Theories (ACT, CBT, IPT)

Question 1

ACT

Answer 1

Enhances phsychological flexibility
Acceptance of thoughts and conditions rather than suppression and avoidance. Commitment to change towards value-driven goals.

Hexaflex

• Mindfulness (present moment)
  – intervention:
• Cognitive Defusion
  – intervention:
• Observing the observer
• Values
  – intervention: values worksheet?
• Committed Action
• Experiential Acceptance

Question 2

CBT

Answer 2

Challenging and changing our thoughts and/or behaviours can change our feelings and emotions.
Cognitive triad (thoughts, behaviours, emotions), all influence each other but emotions are the hardest to change.

Present focused, less concerned with historical factors?
Collaborative, time-limited, treatment goals
Active/directive therapist stance, psychoeducation

Interventions
- thought record
- challenging cognitive distortions
- behavioural changes (change maladaptive bx)
- socratic questioning to expose core beliefs
- exposure
- mood logs

Question 3

IPT

Answer 3

Based on the idea that many problems are rooted in interpersonal relationship issues/deficits. This therapy aims at healing interpersonal relationship internal working models and attachments, which leads to improvement of symptoms such as depression and anxiety.

Goal is to heal attachment to be more secure. Therapist acts as a safe base and safe haven for client. Safe base is someone you can always rely on for support. Safe haven is someone who encourages you to explore on your own and you can always return to.

The Process Dimension
Process comments
Corrective Emotional Experience
Internal working model
Moving towards, moving away, moving against
Working alliance
Empathic response leads
Ruptures, reenactment, resistance

Question 4

SMART Goals

Answer 4

Specific
Measurable
Achievable
Relevant
Time-bound

Question 5

General treatment plan (beginning, middle, end)

Answer 5

Beginning: build rapport, get to know ct, work collaboratively to identify goals, strengths

Middle: specific interventions, check in on progress/reassess goals if needed

End: summarizing work together, empowering, referrals as needed, ending ritual in some cases (card, rock)

Question 6

Person-centered/humanistic

Answer 6

3 Rogerian core conditions: unconditional positive regard, genuineness, accurate empathic understanding

Ct has capacity for self-healing

Interventions: active listening, nonjudgemental presence, genuineness, accepting emotions