⭐️ psychological therapies for SZ Flashcards
what are the 3 types of psychological therapy?
1 - cognitive behaviour therapy (CBT)
2- family therapy
3- token economy
1 - COGNITIVE BEHAVIOUR THERAPY
what is the basic idea behind it? what thoughts does it challenge
how are the sessions carried out?
what does discussion during CBT do for the patient?
- treating mental dissorders based on cognitive and behavioural techniques, challenging negative and irrational thoughts
- in group or one - one
- discussing if the patients thoughts are true or not can help them deal with the illness and calm down, considering less threatening possibilities
1 - COGNITIVE BEHAVIOUR THERAPY
how does CBT help patients understand?
what happens to these delusions?
- how their dellusions and hallucinations effect their feelings and behaviour
- they are challenged so the patient learns they aren’t based on reality
2 - FAMILY THERAPY
what are the main aims?
why is this seen as important targeting fams?
- to support families with relatives with sz, to improve communication and reduce the stress and expressed emotion
- some see fams as the root of sz
2 - FAMILY THERAPY
what did pharoh identity?
what are the 5 strategies?
strategies to help families with a sz relative
1️⃣ reducing anger and guilt
2️⃣ reducing stress of caring for ill relative
3️⃣ forming a balance between their own life and caring fr the ill relative
4️⃣ improving promo solving and anticipation in fam
5️⃣ forming therapeutic alliance with all fam members
3 - TOKEN ECONOMIES
briefly what are they? especially who for
what is maladaptive behav.
- rewards systems to manage patients behav., specially for those who have developed maladaptive behaviour from hospital
Maladaptive behaviors are those that stop you from adapting to new or difficult circumstances
ao3 - fam therapy
2 strengths
✅ Pharaoh meta - analysis found family interventions help the patient to understand their illness and to live with it, developing emotional strength and coping skills, thus reducing rates of relapse.
✅Lobban reports that other family members felt they were able to cope better thanks to family therapy. In more extreme cases the patient might be unable to cope with the pressures of having to discuss their ideas and feelings and could become stressed by the therapy, or over-fixated with the details of their illness.
ao3 CBT
strength
2 weaknesses
✅ Tarrier reviewed trials of CBT, finding evidence of reduced symptoms, especially positive ones, and lower relapse rates.
❌ lengthy – It takes months compared to drug therapy that takes weeks which leads to disengaged treatment as they don’t see immediate effects - A patient who is very distressed and perhaps suicidal may benefit better in the short term from antipsychotics. ppl end treatment early
❌ requires engagment, neg symtptoms may lead to an unwillingness to ppt, positive symptoms may lead to not trusting the process
