Term
cognitive behavior therapy
CBT |
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Definition
changing the way patient feels by changing their thinking and behavior to meet their goal
RELATIONSHIP BETWEEN THINKING/FEELING
change thinking-->change behavior-->change interactions |
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Term
| 2 targets of change in CBT |
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Definition
1. THINKING: help patient to think more accurately about their feelings
2. BEHAVIOR: are their ways to change how you live/behave to change how you are feeling |
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Term
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Definition
-focus on inaccurate/distorted thinking that is associated with the emotions that the patient wants to change
-NOT positive affirmation
-changing distorted thought into the truth
-find truth and devise plan of action for true problems
-problem solving therapy by putting POA into place |
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Term
| common cognitive distortions |
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Definition
selective abstraction
all or nothing thinking
fortune telling
labeling |
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Term
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Definition
| cognitive distortion in which depressed patients assume people are reacting negatively to them without evidence |
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Term
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Definition
| cognitive distortion in which depressed patients look at events in black and white categories |
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Term
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Definition
| cognitive distortion in which depressed patients arbitrarily predict that an activity will turn out badly (often leading to avoidance) |
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Term
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Definition
| cognitive distortion in which depressed patients apply negative terms to describe themselves |
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Term
| framework for cognitive restructuring |
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Definition
-invite patient to begin process of examining accuracy of thought
-question patient to find evidence counter to the distorted thought / highlighting contrary evidence
-consider: current circumstances, past experiences, future possibilities, behavioral tests
-question about whether this information is consistent with the distorted thought
-plan for replacing distorted thought with new information |
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Term
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Definition
| distorted thought-->truth-->action plan |
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Term
| types of CBT for anxiety disorders |
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Definition
exposure therapy:
-specific phobia
-social phobia
-panic disorder/agoraphobia
cognitive therapy:
-social phobia
-panic disorder
social skills training for social phobia
relaxation methods for panic disorder/agoraphobia |
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Term
| basic exposure therapy principles |
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Definition
-rate
-gradual exposure
-end on a good note |
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Term
| exposure therapy for specific phobia |
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Definition
-prolonged and frequent sessions (6 to 10)
-gradual exposure to the phobic stimulus
-rate anxiety on 0-100 scale
-patient to focus attention on phobic stimulus
-end session when anxiety is reduced so each session ends with a sense of accomplishment
-goal is to master beyond what the average person can tolerate |
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Term
| exposure therapy for social phobia |
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Definition
-more sessions usually required (12 to 20)
-gradual and prolonged exposure to phobic stimulus sometimes difficult
-deliberate errors/mistakes often included |
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Term
| cognitive therapy for social phobia |
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Definition
-technique aimed to identify inaccurate thinking
-inaccurate cognitions are thought to increase with anxiety
-pt/therapist team work to replace inaccurate thinking with truthful thinking |
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Term
| social skills training for social phobia |
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Definition
therapist and pt rehearse new skills:
-body position
-eye contact
-methods to initiate conversation
-methods to maintain conversation
-topics to avoid |
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Term
| exposure therapy for panic disorder/agoraphobia |
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Definition
-many sessions (20+) often required
-exposure sessions often conducted by patient
-exposure to external panic triggers (IKEA!)
-exposure to internal panic triggers (SOB, dizziness) |
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Term
| relaxation methods for panic disorder/agoraphobia |
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Definition
anxiety management techniques:
-slowed paced diaphragmatic breathing
-applied relaxation method |
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Term
| cognitive therapy for panic disorder |
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Definition
-panic attacks associated with inaccurate thinking (going to die, going cray, having an MI)
-these worries are thought to increase panic symptoms in a positive feedback loop
-patient is thought to counter irrational thinking with accurate thinking |
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Term
interpersonal therapy for depression
IPT |
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Definition
-focus on a person's interpersonal life
-interpersonal inventory
-establish interpersonal problem area
-interpersonal behavioral change |
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Term
interpersonal inventory
IPT |
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Definition
-foundation for formulating depression in the interpersonal context and choosing a focus of treatment
-listen for changes in relationships related to the onset or exacerbation of depression
-review satisfactory and unsatisfactory aspects of the relationship with specific, detailed examples of both kinds of interactions
-discuss the way the patient would like to change the relationship and how they envision doing this |
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Term
establishing the interpersonal problem area
IPT |
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Definition
based on interpersonal inventory, decide which IPT problem areas the patient's problems fall into:
GRIEF
ROLE DISPUTE
ROLE TRANSITION
DEFICITS |
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Term
grief focal problem area
IPT |
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Definition
-dialogue to get complete +/- of relationship with lost one to get a more realistic picture
-facilitate delayed mourning; assess significance of the loss
-help reestablish interests and relationships to replace some of what's been lost - may cause guilt
-explore ways to become involved with others again |
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Term
role disputes focal problem area
IPT |
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Definition
-pattern of interaction that isn't working well
-focus if dispute is important in onset and perpetuation of the depression
-identify dispute, make choices about plan of action, modify maladaptive communication patterns
-outcome: changed expectations and behavior of patient and significant other; OR accept that which cannot change; OR dissolution |
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Term
role transition focal problem area
IPT |
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Definition
-depression may occur with transition that includes a role change
-other either an unwished for change or a transition from something known to something as yet undefined
-often associated with loss and feeling disliked
-evaluation and giving up old role; mourning old role; express loss/guilt/anger
-identify potential positive aspects of the new role
-development of new attachments and supports; renew sense of belonging/connection
-acquisition of new skills |
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Term
skill deficit focal problem area
IPT |
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Definition
-enhance social supports
-need to form both new & familiar types of relationships with new people
-review opportunities for connection/involvement with others
-encourage behavioral activation
-assess and improve social skills: verbal communication training; non-verbal skills |
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Term
dialectical behavior therapy
DBT |
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Definition
-group based treatment focused on building core coping skills
-lots of rehearsal to practice skills
-skills based treatment
4 basic components:
DISTRESS TOLERANCE
EMOTION REGULATION
MINDFULNESS
INTERPERSONAL EFFECTIVENESS |
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Term
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Definition
teach a better way to cope
-slow paced breathing
-chores
-music
-etc... |
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Term
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Definition
lower vulnerability to stress
-exercise
-relaxation
-sleep
-diet |
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Term
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Definition
| teach to take one thing at a time...being focused on the moment |
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Term
interpersonal effectiveness
DBT |
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Definition
move away from impulsive stimuli
-behave to maintain relationships
-longterm outcome focused |
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Term
| basic principles of psychodynamic/psychoanalytic therapy |
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Definition
-emphasizes the PRESENT PROBLEMS relate to PAST EXPERIENCES
-feelings, thought, and relationship patterns reflect past experiences and relationships
-many current issues relate to unconscious processes that are outside of a person's awareness |
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Term
| psychodynamic strategies for change |
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Definition
-explore past relationships, especially early relationships with the aim of achieving insight
-relationship between the therapist and the patient is used to help uncover and work through past relationship problems: transference, countertransference |
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Term
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Definition
patient responses toward the therapist influenced by others in patient's life including family or origin and current social network
(extreme liking, growing dislike, sexual attraction) |
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Term
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Definition
therapist responses to the patient are influenced by others in the therapist's life including family of origin and current social network
(extreme liking, growing dislike, sexual attraction) |
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