Psychological treatments

Question 1

What is Psychosocial treatment

Answer 1

Help with independent living, money, housing, education, employment, meaningful activities (social inclusion)

Psychoeducation
Family work
Psychological therapies and counselling

Question 2

What professionals are in a mental health MDT

Answer 2

Community nurse (CPN)
Social worker
Occupational therapist 
Support, recover, time (SRT) worker 
Psychologist
Psychotherapist (ie CBT, art therapist etc)

Someone is care coordinator

Question 3

What is IAPT

Answer 3

Improving access to psychological therapy
Primary care psychotherapy service
Work in GP surgeries (GP/self refer)

CBT/guided self help etc

Question 4

What is Psychodynamic/psychoanalytic psychotherapy

Answer 4

Make connections from past to present events
Pt becomes more aware of why they feel things to give meaning to symptoms

Weekly for a year - therapeutic relationship

Question 5

What is Cognitive behavioural therapy (CBT)

Answer 5

Look at thoughts, feelings, physical, behaviour reactions to things and find better strategies.

Structured and brief 6-20 sessions, focus on present day problems

Question 6

What is Counselling

Answer 6

Primary care

Short - identify problems and have patient find their own solutions

Question 7

What is Cognitive analytical therapy

Answer 7

Patient describes how their problems have developed from past events
Focus on coping mechanisms
brief 16-24x50mins

(Cognitive + psychoanalytical therapy)

Question 8

What is Interpersonal therapy

Answer 8

Helps patient understand how problems may be connected to relationships and how to strengthen relationships and cope better

Question 9

What is Dialectic behavioural therapy

Answer 9

(Mostly for borderline personality disorder related things - self harm, relationship problems etc)
individual and group sessions over 12-18 months

help patient manage difficult emotions - balancing self acceptance and change (Dialectics means balance two opposing things)

(Behavioural therapy + CBT)

Question 10

What is Family therapy

Answer 10

Families attend together

Observed by therapists - families reflect on how things work and try to behave differently with one another

Question 11

ECT - short term side effects

Answer 11

short term headache, dizzy, nausea, muscle ache
confusion

memory impairments

Question 12

ECT - what happens

Answer 12

drugs given
1 anaesthetics
2 muscle relaxants to reduce muscle seizure activity
electrode pads applied to head - induce generalised bilateral tonic clonic seizure
usually done 2ice/week

Question 13

ECT - indications

Answer 13

treatment resistant depression/mania
catatonia

no absolute contraindiations