Psychological therapies

Question 1

Prevalence of common mental health disorders

Answer 1

15%

Question 2

morbidity and mortality of common mental health disorders

Answer 2

1 in 10 lost work days

suicide leading cause of death in men under 50

Question 3

3 main categories of common mental health disorders

Answer 3

affective/anxiety disorders
substance misuse disorders
disorders of reaction to psychological stress

Question 4

affective/anxiety disorders

Answer 4

MDD, GAD, panic, phobia, OCD

Question 5

substance misuse disorders

Answer 5

alcohol, tobacco, opioids

Question 6

disorders of reaction to psychological stress

Answer 6

PTSD

Question 7

Waiting time for psychological therapies

Answer 7

18 weeks

Question 8

Do psychological therapies have to be evidence based? If so, what guidelines?

Answer 8

Yes

NICE, SIGN, MATRIX

Question 9

CBT - underlying idea

Answer 9

how our thoughts relate to our feelings and behaviour

Question 10

CBT - what conditions can it be used for?

Answer 10

depression, anxiety, phobias, OCD, PTSD

Question 11

CBT - time scale

Answer 11

short term, here and now, goal orientated

Question 12

CBT - what does the therapist help client to do?

Answer 12

identify thoughts, feelings and behaviour

unrealistic or unhelpful thoughts eg black and white, automatic negative thoughts, perfectionism

Question 13

CBT - what does patient do?

Answer 13

homework eg graded tasks, response prevention

Question 14

Behavioural activation basis

Answer 14

depression - activities function as avoidance

Question 15

theory behind behavioural activation

Answer 15

focus on avoided activities for scheduling

Question 16

5 categories of avoidance - behavioural activation

Answer 16

social withdrawal 
non social avoidance 
emotional avoidance 
avoidance by distraction 
cognitive avoidance

Question 17

Approach in behavioural activation

Answer 17

non judgemental, empathic, collaborative
structured agenda
small changes

Question 18

IPT - used for what conditions?

Answer 18

anxiety and depression

Question 19

IPT - who developed this?

Answer 19

Klerman, 1969

Question 20

IPT - timescale

Answer 20

12-16 weeks

Question 21

IP event that depression often follows

Answer 21

bereavement, dispute, role change etc

Question 22

Theory of IPT

Answer 22

sick role given

interpersonal map

Question 23

GOAL of IPT

Answer 23

reduce depressive symptoms

increase IP functioning

Question 24

positives of IPT

Answer 24

evidence based, no homework, practice skills after time ended

Question 25

negatives of IPT

Answer 25

requires reflection, limited IP support

Question 26

Who developed MI?

Answer 26

Miller, 1993 for alcoholics

Question 27

Positives of MI

Answer 27

promotes behaviour change | more effective than advice giving

Question 28

3 Principles of MI

Answer 28

empathy avoid argument support self efficacy

Question 29

stages of change model

Answer 29

``` pre-contemplation contemplation planning action maintenance ```