Session 5 - Communication and psychological interventions

Question 1

What is cognitive behavioural therapy?

Answer 1

Symptoms relieved by changing thoughts, beliefs and behaviour via cognitive and behavioural therapy

Question 2

What behavioural techniques are employed in CBT?

Answer 2

• Graded exposure to feared situations
• Activity scheduling – doing things is a useful intervention, breaking the cycle of rumination
• Reinforcement and reward
• Role play and modelling

Question 3

What cognitive techniques are employed in CBT?

Answer 3

• Education
• Monitoring of thoughts, behaviours, feelings and contexts
• Examining/challenging negative thoughts
• Behavioural experiments
• Cognitive rehearsal of coping with difficult situations

Question 4

List 3 disorders that CBT can be applied to?

Answer 4

• Depression
• Anxiety states, e.g. phobias, PTSD
• Eating disorders
• Sexual dysfunction
• Psychoses – Distracts from symptoms and alters beliefs about abnormal perceptions.

Question 5

Who is CBT suitable for?

Answer 5

• Patients keen to be active participants
• Patients who can engage collaboratively
• Patients who can express their feelings

Question 6

What are the limitations of CBT?

Answer 6

• Needs to be delivered by expert practitioners
• Limited benefits where problems are complex and diffuse

Question 7

What are the principles behind psychoanalysis?

Answer 7

• The principle that a person’s development is influenced by events in childhood.
• These events enter the unconscious mind
• These need to be brought into the conscious mind and dealt with.

Question 8

Whom is psychoanalysis suitable for?

Answer 8

• People with personality problems
• People who can tolerate mental pain

Question 9

What is systemic and family therapy?

Answer 9

• Individuals, couples or families focus on relational context and address patterns of interaction and meaning
• Seeks to address people not on individual levels but as people in relationships, dealing with the interactions of groups and their interactional patterns and dynamics

Question 10

What is systemic and family therapy suitable for?

Answer 10

subclinical depression, mild anxiety, marital difficulties

Recent onset (<1yr)

Question 11

Describe the core principles behind CBT

Answer 11

• We are not passive recipients of stimuli
• We interpret world via values, beliefs, expectations and attitudes
• Not situations that upset us but the view we take of them
• Changes of mood state are directly related to the way we make sense of events