Treatment for Psychological Disorders (Module 5 Ch 16) Flashcards

Memorize by Final exam 12/11

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1
Q

Dorothea Dix

A

An activist focused on the fair treatment of patients in hospitals
Went undercover in asylums in the 1850s = discovered the poor treatment of patients and wrote and expose on it
Was such a successful advocate that she got the pope to interfere on her behalf despite being protestant

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2
Q

Anna O

A

First person to undergo therapy
Originally presented with the inability to move the right side of her body; also had trouble with hearing and speech
Probably had meningitis, but was diagnosed with hysteria (“wandering uterus”)

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3
Q

Josef Breuer

A

First person to conduct therapy (“treated” Anna O)
Originally used talk therapy, which was later popularized by Freud
His methods didn’t work (cause her uterus obviously wasn’t the problem)

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4
Q

Psychoanalytic Therapy vs Psychodynamic Therapy

A

The original “talk therapy” popularized by Freud (but originally used by Josef Breuer)
Focuses on uncovering unconscious motives through talking and dream interpretation
VS
The modern offshoot of Freud’s ideas, in which talk therapy is used to confront unconscious impulses and ideas

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5
Q

Brodmann’s Area 25

A

Area in the prefrontal cortex that is overactive in depressed patients
Can be reset via overstimulation, which tends to leads to improvements in depression

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6
Q

PsyD

A

Doctorate of Psychology that focuses on counseling training without the research components required for a PhD

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7
Q

Incongruence

A

The difference between your self-concept and your reality
Greater difference = greater personal distress

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8
Q

Ecological Momentary Assessments

A

Using someone’s cell phone or smartwatch to monitor their thoughts, feelings, and behaviors in real-time (helps make therapy more effective)

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9
Q

Insight Therapies

A

The idea that you can improve someone’s psychological wellbeing if you give insight into their underlying motives or help them understand why it’s occurring

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10
Q

Active Listening

A

The therapist echoes, restates, or seeks clarification on what the patient is telling them
Patient knows that therapist is actually listening
Therapist understands what the patient is trying to communicate

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11
Q

Cognitive Therapy

A

Any type of psychotherapy that works to identify and restructure irrational thought patterns

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12
Q

Socratic Method

A

The therapists poses questions to the patient that are meant to highlight the lack of logic on their thought patterns
Helps with depressogenic thinking

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13
Q

Depressogenic Thinking

A

Thought patterns that keep people trapped in their depression
Helplessness Theory

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14
Q

Cognitive Restructuring

A

The patient is going through the process of taking irrational beliefs and replacing them with rational ones

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15
Q

Cognitive Behavioral Therapy (CBT)

A

Says that a person’s cognitions (thoughts), behaviors, and emotions are all interconnected, so making positive changes in one will positively affect the others

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16
Q

Rational Emotive Behavioral Therapy

A

Combative type of therapy in which the therapist is really explicit in their disagreement with the patient’s thought process
Helpful for some people and not others

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17
Q

Mindfulness-based Cognitive Therapy (MBCT) and Dialectical Behavior Therapy (DBT)

A

Combines CBT with mindfulness techniques so that cognitive restructuring and positive change can occur in a non-judgmental place

DBT specifically tries to cultivate mindfulness without meditation and is used to treat borderline personality disorder

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18
Q

Applied Behavioral Analysis (ABA)

A

Similar to CBT, but it focuses specifically on changing behaviors in order to change cognitions

Makes a list of negative behaviors the patient does; therapist helps them create a plan to change each of those behaviors

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19
Q

Behavior Therapies

A

Applies the principles of classical and operant conditioning, such as token economies, as a way of changing behaviors

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20
Q

Flooding

A

Way of addressing phobias that involves putting someone in a space with their phobic trigger and not letting them leave until they stop having a phobic reaction

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21
Q

Systematic Desensitization

A

Building up to an interaction with the phobic trigger by addressing the reasons they’re afraid of it
Pairs relaxation with gradual exposure to a phobic trigger
Occurs in 3 levels: imagined contact, virtual contact, and real contact

More effective than flooding

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22
Q

Social Skills Training

A

Commonly used to address autism or severe social anxiety
Includes 4 stages: modeling, behavioral rehearsal, shaping, and disengagement

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23
Q

Modeling (in Social Skills Training)

A

Having the individual watch somebody with good social skills interact with others so they can learn by watching them

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24
Q

Behavioral Rehearsal (in Social Skills Training)

A

Practicing the skills learned via modeling in a safe environment (usually a therapist office)

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25
Q

Shaping (in Social Skills Training)

A

Practicing the techniques learned from modeling in the real world
Starting with small techniques and social situations before working up to bigger ones

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26
Q

Disengagement (in Social Skills Training)

A

When the individual now feels comfortable with social interactions

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27
Q

Unconditional Positive Regard

A

The therapist must accept the patient as a person of worth regardless of the behaviors they’ve engaged in
Doesn’t mean that you have to approve of the behaviors

28
Q

Stress Inoculation Training

A

Teaching people how to restructure their thinking during stressful times
Includes reappraisal

29
Q

Virtual Reality (in Cognitive Therapy)

A

Helps with systematic desensitization by having the individual interact with the phobic trigger online before doing it in the real world (creates a safe space to practice their interaction)

Can also be used in avatar therapy (interacting with others online in real-time via avatars)

30
Q

Apps and Cognitive Therapy (Technology-based Therapy)

A

Zoom + Facetime make remote visits with therapists possible
Mindfulness and meditation apps help with CBT

31
Q

Group Therapy

A

When a facilitator starts conversations among the group and keeps them on track (without talking over them)
Includes supports groups
Can be just as effective as individual therapy because it teaches people that they’re not alone in their struggles

32
Q

Integrative Therapy

A

Drawing on various treatment approaches and using the one that seems most appropriate for the given situation (no loyalty to any particular method)

33
Q

What are some common denominators or similarities among most kinds of therapy?

A

Therapeutic Analysis, Providing Emotional Support/Empathy, Giving Hope and Positive Expectation, Rationale, and Opportunity for Expression

34
Q

Therapeutic Analysis

A

The therapist provides external, objective insight into the person’s thought and behavior patterns, helping them to recognize their irrational thinking

35
Q

Providing Emotional Support and
Empathy

A

The therapist shows the patient that they’re not alone in their feelings, wrong for feeling them, and they won’t be rejected for them

36
Q

Hope and Positive Expectation

A

Creating a plan or guide for where the patient wants to be at the end of their therapy journey, providing them with a sense of hope and motivation during the process

37
Q

Rationale

A

Helping someone understand the cause of certain thoughts and behaviors can help create change

38
Q

Opportunity for Expression

A

Therapy provides a critical space for people to express their thoughts and feelings, which they might not be able to do elsewhere

39
Q

What are some barriers to therapy?

A

Lack of insurance, cost concerns, time concerns, and stigma

40
Q

What does lack of insurance become a barrier to therapy?

A

Not having insurance and having insurance that doesn’t cover mental health problems can make therapy expensive and inaccessible to lower-income individuals

41
Q

What are some cost concerns with therapy (even if you have insurance)?

A

Lost income due to taking time off from work, finding transportation (gas $), childcare costs

42
Q

What are some time concerns with therapy?

A

At the beginning of the process, therapists want you to go fairly often and for long periods of time (in order to build a relationship)
This may take time away from other commitments or work

43
Q

How does stigma affect the desire to seek therapy? Who is less likely to seek therapy? How can this be combated?

A

May make people uncomfortable going to therapy or admitting they have a mental health problem
Men, the elderly, and religious people are less likely to seek help

Can be combated by open discussion

44
Q

How are psychiatrists different from psychologists?

A

Psychiatrists are MD’s that are allowed to prescribe medication

45
Q

How does length of time affect medication?

A

Some people only need to be on meds for a short period of time while others (like those with schizophrenia) may need to be on it for the rest of their lives

46
Q

Joint Treatment

A

Combining medication with therapy

47
Q

Selective Serotonin Reuptake Inhibitor (SSRIs)

A

Serotonin agonists
One of the newest and most commonly prescribed antidepressants
Only works on one neurotransmitter, meaning it has fewer side effects

48
Q

Tricyclic Antidepressants

A

Serotonin and Norepinephrine agonist
Older than SSRIs and less commonly prescribed
Common side effects include weight gain, irritability, and dry mouth

Similar drug: SNRIs (like SSRIs but they also target norepinephrine)

49
Q

MAOIs

A

Affects Serotonin, Norepinephrine, Epinephrine, and Dopamine
Oldest and least prescribed antidepressant (most likely to have side effects)
Can interact with other medications (ex: allergy meds) and foods (ex: grapefruit) in a harmful way

50
Q

Time delay for antidepressants

A

Takes about 4 weeks to see a therapeutic change (noticeable decrease in depressive symptoms)

51
Q

What is the shared side effect among antidepressants?

A

Increased suicidal risk
Short-term (meds increase energy levels first but take longer to improve mood)

52
Q

Anxiety medications

A

Benzodiazepines and Barbiturates

53
Q

Anti-psychotics

A

Dopamine antagonists commonly prescribed for schizophrenia, but can also be used to treat similar symptomology in bipolar disorder

54
Q

What kind of schizophrenic symptoms do anti-psychotics target?

A

Positive symptoms like hallucinations and delusions
Doesn’t work on negative symptoms like catatonia

55
Q

Why do patients on anti-psychotics struggle with adherence?

A

Common for patients to stop taking meds when having delusions of grandeur or manic phases

Patients who are unhoused also have difficulty staying on meds due to lack of money and means to get prescribed

56
Q

Time delay for anti-psychotics

A

Pills - typically take a week to see changes
Liquids - typically work quicker than pills but have stronger side effects

57
Q

Tardive Dyskinesia

A

Overcorrecting of dopamine levels when taking anti-psychotics can lead to Parkinson’s-like symptoms such as uncontrollable muscle movements (which are usually temporary, but can become permanent)

58
Q

Stimulants

A

Medication primarily used for ADHD (calms them down)
Can ramp up or energize people without ADHD
Prescription stimulants are less addictive than illegal kinds such as cocaine

59
Q

Lithium

A

Mood stabilizer medication used to treat bipolar disorder
Can lead to a build-up in and dysfunction of the kidneys, which is potentially fatal (because of this, it’s typically not prescribed unless other mood stabilizers prove ineffective)

60
Q

Electro-Convulsive Therapy (ECT)

A

Technique used to treat depressive patients that don’t respond to medication
Uses electrical currents to reset certain areas of the brain by inducing a seizure
Takes between 6 and 8 sessions to be effective (usually done in outpatient care)

Major side effect: anterograde or retrograde memory loss (that usually goes away or improves with time, but may become permanent)

61
Q

Repetitive Transcranial Magnetic Stimulation (rTMS)

A

Technique to treat severe depression (similar to ECT)
Exposes particular brain structures to intense magnetic fields

62
Q

Deep Brain Stimulation

A

Similar to ECT, but electrodes are implanted into the brain for stimulation of more specific neuron clusters (such as Brodmann’s Area 25)

63
Q

Optogenetics

A

Using light to stimulate neural activity in certain brain regions by altering the expression of certain genes
Can be helpful in treating substance abuse disorders

64
Q

Psychedelic Medicine

A

The controlled use of psychedelic drugs for the treatment of mental disorders
May have long-lasting beneficial impacts after one administration or session

65
Q

Transference

A

Reacting to someone in a current relationships as if they’re someone from a past relationship
Similar to projection