Psychotherapy-Kohlenberg Flashcards
What is this:
Talk utilized in the service of behavior change, alleviation of emotional symptoms, progress toward a meaningful, value based life.
Focus on thoughts and behavior (CBT), behaviors (BA), Couples therapy (IBCT), family systems (FFT).
Psychotherapy
What is the is the aim of psychotherapy?
balancing symptom reduction with value driven living
What is the most important tool in implementing psychotherapy?
creation of a therapeutic relationship
Who can use psychotherapy?
-individuals, groups, couples, family for ALL ages for DSM V problems and growth issues
What are the basics of psychotherapy?
- not spooky (stigma)
- collaborative relationships
- evidenced based treatments
What is this:
a type of CBT that is about empowering people to face life’s challenges, overcome difficultues, and attaining a purposeful and meaningful life.
ACT (acceptance and commitment therapy)
What is the active ingredient acros psychotherapies?
relationship/alliance (agreement on goals, tasks, and bond, trust and connection)
(blank) therapy is focused on CHANGING THE BELIEFS CENTRAL TO DEPRESSION
cognitive therapy
What is the cognitive triad of depression?
depressed patients typically have:
- negative view of themselves
- negative view of environment
- negative view of future
What are the ABCs of cognitive therapy?
How do you make people do this?
- Antecedent event
- Belief
- Consequence
Therapy is the focusing of changing the belief
Exposure and skill training
In ACT, beliefs are NOT important to change. what is though?
the willingness to
What is the therapy of ACT?
focus on changing ones relationships with ones thoughts and feelings, in the service of heading in a cherished, valued life direction
What are the central metaphors of ACT therapy
- Control: dont think about
- Willingness: And not but
- Values: what do you want on your tombstome
What is behavioral activation?
What are the tools that this therapy provides?
a cognitive therapy focused on doing what in the past provided meaning and value and pleasure. Negative thoughts and feelings are not viewed as barriers.
-New relationship with thoughts and feelings, focus on activites
(blank) is based on the idea that th events in your life and how you respond to such events influence how you feel
Behavioral activation
BA assumes that one reason people get depressed is that their lives are providing too few (blank) and too many (blank)
rewards
problems
T or F
When life is less rewarding or stressful, people sometimes pull away from the world around them and find that basic routines in their lives become disrupted
T
Pulling away from the world when feeling down is natural and understandable. The problem is that it also can increase (blank) and make it hard to do what?
How do you solve this with BA?
depression
solve life problems effectively
-provided people with activities that will bring them joy
What is IBCT (integrative behavioral couples therapy)?
What tools do you use?
focuses on changing ones relationship with conflict and difference (not “getting rid” of conflict)
-Acceptance/mindfullness training
In couples therapy, (blank) predicts depression, not visa versa
Discord
What are the bad signs of couples?
- criticism
- defensiveness
- contempt
- stonewalling
What are the good signs of couples?
-healthy conflict
-respect
(if you are not willing to have problems you’ve got them)
When should you not treat couples?
Violence
What is a cognitive therapy for bipolar disorder in adolescents dealing with a depressive episode?
Family focused therapy (FFT)
What four things are interconnected and result in depression?
- life stress
- family stress
- rhythm dysregulation
- mood disorder symptoms
What are the 6 objectives of family focused treatment?
- integrating the experiences associated with mood episodes in bipolar disorder
- accepting the notion of a vulnerability to future episodes
- accepting dependency on mood-stabilizing medication for symptom control
- distinguishing between the patient’s personality and his or her bipolar disorder
- recognizing and learning to cope with stressful life events that trigger recurrences of bipolar disorder
- reestablishing functional relationships after a mood episode
In regards to treatment of depression, what was the best at helping people not relapse?
Next best?
Worst?
CT
BA
meds
Do medications or therapy cost more long term in the tx of depression?
meds
(blank) was more efficacious than CT in the acute treatment more severly depressed patient in this trial
BA
