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CP2 Psychiatry > Psychotherapy > Flashcards

Psychotherapy Flashcards

1
Q

Define Psychotherapy

A

A treatment by psychological means of problems of an emotional nature in which a trained person deliberately establishes a professional relationship with the patient

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2
Q

Indications of CBT (2)

A

Depression

Anxiety disorders

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3
Q

What disorders is CBT considered an adjunct for?

A

Schizophrenia

BPD

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4
Q

In relation to CBT, what does ABC stand for?

A

Antecedent
Belief
Consequences

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5
Q

CBT: What is the Antecedent

A

THe triggering event

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6
Q

CBT: What is the Belief

A

Thoughts, attitudes, beliefs triggered by the event

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7
Q

CBT: What is the Consequence

A

Emotions, behaviours, physiological change

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8
Q

What is the hot cross bun model?

A

To demonstrate the way in which changes in cognitions can lead to changes in emotions, bodily sensations and behaviour
Equally, changes in bodily sensations can lead to changes in our thoughts, emotions and behaviours etc

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9
Q

Sources of CBT

A

1’ care (mostly)
Computerised CBT
Self-help books
Use of mobile phone apps e.g. mood gym

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10
Q

How long do CBT sessions last?

A

50-60 minutes

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11
Q

What is the focus in CBT?

A

On challenging and correcting cognitive errors, replacing maladaptive w/ more adaptive coping mechanisms

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12
Q

What is Arbitary inference

A

‘My girlfriend is out, she might be enjoying herself with someone else’

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13
Q

Overgeneralisation

A

I missed the bus this morning, I am always late and I am so hopeless

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14
Q

Selective abstraction

A

Although Tom said he likes me, he did once say that he did not like the dress I was wearing that day, which means Tom does not like me how he says

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15
Q

Magnification

A

If i do not submit this assignment today then the lecturer will think i am completely useless

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16
Q

Minimisation

A

Lecturer said ‘well done’ only because she was in a good mood

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17
Q

Personalisation

A

My team did not win today. It’s my fault, I am the one to blame

18
Q

Dichotomous thinking

A

If I do not get an A in class, that means I have failed

19
Q

basis of psychodynamic psychotherapy

A

Our feelings and behaviours are influenced by unconscious motives that = result of early childhood experiences

20
Q

How do we get a peek into the unconscious mind?

A

Dream analysis
Free association
Slips of the tongue
Transference + countertransference

21
Q

What is the main task of psychodynamic therapy?

A

To establish a therapeutic relationship with the patient that helps draw links between the patients early childhood experiences (incl early trauma), defence mechanisms and current Sx

22
Q

Mature defence mechanisms (6)

A 
Altruism 
Anticipation 
Humour 
Sublimation 
Suppression 
Affiliation
23
Q

What is Alturism

A

Dealing with stress/conflict through devotion to charitable endeavors to help others

24
Q

What is Sublimation

A

Channeling potential maladaptive impulses into socially acceptable behaviour

25
Q

What is Affiliation

A

Seeking support from others

26
Q

E.g.s of neurotic (hence bad) defence mechanisms (5)

A 
Displacement 
Externalisation 
Intellectualization 
Repression 
Reaction formation
27
Q

What is displacement

A

Transfering negative feelings about one person to another

28
Q

What is externalization

A

Blaming others

29
Q

What is Intellectualization

A

Avoiding painful emotions by getting stuck on details

30
Q

What is reaction formation

A

Expressing the unconscious unacceptable impulse in the opposite, more acceptable form

31
Q

Examples of primitive defence mechanisms (7)

A 
Denial
Autistic fantasy 
Passive-aggressive 
Acting out 
SPlitting
Projection 
SOmatisation
32
Q

WHat is Autistic fantasy

A

Day-dreaming to avoid reality

33
Q

What is splitting

A

Black or white thinking

Rigid separation of 2 extremes

34
Q

What is somatisation

A

Transformation of negative feelings towards others into physical Sx

35
Q

What condition is Dialectical Behaviour Therapy for?

A

EUPD

36
Q

Aim DBT

A

Help people manage difficult emotions by letting them experience, recognise and accept them

37
Q

How long does DBT last

A

c.1year

38
Q

What are the 4 elements of DBT

A

Individual therapy
Skills training in groups
Telephone crisis coaching
And therapist consultation groups

39
Q

Hhow is CBT different to DBT

A

Both focus on changing unhelpful behaviours

However DBT allows acceptance of the whole person, including those unhelpful thoughts

40
Q

Problem solving therarpy - step-wise approach (6)

A 
1 -  elicit practical problems 
2 -Explain emotional Sx
3 - Reassure 
4 - Clarify the problem and Collaboratiely ID possible solutions 
5 - Pt chooses most likely solution 
6 - Review + repeat if necess
41
Q

What is IPT (interpersonal therapy) based on?

A

The hypothesis that disorders can be explained as disorders arising from interpersonal relationship difficulties

CP2 Psychiatry (15 decks)

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