Psychological therapies for affective disorders Flashcards
What are the most popular types of therapy for Depression?
CBT and Interpersonal therapy
Both heavily researched
Behavioural activation
Simple
Minimal training
Patient engagement
Behavioural couples therapy
Solution exist in social network (onion)
Mindfulness
MBCT
Dynamic interpersonal therapy (DIT)
Psychotherapy (Freud)
but, only 16 sessions
less researching
Counselling:
Personal centered approach
What are the subgroups of depression?
Subthresshold: Low mood, but ok. Important to catch early
Mild to moderate: Symptoms of depression-most frequently seen
Moderate to Severe: Suicidal, lifestyle impacted
Chronic depression: Multiple relapses and episodes
Treatment resistant Depression: Moderate to severe. More than 2 antidepressants.
Briefly describe Behavioural activation.
Changing behaviours to improve mood.
Disrupts the maintenance loop of depression.
Uses Functional Analysis:
Antecendent
Behaviour
Consequences
Pleasurable activities including mastery and achievement.
How does MBCT work and who does it work for?
Used for preventing relapse
8 Week course to prevent compulsive thoughts via meditation and compassion
How does IPT and couples therapy work?
Focusing on our interpersonal conflicts and relationships.
Helps improve our social skills to aid these relationships.
Couples therapy is same, but limited to couples.
Increases support and decrease conflict
How does Psychodynamic therapy work?
No directive and long, so costly.
DIT is just 16 sessions.
How does counselling work?
Primary care mainly,
Mixed group of therapies
Teaches client how to live more resourcefully.
What are the 7 considerations regarding type of therapy?
Type of depression Risk Accessibility Preference Previous therapies Effectiveness Duration and trajectory of symptoms
what is NICE and what are the pros and cons of it?
National Institute for Clinical excellence
Research driven guidelines for best practice, therapies and cost effective treatments.
Pros: reproach driven
Cons: Some needed therapies can be overlooked
What is the stepped care model?
Steps in suggested therapies for illness:
Step one: All cases of depression-Gp
Step 2: Mild to moderate-low intensity intervention and medication
Step 3: Moderate to Severe: Medication and high intensity therapies
Step 4: Severe and complex (suicidal): Medication, High intensity intervention, ECT, crisis or outpatient
What are low intensity interventions?
Self-guided-resources
Computer CBT-DVD or internet
Group CBT-Strong psychoeducational, coping strategies
What are the high intensity strong evidenced interventions?
CBT: 16-20 sessions, 2-3 weekly session for 3 months, 6 month check in
IPT: 16 sessions 3-4 months
Behavioural couples therapy
15-20 sessions 6 months
What are the weaker evidence high intensity interventions?
Behavioural Activation
Counseling
DIT- 16 session 6 month
What therapies are used to prevent relapse of depression?
Individual CBT: Longer lasting than medication due to skills learnt
MBCT: Group sessions over 8 weeks
