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Y3R3 - Psychiatry 🧠 > L15: Psychotherapy > Flashcards

L15: Psychotherapy Flashcards

1
Q

Goals of TTT by Psychotherapy

A
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2
Q

Method of Delivery of Psychotherapy

A
  • Individual therapy
  • Group therapy
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3
Q

what is Psychoanalysis & Analytically Oriented Psychotherapy Based on?

A

Freud’s theories of dynamic unconscious and psychological conflicts

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4
Q

Major Goal of Psychoanalysis & Analytically Oriented Psychotherapy

A
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5
Q

Characters of Psychoanalysis

A
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6
Q

indications & patient Criteria of Psychoanalysis

A
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7
Q

Characters of Psychoanalytically Oriented Psychotherapy

A

Based on the same principles and techniques as classic psychoanalysis but is less intense.

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8
Q

Types of Psychoanalytically Oriented Psychotherapy

A
  • Insight-oriented or expressive psychotherapy
  • Supportive or relationship psychotherapy
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9
Q

Duration of Insight-oriented or expressive psychotherapy

A

Patients are seen 1-2 times a week and sit up facing the psychiatrist.

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10
Q

Patients suitable for Insight-oriented or expressive psychotherapy

A
  • Patients suitable for this therapy include those suitable for psychoanalysis, as well as those with a wider range of symptomatic and characterological problems.
  • Patients with personality disorders also are suitable for this therapy.(e.g. BPD)
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10
Q

what is the essential element in Supportive or relationship psychotherapy?

A

support, rather than the development of insight.

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11
Q

Indications of Supportive or relationship psychotherapy

A

This type of therapy often is the treatment of choice for:
1. Psychotic patients.
2. Patients in a crisis situation, such as acute grief

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12
Q

Duration of Supportive or relationship psychotherapy

A

This therapy can be long term, lasting many years, especially in the case of chronic patients.

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13
Q

Support can take the form of: ……..

A

Support can take the form of:
* limit-setting
* increasing reality testing
* reassurance
* advice
* help with developing social skills

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14
Q

what is Behavioral Therapy Based on?

A

principles of learning theory

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15
Q

Basic assumptions of Behavioral Therapy

A
  1. Maladaptive behavior can change without insight into its underlying causes.
  2. Behavioral symptoms are taken at value and not as symptoms of a deeper problem.
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16
Q

Types of Behavioral Therapy

A

Behavior therapy is based on the principles of learning theory, including: operant and classic conditioning

17
Q

what is Operant conditioning based on?

A
  • Based on the premise that: Behavior is shaped by its sequences

A. if behavior is positively reinforced it will increase.

B. if it is punished it will decrease

C. if it elicits no response it will be extinguished.

18
Q

what is Classic conditioning Based on?

A

Based on the premise that: Behavior is shaped by its being coupled with or uncoupled from anxiety-provoking stimuli.

  • A person can be conditioned to feel fear in the situations that have come to be associated with anxiety.
  • Uncouple the anxiety from the situation, the avoidant and anxious behavior will decrease.
19
Q

Indications & patient criteria of behavioral therapy

A
20
Q

what are Behavioral Therapy Techniques?

A
  1. Token economy.
  2. Aversion therapy.
  3. Systematic desensitization.
  4. Flooding.
  5. Exposure and response prevention.
21
Q

Characters of Token economy

A
  • A form of positive reinforcement
  • A patient is rewarded with various tokens (e.g., Food, games,emotients, etc…)

For enforcing desired behaviors, e.g.
- Social skills
- Controlled behavior.
- Good academic performance.
- Attending group therapy.

22
Q

Characters of Aversion Therapy

A
  • It is form of negative reinforcement in which:

a) An aversive stimulus, e.g.: A shock or unpleasant smell, is coupled with an undesired behavior.

b) A controversial form, involves the patient imagining something unpleasant coupled with the undesired behavior.

  • The aversion is used to stop the undesired behavior.
23
Q

Indications of Aversion Therapy

A

Sexual disorders, Drug addiction, Conversion disorder

24
Q

Indications of Systemic desensitization

A

Patient with avoidant behavior and anxiety linked to a specific situations e.g., Heights or airplane travel. (phobias)

25
Q

Idea of Systemic desensitization

A
26
Q

Technique of Systemic desensitization

A

The technique work through a combination of :

  1. Positive reinforcement for confronting anxiety-provoking stimuli
  2. And the extinguishing of maladaptive behavior by the realization of an absence of negative consequences.
27
Q

what is Flooding?

A

It is technique in which the patient is exposed immediately to the most anxiety-provoking stimulus, e.g. the top of a tall building if he or she is afraid of heights, instead of being exposed gradually or systematically to a hierarchy of feared situations.

28
Q

If this technique occurs in the imagination as opposed to real life, it is called …….

A

implosion

29
Q

….. is thought to be the most effective behavioral treatment of such disorders as phobias, if the patient can tolerate the anxiety associated with it.

A

Flooding

30
Q

Describe Exposure and response prevention

A

The patient is exposed to the undesired situation or the area abnormality and is prevented from responding to situation.

31
Q

Example of Exposure and response prevention

A

The patient who has compulsive hand washing due to anticipation of dirtiness’ is exposed to dirty or potentially dirty situation and is prevented from hand washing

32
Q

Exposure and response prevention is encouraged by ………..

A

relaxation, assurance, token economy or even aversion.

33
Q

what is Cognitive Therapy based on?

A

theory that behavior is secondary to the way in which persons think about themselves and their roles in the world

34
Q

Maladaptive behavior is ………. to Ingrained, stereotyped thoughts, which can lead to cognitive distortions or errors in thinking.

A

Secondary

35
Q

Cognitive therapy is aimed at …..

A

correcting these cognitive distortions and the self-defeating behaviors that result from them.

36
Q

Def of Automatic Negative Thoughts

A

Negative automatic thoughts are the conscious or subconscious thoughts that occur in response to everyday events. These thoughts are irrational, self-defeating, and may cause psychiatric problems.

37
Q

Examples of Automatic Negative Thoughts

A
38
Q

Duration of Recognizing & Correcting Automatic Thoughts

A

Therapy is short-term, generally 15-20 sessions over 12 weeks, during which:

  • Patients are made aware of their own distorted cognitions and the assumptions on which the questions are based.
39
Q

Characters of Recognizing & Correcting Automatic Thoughts

A
  • Homework is assigned: patients are asked to record what they are thinking in certain stressful situations (such as, “I’m no good” or “no one cares about me”)
  • And to ascertain the underlying, often relatively unconscious, assumptions that fuel the negative cognitions.
39
Q

indications of Cognitive therapy

A
  1. Mild to moderate, non-psychotic depressions.
  2. Adjunctive treatment with substance abusers.
  3. In increasing compliance with medication.
  4. Anxiety disorders.
40
Q

Done

A

✅

Y3R3 - Psychiatry 🧠 (19 decks)

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