Treating Psychological Disorders Flashcards
What is Process of CBT?
- Interview/assessment
- Formulation
- Treatment plan
- Psychoeducation
- Behavioural component (homework)
- Cognitive component (homework)
The 1st step in CBT is ‘Interview/assessment’, What are the steps involved?
- Presenting problem
- Symptoms
- Historical Information
The 2nd step in CBT is ‘Formulation’, What are the steps involved?
- Predisposing factors (genetics)
- Precipitating factors (what cause them to come see you? Trauma etc.)
- Perpetuating factors (what’s making this a continual problem? In the case of depression perhaps Isolation)
- Protective factors (things that are helping eg. getting a coffee with friends
The 3rd step in CBT is ‘Treatment plan’, What are the steps involved?
- What, why and how
- Agreed goals
The 4th step in CBT is ‘Psychoeducation’, What are the steps involved?
- Disorder specific
- Working on changing the thoughts rather than the emotions (interrelations between thoughts, behaviours, emotions)
What are treatments of Social anxiety Disorders (SAD)?
- Medications (SSRIs, Benzos)
- Individual cognitive and cognitive-behaviour therapies
- Group therapies
What are the most common medications to treat SAD
- SSRIs
- SNRIs
- Benzos
What are the characteristics of Vivo exposure?
- Hierarchy based on Subjective units of Distress (SUDs)
- You don’t leave until you’re at least 50% of what you were at the start
- Relaxation training
What are the three components of Cognitive-behavioural Group therapy?
- Exposure
- Cognitive restructuring
- Homework
What are the treatments for panic disorders?
- Medications (SSRIs and Benzos)
- CBT (effective in 74-94%)
- Panic control treatment (works on body sensations)
- Introspective exposure
- Combination of both is the best
What are the treatments for Agoraphobia?
- Same as panic disorder
- Vivo exposure instead of Introspective exposure (long exposures are better)
What is the treatment protocol for Generalised Anxiety Disorder (GAD)?
- CT
- Worry exposure
- Relaxation training
- Worry behaviour prevention
- Time management program
- Problem solving
What are the treatments for OCD?
- Exposure and response [ritual] prevention (ERP or EX/RP)
- CBT (Thoughts should not be the target of the control strategies)
- Medications (SSRIs)
What are medical treatments for Depressive Disorders?
Tricyclics, MAOI, SSRIs, ECT
What are Psychotherapy treatments for Depressive Disorders?
Psychotherapy CBT, BT, CT, Mindfulness CBT, Interpersonal therapy
What are treatments for Nonsuicidal self injury (NSSI)
CBT
Dialectical behaviour therapy (DBT)
What are medical treatments for Bipolar Disorder (BPAD)?
- Acute: stabilize existing manic or depressive episode
- Maintenance: maintain stabilisation of mood
- Mood stabilizers
- Atypical antipsychotics
What are Psychotherapy treatments for Bipolar Disorder (BPAD)?
- individual or group psychoeducation
- family psychoeducation
- CBT
