Interventions Flashcards
(25 cards)
Goals for most Somatoform Dxs
- Help PT identify psychological conflicts affecting somatic symptoms
- Help PT begin to develop ability to discuss feelings
- Teach copings skills to deal w/ somatic symptoms
Increase non-somatic focused activities
- Decrease somatic focus/sick role behavior
- Decrease somatic symptoms (fatigue, diarrhea)
- Maximize psychosocial functioning/engagement in life
What are the main treatments for Social Phobia?
- Exposure (PE)
- CBT (PE)
- Systemic Desensitization (PE)
What are the main treatment interventions for GAD for Adults & Children?
- Adults
- CBT (WE)
- Cognitive therapy
- Worry Exposure
- Relaxation training
- Worry Behavior Prevention
- Time Management
- Problem Solving
- Applied Relaxation (PE)
- CBT (WE)
- Children:
- CBT for anxious Children (PE)
- Family management Training (PE)
- Focusing on promotion of autonomy/grown
- Minimizing overprotectedness
- Treating parental anxiety dx
What are the main treatments for marital discord?
- Behavioral Marital Therapy (WE)
- Emotionally focused couples therapy (PE)
- Insight-oriented Marital therapy (PE)
What is the number one therapy for Oppositional and Conduct Dx?
Parent training for children w/ behavior (WE)
What are the main treatments for Panic Dx?
- CBT (WE)
- Applied Relaxation (PE)
Goals for Treating Alcohol/Substance Dependence
- Help PT recognize substance use problem
- Establish Cessation of substance use
- Develop skills for sustained recovery
Deal w/psychosocial problems
1. Family conflict 2. Unemployment 3. Legal Problems 4. Poverty 4. Treat secondary/co-existing psychiatric/medical problems
What are the main treatments for Eating Disorders?
- CBT for Bulimia (WE)
- Interpersonal Tx for Bulimia (PE)
- CBT for Binge Eating Dx (PE)
- Hypnosis as an adjunct to CBT for obesity (PE)
Michenbaum’s Stress Inoculation Training (SIT):
A idely applied w/PTs experiencing:
- 5.
- Trauma
- Excessive anxiety
- Stress
- Anger
- Medical problems
Top 3 Efficacious Treatments for Schizophrenia
- Family Intervention (PE)
- Social Skills Training (PE)
- Supported Employment (PE)
What are the main treatments for Sexual Dxs?
- Master & Johnson’s sex therapy for female orgasmic dysfunction (PE)
- Zimmer’s combined sex/marital Tx for female hypoactive sexual desire (PE)
- Hurlbert’s combined treatment approach for female hypoactive sexual desire (PE)
What are the main treatments for Agoraphobia?
- Exposure (WE)
- Couple Communication Training Adjunctive to Exposure (PE)
What are the main treatment interventions for OCD?
- Exposure & Response Prevention (WE)
- Cognitive Therapy (PE)
- Relapse Preventions (PE)
What are the main treatments for PTSD?
- Stress Inoculation Training (Meichenbaum) (WE)
- Exposure Treatment (PE)
- EMDR (PE)
What is the number one intervention
for Elimination Dxs?
Behavior Modification for Enuresis/Encoprisis
What are the interventions for dementia?
- Medication managements of concomitant symptoms
- Support for PT and family
- Help family learn to ID situations/times when additional help is need
- Help create stable, consistent environment / daily routine
- Teach PT/family strategies for memory and cognitive deficits
- List making,
Memory practice exercises
What are the main treatments for Specific Phobia?
- Exposure/Guided Mastery (WE)
- Systemic Desensitization (PE
Cognitive Processing Therapy was designed for_____________.
- It utilizes ___ Structured sessions.
- PTSD secondary to sexual assault
- Based on information processing model of PTSD
- 12 Structured sessions:
- PT is educated about PTSD
- Engages in Cognitive Restructuring (Ellis’ ABC model)
- Exposure to trauma by writing in detail
- Learns to label feelings
- Identifies and resolves conflicts between cognitive schemas held prior to the trauma and new info presented by trauma
What is the main treatment intervention for Bipoloar I & II?
- Medication Management
What are the goals for PTSD?
- Establish alliance
- Teach coping strategies for re-experiencing of trauma
Increased quality/frequency of interpersonal involvement
- Experiencing fuller range of affect
- Treat co-existing depression/substance abuse
- Decrease/eliminate symptoms of arousal/avoidance
- Process trauma & decrease subjective distress
- Reduce/eliminate episodes of re-experiencing trauma
- Maximize psychosocial functioning
Goals for Treating Schizophrenia
- Stabilize on psychotropic meds
- Manage/eliminate active psychotic symptoms
- Establish plan for psychosocial rehab to optimize functioning
- Work,
School,
Relationships.,
Self-Care
- Increase Family’s support understanding
What are the main treatments for Pain Dx?
- Stress Inoculation Training for Coping w/Stressors (WE)
- Behavior Tx for Headaches (WE PE)
- Multicomponent CBT for Pain associated w/Rheumatic disease (WE)
- CBT adjunctive to physical therapy for chronic pain (PE)
- CBT for Chronic low back pain (PE)
The 3 phases of Michenbaum’s Stress Inoculation Training (SIT) are:
- 3.
- Education & cognitive preparation
- Coping skills acquisition
- Coping self-statements,
Imagery,
Thought Stopping
- Application of skills in imagination & in vivo via:
- Behavioral rehearsal,
Modeling,
Relapse prevention