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biological treatments include: |
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drug therapies psychotherapy electric therapy |
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mood and anxiety disorders |
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o Monoamine oxidaze inhibitors (MAOIs |
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slow the breakdown of monoamine NT (serotonin, dopamine, nore, epinephrine) in the brain |
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Monoamine oxidaze inhibitors (MAOIs) used for: |
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Depression, sometimes anxiety • People with depression have lower levels of serotonin in brain, so this treatment causes the slow down the use/processing of serotonin |
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Tricyclic antidepressants |
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- block the reuptake of serotonin and norepinephrine |
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Tricyclic antidepressants used for |
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depression, sometimes ADHD. |
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Selective serotonin reuptake inhibitors (SSRIs)- |
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only block reuptake of serotonin (not norepinephrine) |
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Selective serotonin reuptake inhibitors (SSRIs) used for: |
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• Used for depression, sometimes anxiety • Most commonly used today. |
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inhibits reuptake of dopamine and norepinephrine |
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• Used for depression. • Same type of idea of SSRIs, but not serotonin |
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effecriveness of SSRIs and tricyclics |
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• SSRIs and tricyclics are comparable in efficacy, but used more bc they have less side effects in SSRIs |
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SSRIs work well with ppl with: |
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commonly prescribed anxiolytic that produces calming effects |
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another commonly prescribed anxiolytic anxiety high risk of OD |
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barbiturate and benzodiazepines are used in combo with -- and can result with-- |
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• Both are often used in combination with SSRIs and can result in severe withdrawal. |
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a salt that is effective in stabilizing mania bipolar disorder |
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o Works in long-term o Weak in treating acute phases of mania o Anticonvulsants and antipsychotics work about the same, with less side effects. o Needs to be monitored bc OD and dosage level are very close. |
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Phenothiazines Traditional antipsychotics- Atypical antipsychotics- |
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drug that diminishes hallucinations, confusion, agitation, and paranoia by blocking dopamine receptors |
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• Traditional antipsychotics- |
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phenothiazines and haloperidol; first drugs used to manage psychotic symptoms |
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Traditional antipsychotics can result in |
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• Tardive dyskinesia- repetitive, involuntary movements of jaw, tongue, face and mouth. |
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block a different type of dopamine receptor • No tardive dyskinesia • Some people get tremors, weight gain, cancer |
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• Effectiveness of typical and atypical antipsychotics: (work best for people with:) |
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• Positve symptoms (outerward) • Side effects, regulations, and nature prevent a lot of people to continue use of these drugs. |
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surgery in which the connections between the PFC (thinking) and lower portion (emotion) of the brain are severed. |
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issues with prefrontal lobotomy use today: |
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• PFC is not only associated with thinking but also with planning, social interaction, motivation, and therefore caused a lot of issues. • Usuage decreased with advent of antipsychotics • Side effects with antipsychotics stop with use, but lobotomy was permanant. |
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o Electroconvulsive therapy (ECT)- |
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Electroconvulsive therapy (ECT)- effectiveness- |
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involves passing an electrical current through a person’s brain to cause a seizure. o Effectiveness: • Relieves symptoms of severe depression, as long as it is regularly used |
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problem for Electroconvulsive therapy (ECT) |
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• Can create permanent memory loss. |
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Electroconvulsive therapy (ECT) electrodes placed in area |
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25; junction that controls moods |
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use of psychological techniques to modify maladaptive behaviors or thought patterns (or both) |
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• Sigmund Freud developed: |
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Psychoanalytic therapy: approach orientated toward major personality change with a focus on uncovering unconscious motives |
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what was coined by Freud and what is it |
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o Hysteria (coined by freud) : • Freud’s first patients: women who exhibited physical symptoms but had no detectable physical disorders (somatoform disorder-like) • Freud: symptoms were related to unconscious emotional events which are called hysterical conversion |
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2 defense mechanisms coined by Freud |
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repression and resistance |
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- (Freud’s most proud and original idea)- force that prevents the active re-experienceing of a traumatic memory, |
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• Resistance: force that blocks free association (talk therapy |
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• Wish fulfillment hypothesis • Dreams express hidden desires and wants. |
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techniques for dream interpretation |
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• Free association: patient takes an image or idea from a dream and says whatever comes to mind regarding that image or idea. • Symbolism: Translation of images from dreams into what they represent in the real world. |
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a patient reacts to a person in a present relationship as though that person were someone from the patient’s past. • In therapy: Analyst becomes target. Client becomes sexually attracted to therapist/ or starts hating them. |
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legacy of psychoanalytic theries |
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• Physical symptoms as a result of psychological distress. • Role of unconscious processes • Original form of “talk therapy” |
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weaknesses of psychoanalytic theories |
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• Based on small sample of patients o Brewer’s patient of Anna O. • Theoretical concepts based on speculation, rather than empirical evidence • Intolerance of criticism on theories |
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humanistic theory developed by |
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carl rodgers and humanistic theories believed disorder are result of |
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result of loss of self-worth • Results from worrying about what other people think |
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goals of humanistic theory |
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• To create an atmosphere of trust and understanding rather than judgment. • To help the client reach her/his greatest potential. “be the best you can be” |
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humanistic theory developed |
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Client-centered therapy- therapist shows unconditional positive regard for the client |
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behvioral treatment assumptions: |
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• Maladaptive behaviors are a product of learning • These behaviors can be unlearned |
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behavioral treatment focus |
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o Focus on changing behaviors, rather than thoughts, feelings or motives. |
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behavioral treatment uses principles of: and used for people with |
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• Use principles of classical and operant conditioning • Pavlov dog conditioning-stuff put into therapy. • Operant behavior: rewards/punishments • Often used in substance abuse people • Rewards for sobriety. • Change behaviors, not thoughts (thoughts follow suit). |
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• Behavioral Treatment Types: |
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token economy systematic desensitization |
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o Desired behaviors are positively reinforced with tokens • Child gets sticker for not hitting brother Tokens can be saved and exchanged for priviledges |
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Systematic desensitization- |
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pairing of relaxation techniques with gradual exposure to a phobic object |
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Systematic desensitization is great for |
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getting over fears and phobias Hierarchy is used |
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any therapies that work to restructure irrational thought • Opposite of behavioral treatment. • Start w/ correcting the thoughts |
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o Cognitive-Behavioral Therapy (CBT): |
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combines techniques for restructuring irrational thoughts with operant and classical conditioning • Most widely used therapy today • Encourages reappraisal of potential emotional threats |
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• Several people who share a common problem meet together regularly with a therapist |
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o Meeting of people who share a common situation (substance use AA) • Disorder • Disease o May not be led by a therapist o Less structured than group therapy. |
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Effectiveness of Psychological Treatments |
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• Smith & Glass, 1977 o Any kid of therapy is better than none at all • Usefulness often depends on nature of the client’s disorder |
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o Most forms of therapy are effective with few significant differences You’re all winners, you all got to the point you needed to. |
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• Drugs and psychotherapy Most effective in treating -- with combination of -- |
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depression by using SSRI's and cognitive-behavioral therapy |
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eclectic approach using treatment approaches from various types of psychotherapy. |
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o Mindfulness-based cognitive therapy (MBCT) |
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• Combines CBT and mindfulness meditation • Teaches clients to recognize thoughts without judgment and to restructure them. |
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o Dialectical behavior therapy (DBT) |
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• Similar to MBCT minus meditation • Used for treating borderline personality disorder |
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