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Psych Exam 1 > Therapies > Flashcards

Therapies Flashcards

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1
Q

psychosocial interventions

A

non-pharmacological therapeutic techniques
support for clients and families
individual or group therapy
promote mental wellness
(limit setting, coping skills, self esteem, stress reduction, relaxation, spiritual support, psychological safety, discharge planning)

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2
Q

types of behavioral therapy

A

modeling- role playing
operant conditioning- tokens or positive reinforcement (Pavlov’s dog)
systematic desensitization- exposure to fear slowly over time
aversion therapy- negative stimulus leads to decreased behavior
biofeedback- control of body

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3
Q

types of talk therapy

A

interpersonal therapy
Cognitive Behavioral Therapy (Rational emotive therapy, DBT)
challenging stinkin thinkin (cognitive distortions)

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4
Q

types of cognitive therapies

A

cognitive behavioral therapy
rational emotive therapy
dialectic behavior therapy

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5
Q

Cognitive Behavioral Thearpy

A

changing the way we think in order to act and feel better even if the situation does not improve
thoughts cause feelings and behaviors not external things like people, situations, or events
good for depression, anxiety, phobia’s and pain)

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6
Q

stinkin thinkin

A
  1. all or nothing thinking (black and white)
  2. overgeneralization
  3. mental filter (dwelling on negative thoughts, OCD)
  4. discounting the positive (rejecting positive experiences as they don’t count)
  5. jumping to conclusions (interpreting things negatively)
  6. magnification
  7. emotional reasoning
  8. Should statements (should have done this or that)
  9. Labeling “i am a loser”
  10. Personalization and blame (take responsibility when you had no control)
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7
Q

Rational emotive therapy

A

focuses on irrational thinking or beliefs
helps identify situations and negative emotions that lead to irrational beliefs
change in thinking that leads to positive change in behavior

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8
Q

the ABC’s of RET

A

Activating event
beliefs
emotional consequences

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9
Q

Dialectic behavior therapy (DBT)

A

used to treat chronically suicidal individuals or borderline personality disorder, self harm, eating disorders
combines cognitive and behavioral techniques and mindfulness
1-2 yrs before good results

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10
Q

what is mindfulness

A

being present in the moment

the present moment is the only one we can experience

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11
Q

four primary modes of treatment in DBT

A

group skills
individual psychotherapy
telephone contact
therapist consultation and team meetings

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12
Q

group dynamics

A 
size
defined purpose
degree of similarity among members
rules
boundaries
content
process
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13
Q

psychoeducational groups

A

increase knowledge or skills about specific psychological or somatic subject.

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14
Q

types of groups

A 
psychoeducational
medication or health education
symptom management 
goal setting/Review
recreational activity
interpersonal skills
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15
Q

therapeutic community meeting group

A

occurs in impatient milieu and has potential to be therapeutic

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16
Q

support and self help groups

A

structured to provide patient with the opportunities maintain or enhance personal and social functioning through sharing

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17
Q

group psychotherapy

A

lead with APRN

purpose is the bring out personality change

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18
Q

yaloms therapeutic factors of group therapy

A 
instillation of hope-
universality- 
imparting information- 
corrective recapitulation
development of socializing skills
imitative behavior
interpersonal learning
group cohesiveness
catharsis
existential resolution
19
Q

instillation of hope

A

leaders share optimism about success of group treatment, and members share improvement

20
Q

universality

A

members realize they are not alone

21
Q

imparting of information

A

formal teaching by leader or advice from peers

22
Q

altruism

A

members gain/profit from giving support of others improving self-value

23
Q

corrective recapitualtion

A

member repeats patterns of behaviors learned from family, with feedback from leader and peers, they learn their own behavior

24
Q

development of socializing skills

A

learn new social skills based on others feedback and modeling

25
Q

imitative behavior

A

members may copy behavior from leaders or peers and can adopt healthier habits

26
Q

interpersonal learning

A

gain insight based on feedback

27
Q

group cohesiveness

A

arises in a mature group when members feel connected to each other. members can accept both positive and constructive feedback

28
Q

catharsis

A

through experiencing and expressing feelings, therapeutic of emotion is shared

29
Q

existential resolution

A

members examine aspect of life that affect everyone in constructing meaning

30
Q

advantages of group therapy

A

engage with multiple patients at a time
clients benefit from feedback, knowledge, and life experience
safe environment to try out new behaviors and communication skills
promotes a sense of belonging

31
Q

disadvantages of group therapy

A

time constraints and individual may feel cheated for participation time
concern for confidentiality
disruptive members
not all patients benefit from group tx

32
Q

autocratic leader style

A

exerts control over the group and does not encourage much interaction

33
Q

democratic leader

A

supports group interaction for problem solving

34
Q

laissez-faire leader

A

allows group members to behave in any way they choose and does not attempt to control direction

35
Q

phototherapy/ light therapy

A

first line tx for seasonal depression done with seasonal onset
effective as medication
light works on melatonin

36
Q

negative effects of photothearpy

A

headache and jitteriness

37
Q

ECT therapy

A

noninvasive
most effective depression tx
primary tx in severe malnutrition, exhaustion, and dehydration
psychotic illnesses are second most common cause
safer than meds with certain conditions

38
Q

How is ECT administered

A

under anesthesia with a muscle relaxer
temporal area of brain
can be done unilateral or bilateral
2-3 treatments per week

39
Q

risks of ECT and adverse reactions

A

stress on heart at seizure onset up to 10 min ( assess and manage HTN, CHF, cardiac dysrhythmias)
confusion and disorientation
retrograde amnesia

40
Q

transcranial Magnetic Stimulation

A

non-invasive
MRI strength magnetic pulses stimulate focal areas of the cerebral cortex
metal is contraindicated

41
Q

adverse reactions of transcranial magnetic stimulation

A

HA, light headedness
no neuro deficits or memory problems
seizures rarely
scalp tingling and discomfort at administration sight

42
Q

Vagus Nerve stimulation

A

invasive
originally used to treat epilepsy
decreases seizure activity and improves mood
used to treat resistant depression
electrical stimulation boosts neurotransmitters

43
Q

vagus nerve stimulation side effects

A

voice alteration

neck pain, cough, paresthesia, dyspnea, which can decrease over time

44
Q

DBS

A

more invasive than VNS
surgically implanted electrodes in brain
treatment for Parkinson’s, now depression
stimulates regions identified as underactive in depression

Psych Exam 1 (10 decks)

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