Therapies

1
Therapies

• Psychotherapy
• Biomedical

2
Psychotherapy

• Use of psychological techniques to treat problems

3
Biomedical therapies

• Involve the use of medication or other medical
  treatments to treat symptoms

4
Kinds of Mental Health Professionals

• Key difference who can prescribe meds?
• Psychiatrist-holds a MEDICAL degree, M.D. or D.O.
  

5
Clinical Psychologist

• Has an ACADEMIC doctorate
• Ph.D., Psy.D, or Ed.D
• Also needs to be licensed to practice

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Psychoanalyst

• A psychiatrist or a clinical psychologist who has
  
• ADDITIONAL training in specific
• techniques of psychoanalysis
• Think Freud

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Other M.H. workers

• Usually have a masters degree and
• Some special training in counseling
• Includes Psychiatric Social Worker, Professional
  Counselor, Marriage Fam therapists, etc.

8
Psychoanalytic therapy

• Developed by Sigmund Freud
• Attempted to glimpse the unconscious
• By free association, dream interpretation
• talk therapy

9
Transference

• Occurs when the patient unconsciously responds to
  the therapist as though the therapist were a
  significant person
• Often like falling in love

10
Psychoanalysis

• Dont go there if you dont have the time
• 4-5x a week
• For over 4 years
• Slow, expensive process.

11
Short-term dynamic therapies

• Time-limited
• Focus on specific goals
• Active, rather than neutral therapist

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Humanistic Therapy

• Carl Rogers
• Client-centered therapy
• Unconditional positive regard

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Behavior Therapy

• Treat maladaptive habits with behavior therapy
• Smoking cessation, nail biting to severe phobias

14
Mary Cover Jones

• First beh therapist
• Developed counterconditioning still used today
• Meaning-the learning of a new response that is
  incompatible with the old

15
Systematic Desensitization

• Relaxation in the place of anxiety
• Imagine scenes of relaxation
• Then the anxiety producing ones
• May actually go to the anxiety producing setting

16
Aversive Conditioning

• Get folks to associate a bad taste or experience
  w/ something formerly positive
• Used for smoking cessation, alcohol abuse

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Operant Conditioning

• May use shaping to get the beh they want
• Can be used with mentally ill, autistic, and
  retarded people

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Token economy

• Widely used in group facilities
• Get reinforcers that can be used for tangible
  rewards

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Rational-Emotive therapy

• Albert Ellis
• Cognitive therapy
• It isnt what happens, its what you think about
  what happens

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Cognitive therapists

• Challenge your thinking
• Believe your thinking is not rational
• Client must change ways of interpreting and
  responding to stressful events

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Group Therapy

• 1. cost effective, less time for therapist, less
  costly for individual
• 2. therapist can see how individual reacts to
  people
• 3. support and encouragement may be provided by
  group
• 4. Can practice behaviors in safe environment

22
Dave Barry

• I used to think psychotherapists were just a
  bunch of bearded voodoo doctors. That is totally
  unfair. Many therapists are clean shaven.

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Evaluating the Effectiveness of Psychotherapy

• Psychotherapy is significantly more effective
  than no treatment
• Seems to effect gains
• May last for years afterward

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Is one kind better than another?

• Little or no difference in effectiveness of
  different kinds
• Cognitive therapy-better for OCD, phobias,
  panic-disorder
• Insight-oriented therapies are less effective
  than others in severe psychosis

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Biomedical Therapies

• Using psychoactive medications
• Helped in treatment of schizophrenics
• Not a cure but treats the symptoms