Psychological Treatment Flashcards

1
Q

If normal to overweight you are probably _____. If emotional lability, onset may be in adulthood which is also _____. Onset usually in adolescence occurs in _____. High achievers are _____

A

bulimic; bulimic; anorexia; anorexia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which would you not give to a person who has bulimia

A

welbutrin; inc seizure threshold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do you have to be alert for in BDD? (body dysmorphic disorder)

A
  1. depression

2. suicide risk.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When you have too much empathy what happens

A
  1. Exhaustion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CBT is very helpful with depression and ____

A

anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who seeks therapy?

A
  1. Divorced/separation
  2. Any loss or breakup
  3. Females seek therapy more than men (it shows weakness for a man)
  4. Ethnic minorities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who do clinicians decide not to work with in outpatient scenario

A
  1. Active psychosis
  2. Immemdiate suicide threat
  3. In the throes of active substance abuse
  4. Currently involved in a legal proceeding
  5. Not within therapist area of expertise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who is Carl Rogers

A

Father of client centered therapy “humanistic psychology”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are three things Carl Rogers emphasized that is necessary to help the patient?

A
  1. Genuineness
  2. unconditional positive regard
  3. empathetic understanding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What kind of tone did Carl Rogers conveY?

A
  1. non judgemental

2. resisted taking the authority figure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How did Rogers make her feel comfortable

A
  1. tone of voice
  2. eye contact
  3. leaning forward
  4. know when to stop and listen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F Hypnosis is not a true form of psychotherapy

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are characteristics of hypnosis

A

In some ways its like meditation where you get to a point where you get centered and watch them come and go. Rational part of the brain is temporarily tuned out through a focus on relaxation and non attention to distracting thoughts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are 2 major procedures to see if someone can be hypnotized.

A
  1. Stanford Hypnotic Susceptibility Scale: takes 20 mins and measures behavioral compliance and suggestibility.
  2. Hypnotic Induction Profile: Shorter test utilizing eye roll sign as a biological indicator measuring the ability to dissociate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the first line of treating anxiety

A

Cognitive Behavioral Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are practical uses for hypnosis

A
  1. acute and chronic pain
  2. anxiety
  3. stress
  4. GI disorders (IBS)
  5. Cancer
  6. Depression
  7. Phobias
  8. Habit Disorders
  9. Skin conditions
  10. Relief from N&V
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where do we experience pain?

A

Anterior cingulate cortex; decrease peripheral attention and increase focal attention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 5 psychotherapy categories

A
  1. Psychoanalysis and Psychodynamic Therapies
  2. Behavior Therapy
  3. Cognitive Behavioral Therapy
  4. Humanistic Therapy: Client Centered Therapy, Gestault Therapy, Existential Therapy
  5. Integrative/Eclectic/Holistic Therapy: combination of several approaches
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is similar between psychoanalysis and psychodynamic therapies

A

Both deal with a problem being outside of the patients awareness. The goal is to bring the unconscious to the conscious level, very different from humanistic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe what psychodynamic theory is good for.

A

Overbearing dad, absent dad, over controlling mom.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A theory of psychotherapy acts as a roadmap to:

A
  1. Understanding patients and their problems

2. Collaboratively developing solutions

22
Q

What is the overview of psychodynamic theory

A
  1. relies on interpersonal relationship between client and therapist more than other forms of depth psychology.
  2. Eclectic approach
  3. Used in ind, group, and family therapy
23
Q

What are characteristics of psychoanalysis

A
  1. focus is on changing problematic behaviors, feelings, and thoughts by discovering their UNCONSCIOUS meanings and motivations
  2. Mental symptoms reflect unconscious conflicts that induce anxiety.
  3. Patient comes to understand their unconscious conflicts.
24
Q

What are techniques of the psychoanalytic approach

A
  1. Free association: time limited
  2. Interpretation: confrontation, clarification, working through
  3. Analysis of transferance
    * Usually lasts 3-5 years for 3 x a week
25
Q

PSychoanalysis is not good for _____ patients

A

delusional

26
Q

_____is the projection onto the provider from the patient, of feelings from impt people from their past which is a cornerstone in psychoanalysis.

A

transferance

27
Q

Whats CBT

A

thoughts, feelings, and behaviors and not jumping into family origin issues

28
Q

Whats different between psychoanalysis and psychodynamic

A
  1. Psychodynamic is much faster;

no free association

29
Q

Both psychoanalytic and ______seek to make unconcious conflicts conscious.

A

psychodynamic

30
Q

How does one measure improved outcome in regards to dynamic psychotherapy

A
  1. Are they doing better in home, school
  2. Can they control anger more
  3. Does the pt have better quality of life.
  4. Is there improvement
31
Q

What is behavior therapy

A

about learning, and shaping behavior and classical conditioning.

32
Q

What does classical conditioning involve

A

Involves forming associations between stimuli:

  1. flooding: phobias, anxiety
  2. systematic desensitization
33
Q

What does operant conditioning involve

A
  1. Using reinforcement and punishment to shape behavior
  2. token economies
  3. contingency management
  4. extinction: “time outs”
34
Q

Describe behavior therapy

A

Builds on the basic processes of learning poses that abnormal and normal behavior are learned. There is gradual exposure to an anxiety producing stimulus and is paired with relaxation in order to extinguish the response of anxiety

35
Q

Describe desensitization

A

classical conditioning/associative learning in action. Pavlov’s famous dogs experiment

36
Q

What is one way to decrease anxiety in a behavioral approach?

A

construct anxiety hierarchy from least to most fearful component

37
Q

What is the goal of treatment in behavior therapy

A

to overcome avoidance and face the things the patient fears. It is necessary to accept and face some anxiety in order to learn to cope with stressful situations.

38
Q

what is the theory of biofeedback

A

Where the ANS can come under voluntary control and can be used by itself of in combination with relaxation.

39
Q

_____ is controversial and uses saccadic eye movements while a person imagines or thinks about an anxiety producing event which can yield a positive thought or image that results in decreased anxiety

A

EMDR

40
Q

What clinical application is EMDR used for

A
  1. PTSD

2. Phobias

41
Q

CBT is based on the idea that thoughts cause our feelings and behaviors, NOT _____ factors like people, situations, and events

A

external

42
Q

What is the inductive method in CBT

A

rational thinking in that its based on fact and encourages the pt to look at thoughts as being hypothesis/guesses that can be questioned and tested; then modified accordingly taking into account new information

43
Q

There is evidence that CBT is effective for people who have ______ lasting 2 years or more and as well as effective for people who have medical conditions. CBT works well alone or well with meds

A

depression

44
Q

What predicts a better response to CBT for depression

A
  1. less severe illness
  2. shorter length of illness
  3. later age of illness onset
  4. fewer previous episodes of illness
45
Q

What doesn’t predict a better response to CBT for depression

A
  1. gender
  2. age
  3. educaiton
46
Q

what is motivational interviewing

A

a collaborative, person centered form of guiding to elicit and strengthen motivation for change

47
Q

What are characteristics of interpersonal therapy

A
  1. depression
  2. drug/alcohol addiction
  3. eating disorder
  4. bipolar d/o
  5. dysthymia
    * focus is on PRESENT
48
Q

Describe dialectical behavioral therapy

A

exposing the pt to stressors in a controlled situation as well as helping the pt regulate emotions and cope with stressors that might trigger problem behaviors.

49
Q

what is group psychotherapy highly effective in?

A
  1. depression

2. traumatic stress

50
Q

____therapy is guided towards child and play therapist and is used and effective for a broad range of childhood problems

A

Play

51
Q

What is play therapy used for?

A
  1. Anxiety
  2. OCD
  3. ADHD
  4. Depression
  5. Academic/Dev issues
52
Q

____ therapy is a form of therapy that utilizes artistic expression as its core means of treating clients

A

Expressive