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25 Cards in this Set
- Front
- Back
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What is the most powerful tool in psychotherapy and the only one that actually works for the reasons it claims to work & for the disorder's it was designed to treat?
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Systematic Desensitization
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What is Systematic Desensitization used to treat?
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types of anxiety disorders
some depressive disorders stress-related disorders |
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_________ developed systematic desensitization while _____ extended it to a coping skill
Bourne Meichenbaum Wolpe |
Wolpe developed it & Meichenbaum extended it
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What are the 3 stages in systematic desensitization?
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1. relaxation
2. in vitro exposure 3. in vivo exposure Every time anxiety develops, relaxation exercises ensue |
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Why is depression underdiagnosed?
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1. various cultural taboos
2. statistics don't include milder forms or when comorbid w/another disorder |
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What is the triad of cognitive distortions that underlie most depressions?
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1. polar reasoning
2. selective abstraction (look for confirmation of the negative) 3. Overgeneralization |
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The depressive affect & vegetative signs appear before the dysfunctional thoughts. This means......
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you should suspect a physical disorder
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Naming cognitive distortions:
"I'll never be good enough" |
Black/white thinking/polarization/permanence
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Naming cognitive distortions
"Everything is the same - useless" |
over-generalization
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Naming cognitive distortions
"I can't do anything right" |
over-generalization & catastrophizing
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Naming cognitive distortions
"People would be better off w/o me" |
personalization
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Naming cognitive distortions
"no matter what" or "I don't know what I'd do.." |
uncertainty
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Naming cognitive distortions
"If they really knew me, they wouldn't like me" |
abandonment
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Naming cognitive distortions
"If I speak up, they'll know I'm an idiot & laugh at me" |
mistrust/fear of injury
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Naming cognitive distortions
"They don't give me the respect I deserve" |
deprivation
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Naming cognitive distortions:
"they don't know how stupid I am..." |
defectiveness/shame of inadequacy
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Naming cognitive distortions
"no one really knows how hard it is for me" |
aloneness/social isolation/ alienation
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What is Progressive Relaxation Training?
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Jacobson's system of relaxation training; involves tensing & relaxing 32 muscle groups w/verbal instructions for the client to attend to the sensations of both tension & relaxation
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What is the rationale behind Progressive Relaxation Training?
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1. Ppl become more aware of when they aren't relaxed
2. They now have a method of intervening before they get too tense |
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What is the signal breath?
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a relaxation technique used for everything from pain management to anger control
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How do you address anxiety using CBT?
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1. Find out distortions/schema around feared situation
2. Find out how they physically feel anxiety 3. Determine client's current coping methods, perceived efficacy, intrusiveness, & effects it's having on their lifestyle 4. Determine how client usually relaxes and/or explore new alternatives Desensitization!! |
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What is the difference between relaxation protocols and hypnosis protocols?
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Hypnotic suggestion uses a command "you are feeling" whereas relaxation instruction simply calls attention to your physical sensation.
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What is paradoxical relaxation?
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During PMR some clients experience a sudden inc in tension due to feelings of panic/loss of control
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Who should you not use PMR with?
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-clients w/a physical disorder better treated by meds/surgery
-clients w/a condition that reqs strengthening rather than relaxing (low back pain from atrophy/disuse) -client is on sedatives or muscle relaxants -client w/low blood pressure, kidney disease |
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How should you speak/pace yourself while doing PMR?
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-speak differently during "tense" phases and "relaxation" phases
-tense:relaxation should be about 5sec: 35sec - do each muscle gp 2x -do NOT use technical terms, "stress" "effort" or "tension" during relaxation phase -be direct NOT wishy washy -debrief after |
