Psychotherapy 1

Question 1

________ is the front line of treatment for mental health care.

Answer 1

primary care (often the only line)

(80% antidepressants are prescribed by PCP)

Question 2

In order to accomplish Psychotherapy, the patient must have the______ (2)

Answer 2

cognitive ability to process information and have a working memory

Question 3

Psychotherapy will likely not be beneficial for patients with ______.

Answer 3

severe dementia

Question 4

What is disease vs. dis-ease

Answer 4

• dis-ease : life circumstances that are causing significant pain and interference with the patient’s life
• Disease : pathological

(be careful not to label patients with pathology when they are just having a rough patch)

Question 5

A patient must first ______ before Psychotherapy can be successful.

Answer 5

accept their situation

(also motivation - necessary for them to be successful)

Question 6

Attributes that make a good therapist (5)

Answer 6

1. Common sense
2. Empathy
3. Trustworthiness
4. Confidence
5. Investment in the relationship

Question 7

Negative therapist factors (3)

Answer 7

1. Over structuring therapy
2. Too much self-disclosure
3. Silence

Question 8

Regardless of your theoretical orientation all therapy occurs in the context of ______.

Answer 8

The Therapeutic Alliance

(you may be the only person who cares about the pt’s well-being)

Question 9

Patient factors that correlate w/ good outcomes (3)

Answer 9

1. Motivation
2. Psychological status: pre-morbid health & quality of interpersonal relationships
3. Intra-personal factors (hopelessness & psychological mindedness)

Question 10

Therapeutic Alliance

Answer 10

Conscious collaborative rational agreement between a therapist and client

Question 11

Psychotherapy effectiveness

Answer 11

Therapy is as effective as meds for anxiety and depression (meds are quicker)

(Study in 2004 found that if one stayed in psychotherapy for at least 13 sessions there seemed to be a better outcome as compared with medication treatment)

Question 12

Rates of side effects from medication was “much higher” than expected from the package inserts for ________(2)

Answer 12

40 % sexual side effects, 20 % gained weight

Question 13

Best results were found in those who received both ______.

Answer 13

psychotherapy and medication

(Active questioning of the treatment professional and getting a personal referral were associated with positive outcome.)

Question 14

Psychotherapists types (5)

Answer 14

1. Psychiatrists (mostly manage meds)
2. Clinical psychologists
3. Marriage and family therapists
4. Licensed clinical social workers
5. Certified substance abuse counselors

Question 15

Major schools of psychotherapy

Answer 15

1. Psychodynamic
2. Behavioral
3. Cognitive
4. Supportive