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Flashcards in Psychotherapy Deck (48):
1

What is the basic principle of psychotherapy?

Systematic use of relationships (pt to therapist, pt to pt, pt to relatives/friends) to produce changes in feelings, cognition, and behaviour.

2

What are the three types of psychotherapies?

Type A
Type B
Type C

3

What are Type A therapies?

Psychological treatments as an integral part of MH care, in a wider healthcare setting eg GP, CPN

4

What are Type B therapies?

Eclectic psychological therapies.

Pick and chose from all schools of thought to fit the pt

5

What are Type C therapies?

Formal psychotherapies

6

What type c specialist therapies are there?

CBT
Psychodynamic therapies
Systematic therapy
Family therapy
Group therapy

7

What is the concept of psychoanalysis?

If you let a patient talk uninterupted, evidence will eventually come to the surface for what the problem is that a patient has.

8

What is the id?

The aprt of the mind containing basic urges and primitive drives

9

What is the ego?

The rational part of a personality

10

What is a super-ego?

The part of the mind that works on the principle of morality

11

What is repression?

A defense mechanism of the mind - preventing disturbing thoughts from becoming conscious

12

What is denial?

A defense mechanism of the mind - refusal to accept reality or fact, acting as if a painful event, thought or feeling did not exist. Characteristic of childhood.

13

What is projection?

A defense mechanism of the mind - attribute unacceptable thoughts etc to another person.

i.e. You think someone hates you because of how they look at you, but they look at you that way because you disliked them before and didn't hide it. Their "hate" is as a direct result of your "hate"

14

What is displacement?

A defense mechanism of the mind where pts satisfy impulses with substitute objects. Often anger is displaced.

e.g. harming a pet/damaging an object instead of harming a human who you feel aggressive towards

15

What is regression?

A defense mechanism of the mind where the pt goes back to an earlier state of development e.g. childhood

16

What is sublimation?

A defense mechanism of the mind where the pt satifies impulses by doing socially acceptable things eg sport

17

What is the theory of attachment?

The first relationship provides the infant with an attachment template, which is carried forward into life and relationships in future

18

What is transference?

unconscious transfer of feelings and attitudes from pt to therapist

19

What is counter-transference?

The feelings the therapist has in relation to the pt - important to analyse this to help understand the pt

20

What conditions do behavioural therapies work best on?

Anxiety disorders, OCD, eating disorders, depression, sexual dysfunction

21

What is the basic principle of behavioural therapy?

Gradual but prolonged exposure to a stimulus causes distress levels inresponse to stimulus to decrease over time

22

What are the 2 main problems with behavioural therapies?

-Pts have to volunteer and engage.
-There needs to be a stimulus that the pt responds to identified

23

What is a good way for the pt to trust the therapist and get engaged in the therapy?

If the therapist does the thing to i.e. not making the patient do anything they wouldn't do, normalises it

24

What is another big part of behavioural therapies?

Challenging/testing beliefs

25

What are the 3 cognitive aspects to depression?

1. Negative views about the world
2. Negative views about self
3. Negative views about the future

26

What is the cycle of behaviour in depression?

Depression -> decreased total activity -> loss of activites that make you happy ->rumination -> feel worse -> increased depression

27

What is the focus of systemic and family therapy?

Relationships, interactions, and meaning of both.

28

Who is systemic and family therapy used for most?

Children

29

Who else can systemic/family therapy be benefitial for? Why?

Schizophrenic pts as they can often relapse if they go back into a highly emotionally charged family environment

30

Name the characteristics of psychotherapies

1. Intense and confiding pt-therapist relationship
2. Explain pts distress and management
3. Inform pt about their condition
4. Give the pt hope
5. Facilitate emotional arousal
6. Experience success to encourage pt

31

In panic disorders, what psychotherapy is used?

CBT

32

In agoraphobia, what psychotherapy is used?

CBT with graded exposure therapy

33

In generalised anxiety disorder, what psychotherapy is used?

CBT

34

In social anxiety disorder, what psychotherapy is used?

CBT with exposure

35

In specific phobias, what psychotherapy is used?

CBT is firstline with graded exposure therapy

36

In OCD, what psychotherapy is used?

Graded exposure and response prevention therapy, and CBT

37

In PTSD, what psychotherapy is used?

Trauma focused CBT
Eye movement desensitization and reprocessing (EMDR)

38

In adjustment disorders, what psychotherapy is used?

Supportive psychotherapy to enhance capacity to cope with stressor

39

In schizophrenia, what psychotherapy is used?

CBT can be offered alongside a course of oral antipsychotics

Family therapy if relevant

40

In anorexia nervosa, what psychotherapy is used?

CBT and interpersonal psychotherapy
Dialectical behavioural therapy
Family therapy may also help

41

In bulimia nervosa, what psychotherapy is used?

CBT and interpersonal psychotherapy

42

In ADHD, what psychotherapy is used?

CBT and family therapy may be helpful

43

In childhood conduct disorders, what psychotherapy is used?

CBT to develop problem solving skills
Family therapy may help children and parents understand each other better

Systemic therapy also useful i.e. involving school and community workers

44

In personality disorders, what psychotherapy is used?

Therapeutic communities

CBT
Cognitive analytic therapy
Interpersonal therapy
Dialectical behavioural therapy

45

What is a therapeutic community?

Group led therapy to help people integrate better

46

In mild/subclinical depression, what psychotherapy is used?

CBT and/or group CBT
Group activity programmes

47

Can psychotherapy be used in treatment of drug addiction?

Yes - keeps them engaged, but shouldnt be for long periods of time (keep it brief).
Motivational interviewing often helpful

48

In moderate/severe depression, what psychotherapy is used?

Interpersonal therapy
Behavioural activation
Behavioural couples therapy