Week 9 Effective Therapy Flashcards
What are the benefits of client empowerment?
- Instills hope in them
- Teach client in a way that appears like client discovers it for himself. So they become like a self-therapist. Goal is to make client not need you anymore :D
Why is it important to be observant?
Many nuances in conversation, visual appearances and body language. Must go by FEEL.
What is the differences between APA and NICE guidelines in general?
APA: Provide you with information on efficacy of therapies, but no definite answers about its efficacy.
NICE: More prescriptive and specific because they even go into the type of treatment, frequency, duration.
In the case of DID, when eliciting alters, if clients leave, it is most likely because the client don’t like the therapist. T/F?
False.
Can be don’t like but can also be that the client is in a shitty phase of life rn e.g abuse. So it’s hard to expect therapy to be effective.
so, whenever there are suboptimal outcomes, must ask why first and don’t assume that there must be progress if person goes through therapy.
According to the NICE guidelines, for people with persistent sub-threshold depressive symptoms or mild to moderate depression who have not benefited from a low-intensity psychosocial intervention, discuss the relative merits of different interventions with the person and provide?
List of treatments basically
- Antidepressant (SSRI)
2. High-intensity psychological intervention, either CBT, IPT, behavioural activation, behavioural couples therapy
What are some side effects of SSRI, or rather what considerations should be taken when administering SSRI?
Increased risk of bleeding, especially in older people.
In people taking other drugs that have the potential to damage the gastrointestinal mucosa or interfere with clotting.
Older people: Consider prescribing a gastroprotective drug who are taking non-steroidal anti-inflammatory drugs or aspirin.
Fluoxetine, fluvoxamine and paroxetine are associated with a higher propensity for drug interactions than other SSRIs.
Paroxetine is associated with higher incidence of discontinuation symptoms.
How should CBT sessions for individuals with depression be timed?
duration should be 16-20 sessions for 3-4 months.
for those with moderate or severe depression, consider 2 sessions per week first.
follow-up: 3-4 sessions over 3-6 months for all ppl with depression.
How should IPT be administered for those with depression?
16-20 sessions over 3-4 months.
More severe one then twice a week for the first 2-3 weeks.
Behavioral activation how long how many sessions
16-20 sessions
3-4 months
The choice of treatments depends on ________ and _____________.
clinical intuition
personal experience
Why are people now less inclined to seek help for mental health issues?
Pharmaceutical companies now have solutions also. People might see mental health as hardware problem so use hard medicine to treat hardware.
How did the Dodo bird effect come about?
All therapies are said to be not effective, might as well don’t do anything.
But then again is it even fair to compare therapies with each other?
Then on the flip side all therapies work and must have their due credit ah
Whether therapy works for a client or not is most dependent on the type of therapy the psychologist administers.
True or false?
False.
40% of extra therapeutic factors that therapist cannot control.
30% of the relationship between client and therapist
only 15% of the therapy modality used.
Also got within treatment effects (what can be controlled) - there can be many overlapping factors also.
What perspective should one use to look at therapy? What perspective should not be used?
Common factors
Medical model
Describe the medical model in looking at mental issues.
Means you are looking at mental issues as a disease, so the type of therapy matters.
Posits that different therapies are differentially effective and for different disorders. Must see what the disorder is to decide the intervention being used.
