Therapy Flashcards
In group therapy patient isn’t comfortable sharing but you want to promote interpersonal sharing what do you do
encourage the patient to continue to attend group therapy, but also offer individual sessions for facilitate group involvement
two or more people in which personal boundaries are unclear
enmeshment
enmeshment can occur during
countertransference where the therapist becomes too emotionally connected to the patient where boundaries become unclear
child is made to take on the role of an adult emotionally, financially, or other responsibilities without support from their parents or other adults
parentification
parentification can lead to
harming child’s development
mental health problems
negative outcomes later in life
root of parentification
lack of healthy boundaries, such as unclear, diffuse, or enmeshed boundaries
scapegoat
assigned to one member typically a child who becomes target for blame, criticism, negative attention
signs of the child being the scapegoat 6
withdrawn
academic struggles
blame and criticism
role reversal
isolation
alienation
empty nest syndrome s/s
feelings of loss
sadness
anxiety
grief
irritability
fear
empathy generally comes before
compassion
empathy
understanding and feeling what another person is feeling by putting yourself fin their shoes ability to recognize and share someone elses emotions
compassion
desire to help or alleviate a person’s suffering (acting on feelings)
victim of rape how do you assess?
ask open ended questions
how are you doing
how are you feeling
how has this been affecting you
if a patient is anxious what type of questions do you ask
open ended to help with anxiety symptoms
to promote therapeutic communication you should promote
silence and listen to patient
Closed-ended or yes or no questions can be used when 2
interviewing a child who can not construct a chronological narrative or pt with intellectual or developmental disability
if you need time-sensitive** info and the patient does not answer your question
ask yes or no or closed questions
Genetic conditions is one of the greatest risk factors for
intellectual disability
Cognitive Therapy originated by
aaron beck
what type of therapy is good for client who has negative or distorted thinking
Cognitive therapy
what type of therapy can help support medication adherance
behavioral therapy by creating structured schedules reminders and addressing non compliance
behavior therapy techniques 6
exposure
relaxation
skills training
problem solving
role playing
modeling
CBT tools
journalling
cognitive restructuring and reframing of CBT
identify cause of negative thoughts and pair with positive thoughts
goal of interpersonal therapy
help people identify and modify interpersonal problems to understand and to manage relationship problems (marital conflict example)
psychodynamic therapy
focuses on unconscious processes as they are manifested in clients behavior
goal of psychodynamic therapy
self awareness
understanding of the influence of the past on present behavior
looks at how the unconscious mind influences thoughts and behaviors
psychoanalytic therapy
carl rogers originated
humanistic therapy
person centered therapy concepts including self directed growth and actualization ** each person has the potential to actualize and find meaning
humanistic therapy
understand patients’ subjective experience and the goals are to live authentically and to focus on th epresent and on personal responsibility
existential therapy
viktor e franlk focuses on helping individuals find meaning in life*, particularly in face of suffering or existential challenges emphasizes search for purpose freedom of will and ability to choose ones response to life’s circumstances
logotherapy
youth with post traumatic stress and mood disorder resulting from sexual abuse as well as physical abuse violence or grief can benefit from
trauma focused cognitive behavioral therapy
TF CBT
addresses mental health needs of people from the destructive effects of early trauma
serious antisocial problematic behavior with serious criminal effect by empowering parents with resources and skills to reduce barriers to resources and effectively manage the youth
multisystemic family therapy
Home based model of service that reduces barriers that keep famlies from screening services
Multisystemic family therapy
paradoxical directive/intervention is used with caution (reverse psychology) used in what type of therapy
strategic
miracle questions
solution focused therapy-
Murray Brown originated _________ goal is to find self differentiation, and decrease triangles, triangulation, increase self differentiation
family system therapy
the lower the level of family adaptation the more likely a ___________ will develop
triangle
clearly defined boundaries and hierarchies, map track and modify the family structure- family will be advised to talk to each other instead of to the therapist
structural family therapy
goal of enactment is to
identify and modify the family structure
team building exercise can help with 4
self-esteem
resilience in children
improve relationship
improve social anxiety
massage can help decrease stress by
lowering blood cortisol levels and decrease pain by improving blood circulation
husband and wife have appt and only one appt shows up what do you do
reschedule appt until BOTH parties can be present at both times
Freuds phallic stage age key take away
3-6 years old it is NORMAL to have child play with their genitalia during this phase
boys 9-16 yo it is normal for them to develop
swelling and tenderness underneath their nipples and will usually disappear in 6 months
