Psychotherapy

Question 1

Define Psychotherapy

Answer 1

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

Question 2

Indications of CBT (2)

Answer 2

Depression

Anxiety disorders

Question 3

What disorders is CBT considered an adjunct for?

Answer 3

Schizophrenia

BPD

Question 4

In relation to CBT, what does ABC stand for?

Answer 4

Antecedent
Belief
Consequences

Question 5

CBT: What is the Antecedent

Answer 5

THe triggering event

Question 6

CBT: What is the Belief

Answer 6

Thoughts, attitudes, beliefs triggered by the event

Question 7

CBT: What is the Consequence

Answer 7

Emotions, behaviours, physiological change

Question 8

What is the hot cross bun model?

Answer 8

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

Question 9

Sources of CBT

Answer 9

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

Question 10

How long do CBT sessions last?

Answer 10

50-60 minutes

Question 11

What is the focus in CBT?

Answer 11

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

Question 12

What is Arbitary inference

Answer 12

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

Question 13

Overgeneralisation

Answer 13

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

Question 14

Selective abstraction

Answer 14

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

Question 15

Magnification

Answer 15

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

Question 16

Minimisation

Answer 16

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

Question 17

Personalisation

Answer 17

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

Question 18

Dichotomous thinking

Answer 18

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

Question 19

basis of psychodynamic psychotherapy

Answer 19

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

Question 20

How do we get a peek into the unconscious mind?

Answer 20

Dream analysis
Free association
Slips of the tongue
Transference + countertransference

Question 21

What is the main task of psychodynamic therapy?

Answer 21

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

Question 22

Mature defence mechanisms (6)

Answer 22

Altruism 
Anticipation 
Humour 
Sublimation 
Suppression 
Affiliation

Question 23

What is Alturism

Answer 23

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

Question 24

What is Sublimation

Answer 24

Channeling potential maladaptive impulses into socially acceptable behaviour

Question 25

What is Affiliation

Answer 25

Seeking support from others

Question 26

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

Answer 26

``` Displacement Externalisation Intellectualization Repression Reaction formation ```

Question 27

What is displacement

Answer 27

Transfering negative feelings about one person to another

Question 28

What is externalization

Answer 28

Blaming others

Question 29

What is Intellectualization

Answer 29

Avoiding painful emotions by getting stuck on details

Question 30

What is reaction formation

Answer 30

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

Question 31

Examples of primitive defence mechanisms (7)

Answer 31

``` Denial Autistic fantasy Passive-aggressive Acting out SPlitting Projection SOmatisation ```

Question 32

WHat is Autistic fantasy

Answer 32

Day-dreaming to avoid reality

Question 33

What is splitting

Answer 33

Black or white thinking | Rigid separation of 2 extremes

Question 34

What is somatisation

Answer 34

Transformation of negative feelings towards others into physical Sx

Question 35

What condition is Dialectical Behaviour Therapy for?

Answer 35

EUPD

Question 36

Aim DBT

Answer 36

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

Question 37

How long does DBT last

Answer 37

c.1year

Question 38

What are the 4 elements of DBT

Answer 38

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

Question 39

Hhow is CBT different to DBT

Answer 39

Both focus on changing unhelpful behaviours | However DBT allows acceptance of the whole person, including those unhelpful thoughts

Question 40

Problem solving therarpy - step-wise approach (6)

Answer 40

``` 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 ```

Question 41

What is IPT (interpersonal therapy) based on?

Answer 41

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