third wave therapies Flashcards
key diff bw the 3 waves of therapy?
- behavioural = learned associations can be unlearned
- cognitive = problematic thoughts can be changed
- mindful/acceptance = resistance to experience is the problem, accept to suffer less
what is mindfulness?
awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to things as they are
what are some hallmarks of MDD? (5)
- 2+ weeks that affects functioning
- One of the leading causes of disability, affecting close to 10% in the US
- Depression is episodic and recurrent
- Cognitive therapy and medication is effective for 50% recovery
- Rx compliance can be low
what is beck’s vulnerability model? dysphoric attention and elaboration:
- beck’s vulnerability model: We have negative experiences in childhood that lead to negative schemas/core beliefs. These lead to dysfunctional beliefs that filter external events.
- dysphoric attention and elaboration: Tendency to fixate on negative events (attention) and elaborate on this material.
what is the differential activation hypothesis?
- in early stages of depression, sad mood filters info processing in negative ways (we see bad things when we feel sad).
- This sad mood is linked to negative info processing (cognitive vulnerability).
- Sad mood reactivates patterns of negative thinking after depression, which also activates intense negative emotion.
what is metacognitive awareness? name an example.
- Metacognitive awareness: aware of how one is thinking versus what one is thinking
- Ex = decentering: emotions are passing trains
what are the 2 modes of mind?
- doing mind: future, past, present / goal- oriented / discrepancy monitor
- being mind: present / allowing experience to be and not trying to change it
how long is MBCT treatment typically? what are its 3 phases
- 8 weeks
- week 1: mindfulness skill building – body scan, meditation and movement
- weeks 2-7: cognitive therapy – depression thoughts (cognitive fusion, ABC model) and behavioural activation (list pleasurable things you can do)
- week 8: relapse prevention – develop mindfulness practices, identify triggers
T or F: MBCT works as well as medication
true!
CBT vs MBCT? (4)
- thought CONTENT vs thought PROCESS
- distinguishes dysfunctional thoughts from functional ones vs distinguishes thoughts as events, not facts
- tests/challenges bad beliefs, develops new beliefs vs notices/allows thoughts without fixing – they end/change on their own
- behavioural interventions for reinforcing adaptive responses vs behavioural interventions for developing present moment awareness
dialectical behaviour therapy (DBT) was created for crises and self-harm. it is based on CBT but designed to ___, ___, ___.
- Regulate intense emotion
- Change problem behaviour
- Develop coping skills
DBT: what are the 2 key ingredients for development of emotional dysregulation?
- sensitive temperament
- invalidating environment
DBT: what is mentalization?
understanding one’s own and others’ states and motivations
DBT: what is an example of dialectical concepts in this modality?
- radical acceptance and change
- ex client yelled at a waiter because they were angry – they had valid frustrated feelings but also need boundaries, e.g., “I hear you are upset and it makes so much sense, but we can’t yell at waiters”
DBT: 3 components of treatment?
- DBT skills training group (2.5hrs/week for 24 weeks)
- individual therapy (weekly 60-90min sessions)
- 24/7 coaching in the moment
