Treatment Interventions Flashcards
(26 cards)
Clinical focus early in treatment
1) Establishing a therapeutic alliance and enhancing motivation for treatment
2) Educate client and family about diagnosis to help accept the disorder and its impact
ADHD interventions
1) Self-instruction therapy (Meichenbaum)
2) Parent training and contingency contracting
(time-out, positive reinforcement, response cost)
3) Psychiatrist for med eval
ODD interventions
1) Parent training
2) Multimodal intervention strategy for conduct disorder (behavior mod and family therapy)
3) Evaluate need for residential treatment, substance abuse eval/treatment, legal consultation
Elimination D/O interventions
1) Behavior mod for enuresis and encopresis (Bell and pad)
2) Parent education
3) Medical eval
4) Psychiatrist for med eval
Dementia interventions
1) Support and coping strategies for patient/family
2) Neuropsych eval
3) Psychiarist for med eval to help with associated anxiety, depression
4) Medical eval and ongoing medical care
5) Structured programs (adult daycare)
6) Caregiver’s support group
7) FInancial counseling, medicare resources
Substance abuse/dependence interventions
1) Abstinence based approach to treatment
2) 12 step groups for patients and family members
3) Medical eval and treatment
4) Neuropsych eval to assess cog deficits
5) Psychiatrist for med eval
6) Social services (Obtaining SSI)
Alcohol interventions
1) Community reinforcement approach
2) Cue exposure treatment
3) Project CALM (behavioral marital therapy plus disulfiram)
4) Social skills training
Cocaine interventions
1) Behavior therapy
2) CBT relapse prevention
Opiate interventions
1) Brief dynamic therapy
2) Cognitive therapy
Benzodiazepine interventions
CBT
Nicotine interventions
Multi-component CBT with relapse prevention for smoking cessation
Schizophrenia interventions
1) Family interventions
2) Social skills training
3) Supported employment
4) Relapse prevention, family therapy focused on limiting negative emotions expressed in the family, med management)
Major depression interventions
1) Behavior therapy
2) Cognitive therapy
3) Interpersonal therapy
4) Brief dynamic therapy
5) Self-control therapy
6) Social problem-solving therapy
7) Cognitive therapy for geriatric patients
8) Reminiscence therapy for geriatric patients
9) Med eval, hospitalization for acute episodes
Bipolar I Interventions
1) Behavioral interventions to improve impulse control, such as role-playing, behavioral rehearsal, and role reversal
2) Psychiatrist for med eval and treatment
Generalized anxiety D/O interventions
Adults: CBT, worry exposure, relaxation training, worry behavior prevention, time management, and problem solving; Applied relaxation
Children: CBT for anxious children, Family anxiety management training
Psychiatric referral for meds
Referral for medical eval
OCD interventions
1) Exposure with response prevention
2) Cognitive therapy
3) Relapse prevention
4) Psychiatrist for med eval and treatment
Panic/Agoraphobia/Specific phobia/ Social phobia Interventions
Panic: CBT, Applied relaxation
Agoraphobia: Exposure; couples communication training adjunctive to exposure
Specific phobia: Exposure/guided mastery, systematic desensitization
Social phobia: Exposure, CBT, systematic desensitization
PTSD interventions
1) Stress inoculation training (Miechenbaum)
2) Exposure treatment
3) EMDR
4) Cognitive processing therapy (CPT)
5) PTSD support groups
6) Psychiatrist for med eval and treatment
Pain disorder intervention
1) Stress inoculation training for coping with stressors
2) Behavior therapy for headaches
3) Multi-component CBT for pain associated with rheumatic disease
4) CBT adjunctive to physical therapy for chronic pain
5) CBT for chronic low back pain
6) EMG biofeedback for chronic pain
7) Multi-component CBT for IBS, Sickle cell
8) Multi-component operant-behavioral therapy for chronic pain
9) Thermal biofeedback for Reynaud’s syndrome
10) Thermal biofeedback plus autogenic relaxation training for migraines
Sexual D/O interventions
1) Masters and Johnsons sex therapy for female orgasmic dysfunction
2) Zimmer’s combined sex and marital therapy for female hypoactive sexual desire
3) Hurlbert’s combined treatment approach for female hypoactive sexual desire
4) Bibliotherapy
Eating disorder interventions
1) CBT for bulimia
2) IPT for bulimia
3) CBT for binge eating disorder
4) Behavior therapy for obesity
5) Hypnosis as an adjunct to CBT for obesity
6) Medical eval, Dental eval, Nutritional counseling, Psychiatrist for med eval, inpatient hospitalization, self-help groups
Sleep disorder interventions
Sleep hygiene, relaxation techniques, restructuring cognitions, med management
Med eval (sleep lab), Psychiatric eval for meds, substance abuse eval
Impulse control D/O interventions
1) Self-monitoring
2) Relapse prevention strategies of identifying triggers and creating plan to deal with triggers
3) Medical eval
4) Psychiatric eval
5) Self-help groups
Personality D/O interventions
1) DBT for Borderline
2) Short-term, skills focused therapy is useful for improving psychosocial functioning and other specific symptoms of the personality disorders
3) Psychiatrist for med eval
4) Substance abuse tx
5) Self-help groups
6) Inpatient to stabilize acute episodes
