Term
| Dialectical Behavioral Therapy |
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Definition
Treat borderline personality disorders. Tries to focus specifically on how to treat people with this disorder.
A.Combines a behavioral, cognitive, and gestalt techniques.
Technique:
-Very intense, someone goes every week, they have 1 or 2 group meetings every week that focus on skills for stress tolerance.
-Also daily phone calls with therapist are done
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Term
| Borderline Personality Disorder |
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Definition
| Most difficult/frustrating disorder to treat with Dialectical behavioral Therapy. |
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Term
| Therapy Interfering Behaviors |
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Definition
| When using Dialectical Behavioral Therapy, a patient will do certain things during a session with a therapist such as not showing up and getting mad at the therapist. |
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Term
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Definition
All treatments are Equally effective(no particular type is better than others)
Supporters(common factors)
-Most therapists are unconditional positive regard, empathic, and supportive
Eclectic- don't strictly follow one approach, may try many different approaches for each particular patient, what they feel will help the most.
Against(Research for behavioral and anxiety problems)
-Specific problems, some therapies are much better
-Behavioral problems(anxiety drive behaviors)
-Cognitive behavioral(depression and mood disorders)
-Can be negative effects of certain therapies |
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Term
| Empirically supported Therapies |
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Definition
-Creating a list of treatments for disorders based on very highly scientific research.
Need: Finding a way to directly tie the best treatment for each specific disorder
Problems:
Very difficult to do treatment research, not much happening.
There are many treatments for disorders. |
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Term
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Definition
- Spontaneous remission
- Placebo effect
- Self-serving Biases
- Regression to the mean
- Rewriting the past
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Term
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Definition
| Sometimes people just get better, may be completely unrelated to therapy. However therapist and patients may attribute it to the therapy. |
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Term
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Definition
| Just the idea that you are receiving or seeking help can often serve as help |
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Term
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Definition
| investing time and money, makes you believe that it is helpful even though it may not be |
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Term
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Definition
| Whenever you have an extreme score(extremely depressed), scores may regress toward the mean if nothing happens. |
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Term
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Definition
| A lot of the memories are reconstructed; likely to remember that you were worse off before the treatment. |
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Term
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Definition
| Using medication to treat problems |
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Term
| Biological Treatments (SSRIs) |
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Definition
SSRIs-(most commonly prescribed) uses serotonin to work with problems and to treat depression
Problems of overuse and poor prescription practices
-may be prescribed by people who shouldn't prescribe them.
-End up being used by people who don't have major depression.
-May not be fully appropriate for medication.
-10% of the population may have take some form of meds
Usually takes several weeks for the depression to get better.
-Side effects start immediately and results from meds don't start right away |
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Term
| Biological Treatments(Antipsychoitics) |
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Definition
Medications that directly treat the psychotic symptoms(mainly schizophrenics but, also for other disorders) better than the ones that came out in the 50s
Effects
-Deinstitutionalization- help the people become not psychotic
-Medication compliance |
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Term
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Definition
| Someone who has a disoder(schizophrenia), start taking medication to treat the disorder and lose psychotic thoughts and symptoms. They stop taking meds and symptoms come back at a higher level than before |
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Term
| Biological Treatments(Drugs for addiction) |
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Definition
| There are many medications that people take to deal with addications. |
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Term
| Problems with Pharmacotherapy |
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Definition
- Side Effects-most are usually reversible; one not (partial-dispinasia)
- Correct Dosage-issue with interaction with other medications and with body weight.
- Medication Interaction-problem because a lot of medications are prescribed by family doctor
- Push from Consumers- seen a quick and easy solution. Just take a pill and it will go away. Ethical concerns about whether they are being over pushed on people while talk therapy is just as effective
- Expansion into Questionable Areas
Medication of Children-not been enough research of impact of medication on the brain |
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Term
| ECT(Electro Convulsive Therapy) |
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Definition
Brief electrical pulses to brain, creates a seizure in the brain, done as a last resort for patients who are extremely depressed or suicidal
Effective for depression- 80-90% improvement
Problematic Side Effects-memory problems, attention problems afterwards, depending on the person.(Most people have memory or attention problems up to 6 months) |
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Term
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Definition
Brain surgery to treat psychological therapy
Example:
Lobotomies- done in 50s, weren't any treatments in 50s. People were locked in institutions. People came up with the idea that if frontal lobe is damaged, these problems go away.
-Started with prefrontal lobe=worked.
People would become calm, dossal. But needed someone to take care of them for the rest of their life.
Current
Sugery still does occur, only in extreme cases.
Medication is used more often than surgery.
TAKE HOME MESSAGE--WE DON'T FULLY UNDERSTAND THE BRAIN |
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