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
