Psychological Therapies

Question 1

This deck will cover various non-pharmacological therapies for psychological disorders including:

Answer 1

• Cognitive Behavioural Therapy (CBT)
• Behavioural Acitvation
• Interpersonal Therapy
• Motivational Interviewing

Question 2

What is CBT?

Answer 2

Investigating how our thought, feelings and behaviour relate to eachother

Question 3

What does the therapist do during CBT?

Answer 3

They help the patient identify their process of thought->feeling->Behaviour

Then identify what thoughts are unrealistic or unhelpful and help to change them

Question 4

What does the patient do during CBT?

Answer 4

They do “homework” that involves challenging the bad thoughts through Graded exposure and Response prevention

Question 5

CBT for example:

1) Patient sees a friend on the street who apparently ignores them
2) Patient thinks they ignored me they must not like me
3) Patient feels low sad &; rejected
4) Patient goes home and avoids contact

Answer 5

The therapist would identify this chain and help the patient to challenge the unhelpful assumption

Question 6

What is behavioural activation?

Answer 6

A way of promoting activities to tackle underlying problems & stop the patient doing activities that avoid the problem e.g. avoiding friends, sleeping a lot and comfort eating because of anxiety

Question 7

What is interpersonal therapy (IPT)?

Answer 7

Therapy that identifies an interpersonal event linked to the patient’s depressive symptoms and from there improve interpersonal functioning to reduce depressive symptoms

Question 8

what is motivational interviewing?

Answer 8

A technique where the therapist guides the patient to find motivation for a behaviour change.
It’s all about building motivation so it’s important the patient sets their own agenda and ideas of what they could change

Question 9

Where has CBT seen to be most affective?

Answer 9

• Depression
• Anxiety
• Phobias
• OCD
• PTSD

Question 10

What has BT been proven most effective for?

Answer 10

Depression

Question 11

How does IP work?

Answer 11

•“sick role” given 
•construct an “interpersonal map”
•Identify the interpersonal context
•“focus area’’  maintained – depressive symptoms linked to interpersonal events (weekly)
•GOAL! 
1. reduce depressive symptoms
2  improve interpersonal functioning

Question 12

what are the pros and cons of IP?

Answer 12

Strengths

• No formal homework – may be preferable
• Client can continue to practise skills beyond the sessions ending

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

Question 13

How should the doctor act in MI?

Answer 13

• Express empathy
• Avoid argument
• Support self-efficacy

Question 14

What are the stages of change in MI?

Answer 14

• Pre- contemplation
• Contemplation
• Planning/determination
• Action
• Maintenance