Psychological Treatment Flashcards
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 _____
bulimic; bulimic; anorexia; anorexia.
Which would you not give to a person who has bulimia
welbutrin; inc seizure threshold
What do you have to be alert for in BDD? (body dysmorphic disorder)
- depression
2. suicide risk.
When you have too much empathy what happens
- Exhaustion
CBT is very helpful with depression and ____
anxiety
Who seeks therapy?
- Divorced/separation
- Any loss or breakup
- Females seek therapy more than men (it shows weakness for a man)
- Ethnic minorities
Who do clinicians decide not to work with in outpatient scenario
- Active psychosis
- Immemdiate suicide threat
- In the throes of active substance abuse
- Currently involved in a legal proceeding
- Not within therapist area of expertise
Who is Carl Rogers
Father of client centered therapy “humanistic psychology”
What are three things Carl Rogers emphasized that is necessary to help the patient?
- Genuineness
- unconditional positive regard
- empathetic understanding
What kind of tone did Carl Rogers conveY?
- non judgemental
2. resisted taking the authority figure
How did Rogers make her feel comfortable
- tone of voice
- eye contact
- leaning forward
- know when to stop and listen
T/F Hypnosis is not a true form of psychotherapy
True
What are characteristics of hypnosis
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.
What are 2 major procedures to see if someone can be hypnotized.
- Stanford Hypnotic Susceptibility Scale: takes 20 mins and measures behavioral compliance and suggestibility.
- Hypnotic Induction Profile: Shorter test utilizing eye roll sign as a biological indicator measuring the ability to dissociate
What is the first line of treating anxiety
Cognitive Behavioral Therapy
What are practical uses for hypnosis
- acute and chronic pain
- anxiety
- stress
- GI disorders (IBS)
- Cancer
- Depression
- Phobias
- Habit Disorders
- Skin conditions
- Relief from N&V
Where do we experience pain?
Anterior cingulate cortex; decrease peripheral attention and increase focal attention
What are the 5 psychotherapy categories
- Psychoanalysis and Psychodynamic Therapies
- Behavior Therapy
- Cognitive Behavioral Therapy
- Humanistic Therapy: Client Centered Therapy, Gestault Therapy, Existential Therapy
- Integrative/Eclectic/Holistic Therapy: combination of several approaches
What is similar between psychoanalysis and psychodynamic therapies
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.
Describe what psychodynamic theory is good for.
Overbearing dad, absent dad, over controlling mom.
A theory of psychotherapy acts as a roadmap to:
- Understanding patients and their problems
2. Collaboratively developing solutions
What is the overview of psychodynamic theory
- relies on interpersonal relationship between client and therapist more than other forms of depth psychology.
- Eclectic approach
- Used in ind, group, and family therapy
What are characteristics of psychoanalysis
- focus is on changing problematic behaviors, feelings, and thoughts by discovering their UNCONSCIOUS meanings and motivations
- Mental symptoms reflect unconscious conflicts that induce anxiety.
- Patient comes to understand their unconscious conflicts.
What are techniques of the psychoanalytic approach
- Free association: time limited
- Interpretation: confrontation, clarification, working through
- Analysis of transferance
* Usually lasts 3-5 years for 3 x a week
PSychoanalysis is not good for _____ patients
delusional
_____is the projection onto the provider from the patient, of feelings from impt people from their past which is a cornerstone in psychoanalysis.
transferance
Whats CBT
thoughts, feelings, and behaviors and not jumping into family origin issues
Whats different between psychoanalysis and psychodynamic
- Psychodynamic is much faster;
no free association
Both psychoanalytic and ______seek to make unconcious conflicts conscious.
psychodynamic
How does one measure improved outcome in regards to dynamic psychotherapy
- Are they doing better in home, school
- Can they control anger more
- Does the pt have better quality of life.
- Is there improvement
What is behavior therapy
about learning, and shaping behavior and classical conditioning.
What does classical conditioning involve
Involves forming associations between stimuli:
- flooding: phobias, anxiety
- systematic desensitization
What does operant conditioning involve
- Using reinforcement and punishment to shape behavior
- token economies
- contingency management
- extinction: “time outs”
Describe behavior therapy
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
Describe desensitization
classical conditioning/associative learning in action. Pavlov’s famous dogs experiment
What is one way to decrease anxiety in a behavioral approach?
construct anxiety hierarchy from least to most fearful component
What is the goal of treatment in behavior therapy
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.
what is the theory of biofeedback
Where the ANS can come under voluntary control and can be used by itself of in combination with relaxation.
_____ 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
EMDR
What clinical application is EMDR used for
- PTSD
2. Phobias
CBT is based on the idea that thoughts cause our feelings and behaviors, NOT _____ factors like people, situations, and events
external
What is the inductive method in CBT
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
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
depression
What predicts a better response to CBT for depression
- less severe illness
- shorter length of illness
- later age of illness onset
- fewer previous episodes of illness
What doesn’t predict a better response to CBT for depression
- gender
- age
- educaiton
what is motivational interviewing
a collaborative, person centered form of guiding to elicit and strengthen motivation for change
What are characteristics of interpersonal therapy
- depression
- drug/alcohol addiction
- eating disorder
- bipolar d/o
- dysthymia
* focus is on PRESENT
Describe dialectical behavioral therapy
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.
what is group psychotherapy highly effective in?
- depression
2. traumatic stress
____therapy is guided towards child and play therapist and is used and effective for a broad range of childhood problems
Play
What is play therapy used for?
- Anxiety
- OCD
- ADHD
- Depression
- Academic/Dev issues
____ therapy is a form of therapy that utilizes artistic expression as its core means of treating clients
Expressive
