Psychological Treatments

Question 1

Anxiety
- CBT Types

Answer 1

Anxiety
- CBT

1. Assess
   - Phobic focus
   - Random/general
2. Techniques
   eg. Breathing and pulse measurement
3. Phobic focus
   - Systematic Desensitisation
   - Graded/gradated Exposure (patient set)
4. OCD
   - Exposure and Response Prevention

Question 2

PTSD
- CBT - T
- EMDR

Answer 2

PTSD
- CBT - T

0. Safe space
   - Grounding techniques for dissociation
1. Very slowly reliving
   - Accompanyed through the journey
2. Conceptualise as a normal memory
   - Hippocampus and frontal lobe
   - Understanding as past event
3. Eye Movement Desensitisation and Reprocessing
   - Normal memory and traumatic memory simultaneously

Question 3

Depression
- CBT

Answer 3

Depression
- CBT

1. Recognising negative thinking
   - pessimistic thinking
   - generalising from negative events
   - believing it won’t change (stable attribution)
2. Diary keeping
   - how did you interpret it?
3. Learning to contradict negative thinking

Question 4

CBT - P
- Principles

Answer 4

CBT - P
- Principles

1. Reality testing
   - looking for persuasive arguments
2. Family interventions
   - helping carers not to over-react
   - reduce environmental emotionality

Question 5

CBT -Bipolar
1. Low mood
2. High mood

Answer 5

CBT -Bipolar

1. CBT for depression
   - less successful than in unipolar
2. Spotting deterioration in high mood
   - Sleep disturbance
   - Argumentativeness

Question 6

PD
- Psychological approach
- DEAR MAN
- Phone line

Answer 6

PD
- EUPD DBT

1. Emotional regulation
2. Distress tolerance
3. Interpersonal successfulness

DEAR MAN
D describe
E express
A assert
R reinforce

M mindful
A assertive
N negotiate

• 24/7 phoneline
• for promoting skills before self harm
• strict rules
• two therapists with third external therapist