of cognitive processes that involve avoidance)
the patient analyses the unintended consequences of their actions
when is motivational interviewing used?
when a behaviour change is being considered
when a patient in unmotivated and ambivalent
what are the principles of motivational interviewing?
> express empathy
avoid argument
support self-efficacy
what should be given at the contemplation stage?
> information
> risk screening
what should be given at the planning/determination stage?
> options
> build confidence
what should be given at the action stage?
> strategies to maintain goals and prevent relapse
what can be given to maintain a behavioural change?
> coping strategies
> assess weak point
