Treatment of Psychological Disorders Flashcards

1
Q

psychotherapy

A

approaches used in treatment of mental disorders and psychological problems

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2
Q

3 types of psychotherapy

A
  • > insight therapies (talk therapy)
  • > cognitive and behaviour therapies
  • > biomedical therapies
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3
Q

who seeks therapy

A
  • > most common presenting problems: anxiety and depression
  • > long delays before seeking treatment
  • > half do not have diagnosable problem
  • > barriers: stigma, finances, access
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4
Q

who provides therapy

A
  • > clinical psychologists (Ph.D)
  • > counselling psychologists
  • > psychiatrists (M.D)
  • > clinical social workers
  • > psychiatric nurses
  • > counsellors
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5
Q

insight therapy

A
  • > uses psychoanalysis
  • > started by Freud and followers
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6
Q

4 techniques of insight therapy

A

Free association

  • > spontaneous expression of thoughts and feelings

Dream analysis

  • > symbolic meaning

Analysis of resistance

  • > defensiveness: inability to talk about certain things

Analysis of transference

  • > (projects onto therapist) and counter-transference (therapists reacts in accord to projections rather than objectively)
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7
Q

client centred therapies

A
  • > nondirective
  • > help client self-actualize

Techniques

  • > provide positive supportive therapeutic climate

Communicate

  • > genuineness
  • > empathy
  • > unconditional positive regard - non judgmental attitude
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8
Q

client-centered therapy

A
  • > clarification and emotion-focused therapy (so what you’re saying is X)
  • > active listening (echo, restate, clarify)
  • > therapists and clients work together as equals
  • > key tasks: clarify clients feelings
  • > distress reflects lack of congruence in self concept (want view of self to reflect reality…. in a nice way)
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9
Q

positive psychology

A
  • > increase understanding of positive, adaptive, creative and fulfilling aspects of life

2 main approaches

  • > well being therapy
  • > positive psychotherapy
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10
Q

relationship therapy

A

couples counselling: often combines marital and sexual therapy

family system therapy

  • > assumes all in family are interconnected
  • > we need to connect to members emotionally
  • > mend broken relationships
  • > rules and boundaries: differentiating self from family
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11
Q

group therapy

A
  • > simultaneous treatment of several clients in a group
  • > participants: describe problems, share viewpoints, discuss strategies
  • > therapist: select participants, set goals, protect clients, model behaviours, promote cohesiveness
  • > self-help groups, i.g. eating disorders, substance use
  • > efficient, effective, normalize problems, support
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12
Q

behaviour therapies

A
  • > apply learning principles to change maladaptive behaviours
  • > don not focus at all on underlying causes

BF Skinner (founder) and colleagues

  • > assumed all behaviour is a product of learning
  • > learn new, adaptive ones
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13
Q

techniques of behaviour therapies

A
  • > Flooding
  • > Systematic desensitization
  • > Aversion therapy
  • > Modelling, imitation roleplaying/behavioural rehearsal
  • > Token economy
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14
Q

flooding

A
  • > intense exposure to feared stimuli
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15
Q

Systematic desensitization

A
  • > client exposed (in vivo or imagined) to series of stimuli related to their phobia (fear) and taught to relax at each stage and not avoid it

*create anxiety hierarchy

*teach relaxation skills

*work through hierarchy systematically

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16
Q

aversion therapy

A
  • > counter-conditioning that links unpleasant state (i.e. nausea) with unwanted behaviour (i.e. drinking, porn use, phone use)
17
Q

Modelling, imitation roleplaying/behavioural rehearsal

A
  • > i.e. public speaking; learn how to do it well if you’re scared
18
Q

token economy

A

operant conditioning where earn token for desired behaviour

  • > exchange later for privileges or treats
19
Q

cognitive therapy

A

teaches people new and adaptive ways of thinking and behaviour

  • > thoughts, feelings and behaviours are linked
  • > errors in thinking affects how we react to events
  • > reality testing (find evidence for and against thoughts)

Goal: change the way clients think

20
Q

cognitive-behavioural therapy and its techniques

A

combines cognitive therapy (change how you think) with behaviour therapy (change how you behave)

Techniques:

Self -instructional training

  • > detect negative thoughts
  • > reality testing
  • > homework assignments

Beck’s Cognitive therapy

  • > focus on illogical thinking about self, world, future

Rational Emotive therapy (Albert Ellis)

  • > change core irrational beliefs

Goa of CBTl: change maladaptive thought patterns and change behaviour

21
Q

mindfulness-based CBT

A
  • > increase awareness
  • > be present in moment
  • > self-compassion
  • > accepting things as they are
22
Q

dialectical behaviour therapy (DBT)

A
  • > developed by Marsha Linehan, aim to understand and accept, learn to manage emotions

4 pillars: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness

  • > created to help those with borderline personality disorder
  • > type of talking therapy
  • > made especially for those who feel emotions intensely, or have trouble regulating their emotions
23
Q

Evaluating psychotherapies

A

Client perceptions

  • > 3 out of 4 generally satisfied : 1 in 2 very satisfied
  • > reports biased by crises effect, effort, therapist factors

Therapist perceptions

  • > most report therapy success (big surprise)

Actual outcome research

  • > those not going to therapy often improve, but those going to therapy are more likely to improve
  • > average psychotherapy is somewhat effective
  • > some approaches are more effective than others
24
Q

biomedical therapy

A

perscribed medications or procedures that act on patients nervous system

  • > alter brain chemistry with drugs
  • > affect circuitry (e.g. with electroconvulsive shock, magnetic impulses, surgery)
  • > prescribed medicines only psychiatrists
  • > generally short-term effect; drugs are a bandaid
  • > over prescribed and over-medication (especially kids and elderly)
  • > side effects
25
Q

psychopharmacotherapy (drug therapy)

A

Anti anxiety: relieve nervousness

  • > benzodiazepine family (i.e. valium and Xanax)
  • > side effects: drowsy, depression, nausea, confusion
  • > addiction and withdrawal issue

Antipsychotic: gradually reduce psychotic symptoms

  • > thorazine, Haldol
  • > side effects: dizzy, drowsy, anxiety, insomnia, weight gain

Antidepressants: gradually elevate your mood

  • > tricyclics, SSRIs, MAOIs
  • > side effects: nausea, weight gain, sex problems, insomnia

Mood stabilizers: manage bipolar disorder

  • > lithium
  • > side effects: tremor, thirst, wight gain, impaired memory, poor concentration, vomiting/diarrhea
26
Q

evaluating drug therapies

A
  • > effective with most severe disorders
  • > not as effective as advertised
  • > over-prescribed
  • > side effects
  • > doctors become drug pushers (financial arrangements)
27
Q

Electroconvulsion therapy (ECT)

A

for severely depressed patients

  • > type of biomedical therapy
  • > series of brief electric currents sent through brain
  • > patient is anesthetized
  • > induces seisure
  • > short term memory loss
28
Q

new brain stimulation techniques

A
  • > Transcranial magnetic stimulation (TMS)
  • > Deep brain stimulation (electrodes in brain produce impulses that regulate abnormal impulses)