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Psychiatry Terms > Therapies > Flashcards

Therapies Flashcards

1
Q

Type that integrates ‘object relation dyads’

A

Transference-focused psychotherapy

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2
Q

Type of therapy to improve agoraphobia?

A

Exposure therapy

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3
Q

Main form of therapy for specific phobia?

A

Exposure therapy

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4
Q

Therapy for autism

A

Applied behavior analysis

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5
Q

Therapy for PTSD

A

CBT : exposure . Also EMDR though its controversial as to whether or not EMDR (eye movement desensitization and reprocessing) is helpful.

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6
Q

Debriefing and PTSD / Acute stress

A

Can lead to further sensitization, which is a contraindication. Exposure therapy is more systemic and gradual, which is better.

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7
Q

Imagery rehearsal therapy

A

Record nightmares during the daytime and practice imagining positive endings for them. Good in acute stress disorder.

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8
Q

Stress Inoculation Training (SIT)

A

Stress response is conceptualized as going through predictable phases. Patient is tuaght to prepare for anticipated stresses by preparing for each phase. For acute stress disorder .

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9
Q

Therapy for ocd

A

CBT: Exposure response prevention, cognitive therapy, supportive techniques, and family therapy

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10
Q

Motivational enhancement therapy is good for what ?

A

Hoarding disorder

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11
Q

Habit Reversal therapy is good for what disorder?

A

Trichotillomania

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12
Q

What is Parent Teacher Behavior Therapy used in?

A

ADHD. Both parent and teacher enforce treatment. Only validated psychosocial treatment in ADHD.

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13
Q

Sleep Phase Chronotherapy is indicated for what?

A

Circadian Rhythm sleep wake disorder, delayed sleep phase type. Takes a week or week and a half. Add 3 hours each night until you end up where you want to be.

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14
Q

Imagery Rehearsal Therapy is used for what?

A

Nightmares. Any kind of nightmares. You write down a summary of the nightmare, then create an alternate script for the nightmare and imagine that several minutes of the day.

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15
Q

For eating disorders, when does ‘good outcome’ happen with CBT?

A

20 weeks (Maintenance phase psychotherapy) in 44% receiving cbt vs in 7% receiving nutrional counseling.

Family based therapy is more effective for adolescents.

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16
Q

Interpersonal therapy and CBT together are good for which population?

A

Bulimia

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17
Q

Which therapy for rumination disorder?

A

Habit Reversal Therapy (chewing gum) . Also do diaphragmatic breathing post eating to minimize regurgitiation.

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18
Q

What is the best assessment for conduct?

A

Multimodal assessment of conduct, physical, & psychological features.

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19
Q

Best therapy for conduct disorder?

A

Multisystemic Therapy: Strongest evidence based treatment. Also good for juvenile offenders, ODD, and juvenile substance abuse disorders.

20
Q

What is covert sensitization?

A

A form of aversive behavior therapy in kleptomania. Pair images of unpleasant scenes or adverse consequences to the problem behavior (stealing) .

21
Q

What is sensate focus therapy and what does it treat ?

A

Treats sexual dysfunction orders. Step by step exercise of talking and touching, 40 min at a time. Avoid touching genital areas or engaging in sex. Builds trust to help discover what leads to feelings of closeness and sexual arousal.

22
Q

Dissociative Experience scale

A

28 item self report screening questionnaire

23
Q

Grounding techniques are helpful in which disorder?

A

Depersonalization/derealization disorder. Focus on here and now. Sensory focus (smell of lilacs, birds), and cognitive focus to reorient to present: where am I , date?

24
Q

Grief therapy is usually for what population?

A

elderly or anyone who has a short life expectancy.

25
Q

Reminiscence therapy does what?

A

Life story is remembered, created, and narrated thru photos, memntos, period music, discussion. Goals are ego integrity, validation, cohesion, and engagement so the person does not fall into despair.

26
Q

Subtypes of Pregnancy Denial

1) Pervasive Denial
2) Affective Denial
3) Psychotic Denial

A

hree subtypes of pregnancy denial have been proposed: pervasive, affective, and psychotic. Pregnancy denial may be a risk factor for infanticide – particularly psychotic denial.

1) pervasive denial, the patient denies pregnancy initially but accepts it when formally diagnosed. Dissociation due to a history of trauma may be a risk factor for this type of denial.
2) Most common. accepts that she is pregnant but does not form an emotional attachment to the fetus.
3) Denies the diagnosis of pregnancy. Infanticide risk high

27
Q

What does Cognitive Processing Therapy do for PTSD?

A

Focuses on altering maladaptive cognitions or thoughts associated with the trauma to change the way a pt thinks about what happened to the.

28
Q

What all can intensive psychoanalytic psychotherapy treat?

A

acute crises like financial loss, sexual dysfunction, rage outbursts, inferiority, and shame. The therapist focuses on the present and early-life experiences to attend to internal and interpersonal aspects of a patient’s conflicts.

29
Q

Big differences between Psychodynamic therapy and CBT

A

Psychodynamic:

  • pt freely talking
  • less structured
  • talk about the past
  • Long term commitment (CBT is short)
  • Patient directs the session (unlike CBT, combined)
30
Q

What is a key feature of trauma focused cbt?

A

Psychoeducation

31
Q

How to treat claustrophobia

A

Exposure therapy and reducing safety behaviors.

32
Q

Best type of therapy for PTSD?

A

Exposure based therapy

33
Q

Describe CBT steps

A
  • psychoeductaion and ID tx goals
  • Self monitoring to see maladaptive patterns
  • Cognitive restructuring
  • Alter and challenge distorted thoughts
  • Educate about relaxation techniques
34
Q

When is schema therapy used?

A

Schema therapy is a form of cognitive behavioral therapy indicated for treatment of personality disorders and in particular for borderline personality disorder

35
Q

How to treat RAD

A

The most important intervention for children diagnosed with reactive attachment disorder is to ensure the provision of an emotionally available attachment figure. Working through the caregiver, and with the caregiver-child dyad together are the two basic psychotherapeutic modalities that can be used.

36
Q

What does the Thematic Apperception Test look at?

A

Interpersonal function

37
Q

What is Acceptance and Commitment Therapy used in?

A

PTSD. Acceptance and commitment therapy is the correct answer as it emphasizes changing the patient’s emotions surrounding trauma-related negative thoughts. The ACT aims to accept symptoms or negative thoughts as a part of the emotional experience

38
Q

Is psychological debriefing good or bad for PTSD?

A

It worsens PTSD

39
Q

What therapy for schizophrenics include case management?

A

Major role therapy or reality adaptive therapy is the correct answer as it involves providing early case management and support by mentoring individuals to evaluate behavior in order to live independently and meet the demands of adult life.

40
Q

Exposure and Response prevention is good for what?

A

OCD

41
Q

Habit Reversal vs Response Prevention

A

Response Prevention: general for OCD

Habit Reversal: Trichotillomania

42
Q

In what disorder is schema therapy used?

A

Schema therapy is basically cognitive behavioral therapy that has been adapted for borderline personality disorder. A schema is a broad theme that develops in childhood. A maladaptive schema is caused by a child’s unmet core needs; as a result, maladaptive coping strategies develop.

43
Q

Social Rhythm therapy is for what?

A

bipolar

44
Q

Therapy for histrionic personality disorder?

A

The treatment of choice for histrionic personality disorder is psychoanalytically oriented psychotherapy

45
Q

What is one session exposure therapy good for?

A

specific phobia

46
Q

When is contingency management therapy used?

A

The first line treatment of cannabis use disorder is psychotherapeutic interventions, out of which contingency management is the mainstay. Contingency management strategies have been used for a variety of substances, and it works on the principles of operant conditioning. It provides users with rewards for desirable and positive behavior, and to some extent, punishment for undesirable or harmful behaviors. It explores the underlying motivational drives and seeks to increase the preferable drive that would lead to steady abstinence. Contingency management is continued until the patient can stay sober after the rewards are removed or stopped.

47
Q

What do you do for early somatic sx disorder? for late?

A

1) CBT early

2) SSRI late

Psychiatry Terms (33 decks)

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