Psychotherapy

Question 1

How long does psychodynamic therapy go on for? What happens ?

Answer 1

~1yr
Talk about what’s going on with life at present
What happened in the past -> how it affects the present (feelings, behaviour)

Question 2

How many sessions of CBT usually? What are the 2 types?

Answer 2

6-20
1st wave - Focus on changing behaviour ->thoughts and feelings follow
2nd wave - focus on thoughts / cognition -> feelings follow thoughts

Question 3

What is exposure therapy used for?

Answer 3

Phobias, OCD, PTSD

Question 4

How many sessions of cognitive analytical therapy? What is it?

Answer 4

16-24
Pts describe how problems have developed from events in their life and personal experiences
Focus on ways of coping + how to improve

Question 5

What is interpersonal therapy?

Answer 5

Help patient understand how problems may be CONNECTED TO HOW RELATIONSHIPS work
Identifies how to strengthen relationships + coping methods

Question 6

What is dialect behavioural therapy? How long does it go on for? Who is it aimed at?

Answer 6

Think zen/Buddha -> manage emotions by experience, recognise and accepting them
12-18 months
Borderline personality disorder -> repeated self harm / relationship problems ….

Question 7

What is family therapy?

Answer 7

Works with families strengths and how to behave differently with each other

Question 8

What are the parts of a mental state examination?

Answer 8

All Silly Monkeys Think Poo Can Include Piss
Appearance and behaviour 
Speech 
Mood 
Thoughts 
Perceptions 
Cognition 
Insight 
Physical assessment

Question 9

What happens in formal thought disorder?

Answer 9

Disorganised thoughts –> disorganised speech

Question 10

3 levels of insight in MSE

Answer 10

1- awareness of abnormal experience
2- result of a disease
3 - open to intervention

Question 11

What are you looking for in physical assessment during MSE

Answer 11

Self harm, movement, obesity

Question 12

What are the parts of a risk assessment in psych

Answer 12

Harm to others - physical / emotional, SAFEGUARDING (children / vulnerable)
Harm to self (including accidental)
Self neglect
Vulnerability to exploitation

Question 13

Adverse reaction to antispycotics called? Sx ?

Answer 13

Neuroleptic malignant syndrome

Fever, muscle rigidity, autonomic instability, dellium

Question 14

What signs of neuroleptic malignant syndrome?

Answer 14

Raised creatine phosphokinase + white cell count

Question 15

What is the aim of CBT ?

Answer 15

Identify and challenge automatic negative thoughts

-> modify abnormal underlying negative beliefs

Question 16

Egs of some conditions CBT is useful in?

Answer 16

Depression
Anxiety
Eating disorders
Psychosis

Question 17

How does behavioural therapy work?

Answer 17

Positive / negative reinforcement for good /bad

Negative could just be ignoring

Question 18

What is habituation?

Answer 18

Learning response where there is a decrease in response to a stimulus after being repeatedly exposed to it

Question 19

3 parts of behaviour management therapy? Which parts are targeted?

Answer 19

ABC
Antecedent (pre), Behaviour, Consequence
-Target A/C to alter target behaviour

Question 20

When might you use behavioural couples therapy?

Answer 20

Treatment of depression/anxiety in people with a regular partner and contribute to development / Maintenon of depression

Question 21

What is psychodynamic therapy ? How does it work?

Answer 21

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

Question 22

What is IPT? When is it often used? What happens?

Answer 22

Interpersonal psychotherapy
Depression / anxiety
All close relationships are discussed - promotion, loss of job, parents

Question 23

What condition is dialectal behaviour therapy used in? What happens? What other therapy is good for this?

Answer 23

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

Question 24

What therapy is particularly used in PTSD? What happens?

Answer 24

EMDR - eye movement desensitisation and reprocessing

Recall emotionally disturbing events while focusing on external stimulus Eg looking one way then the other