Module 3 Flashcards
(21 cards)
What two concepts have contributed to the origination of CBT?
classical conditioning, operant conditioning (aversion therapy, contingency management)
What medication can help with detoxification? [3]
- benzodiazepines
- methadone
- buprenorphine/naloxone
What does disulfarm do?
makes the effect of another drug aversive
What medication can be used to reduce craving? [3]
***** *naltrexone: reduces rewarding effects. relatively ineffective for chronic alcoholics
* acamprosate: inhibitory effect on glutamatergic system
* namafene: fast-acting naltrexone, for prevention
What is preservation treatment + what medication can be used? [2]
- prescribing medication with the same chemical properties
- methadone, buprenorphine/naloxone
6 assumptions of CBT
- learned (everything is learned)
- therapeutic alliance: necessary, not sufficient
- present focus
- client learns to be their own therapist
- guided discovery
- scientist-practitioner, collaborative empiricism
What key approaches are used within CBT for substance problems?
- relapse prevention
- cognitive therapy (proximal situational factors, distal background factors)
- coping skills therapy (relapse prevention training, social and communication skills training, training in coping with urges/cravings, mood management)
- mindfulness-based CBT (MBRP)
What are the six main elements of the general CBT model?
early experiences, beliefs (schema), triggers, thoughts, feelings, behaviors
What are three broad categories of thought- and belief based interventions?
analyzing, challenging, accepting
What is the goal of MI (motivational interviewing)?
enhance personal motivation and commitment to a goal
What is the main mechanism of MI?
change rather than sustain talk: benefits of change and disadvantages of continuation
Usefulness of MI?
Useful alone for mild forms, in severe cases good addition to CBT
Main components of MI
engaging, focusing, evoking, planning
Evoking change talk by?
ask, reflect, affirm, summarize
Decisional balance vs MI
decisional balance is more nondirective, without influencing someone’s choice
Predictors of treatment outcome and relapse
treatment outcome: change talk
relapse: imposing abstinence, letting the client identify pros and cons of change
FA
functional analysis, important central element of CBT
What self-control measures can be used in CBT
stimulus control, S-R prevention, response consequences
Emergency measures?
to interrupt slip/relapse, helps against abstinence violation (shame) effect
Urge surfing
craving is a normal response to CS, will subside
