Psych Treatments -Sweeny

Question 1

Who is contraindicated for outpatient psychotherapy?

Answer 1

• active psychosis
• immediate suicide threat
• substance abuse–> need rehab first
• currently involved in legal proceeding

Question 2

What kind of therapy was Dr. Carl Rogers responsible for? What were the 3 traits that therapists should have?

Answer 2

• client centered therapy*
• Therapist characteristics necessary to help the patient alter self-concept, basic attitudes, and self-directed behavior:
  
  1. Genuineness or congruence
  2. Unconditional positive regard
  3. Empathetic understanding

Question 3

What is hypnosis? Is it a type of psychotherapy?

Answer 3

• suggestions for relaxation and calmness where the rational part of the brain is tuned out through a focus on relaxation and non-attention to distracting thoughts –> separate conscious and unconscious thought
• NOT psychotherapy–> is an adjunct
• helpful in: pain, anxiety, depression, stress, IBS, habit disorders, phobias

Question 4

What are the 5 categories of psychotherapy?

Answer 4

1. psychoanalysis and psychodynamic therapies
2. behavioral therapy
3. cognitive therapy (CBT, motivational interviewing, DBT, interpersonal therapy, IPT)
4. humanistic therapy (clint centered therapy, gestault therapy, existential therapy)
5. integrative/eclectic/holistic therapy

Question 5

What is psychodynamic therapy?

Answer 5

• a form of depth psychology intended to reveal the unconscious content of the psyche to alleviate psychic tension.
• relies on the interpersonal relationship between client and therapist
• more talking to one another and can make eye to eye contact

Question 6

What is the psychoanalytic approach to therapy?

Answer 6

• more of the laying on the couch and the therapist listens –> no eye contact
• free association, interpretation, analysis of transference
• long durations and intensive (3-5x/week)

Question 7

What are the differences between classical and operant conditioning?

Answer 7

Classical: involves forming associations between stimuli. systematic desensitization. can use flooding to treat phobias and anxiety

operant conditioning: use reinforcement and punishment to shape behavior.

Question 8

What is behavioral therapy? What kind of learning is this?

Answer 8

• Building on the basic processes of learning poses that abnormal and normal behavior are learned in order to overcome avoidance and face the pts fears
• desensitization=classical conditioning.
• Gradual exposure to an anxiety-producing stimulus is paired with relaxation in order to extinguish the response of anxiety.
• ex: can use anxiety hierarchy to imagine taking one step at a time while relaxing to overcome the anxiety

Question 9

What is the point of behavioral therapy?

Answer 9

to weaken the association between the conditioned stimuli and conditioned response through desensitization

Question 10

What is Cognitive Behavioral Therapy based on?

Answer 10

the idea that thoughts cause our feelings and behaviors (NOT external factors like people, situations and events)

• 10-20 1 hour sessions
• inductive method: rational thinking ==> used to show the pt that their logic for their fears are unrealistic by testing the pt’s thoughts about what will happen
• have the pt log their fears between sessions, predicting what will happen before they do something and then see what actually happens when they do it.

Question 11

What are the 3 main insights of Rational Emotive Behavioral Therapy? (Ellis)

Answer 11

• “you largely do it yourself”
• “you largely did it to yourself in the past and you’re still doing it”
• “there is only hard work”

he thought psychoanalysis took too long. More confrontational

Question 12

What is Dialectical Behavioral Therapy? What was it developed to help treat?

Answer 12

-Exposing the patient to stressors in a controlled situation, as well as helping the patient regulate emotions and cope with stressors that might trigger problem behaviors

Borderline PD

Question 13

What are 3 classifications of CBT?

Answer 13

cognitive therapy

rational emotive behavioral therapy

dialectical behavioral therapy

Question 14

What should ALWAYS be treated first in CBT?

Answer 14

feelings of hopelessness (risk for suicide)

Question 15

What predicts a better response to CBT for depression? (4)

Answer 15

• less severe illness
• shorter length of illness
• later age of illness onset
• fewer previous episodes of illness

==> gender, age, and education generally do not affect outcome

Question 16

What type of therapy has been proven very effective for Generalized Anxiety Disorder?

Answer 16

CBT Group Treatments (for adults and children)

Question 17

What is motivational interviewing?

What is a central concept of motivational interviewing?

Answer 17

• a collaborative, person-centered form of guiding to elicit and strengthen motivation for change
• central concept: the identification, examination and resolution of ambivalence about changing behavior

Question 18

What are some principals of Motivational Interviewing? (4)

Answer 18

• express empathy
• support self-efficacy
• roll with resistance: the pt experiencing a conflict between their view of the “problem” or the “solution” and that of the clinician
• develop discrepancy: motivation occurs when people perceive a mismatch between where they are and where they want to be

Question 19

What is play therapy?

Answer 19

Emphasis in this work is to help children toward a greater awareness of their feelings, which when expressed and experienced in an accepting relationship lose much of their negative power.

The child is then able to move from being at the mercy of hidden feelings to gaining some mastery over them.

Question 20

What is play therapy used to help treat?

Answer 20

-Anxiety: (GAD, Separation Anxiety, Social Phobia PTSD)
-OCD
-ADHD
0Depression
-Academic/Developmental Issues

Question 21

What is Expressive Therapy?

Answer 21

A form of therapy that utilizes artistic expression as its core means of treating pts.