Therapeutic Treatment Flashcards
How could you help a 3 yo child cope with their babysitter moving away? (2x)
Help the child call the babysitter
Process to help family adapt to the death of a child?
Maintain a legacy through memories and physical reminders of child
Child has been in therapy for 6 months and actively engaged, parents divorced, mother more interested in therapy than father. Father called and left a voicemail that patient wants to terminate therapy. Next step?
Call father and explore his relationship with child and reason child wants to end therapy
10 yo therapy patient transfers from graduating fellow to new fellow. Family/patient always late, late to first appointment with new fellow, eating food in waiting room. Next step?
Notice annoyance and plan to address lateness once rapport is established
When a therapist engages in small talk and involves a serious conversation, what is the process called?
joining
Example of saying,”My child is seeking my help” instead of “My child is very needy”
Reframing
Child with end stage illness asks, “Am I going to die?” Response?
“What are you most worried about?”
Most important component of CBT for needle phobia? (3x)
Graduated exposure to needles (systematic desensitization)
Type of therapy that uses writing out a narrative of negative experience? (2x)
Trauma-focused CBT
Example of behavioral activation in CBT? (2x)
Scheduling pleasurable activities to build motivation
How do children learn therapy concepts in cognitive-behavioral play therapy?
Modeling
Depressed teen in CBT says that director hates her due to not getting the leading role, yet had the lead in two other plays this year. Cognitive error?
Selective Abstraction
On first day of school, 5yo does not want parents to leave and throws temper tantrum. Parents walk child to class and leave. Parents displayed what type of behavioral therapy?
Flooding
Aaron Beck’s Theory: psychopathology of depression?
Negative cognitive bias toward the self
College student with bad grade on quiz fears flunking school and becoming homeless. Type of cognitive error?
Catastrophizing
Patient learns relaxation techniques for phobia of heights, demonstrates technique at home and in office. Therapist plans trip to high building and helps patient still use technique. Behavioral principle?
Reciprocal inhibition
16 yo in CBT for MDD states, “I’ll never get married” after being turned down for a date. What cognitive distortion?
Catastrophizing
Therapy patient states “I’m a failure.” In CBT, this is?
Core belief
How would you modify CBT for a 6 yo patient?
Eliminate cognitive restructuring
By providing education with cognitive behavioral intervention, a patient and their family understands reasons for treatment. This has what effect on the treatment?
Increasing motivation and follow-through for the child and family?
Adolescent in CBT fills out thought record. Writes down thoughts about being a loser for getting a bad grade, but fails to list his good grades. Cognitive Error?
Disqualifying the positive
16 year old patient in cognitive behavioral therapy for social anxiety is told to picture a situation she says something embarrassing but remains calm. This is technique is?
Modification of imagery
A child who reports that everyone hates him after being picked on by a bully, demonstrates which cognitive error?
Overgeneralization
Initial stage of systematic desensitization therapy?
Relaxing training
Child with trichotillomania treated with habit reversal therapy. Therapy includes awareness, competing responses, and?
Social Support
Adolescent in treatment for arm tic learns to press elbow into body with premonitory urge. Treatment type?
Habit reversal training
Psychiatrist asks child receiving psychodynamic play therapy about mother who abandoned the family last year. Child throws toy at psychiatrist. Best response? (2x)
Explain that it’s not OK to throw things, but ask about other times when they feel like throwing or hitting things
Which treatment would be appropriate for a patient after a stressor has resolved but the child’s defenses are now fixed and maladaptive? (2x)
Individual psychodynamic psychotherapy
Youth in therapy lasting 10 weeks for test taking anxiety, interpersonal issues with father, and body image issues. What type of therapy used? (2x)
Short-term psychodynamic
What could be a treatment goal in child-parent psychodynamic theory?
Develop parental insight into their use
Psychodynamic psychotherapy primarily uses play to represent?
An expression of the child’s inner life
Therapy modality for motivated patient to develop understanding of self?
Psychoanalytic psychotherapy
Therapist notices that their long term therapy patient anticipates criticism about drug use, similar to criticism received from parents. What describes this psychoanalytic theory?
Object Relations
Describe the following psychodynamic technique: “You seem to want to get better but get in your own way. Maybe you worry that your father would not approve?”
Interpretation
3 yo pulls hair when parents discipline him for misbehavior. The patient has a growing bald spot, yet denies pulling hair. What does this example suggest psychodynamically?
Shame of being unable to meet internalized standards
Compared to psychodynamic psychotherapy with adults, more likely to use what intervention with children?
Education
What is a relative contraindication for individual expressive psychodynamic psychotherapy?
Conduct disorder without guilt
Defense mechanism supported by psychiatrists in psychodynamic therapy with children?
Displacement
Criteria of patient that is a best fit for psychoanalytic treatment?
Ability to form and maintain relationships
What is “working through” a problem in psychodynamic psychotherapy?
Help patient overcome resistance to change through elaboration and repetition.
Why is it important to include parents in psychodynamic therapy?
Improve parental understanding of the child
Main role of therapist in play therapy, according to psychodynamic theory?
Provide setting for child to develop capacity for self-observation
Address negative transference during supportive psychotherapy with children to?
Maintain therapeutic alliance
DBT skill that needs repetition most frequently as prerequisite for other DBT skills? (2x)
Mindfulness
How should a therapist respond in a family session using mentalization therapy, when a patient with borderline personality and depression accuses parents of giving up on him or her?
Ask patient to guess how the parents are feeling
Dialectical Behavior Therapy for Adolescents, self-harm behaviors are seen as maladaptive coping mechanisms for?
Decreasing negative emotional state
What begins all chain analysis exercises according to Dialectical Behavioral Therapy (DBT) for adolescents?
Identifying an environmental event
Evidence-based outpatient treatment for nonsuicidal self harm?
Mentalization based therapy
Unique feature of adolescent DBT?
Multi-family skill training therapy groups
Major use of DBT group sessions for adolescents?
New coping skills
What type of psychotherapy would be provided to an adolescent who is granted a limited sick role and focuses on improving social supports as well as relationships w/those who have been harmed by their depression? (2x)
Interpersonal psychotherapy
What would an adolescent in interpersonal therapy for depression be working on during an early session?
Creating an inventory of relationships
Which therapeutic techniques make interpersonal psychotherapy so effective for adolescents with depression?
Enhancing use of social supports, improve communication with others, conceptualize distress through relationships
13 yo diagnosed with MDD and feels angry towards mother. Target in therapy?
Communication and problem solving with mother
Most likely modality that attempts to resolve difficulties between parents and child, while expanding child’s social support network.
Interpersonal
Approach most helpful for adolescents struggling with sexual relationships?
Enhancing skills to promote self-assertion and manage conflict.
Major emphasis of supportive psychotherapy, along with restoring and stabilizing function?
Suppressing or controlling symptomatology
Psychiatrist uses techniques such as, encouraging expression of feelings, helping to understand changes in life, and offers advice. Type of therapy?
Supportive
What is a typical technique used in supportive psychotherapy?
Suspending therapeutic neutrality
After parents set boundaries on their child’s video game playing, the child’s temper tantrums escalate in frequency and intensity. What is this called? (2x)
Extinction burst
4 yo with aggressive behavior, divorced parents have joint legal/physical custody. Arguments between parents when they see each other + yelling at child. In parent guidance meetings, first priority? (2x)
Identify parents’ shared concerns about child
Grandparents scolding 5yo child for loud play, and behavior continues to get worse. (2x)
Reinforcement
Adolescent bangs his head to get what he wants. Persistence of this behavior after parents stop responding is known as?
Partial reinforcement extinction effect
What intervention is a prevention strategy?
Parent management training for parents of child with persistent aggression and defiance
Social learning theory suggests having the parents do what when applied to disruptive behavior in their children?
Making non judgemental comments about their child’s play
16 yo loses driving privilege due to drinking alcohol. What intervention is this?
Punishment
Parents’ spanking of child during a tantrum leads to continued and worsening tantrums due to what phenomenon?
Reinforcement
How should a parent respond to a 3 year old snatching and hoarding toys during therapy session?
Ignore the behavior
What helps children adapt to transitions of divorce or custody changes?
Consistent schedule
3 yo with defiant behaviors, impulsive and hyperactive in 2 settings. Vanderbilt rating suggests ADHD and oppositional defiant disorder. First line treatment?
Behavioral therapy alone
Parents of child with angry outbursts come up with plan. If child asks for toy at the store and has a meltdown, child loses screen time for the day. Type of strategy?
Antecedent-behavior-consequence
After three weeks of child receiving reward for five good behavior stickers during school day, child’s behavior significantly improves. What would be the best reinforcement schedule to use for maintenance of behavior, according to operant conditioning?
Reward for a random number of stickers
Technique used when child has a temper tantrum, parents turn away and avoid communication until tantrum ends?
Planned ignoring
Child has aggressive outbursts during transitions. Therapist and parents develop a schedule, use deep breathing during transitions, and don’t give treats during outbursts. Type of treatment?
Behavior Analysis
Parents reward child with staying home from school when feigning illness. Type of reinforcement?
Negative Reinforcement
Child with anorexia nervosa tantrums at meals until food is removed from table. Type of behavioral conditioning?
Negative reinforcement
Intervention to motivate 9 yo child to clean their bedroom?
Rewarding child when they clean room
