Intervention IPT & Other Flashcards

(51 cards)

1
Q

What does 16 PF stand for?

A

16 Personality Factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does MMPI stand for?

A

Minnesota Multiphasic Personality Inventory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does DASS stand for?

A

Depression, Anxiety, Stress Scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does BDI stand for?

A

Beck Depression Inventory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

_____ is a collaborative conversation style for strengthening a person’s own motivation and commitment to change. It’s designed to find a constructive way through challenges that arise when trying to help someone find motivation to change. Ultimately, ___ is about navigating the conversation so that the client talks themselves into change based on their values and interests.

A

Motivational Interviewing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 6 stages of change?

A
  • Pre-Contemplation
  • Contemplation
  • Preparation
  • Action
  • Maintenance
  • Relapse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Having no intention to change, is which stage in the 6 stages of change?

A

Pre-contemplation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Having ambivalence about change, is what stage in the 6 stages of change?

A

Contemplation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Taking steps toward change, is what stage in the 6 stages of change?

A

Preparation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Implementing change steps, is what stage in the 6 stages of change?

A

Action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sustaining change, is what stage in the 6 stages of change?

A

Maintenance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Falling back into old habits, is what stage in the 6 stages of change?

A

Relapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

____’s aim is to change people’s perspective of unhelpful patterns and build self-conscious motivations to help them perform more adaptive behaviours despite unhelpful patterns.

A

Acceptance and Commitment Therapy (ACT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

___ Steps involve:

  • Building awareness and acceptance of unhelpful thoughts/memories/feelings
  • Building awareness of personal values and encourage committed action based on these values
A

Acceptance and Commitment Therapy (ACT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are Rodger’s 3 Requirements?

A
  • Unconditional positive regard
  • Empathy
  • Genuineness/congruence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does SMART (goals) stand for?

A
  • Specific
  • Measurable
  • Attainable
  • Relevant
  • Time bound
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

____’s aim is to change unhelpful patterns to alter/remove/lessen the emotional consequences and thus any problematic behaviours.

A

Cognitive Behavioural Therapy (CBT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

____ Steps Involve:

  • Identify irrational/unhelpful thoughts/beliefs/emotions
  • Alter context/frequency/emotions triggered by the unhelpful thoughts/beliefs/memories
A

Cognitive Behavioural Therapy (CBT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does SDQ stand for?

A

Strengths and Difficulties Questionnaire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What do you use when you focus on rapport and checking that you have understood the client correctly?

A

CBT IPT and general counselling questions , identify emotions , clarify thoughts and feelings Paraphrasing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the general order of things for client work/process?

A

There is an order of things - first contact assessment formulation diagnosis intervention and endings

22
Q

What do you do if someone has difficulty identifying or naming feelings or symptoms?

A

Identification of emotions; if client struggles with identifying emotional triggers for symptoms, you don’t have to embark in some complex desensitization process. You have to help them put emotions and sensations into words first.

23
Q

Is it a good idea to do a critical incident debriefing with a group after a traumatic incident?

A

Critical incident debriefing has been completely DEBUNKED … actually more harmful doesn’t stop developing PTSD and can make it worse for those exposed due to vicarious trauma

24
Q

IPT: 4 SPECIFIC PROBLEM AREAS TO REMEMBER BY HEART - What are they?

A
  1. Grief and Loss
  2. Interpersonal Disputes and
  3. Role transition
  4. Interpersonal Sensitivities
25
What is Interpersonal Therapy?
Interpersonal Psychotherapy (IPT) is time-limited psychotherapy (12-16 sessions) that assists clients to cope with life events related to **interpersonal change, losses, conflicts and isolation that are associated with the onset or perpetuation of mental health problems through an improvement in interpersonal functioning.**
26
There will be questions around transference and whether IPT focus on that - what would be the answer?
There will be questions around transference and whether IPT focus on that - ASN is NO Will talk about the relationship with therapist but not transference
27
What is IPT recommended for?
IPT was initially developed as a treatment for **depression**. It has since been applied to working with clients experiencing: * Eating Disorders * Bipolar Mood Disorder * Substance Abuse problems * Anxiety disorders * Postnatal Depression * Suicide prevention treatment
28
What wouldn't you use IPT for?
IPT is not recommended when working with severe mental illness, such as: • **Chronic Substance Abuse** **•** **Psychosis** **•** **Severe cognitive deficits** **•** **Severe Interpersonal Deficits eg Personality Disorders** **•** **Acute suicide risk**
29
What are the 8 main steps of IPT?
TECHNIQUES OF IPT 1. Clarification 2. Expression of Affect / Emotion Regulation 3. Communication Analysis 4. Clarifying IP incidents 5. Problem Solving 6. Role Playing 7. Use of Therapeutic Relationship (but not the focus as in psychodynamic Tx) 8. Homework
30
7. Use of Therapeutic Relationship The therapeutic relationship is a social microcosm in which IP issues and attachment styles will become evident. Whilst the therapeutic relationship provides a „here and now‟ stage in which to observe the client‟s interpersonal world, in IPT the therapeutic relationship is not a focus.
In IPT, the therapeutic relationship can be used: as a means for GATHERING LIVE **interpersonal information** as a means of demonstrating or **modelling effective communication** as a means of **providing feedback to the client about client's interpersonal** **behaviour in therapy**
31
IPT Phase One - how many sessions and what is involved?
Phase 1: session 1-2 o Ax & Diagnosis o Interpersonal Inventory o Determine Tx Focus o Interpersonal Formulation o Tx Contract
32
IPT Phase TWO - how many sessions and what is involved?
Phase 2: sessions 2 – 14 o Interventions targeting specific interpersonal problem § Clarification § Communication Analysis § Clarifying Interpersonal incidents § Expression of affect § Role Plays § Homework § Use of therapeutic Relationship § Problem Solving
33
IPT Phase THREE - how many sessions and what is involved?
• Phase 3: session 15+ o Therapeutic review with Interpersonal Inventory § Review symptoms and interpersonal functioning § Anticipate future problem areas o Negotiate maintenance contract
34
What are some general counselling skills?
Validation • Reflection / Summarising • Therapeutic Alliance o Collaborative Relationship o Having a common goal, understanding the problem and working together towards those goals
35
What are the steps involved in Social Skills Training?
Social Skills Training • Explain the skill • Show the skill • They attempt the skill with the psych observing to receive feedback • Role plays to consolidate skill o Ultimate goal is for them to practice the skill in vivo
36
What do you need to know about Family Therapy?
Family Therapy • Systems approach • Explores patterns within families and treatment is always with the whole family not individuals
37
Motivational Interviewing - what do you need to know?
1. Open, client-centred approach to help improve client motivation 2. Establishing dissonance between what the client values or wants and what they are currently doing 3. Elicit INTRINSIC motivation to make changes
38
Basic Psychodynamic Therapy- what do you need to know?
* Working with Transference * Current issues are explored in relation to past experiences
39
What are the four elements of Motivational Interviewing?
MI based on these four elements 1. Partnership 2. Acceptance 3. Compassion 4. Evocation
40
What are the six stages of change?
**Connected to the stages of change** - and what approaches you use 1. Pre-contemplation 2. Contemplation 3. Determination 4. Action 5. Maintenance 6. Relapse
41
CPD - Continuing Professional Development - how much is required?
* 30 hours total per year (10 of which much be Peer consultation) * CPD = when discussing other cases or attending professional development
42
What would be considered as peer consultation?
• Peer Consultation = Only when you and colleagues are discussing one of your cases.
43
What do you need to remember about record keeping?
* Keep adult records for **7 years** * If under 18 years old - Keep until they are 25 years old **(7 years after they become an adult)**
44
MI - would the words challenging or teaching be used for MI?
NO you are eliciting intrinsic motivation
45
What is solution focused therapy?
“The practitioner's role in the solution-focused process is continually to invite clients to explore and define two matters: (1) what it is they want different in their lives (goals) and (2) what strengths and resources they can bring to bear on making these desired differences a reality. The practitioner affirms and amplifies client definitions of goals, past successes, strengths, and resources as they emerge through conversation. Consequently, these conversations focus more on building solutions than on solving problems.” Berg & de Jong.
46
What are the fundamentals of SFT?
1) Focusing on the positive, on the solution, and on the future facilitates change in the desired direction 2) Every problem has exceptions- these can be used to build solutions 3) Change is occurring all the time 4) Small steps can lead to large changes 5) Cooperation is inevitable 6) People have all they need to solve their problems 7) Humans are meaning making creatures 8) The words we use shape our actions and responses 9) The client is the expert 10) Understanding the problem is not always necessary to finding a solution
47
Types of questions in solution focused therapy?
Goal setting Miracle Exception Coping Scaling
48
Family Therapy principles….what are they?
Only practice it if you are very brave! • Provides a view of problems and ‘pathology’ as fundamentally inter-personal as opposed to individual. • Focus on systemic/interpersonal interventions • It is not individual therapy with witnesses. • It is not psycho-education, individual therapy in front of an audience or behaviour management • Interventions usually focus on boundaries, function of behaviour in the system, structure of the family, patterns of relationships and communication patterns.
49
Motivational Interviewing Principles…what are they?
1. Do not tell client what to do. (Motivation from outside does not work!) 2. Do not try to get client to do something they are not ready to do 3. Do not make client feel ashamed of what they are doing so they will change 4. Roll with resistance and work to help client connect with their intrinsic motivation
50
Stress Inoculation has 3 Phases what are they?
1. Conceptual Education Phase 2. Skills Development & Consolidation Phase 3. Application Phase
51
What is stress inoculation?
Stress inoculation training, also called stress inoculation therapy, is a type of [cognitive behavioral therapy (CBT)](https://www.choosingtherapy.com/cognitive-behavioral-therapy/) that focuses on changing the way your mind and body responds to stressors. It might be offered individually or in a group. For those with [PTSD](https://www.choosingtherapy.com/post-traumatic-stress-disorder/), stress inoculation training might be offered on its own or in conjunction with other types of trauma therapy like [prolonged exposure therapy](https://www.choosingtherapy.com/exposure-therapy/).2