Psychological therapies Flashcards
What are some affective/anxiety disorders?
Major Depressive Disorder (MDD)
Generalised Anxiety Disorder (GAD)
Panic Disorder and Phobic Anxiety Disorders
Obsessive-Compulsive Disorder (OCD)
Which disorders are particularly responsive to CBT?
Depression Anxiety Phobias OCD PTSD
Describe CBT.
Explore potentially unrealistic or unhelpful thoughts, feelings and behaviours and how they can be changed through homework Short term Problem focussed Goal orientated Can be individual or group
What does CBT homework consist of??
Client engages in “homework” which challenges the unrealistic or unhelpful thoughts (thinking errors)
What is behavioural activation?
Activities function as avoidance and escape from aversive thoughts, feelings and external situations
Focus on behavioural changes to overcome this
What are some examples of behavioural action avoidance in depression?
Not answering phone
Ignoring relationship problems
Avoiding big decisions/opportunities
Binging
Why is behavioural activation clinically relevant?
Focus on avoided activities as a guide for activity scheduling
Activity scheduling alone for depression as effective as CBT for depression
Client taught to analyse unintended consequences of their actions
What are the aims of behavioural activation?
Collaborative Empathic Non judgmental Structured agenda – review progress Small changes – build to long term goals
Which conditions are IPT particularly good for?
Depression
Anxiety
What is the purpose of IPT?
Depression often follows disturbing change with big IP event like dispute or bereavement
Reduce depressive symptoms and improve interpersonal functioning
What are some pros to IPT?
A grade evidence for treating depression
Lack of formal homework may be preferable
Client can continue to use skills beyond sessions ending
What are some drawbacks to IPT?
Requires degree of ability to reflect – may be difficult for some
Poor social networks may limit IP support
What are the principles of Motivational Interviewing (MI)?
Express empathy Avoid argument Support self-efficacy Identifies strengths and aspirations Patient sets agenda
What are the stages of change according to Prochaska and DiClemente?
Pre-contemplation Contemplation Planning Action Maintenance
