Psychotherapy Flashcards
What does psychosocial treatment entail?
counselling and social support i.e. education, housing, finances
What is the ‘recovery model’?
to get people recovered and back to work as best as possible
Who is the person who leads the MDT for psychosocial care?
a ‘care-coordinator’ usually a nurse of some sort
What is IAPT
improving access to psychological therapy
it is the biggest therapy across the country
scheme used to self-refer or for GPs to refer patients to
Mainly offers CBT
What may counselling be used for?
Patients adjusting to life events, illnesses or losses and in mixed anxiety/depression in specific groups i.e. postnatal mothers, bereavement
What is PTSD helped by?
trauma focused CBT and EMDR eye movement desensitisation and reprocessing
what is depression and anxiety helped by?
CBT
What is the best psychotherapy for bulimia?
CBT
Give 3 therapies used in children w anorexia and 2 in adults w anorexia
Children: CBT, interpersonal therapy and family therapy (latter especially). Adults MANTRA and SSCM
What can personality disorders be helped by?
Dialectic behavioural therapy
What does CBT help with? what does it focus on?
Helps change unhelpful thoughts and actions which occur during times of distress. This changes how we feel about the world, people, and ourselves. Focusses on problems in the here and now, rather than past distresses.
How long is CBT treatment for usually?
5-20 weeks
on a weekly basis lasting 30-60mins
what are the 3 waves of CBT
- Behavioural therapy
- CBT
- Combines mindfulness w CBT
Give 3 specific and 3 general indications of CBT
Specific:
Depression, GAD, phobias, OCD, PTSD, bulimia
General:
if pt prefers psychological rx, if no improvement on meds, if SE of meds too much
What is psychoanalytic/psychodynamic therapy founded on?
Freuds theory that uncovering past trauma will resolve present day sx
What are the 3 key concepts underlying psychoanalytic therapy?
The unconscious, psychological defence mechanisms, transference/countertransference
Describe ‘the unconscious’
a person’s behaviour is influenced by unconscious factors (thoughts, feelings, fantasies)
What are psychological defence mechanisms? give 2 psychotic defences, 2 immature defences and 2 mature defences
Psychological vulnerabilities being shielded by certain defences
Over-reactive defences lead to trouble
Psychotic: delusion, paranoia, denial
Immature: schizoid, dissociation, acting out, hypochondriasis, passive aggression
Mature: altruism, humour, suppression
What is transference and countertransference? how many errors arise from these?
transference: when a pt transfers feelings from important ppl in their early lives onto the therapist
Countertransference: Therapist reacting to patients based on their past.
If the therapist acts as though the patient were a significant person in their early lives it leads to problems (i.e. if their mother was an alcoholic they will hate alcoholics)
What does psychoanalytic therapy focus on and what does it help the pt do?
making connections between the past and the present
helps the pt become more aware of unconscious processes giving rise to their sx
What is seen as part of the focus of the work of psychoanalytic therapy?
therapeutic relationship w the therapist
patterns of relating to others can then be worked on
Give 3 specific indications of psychoanalytic therapy
dissociative and conversion disorders depression psychosomatic disorders relationship problems grief
Where is counselling often done?What does it do?
primary care, it allows pts to identify their own problems and come up with their own answers
Who does counselling involve? what is it used to do?
2 people talking to find a solution to a problem
it is used to help people cope w recent events they have found difficult, it doesn’t aim to change someone
