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Flashcards in Non-pharm Deck (31)
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1

What is CBT?

Cognitive Behavioral Therapy
Blended model of cognitive therapy and behavioral therapy

2

What is cognitive therapy?

Focuses on persons thoughts and beliefs and how they influence a person's mood and actions

3

What is the goal of cognitive therapy?

To change a person's thinking to be more adaptive and healthy to situtations

4

What is behavioral therapy?

Focuses on persons actions

5

What is the goal of behavioral therapy?

To change unhealthy behavior patterns

6

What is CBT based on?

Foundation that thoughts, feelings, and behavior are inter-related and impact each other

7

What do CBT treatments focus on?

Changing specific thoughts, feelings, or behaviors

8

How is the patient involved in CBT?

Requires the patient to be actively involved in the process

9

What types of people does CBT typically work for?

Works best for highly motivated/goal oriented individuals

10

Which disorders can use combo medications?

MDD
Anxiety
Bipolar
Schizophrenia

11

What disorders can use monotherapy as treatment?

MDD
Anxiety

12

Which disorders do not use medications acutely?

Bipolar
Schizophrenia
But once person's mood has stabilized, can be receptive to CBT

13

What is ECT?

Electroconvulsive therapy
Procedure where a seizure is induced to reset neurotransmitters and catacholamines

14

What are indications for ECT?

Severe, or treatment resistant MDD or bipolar disorder

15

What are some clinical considerations that favor the use of ECT?

H/o tx resistance
Need for rapid treatment response
Severity of illness

16

Has ECT been approved during pregnancy?

Yes

17

What are the procedures for ECT?

General anesthesia and a muscle relaxant prior to stimulation

18

How many treatments are needed for ECT?

6-12 treatments

19

What is the efficacy rate of ECT treatments in uncomplicated cases of severe major depression?

80%

20

What are SEs of ECT?

HA, muscle soreness, nausea and confusion
Possible memory deficits

21

What does rTMS stand for?

Repetitive Transcranial Magnetic Stimulation

22

What is the indication for rTMS?

Approved for MDD who have failed at least one antidepressant medication

23

How is rTMS performed?

Noninvasive and relatively painless application of pulsed electromagnetic fields via coil to modulate electrical activity in the brain

24

How does rTMS work?

Activates the neurons through effects on neurotransmitter systems, neurotrophic factors, regional blood flow, and cortical excitability

25

Does rTMS require anesthesia?

No

26

What are the side effects of rTMS?

Mild and transient
Discomfort at the site
Discomfort of muscles at scalp, jaw or face
Tension HA
Inadvertent seizures (rare)

27

Is ECT or rTMS more effective?

ECT

28

Are relapse rates of ECT high or low?

High

29

What is the maintenance treatment following ECT?

Antidepressants

30

Why would a patient need maintenance ECT?

To reduce sx return