question

What percent of adults experience mental illness?

answer

19%

question

What percent of children with disorders received treatment?

answer

around half ie. 50%

question

How were mentally Ill treated in history?

answer

Terribly; exorcisms; said to make pacts with the devil

question

What is an asylum in Medieval Europe?

answer

First place created to hold the mentally Ill; they were chained to beds and beaten

question

What did Pinel Do?

answer

He and the La Salpetrier were the first to treat mentally ill people humanely.

question

What did Dorthea Dix do?

answer

In the 1800's she led reform of the mentally ill and reformed legislation to create mental asylums in the US

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Even with Dix reform how were asylums in the US?

answer

Very poorly kept until the 1960's

question

When and what are antipsychotic Medication

answer

in the 1960's; They provided tremendous help to control certain psychological disorders.

question

What is Deinstitutionalism and how did it start?

answer

JFK era started it with signing funding legislation; Deinstitutionalism is the closing of asylums and creating local treatment facilities.

question

What ended up happening?

answer

Homeless are mentally ill 25% of the time. Some of them came cause Deinstitutionalism was done too early.

question

What rates are mentally ill incarerated

answer

twice to four times the rate of normal people

question

psychiatric care today?

answer

focus on short term care b/c very expensive and people are only hospitalized if they are dangerous.

question

family reunification?

answer

If parents are abusive they are put in mental health in hopes of creating better parents

question

involuntary treatment vs voluntary treatment

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forced to go/ go on your own

question

How has insurance played a part in people getting more mental health?

answer

Acts like the Addiction Equity Act have made it so mental and physical illness have equal insurance benefits ie. copay, deductibles.

question

what is psychotherapy

answer

treatment implying various methods to overcome problems

question

What is Biomedical Therapy

answer

Use of drugs to treat psychological disorders

question

Psychodynamic Therapy

answer

talk therapy where unconscious is conflicting with childhood; ie. patient talks about his past

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Play therapy

answer

psychoanalytic therapy where toys are used in child therapy; ie. patient acts out family scenes with dolls

question

Behavior Therapy

answer

Principle of learning applied to change behavior; ie. overcoming elevator fear through relaxation techniques.

question

Cognitive Therapy

answer

Awareness of cognitive process helps patient eliminate thought patters that lead to distress; ie. patient learns to not overgeneralize failure based on single failure.

question

Cognitive behavioral Therapy

answer

work to change cognitive distortions and self-defeating behaviors; ie. patient learns to identify self-defeating behaviors to overcome eating disorder

question

Humanistic therapy

answer

increase self-awareness and acceptance through focus on conscious thought; ie. patient learns to articulate thoughts that keep her from achieving goals

question

Psychoanalysis

answer

Created by freud; was popular not anymore; said psychological problems came from repressed impulses; thought it would uncover long lost buried feelings

question

Freudian methods?

answer

Dream analysis and Free association

question

Dream Analysis

answer

Therapist determines underlying meaning of dreams

question

Free Association

answer

patient relaxes and says whatever comes to his mind; freud still thought ego would interfere with impulsive thoughts

question

transference

answer

patient transfers positive and negative emotions associated with the patients other relationships to the psychoanalyst. ie. crystal sees psychoanalyst as father figure

question

psycho-dynamic perspective

answer

an offspring of freuds psychoanalysis focused on internal drives but less intense than freud's original model

question

Behavioral therapist use which conditioning techniques

answer

operant and classical conditioning

question

behavioral classical conditioning?

answer

therapist thinks dysfunction is conditioned response; they want to recondition the client to change behavior; ie. bed wetter is put on alarm bed and and develops association between pee and waking up, stopping her from waking up

question

counterconditioning

answer

client learns new response to a stimulus previously producing an undesirable behavior

question

Aversive conditioning

answer

uses an unpleasant stimulus to stop an unwanted behavior; used on smoking, nail biting; ie. shocking someone every time they bite their nails; alcohol and antibuse

question

exposure therapy

answer

putting client with the problem and assuming eventually they will get less scared of them; made by Mary Cover Jones; replace fear of rabbits with relaxation of eating snacks

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Systematic Desensitication

answer

a pleasant state is gradually associated with anxiety inducing stimuli; idea is you cant be nervous and relaxed at the same time; ie. learn to relax in stimuli that make you nervous or fearful

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progressive relaxation

answer

jayden is scared of elevators and the behavioral psychologist tells him to relax and think of something mildly alarming, like pushing the button, and the therapist says this until he is no longer anxious thinking about this.

question

Virtual reality exposure

answer

simulation when creating anxiety producing situations is impractical; has helped treat ptsd, aviophobia, and public speaking

question

using operant conditioning in behavioral therapy

answer

helps children with autism; ABA-Applied behavior analysis; child specific reinforcers are used to motivate autistic kids to demonstrate desired behavior

question

token economy

answer

controlled setting where good behaviors are reinforced with tokens that ca be used to buy things.

question

cognitive distortion

answer

when a person misinterprets a situation

question

who came up with cognitive distortion and therapy

answer

Aaron Beck;

question

what was aaron becks initial focus?

answer

to understand why depressed tendencies lasted through positive factors in her life

question

what do cognitive therapist try to do through questioning?

answer

challenge bad thoughts about themselves and their situations; ie. when someone fails a psych test one way to think is "im worthless" but a CT would help the person think "i can do better and i am smart"

question

cog behavioral therapy focuses more on present or past?

answer

present

question

what is rational emotive therapy

answer

first form of CBT and was formed because of a dislike of Freudian analysis

question

CBT?

answer

how thoughts affect behavior and aims to fix cognitive distortions

question

CBT especially good at

answer

PTSD, anxiety, and hopelessness and suicidal thoughts.

question

ABC model

answer

part of CBT; Action-activating event, Belief about the event, and Consequences of belief; How you decide to take a loss, do you internalize it and become depressed or do you externalize it and try again?

question

overgeneralization

answer

type of cognitive distortion where failure is based on one single failure

question

All or Nothing thinking

answer

Either good or bad; ie. get rejected-your ugly

question

jumping to conclusions

answer

thinking people are thinking negative ro positive about you; another type of distortion

question

what are the three types of distortion

answer

Jumping to Conclusions, All or Nothing thinking, and overgeneralizing

question

humanistic therapy ideal?

answer

reaching potential; more self-aware

question

contrast humanistic to psychoanalysis

answer

humanistic is conscious thought while psychoanalyst focus on unconscious

question

Carl Rodgers

answer

Client-centered therapy;

question

client not patient?

answer

cause didn't want everyone to assume they are sick looking for a cure

question

non directive therapy

answer

therapist doesn't give solutions but helps client find problems and feelings

question

active listening?

answer

therapist acknowledges, restates, and clarifies what the client expresses

question

unconditioned positive regard

answer

not judging a client, but simply accepting them for who they are

question

3 factors for successful psychotherapy?

answer

1) use of evidence based therapy 2) clinical expertise of the psychologist 3) clients characteristics and values

question

have studies shown that one type of psychotherapy is better than another?

answer

No

question

Bio medical Therapy

answer

medications used to treat psychological disorders

question

can bio medication cure disorders?

answer

No, help people function but does not cure.

question

Antipsychotics

answer

use: schizophrenia and other thought disorders how: treat positive psychotic symptoms like auditory and visual hallucinations

question

Atypical Antipsycholtics

answer

use: schizophrenia and thought disorders how: treat negative symptoms like withdrawl

question

Anti-depressants

answer

use: depression and increasingly for anxiety how: alter levels of neurotransmitters such as serotonin and norepinephrine

question

Anti-anxiety agents

answer

Use: anxiety and difficulties from OCD and PTSD How: depress CNS

question

Mood Stabilizers

answer

Use: Bipolar disorder How: treats episodes of mania as well as depression

question

Stimulants

answer

Use: ADHD How: Improve ability to focus on a task and maintain attention

question

Electroconvulsive therapy

answer

Shock to make seizure to stop depression; not really reliable on severe depression; last resort cause 85% of the time it works but it is associated with memory loss

question

What is an Intake

answer

The first time a client meets with a therapist; ie. immediate needs and address and things

question

Confidentaility

answer

Therapist can't disclose info unless mandated by law

question

Individual Therapy

answer

45-60 min meetings, once a week(avg)

question

Group Therapy

answer

Clinician meets with several clients with similar problem at one time; benefit is helps decrease clients shame and isolation about a problem; limit afraid to speak in large crowds, personality clash, awkward to talk in a big group

question

psychoeducational group

answer

Therapy with strong educational component ie. teaching kids about cancer when their parents have it

question

Couples Therapy

answer

CBT is the main therapy used; meet with therapist to talk about aspects of their lives they want to change; sometimes end in healthy separation

question

Family Therapy

answer

One or more families

question

Systems approach

answer

goal is to increase growth in each individual as well as the family

question

Can one problem be the cause of a whole families problems?

answer

Yes, ie. Eating disorder, alcohol depence

question

nuclear family

answer

parents and kids

question

Structural family therapy

answer

therapist examines and discusses boundaries and who makes rules

question

strategic family therapy

answer

goal is to address specific family problems

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