TREATMENTS AND THERAPIES

Question 1

What is the basic premise underpinning CBT regarding the role of cognition?

Answer 1

Cognitions influence feelings and behaviours and subsequent behaviours and feelings can influence cognitions.

Question 2

Name 4 behavioural techniques used in CBT?

Answer 2

• Exposure
• Activity scheduling
• Relaxation
• Behaviour modification

Question 3

Cognitive therapy suggests emotional distress and maladptive behaviours result from…

Answer 3

Faulty patterns of thinking

Question 4

Name 4 types of skills commonly taught in CBT?

Answer 4

• Stress Management
• Social Skills training
• Parent Training
• Anger Management

Question 5

What is the overarching goal of DBT?

Answer 5

Reduce the tendency to engage in ineffective action which are linked to dysregulated emotions.

Question 6

What is the underlying assumption of IPT?

Answer 6

Interpersonal problems and mental health problems are interrelated

Question 7

What are 4 main problems examined in IPT?

Answer 7

• Role transitions
• Interpersonal disputes
• Grief
• Interpersonal deficits

Question 8

What does IPT aim to improve?

Answer 8

Communication and interpersonal skills

Question 9

What is a meta analysis?

Answer 9

Quantitative study used to provide a determination on high quality research (2 or more RCT’s). Helpful in providing better estimate of clinical effect than individual study alone.

Question 10

What is the focus of short term psychodynamic therapy?

Answer 10

Exploring and working through specific interpersonal and intrapsychic conflicts. Heavily transference based.

Question 11

Psychoeducation can provide clients with an understanding of (4)

Answer 11

• Symptoms, causes and consequences of their disorder
• Treatments available, including therapy and medication
• How to monitor signs of relapse
• Skills needed to support symptom reduction

Question 12

What is a systematic review?

Answer 12

A literature review that reviews, evaluates and synthesises high quality research focused on a particular question.

Question 13

Name 3 disorders with very little empirical evidence regarding treatment effectiveness in child or adolescent populations?

Answer 13

• Somatic Symptom Disorder
• Adjustment Disorder
• Dissociative disorders

Question 14

CBT has Level 1 support for which 6 anxiety disorders?

Answer 14

• OCD
• PTSD (trauma informed)
• GAD
• SAD
• Panic Disorder
• Specific Phobia

Question 15

Which disorders does DBT have Level 1 or Level 2 evidence for treating? (7)

Answer 15

• PTSD
• ADHD
• BPD
• BED
• Bulimia
• Depression
• Substance abuse disorders

Question 16

Which disorders does Psychodynamic therapies have Level 1 or Level 2 evidence for treating? (8)

Answer 16

• Adjustment Disorder
• GAD
• Panic Disorder
• SAD
• BPD
• Anorexia
• Depression
• Substance Abuse

Question 17

Which disorder does NOT count CBT as most effective?

Answer 17

Borderline Personality Disorder

Question 18

Which disorders prioritise family therapy in childhood/adolescence and CBT in adulthood?

Answer 18

• Bulimia
• Anorexia
• Substance Abuse Disorders

Question 19

Name 3 Level 1 treatments for Depression?

Answer 19

• IPT
• CBT
• Psychodynamic therapy

Question 20

What is the best treatment for persistant or severe depression?

Answer 20

A combination of medication and therapy together - better than each part alone.

Question 21

What is the first line of treatment in Bipolar Disorder?

Answer 21

Pharmcological treatment in the acute phase and to prevent relapes (should be combined with therapies)

Question 22

What element of CBT is evidenced to be specifically helpful for OCD?

Answer 22

ERP (exposure and response prevention)

Question 22

What element of CBT is evidenced to be specifically helpful for Substance Disorders?

Answer 22

Motivational Interviewing

Question 23

What element of CBT is evidenced to be specifically helpful for Sexual Disorders?

Answer 23

Systematic Desensitisations (identifying a hierarchy of sexual activities that provoke anxiety and then pairing relaxation techniques with imagining the sexual activity)

Question 23

What is Systematic Desensitisation

Answer 23

A therapy approach that combines relaxation techniques with gradual exposure to help you slowly overcome a phobia

Question 24

What differentiates Somatic Symptom Disorder from illness anxiety disorder (hyperchondriasis?)

Answer 24

Somatic Symptom Disorder - objectively real symptoms that cause excessive distress and worry.
Illness Anxiety - possibly no symptoms or catastrophic interpretations of benign body signals.

Question 25

What is the order of priority in understanding what the client is communicating?

Answer 25

1. Body language and facial expressions
2. Tone and manner of voice
3. Spoken words

Question 26

If clients express difficulties in paying the psychologist should consider…

Answer 26

Negotiating a lower cost fee.

Question 27

What factors should an MSE consider? (7 Hint: OAF-SPIT)

Answer 27

Appearance
Feeling
Perception
Insight
Speech
Thinking
Orientation

Question 28

Suicide risk assessment needs to include

Answer 28

• Previous attempts
• Present thinking (frequency, intensity, duration)
• Substance Use
• Access to Means
• Irritability/Impulsiveness
• Protective Factors

Question 29

Frequency, intensity and duration are important things to ascertain when…

Answer 29

Assessing suicidal thinking