Theory Flashcards
1
Q
Outline: Theory
A
- Intro
- Bio-psycho-social-spiritual model
- Bio
- psycho
- social
- spiritual
- Integrated Man
- Empirical based treatment of MDD
- Pharmocotherapy
- CBT
- IPT
- Case Study (12 week sessions)
- Acute Phase (sessions 1-3)
- Middle Phase (sessions 4-9)
- Termination Phase (sessions 10-12)
- Bio-psycho-social-spiritual model
2
Q
Abstract
A
- Mental health in the United States
- Comprehensive theoretical model
- Christian Worldview
- Bio-psycho-social-spiritual
- emprically based treatment for MDD
- Case study
- theoretical integration IPT, CBT, Neurobiology
3
Q
Bio-psycho-social-spiritual model: Biological
A
- Romans 8:22 “We know that the whole creation has been groanings in the pains of childbirth right up to the present moment.
- brain structure, chemical imbalance, trauma changes brain structure.
- Sometimes “bottom-up approach” is needed
- (Sarter, Givens, & Bruno, 2001)
- Thyroid, thourough assessment
- counseling can provide top down
- (Schwartz & Begley, 2002)
- (Cozolino, 2010)
4
Q
Bio-psycho-social-spiritual model: Social
A
- Developmental (Greenspan, 2007)
- Attachment theory
- Need for goo social support/ community
- IPT so important
5
Q
Bio-psycho-social-spiritual model: Spiritual
A
- Spiritual beings
- Mark 7:21 “out of the heart sinful choices are made.
- Marred by sin-image of God.
- John 10:10 came that we may have life.
- spiritual life of the counselor
- third person in the counseling rm.
- spiritual direction: implicit vs explicit integration
6
Q
Empirically TX based for MDD
A
- NIMH- 6.7%/ 14.8 suffer from MDD per year.
- WHO- most dibilitating diability- (gotlibe & Hammen, 2008)
- Pharmacotherapy-antidepressants:
- (Nathan & Gorman, 2007)
- compliance
- side effects
- collaboration
- combination
- CBT-
- most common
- homework
- challenges
- Monitor thought, behavior, feelings
- IPT
1.
7
Q
Case study
A
- Acute phase (sessions 1-3)
- Middle phase (sessions 4-9)
- Termination phase (10-12)
8
Q
Case Study: Acute Phase (1-3)
A
- informed consent
- History
- Assessment (1st two weeks)
- Building alliance
- Framing counseling
- consent contact primary care physician
- medication
- side effects
- complaince
- medication
- Psychoeducation about Depression
- IPT- used to help him with his relationships
9
Q
Acute Phase (1-3): History/ Assessment
A
- BDI-2
- MMPI-2
- genogram
- Youngs depression inventory
- Baseline test
- Relationship inventory
- ECR-2- Romantic attachment
- Life map
- with significant spiritual moments
10
Q
Acute Phase (1-3)
A
Informed consent
- mandated reporting
- Ask if the session can be recorded
- supervisior
- Note taking
- ask about suicidal ideation
11
Q
Acute Phase (1-3): Diagnosis
A
- BDI-II (Beck et al., 1996)
- DSM V diagnosis
- 296.22 Major depressive disorder, single episode, moderate
- feels depressed most of the day every day for two weeks
- has trouble sleeping
- has lost weight
- loss of pleasure
- significant social disfunction
- hard to concentrate
- out of work
*
12
Q
Acute Phase (1-3): Case conceptualization
A
- Role Transition -divorce
- grieving marriage- end of relationship
- difficulty with children (teenagers, twenties)
*
13
Q
Acute Phase (1-3): treatment plan
A
- Contract- working together
- work on problem relationships with ex-wife, children, family.
- work on hobbies pleasurable activities
- develop one new relationship
- each week focus on a relationship you are struggling with that particular week
14
Q
Middle Phase (4-9)
A
- check in
- examine incident
- Role Play
- Situational analysis
- Journal homework
- psychoeducation -thoughts, behavior, emotions
- social interactions
- support development
- attachment issues
- Communication anlysis
15
Q
Termination Phase (10-12)
A
- reveiw progress
- resolution of focal issues
- psycho education and
- IPT relapse prevention (Frank et al., 2007)
