Treatment

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Treatment

• 5.1.2007

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Why do people seek treatment?

• Distress
• Acute
• Chronic
• Reluctant clients
• Personal Growth

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Who provides psychotherapeutic services?

• People Team approach is often used
• Places

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Therapeutic Relationship

• Factors Important for the Client
• Factors Important for the Therapist
• Key Elements of the Relationship

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Measuring Success

• Assessing Change
• Objectifying and Quantifying Change

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Measuring Success

• Would change occur anyway?
• Can therapy be harmful?

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What Treatments Should Be Used?

• Good Question.
• Empirically Supported Treatments
• Medication or Psychotherapy

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What Treatments Should Be Used?

• Combined Treatments

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Antipsychotics
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Antidepressants

• Tricyclics
• Selective serotonin re-uptake inhibitors (SSRIs)

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Antidepressants

• Monoamine oxidase inhibitors (MAOIs)
• Other antidepressants
• Trazodone
• Wellbutrin
• Serzone/Nefazodone

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Antianxiety Drugs

• Benzodiazapines
• Buspirone

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Mood-Stabalizers

• Lithium

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Mood-Stabalizers

• Other mood-stabilizing drugs
• Depakote
• Tegretol

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Electroconvulsive Therapy

• Results indicate ECT can be safe and effective
  especially for
• How ECT works is still not fully understood but
  virtually every neurotransmitter system is
  impacted

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Psychological Approaches to Treatment

• Behavior therapy
• Cognitive and Cognitive-Behavior Therapy
• Humanistic-Experiential Therapy
• Psychodynamic Therapy
• Marital and Family Therapy

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Behavior Therapy

• Exposure therapy
• Aversion therapy
• Modeling
• Systematic use of reinforcement
• Token economies

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Behavior Therapy

• Exposure therapy (Classical Conditioning)

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Behavior Therapy

• Aversion Therapy (Operant Conditioning)
• Modeling (Observational Learning)

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Behavior Therapy

• Systematic Use of Reinforcement (Operant
  Conditioning)
• Token Economies (Operant Conditioning)

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Evaluating Behavior Therapy

• Distinct advantages over other treatments
• Works better with some types of problems than
  others

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Cognitive Cognitive-Behavior Therapy

• Becks cognitive therapies

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Cognitive Cognitive-Behavior Therapy
Consequence
Belief
Activating Event
New Consequence
New Belief
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Evaluating Cognitive Cognitive-Behavior Therapy

• Becks type of therapy is extremely effective for
  many disorders

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Humanistic-Experiential Therapies

• Client-centered therapy (Carl Rogers)

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Humanistic-Experiential Therapies

• Gestalt therapy (Fritz Perls)
• Process-Experiential Therapy

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Evaluating Humanistic-Experiential Therapies
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Psychodynamic Therapies

• Freudian psychoanalysis

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Psychodynamic Therapies

• Interpersonal therapy (IPT)

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Evaluating Psychodynamic Therapies

• Classical psychoanalysis is time-consuming,
  expensive, based on questionable approach,
  neglects a persons immediate problems, and lacks
  proof of effectiveness
• Proponents still argue that the approach may be
  of benefit even if efficacy studies do not
  support it
• Newer brief versions of psychodynamic-interpersona
  l therapies show some efficacy

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Marital and Family Therapy

• Marital therapy
• Family therapy