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Flashcards in LGD 3 Psychotherapy Deck (23)
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1

What is goal of psychotherapy?

increase range of behaviors available to patient and relieve symptoms and alter problematic patters = talking and relationship based

2

What is psychotherapy used for?

- psychiatric symptoms/syndromes
- specific problems/stresses
- gen problems/self esteem
- augment treatment in non-psych conditions

3

How effective is psychotherapy?

75-80% of pts show benefit

4

What is principle of psychodynamic/psychoanalytic psychotherapy?

range of treatments based on freuds theories
use self-reflection on past experiences and unconscious to figure out how they inform current relationships = past is alive in the present

5

What are techniques of psychodynamic/psychoanalytic psychotherapy?

frequent sessions, unstructured therapy, free association, interpretations of transference and defense mech, exploration of fantasy life, therapeutic alliance

6

What pts are indicated for psychoanalytic/dynamic therapy?

pts with
- inquisitiveness
- ability to tolerate neg emotions
- ability to delineate reality vs sessions
- maintain therapeutic alliance despite transference ebb and flow
- capacity to self reflect
- enough money to do multiple sessions/wk

7

What are goals of psychoanalytic/dynamic therapy?

increase insight/conscious awareness to fix maladaptive patterns beyond symptom remission

understand truth about oneself and motivations

8

What feat distinguish psychodynamic from other therapies?

- focus on affect/expression of emotion
- discussion of past experience
- focus on therapy relationship
- exploration fantasy life
- unstructured
- exploration of defense mech/transference

9

What are goals of CBT [cognitive-behavioral therapy]?

modify current cognitions-behaviors without regard to where they came from = unlearn and relearn adaptive behavior/thinking

typically short term

10

What are indications for CBT?

depression, anxiety

11

What is principle of CBT?

based on learning theory

12

What are techniques of CBT?

structured, psychoeducation, identify automatic thoughts
therapist = active teacher

13

What is dialectical behavior therapy [DBT]?

buddhist meditative practice combined with CBT = emotion regulation, distress tolerance and acceptance, mindfulness

14

What is aversive conditioning?

reduce appeal of undesired behaviors = associate behaviors with physical or psychological discomfort --> expose to unpleasant stimulus while engaging in targeted behavior

goal = create aversion to the behavior

use in: nail biting, sex addiction

15

What is exposure therapy?

exposure to feared stimulus to elicit pavlovian extinction of conditioned fear

technique = systemic desensitization, [gradual increase in exposure to stimulus], flooding [full exposure]

16

What are indications for exposure therapy?

specific phobias, PTSD, OCD

17

What are indications for DBT?

borderline personality disorder
self injury/suicidal

18

What is exposure with response prevention?

indications = OCD, phobias
exposure to anxiety producing stimulus but can't perform associated anxiolytic ritual

19

What is token economy for?

increase target behaviors = reinforce the good not punish the bad via operant conditioning

20

What are the 2 levels of dysfunctional cognition targeted by CBT?

automatic thoughts = occur rapidly, often based on erroneous logic, accessible through therapist questioning [arbitrary inference, all-or-none thinking, magnification/minimization, personalization]

cognitive schema = deeper cognitive structs with basic rules for filtering info from environment

21

What distinguishes CBT vs psychodynamic therapy?

CBT = short [5-20 sessions wkly], for current problem, agenda driven

psychodynamic = long [mos-yrs 1-4x/wk], for general problem, free association

22

What is supportive psychotherapy?

- ameliorate symptoms while improving self-esteem and adaptive coping skills --> increase resilience, strengthen adaptive defenses

via therapeutic modeling, self-disclosure, reassurance, encouragement, advice, empathetic listening

23

What are indications for supportive therapy?

fragile pts who have trouble tolerating other therapy, with low insight, low motivation for change