Treatment for Common Mental Health Problems

Question 1

What are the three main categories of common mental health disorders?

Answer 1

1) Affective / Anxiety Disorders
2) Substance Misuse Disorder
3) Disorders of Reaction to Psychological Stress

Question 2

What are the commonest affective / anxiety disorders? (4)

Answer 2

• Major Depressive Disorder (MDD)
• Generalised Anxiety Disorder (GAD)
• Panic Disorder and Phobic Anxiety Disorders
• Obsessive Compulsive Disorder (OCD)

Question 3

What are the commonest forms of substance misuse? (3)

Answer 3

• Alcohol
• Tobacco
• BENZOS ( / stimulants / opiods)

Question 4

What is the most common mental health disorder associated with stress?

Answer 4

Post-Traumatic Stress Disorder (PTSD)

Question 5

What is the Matrix?

Answer 5

A guideline for psychological interventions.

Designed to help attain HEAT guidelines.

Question 6

What is Cognitive Behavioural Therapy?

Answer 6

Short term goal orientated therapy.

“How our thoughts relate to our feelings and behaviour” Beck 1979

Can involve exposure therapy.

Question 7

What conditions is CBT particularly effective for? (5)

Answer 7

• Depression
• Anxiety
• Phobias
• OCD
• PTSD

Question 8

What is Behavioural Activation?

Answer 8

“CBT without the C”

Change behaviours that lead to unintentional consequences which lead to mental health issues.

Structured agenda to attack avoidance behaviours.

Question 9

What is Interpersonal Therapy (IPT)

Answer 9

As academically backed up as CBT.

Goal oriented, focusing on the present. Particularly Interpersonal events.

But no homework, mainly just skills practising beyond session.

Question 10

What examples of interpersonal event can you list? (4)

Answer 10

• Complicated Bereavement
• A dispute
• Role Transition
• Interpersonal deficit

Question 11

What are some limitation of Interpersonal Therapy?

Answer 11

• Requires a degree of ability to be able to reflect. (may be difficult for people with autism)
• Poor social networks result in limited interpersonal support and opportunities to practice new skills.

Question 12

What is Motivational Interviewing?

Answer 12

Designed to drinking problem drinkers.

Colloquially known as “an intervention”.

Promotes the patient setting the agenda and changing themselves.

Question 13

What are the Stages of Change?(5)

Prochaska and DiCelemnte 1982

Answer 13

1) Pre-contemplation (Denial)
2) Contemplation (Ambivalence)
3) Planning / Determination (“I have a problem, how can I change?”)
4) Action (“Yes, this is what I need to do.”)
5) Maintenance (Developing coping strategies and identifying safety nets)