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Psychiatry pro +1700 > Psychotherapy > Flashcards

Psychotherapy Flashcards

1
Q

What must be done before psychotherapy can begin?

A

Pt must be motivated

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2
Q

What is the effect of increased comorbidities, chronicity, and severity, on mental illness prognosis with psychotherapy?

A

Worse

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3
Q

Which is more important: patient expectations of success, or the credibility of treatment

A

Patient expectations

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4
Q

What is the role of psychotherapy compared to pharmacotherapy in the treatment of mental illness?

A

Changes brain wiring

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5
Q

What are the strengths of psychodynamic therapy? (3)

A
  • Emphasizes self-understanding
  • Seeks characterological and structural change
  • Effect with PDs, MDD, and anxiety
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6
Q

What is the theory of psychodynamic therapy? (2)

A
  • Early life experiences influences psychosocial development and current functioning
  • Focus on unconscious motivating factors
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7
Q

What are the weaknesses of psychodynamic psychotherapy? (2)

A
  • Can be very long term

- Difficult to research in its traditional form

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8
Q

Why do psychotherapists not express emotions?

A

See how patient forms ideas about you is telling about their framework

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9
Q

What is the focus of behavioral therapy?

A
  • Focuses on overt behaviors and environmental influences that support them
  • Focuses attention on issues related to conditioning and reinforcement
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10
Q

What are the strengths of behavior therapy? (2) What does it work well for?

A
  • Symptom focused
  • Researchable

-Works well with anxiety, phobias, and behavior disorders

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11
Q

What are the weaknesses of behavior therapy? (2) What is its role in treating depression?

A
  • No opportunity for client to discuss feelings
  • Less effective without a cognitive component being present
  • Not as effective as other forms therapy for depression
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12
Q

Anxiety and phobias are very treatable with what sort of therapy?

A

Behavior therapy

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13
Q

What is the basic principle behind cognitive therapy?

A
  • We base our world on schema. Psychopathology results from faulty thinking.
  • If we change what people are saying inside their heads, it will change how they feel
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14
Q

What is the all-or-nothing cognitive distortion?

A

I’m either great or worthless

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15
Q

What is the overgeneralization cognitive distortion?

A

Single event is seen as a never ending pattern

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16
Q

What is the mental filter cognitive distortion?

A

Picking out a single negative detail and focusing on it

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17
Q

What is the jumping to conclusions cognitive distortion?

A

Drawing a negative conclusion without supporting facts

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18
Q

What is the catastrophizing or minimizing cognitive distortion?

A

Exaggerating or minimizing the importance of something that happens

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19
Q

What is the Emotional reasoning cognitive distortion?

A

If I feel it, it must be so

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20
Q

What is the should statement cognitive distortion?

A

Punishing self leads to guilt

Directing to others leads to resentment

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21
Q

What is the labeling and misleading cognitive distortion?

A

I’m a loser or he’s a louse

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22
Q

What is the personalization cognitive distortion?

A

Seeing self as the cause of an event for which you have no responsibility

23
Q

What are the strengths of cognitive therapy? (3)

A
  • Short duration
  • Excellent research support
  • Can be used for most all psych disorders
24
Q

What are the weaknesses of cognitive therapy? (2)

A
  • Less powerful framework for dealing with problems that arise in therapy
  • Requires patient commitment to complete homework
25
Q

What are the ideas behind acceptance and commitment therapy?

A
  • human suffering is inevitable
  • Coming up with explanations for our feelings is counterproductive
  • Avoiding internal experiences is counterproductive
26
Q

What are the goals of acceptance and commitment therapy? (4)

A
  • Accepting thoughts, even when uncomfortable
  • Identify values
  • Not applying judgement on thoughts
  • Being in the moment (future = anxiety, past = depression)
27
Q

What are the strengths of ACT? (3)

A
  • Can be used with wide range of problems
  • Short duration
  • Good research support
28
Q

What are the weakness of ACT? (2)

A
  • Requires an excellent therapist

- Underlying theory can be complex and difficult to explain

29
Q

What are the basic principles of interpersonal therapy (IPT)? 23)

A
  • Focus on current interpersonal problems and relationships, since these are the major causes of issues
  • Focus on present social context
30
Q

What are the strengths of IPT? (3)

A
  • Effective with depression, anxiety,
  • Easily understood by pts
  • Short
31
Q

What are the weaknesses of IPT?

A

Not preferred if there are no interpersonal issues

32
Q

What is play therapy?

A
  • Emotional difficulties can be worked through, w/o the use of words
  • Play activities and games that allow the pt to express problem
33
Q

What is the focus of couple therapy?

A
  • Contributions of each part to the difficulties

- Communication/ attachment styles

34
Q

What is the basic principles of family therapy?

A

-Symptomatic pts are manifestations of underlying family issue

35
Q

What are the focuses of family therapy? (2)

A
  • Alter the interactions among family members

- Alter communication styles, boundaries, hierarchies

36
Q

What are the strengths of group psychotherapy? (4)

A
  • effective for social skills
  • Emphasizes receiving and utilizing immediate feedback
  • Decreases isolation
  • Therapist can see both sides of story
37
Q

What are the weaknesses of group psychotherapy? (3)

A
  • Group members can be hurtful
  • Members may lack a common history or context
  • Need to select good group members
38
Q

What are social workers?

A

Training in Macrolevel social policy and psychotherapy

39
Q

What are mental health counselors?

A

Master’s degree in counseling

40
Q

What are marriage and family therapists trained in?

A

Counseling

41
Q

True or false: substance abuse counseling is a different credential among therapists

A

True

42
Q

What are the four major characteristics of competent psychotherapists?

A
  • Professionalism
  • Cultural sensitivity
  • Interpersonal and communication
  • Grounded in theory
43
Q

True or false: charismatic leaders tend to make good psychotherapist

A

False

44
Q

How do you refer appropriately?

A
  • Know who you are referring to
  • State the issue you’re assessing for
  • Sign releases
45
Q

Who does psychological testing?

A

Clinical psychologists

46
Q

What is the use of psychological testing?

A

To confirm or disconfirm other data

47
Q

What are the common pitfalls with psychological testing?

A
  • very time and context sensitive

- May not predict well

48
Q

True or false: a patient who comes for therapy needs to have a conscious issue

A

false–Can be unconscious, but manifested in some way

49
Q

What is the most important factor in determining the outcome of therapy?

A

Quality of the relationship with the therapist–not actually what they do

50
Q

True or false: patients with a higher level of attachment usually have better outcomes with therapy

A

True

51
Q

What is the “top down” approach to treating depression?

A

Psychotherapy

52
Q

What is the “bottom up” approach to treating depression?

A

Pharmacology

53
Q

What are the general uses of neuropsych testing?

A
  • Neuropsychological functioning

- Deisability eval

Psychiatry pro +1700 (28 decks)

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