Psychotherapy Flashcards
How long does psychodynamic therapy go on for? What happens ?
~1yr
Talk about what’s going on with life at present
What happened in the past -> how it affects the present (feelings, behaviour)
How many sessions of CBT usually? What are the 2 types?
6-20
1st wave - Focus on changing behaviour ->thoughts and feelings follow
2nd wave - focus on thoughts / cognition -> feelings follow thoughts
What is exposure therapy used for?
Phobias, OCD, PTSD
How many sessions of cognitive analytical therapy? What is it?
16-24
Pts describe how problems have developed from events in their life and personal experiences
Focus on ways of coping + how to improve
What is interpersonal therapy?
Help patient understand how problems may be CONNECTED TO HOW RELATIONSHIPS work
Identifies how to strengthen relationships + coping methods
What is dialect behavioural therapy? How long does it go on for? Who is it aimed at?
Think zen/Buddha -> manage emotions by experience, recognise and accepting them
12-18 months
Borderline personality disorder -> repeated self harm / relationship problems ….
What is family therapy?
Works with families strengths and how to behave differently with each other
What are the parts of a mental state examination?
All Silly Monkeys Think Poo Can Include Piss Appearance and behaviour Speech Mood Thoughts Perceptions Cognition Insight Physical assessment
What happens in formal thought disorder?
Disorganised thoughts –> disorganised speech
3 levels of insight in MSE
1- awareness of abnormal experience
2- result of a disease
3 - open to intervention
What are you looking for in physical assessment during MSE
Self harm, movement, obesity
What are the parts of a risk assessment in psych
Harm to others - physical / emotional, SAFEGUARDING (children / vulnerable)
Harm to self (including accidental)
Self neglect
Vulnerability to exploitation
Adverse reaction to antispycotics called? Sx ?
Neuroleptic malignant syndrome
Fever, muscle rigidity, autonomic instability, dellium
What signs of neuroleptic malignant syndrome?
Raised creatine phosphokinase + white cell count
What is the aim of CBT ?
Identify and challenge automatic negative thoughts
-> modify abnormal underlying negative beliefs
Egs of some conditions CBT is useful in?
Depression
Anxiety
Eating disorders
Psychosis
How does behavioural therapy work?
Positive / negative reinforcement for good /bad
Negative could just be ignoring
What is habituation?
Learning response where there is a decrease in response to a stimulus after being repeatedly exposed to it
3 parts of behaviour management therapy? Which parts are targeted?
ABC
Antecedent (pre), Behaviour, Consequence
-Target A/C to alter target behaviour
When might you use behavioural couples therapy?
Treatment of depression/anxiety in people with a regular partner and contribute to development / Maintenon of depression
What is psychodynamic therapy ? How does it work?
Unstructured based on psychoanalysis
View that behaviour is based on primitive emotional needs
FREE ASSOCIATION - pt says whatever enters mind -> therapist interprets and makes links
What is IPT? When is it often used? What happens?
Interpersonal psychotherapy
Depression / anxiety
All close relationships are discussed - promotion, loss of job, parents
What condition is dialectal behaviour therapy used in? What happens? What other therapy is good for this?
Borderline personality disorder - particularly in self harm
Alternative coping mechanisms to problems / emotional instability
Eg mindfulness
Mentalisation based treatments - improve pt ability to deduce mental states that lie behind their behaviour
What therapy is particularly used in PTSD? What happens?
EMDR - eye movement desensitisation and reprocessing
Recall emotionally disturbing events while focusing on external stimulus Eg looking one way then the other
