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159 Cards in this Set

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What are the 3 d's that different unusual behaviour and mental disorders

1)distressing to individual (if suffering is too long or disproportionate to situation)


2)dysfunctional (for individual or society)


3)deviant (violate unstated norms)

What is abnormality

Social construction


-whether a person's thoughts and feeling are maladaptive (cause distress to oneself or others, images day to day functioning, increases chance of injury or self harm)

What are the 3 possible models for defining disorders

Know

1)

Mental disorder as a violation of cultural standards


-focus on rules and roles of culture


- deviant if violate


-rules are specific to a group or time

2)

Mental disorder as behaviour that is self destructive or harmful to other


-focus on negative outcomes of behaviour

3)

Mental disorder as emotional distress


-focus on a person suffering


-a behaviour upsetting for the person


-excluded people who are potentially danguours to others but not concerned by their own actions

What is a mental disorder

Any behaviour or emotional state that:


-causes great suffering


-is self destructive


-seriously impairs ability to work or get along


-endangers others or community

Demonological view of mental disorders

Abnormal behaviour=result of supernatural forces


-possessed


-ancient Chinese, Egyptians, Hebrews

Treatment in demonological veiw

Trephination


-hole in the skull


Medieval Europe


-diagnostic test (bound arms of women, if they sank pure, if floated a witch)

What were the early biological views of mental illness

Mental illness are diseases like physical illness that effects the brain


(5th century bc)

The breakthrough (1800)

-General paresis (characterized stages by mental deterioration and odd behaviour) (result of syphilis which causes massive brain deterioration)


-psychological disorders can be linked to physical causes


What is the current biological perspective

Emphasis on physiological and psychological

Historical psychoanalytic perspective

-inappropriate use of defence mechanisms= neurosis


-withdrawal from reality= psychoses

Historical behavioural perspective

Learned responses

Historical cognitive perspective

Through prosses (maladaptive and self defeating though patterns)

Historical humanistic perspective

- result of environmental factors that prevent self actualization tendencies


- negative self concept

The vulnerability stress model

Vulnerability= predisposition to disorders


(Biological basis like personally,cultural factors)


-predisposition (creates disorder only when person is subject to a stressor)


-stressor (recent or current event that requires person to cope)

What is the Diagnostic and statistical manual of mental disorders (DSM)

Goal is to be descriptive and to provide clear diagnostic categories


-list symptoms, onset, ptedisopsing factors, course of disorder, prevalence, sex ration and cultural issues in diagnosis

What are the 3 important pieces of info the DSM 5 provides

- set of symptoms and number of symbols that must be ment to have disorder


- the etiology (origins or causes)


-prediction of how symptoms will persist or change over time

DSM5 replaced DSM4 multiracial system with a non axial system

-based on initial evaluation of primary clinical problem


-incorporates other relevant aspects of persons mental condition to provide treatment focus


-environmental and social issues that made conduction worse coded in the system


-uses specifiers that describe aspects of the problem such as severity and frequency

What are the 4 problems with the DSM

1) the danger of over diagnosis



2) the power of diagnostic labels (to easy to accept label as description of the individual)



3) confusion of serious mental disorders which normal problems (every addition seems to add everyday problems to it)



4) the illusion of objectivity and universality (added not bases on empirical evidence, scientific when subjective)

What is the advantage of DSM

When used right and diagnoses are made with valid objective tests


It can improve the reliability of agreement amount clinicians


(Able to distinguish amount disorders)

How is diagnosis made

-interviews


-behavioural observations


-psychological test (projective and objective)

What are projective tests

Used to infer a person's motives, conflicts and unconscious dynamics on the person's interpretation of ambiguous stimuli


-unconscious thoughts will reveal in responses


-low reliability and validity


Ex- inkblot test

What are objective tests

Standardized objective questionnaires requiring written reposes


-more reliable and valid


-mmpi or mmpi-2

What is mmpi

Used to assess personality disorders


- Good validity


-norms based on samples that has an under representation of elderly, poor, minorities, poorly educated


- high rates or false positives

What is a personality disorder

Unusual patterns of behaviour that are maladaptive, distressing to oneself it others and resistant to change


Not causes by


-medical conditions


-stress


-sistusations that temporarily change behaviour

2 clusters of personality disorders

Cluster A disorders


-odd or eccentric


(Paranoid, schizoid, schizotypal)


Cluster B disorders


-dramatic, emotional and erratic behaviour


(Antisocial, borderline, histrionic, narcissistic)


Cluster C disorders


-anxious, fearful and inhibited behaviour


(Avoidant, dependent, obsessive)


No otherwise specified


-exhibit patterns of heviour consistent with that of a personaly disorder but does not fit into any of the categories

What is narcissistic personality disorder

An exaggerated sence of self importance and self absorption


-demand constant attention

What is paranoid personality disorder

Pervasive, unfounded deliciousness and mistrust of others, irrational jealousy, assertiveness and doubt about the loyalty of others


-Have delusions about be persecuted

What is borserline personality disorder

Intense but unstablr relationships, fear of abandonment by others, an unrealistic self image and emotional volatility


-tend to be impulsive and self destructive

What is psychopathy

Personally disorder characterized by:


-lack of remorse, empathy, anxiety


- the use of deceit and manipulation


-impulsive thrill seeking


(Can be very charming)

Antisocial personality disorder

Replaced psychopathy


-chaterized by a life long pattern of irresponsible, antisocial behavior such as violence, reckless acts


(3% of all males and 1%of all females)


Have various capacities for remorse, guility, anxiety , empathy, loyalty

DSM criteria for APD

3 of them since childhood


1) repeatedly break the law


2) deceitful, uses aliases and lies


3) impulsive and unable to plan ahead


4) get into physical fights or assaults


5)reckless disregard for own or others safety


6) irresponsible


7) lack remorse for actions that harm others

What are the causes of APD

-abnormalities in central nervous system


-genetic influences


-impaired frontal-lobe functioning


-environmental events


(Slow to develop classically conditioned responses to anger, pain or shock that indicate normal anxiety)

What environmental factors are linked to APD

-poor nutrition as child


-early separation from mother


-brain damage due to abuse form parents

What is dissociative disorder

Chaterized by a feeling a split between conscious awareness from feeling cognitive, memory and identity


-major dissociation of personality identity or memory


Dissociative identity disorder


-a sense of separation between you and your surroundings

What is a dissiciative fugue

A persiof of profound autobiographical memory loss


-many develop new identity in a new location with no recollection of past

What is depersonalizatiom disorder

Strong sence of the surreal, the feeling one is not connected to ones body

What is dissociative amnesia

A loss of memory, usually for a specific stressful event when no biological causes for amnesia are present

What is multiple personality disorder

Person experiences a split in identity suxj that they feel different aspects of themselves as though they were separated from each other


-each have own name and traits

What is trauma dissociation theory

Dissociative indenty disorders truly from servere traumatic experience


-many during early childhood

What are the 2 views of MPD

1) is common but often unrecognized or misdiagnosed (starts in childhood as a means of coping)


2) created through pressure and suggestions by clinicians either intentionally or unintentionally (disorder is being over diagnosed)

What is the social-cognitive explanation for DID

Extreme form of our ability to present many aspects of our personalities to others


-socially acceptable way for some to make sense if their problems

What is anxiety

A general state of apprehension or psychological tension

What are anxiety disorders

Disorders involving fear of nervousness that is excessive, irrational and maladaptive

What is chronic anxiety

Long lasting feelings of doom and apprehension

What are phobias

Excessive fears of specific situations/things

What is a panic attack

short lasting but intense levels of anxiety

What is OCD

Repeated thoughts and rituals to ward off anxiety

What are the components of anxiety responses

Subjective emotional (feeling of tension)


Physiological (increased heart rate)


Cognitive (worry)


Behavioural (avoidance of feared situations)

What are the 3 classifications of anxiety

1) anxiety disorders


-generalized, panic, fears/phobias


2) observe compulsive and related disorders


3) trauma and stressor related disorders


-PTSD

What us generalizee anxiety disorder

High levels of anxiety generally from normal challenges and stresses of everyday life


Continuous state of anxiety marked by feeling of worry and dread, difficulties in concentration and signs of motor tension


(Majortiy of days for 6 months)


-restlessness, irritability, sleep disturbances, concentrating


What are panic disorders (attacks)

Person experiences recurring panic attacks, periods of intense fear accompanied by physiological symptoms like rapid breathing and dizziness (extreme anxiety that include rush of physical activity)


-restrict lives to avoid more

Fears and phobias

Unrealistic fear of a specific object or situation


- can intensify or go away over time


-impairment is based on how often

What is agoraphobia

Set of phobias often set off by a panic attack that seems to have no cause


-fear of open/ public places


-fear of fear

What are social phobias

Fear of certain situsations in which might be embarrassed or evaluated


What is social anxiety disorder (social phobia)

Very strong fear of being judged by others or being embarrassed or humiliated in public

What are specific phobias

Involve an intense fear of an object, activity or organism

What is OCD

Individuals plagued by unwanted, inappropriate and persistent thoughts (obsessions) and engages in repetitive, ritualistic behaviours (compulsions)


Obsessions=cognitive component


Compulsions= behavioural component

What is PTSD

Trauma and stress related disorders where people have experienced a traumatic event and now experience psychic numbing, reliving trauma and increased physiological arousal

What are the major symptoms that suggest PTSD

1) increased physiological arousal displayed by insomnia, irrability or bad concentration


2) reliving trauma (flashbacks/ dreams)


3) numb to the world, aviof stimuli that remind then of trauma, detach from others, loss of interest in activities

Why do we have anxiety disorders

1) reduced levels if serotonin in prefrontal cortex


2) hyperactivity in various part of the brain (brain keeps sending alarm signals)

What were most disorders separated into

-depressive disorders


-bipolar and related disorders

What is major depression (mood disorders)

Periods of sadness, feelings of worthlessness and hopelessness, social withdrawal and sluggishness


(Disturbances in emotion, behaviour, cognition and body function)


What are symptoms of depression

-depressed mood


-reduced interest in activities


-weight gain or loss


-sleep disturbances


-change in motor activity


-loss of energy


-feelings or worthlessness or guilt


-reduced ability to think/concentrate


-thoughts of death

Symptom categories of depression

1) emotional (negative mood state)


2) cognitive (diffudclity making decisions, feelings of failure)


3) motivational (loss of interest and drive)


4) somatic (loss of appetite, sleep, sexual desire)

Rates of depression

Women twice as likely (men under diagnosed)


-age 65 rates drop in both sexes

What are bipolar disorders

Mood disorders with episodes of depression and mania (excessive euphoria)


-extreme highs and lows in Mood, motivation and energy

What is manic state in bipolar disorders

-excited mood


-euphoric Mood


-rapid speech


-don't recognize consequences of actions if act upon grandiose ideas

What are the 3 major patter s after depressive episodes

1) no recurrence (half cases)


2) recovery with recurrence (many cases, symptoms free for 3 years)


3) no recovery (most cases)


Manic episodes (90% recurrence)

What are the 4 contributing factors of major depression

- genetic factors (67% in twin study)


-life experiences and circumstances


-losses of important relationships


- cognitive habits

Why are women more susceptible to depression

-less satifying work and family lives


-more Likly to live in poverty


-lower status then men

What us rumination in depression

-involves brooding about negative aspects of life, persuading yourslef that no one does or will love you


(Cognitive habit)

What is depressive attributional patterns

Success= factors outside self


Negative outcomes= personal factors

What are the 3 events of depressive explanatory style

Internalizing (my fault)


Stabilizing (things will never change)


Globalizing (applies to everything)

Vulnerability stress model and depression

Approach emphasizes how individuals vulnerabilities interact with external stress is to produce mental disorders


(Evplains y not everyone is equally vulnerable to depression)

What is schizophrenia

Psychotic disorder


-Causes people to experience significant breaks from reality, lack of integration of thoughts and emotion and problems with attention and memory


-delusions, halluctionations, disorganized and incoherent speech, inappropriate behaviour, cognitive impairment


(Mental disturbance involving distorted perceptions and irrational behaviour)


Rates or schizophrenia

Appears in late adolescence or early adult


-equal # of men and women (men earlier)


1-2% of population


10% permanently impared


65% intermittent periods of normal functioning


25% rcovor

Schizophrenia

Split mind


-words split from meaning


-perceptions from reality


-actions from motives


What are the 3 phases of schizophrenia

1) prodromal phase (withdraw from friends, family, life, lose of interest, confused, time alone)


2) active phase (delusional thoughts, disorganized patterns of thought, actions, behaviour)


3)residual phase (predominant symptoms lessens, may be withdrawn, trouble concentrating, lack motivation)

What are the symptoms of schizophrenia

1) halluctiinations and hightened sensory awareness (sensory experience that occur in absence of actual stimulation)


2) bizarre delusions (false beliefs)


3) disorganized, incoherent speech


4) innapropriate/ disorganized behaviours (violent agitation, wearing many layers on warm day)


5) impared cognitive abilities (perform poorer in almost every cognitive domain)

What are the negative symptoms that can come before others

1) loss of motivation


2) emotional flatness (facial)


3) social withdrawal

What are the subtypes of schizophrenia on the DSM IV

Paranoid (delusions of persecution)


Disorganized (confusion, incoherence, unable to function on own)


Catatonic (severe motor disturbances)


Undifferentiated (not early classified as one above)

Schizophrenia types

1) predominance of positive symptoms


-represent pathological extremes of normal processes


-better prognosis for recovery, history of good functioning


2) predominance of negative symptoms


-absence of normal reactions


-poor recovery, history of poor functioning

What are the origins of schizophrenia

- genetic predispositions (decreased brain weight, large ventricle)


-structural brain abnormalities


-neurotransmitter abnormalities


-prenatal problems or birth complications


-adolescent abnormalities in brain development

What is the pathway of development of schizophrenia

- genetic predispositions


-interact with birth complications


-oven in adolescence trigger (over pruning, life stressors)


What are the barriers of psychological treatment

-2/3 with mental issues don't seem help


-stigma about mental illness


-gender roles (men less likely)


-expense and availability

What us the goal of treatment

-help change maladaptive thoughts, feelings, behaviours


-lead more productive hand happier life

Who provide treatment

Psychologists


Psychiatrists


Psychiatric social workers


Marriage and family counsellors


Pastoral counsellors


Abuse counsellors


Psychiatric nurses

What are clinical psychologists (Mental health providers)

Obtained a PHD


-formally diagnose and treat issues ranging from everyday and mild to chronic and severe

What are counselling psychologists (Mental health providers)

Who work with people who need help with common problems like stress and coping (identity, sexuality, relationships)

What are psychiatrists (Mental health provider)

Medical doctors who are allowed to diagnose and treat mental disorders through prescribing medications

What is the scientist partitioned gap

Scientists find that therapists that don't keep up with empirical findings are less effective


-some psychotherapist believe that evaluation theory using research methods is futile

Wjat are empirically supported treatments

Evidence based thrrapies


-treatments that have been tested and evaluates using sound research designs

What is therapeutic alliance

Bond of confidence and mutual understanding established between therapist and client


-allows them to work together to solve problem

What are the qualities if a client and therapist that promotes doing well in therapy

Client


-motivation to improve


-support from families


-activity deal with problems


-more willing to trust therapist


Therapist


-empathetic


-warm


-genuine

What are the common ingredients in successful therapies

-there us a bond between therapist and client


-participants want to be helped


-therapists distinguish normal cultural patterns from individuals psychological problems

What causes therapy harm

-unethical behaviour


-prejudice from therapist


-inappropriate or coercive influence (client produce symptoms)


-use of empirically unsupported techniques


(Clients suggestibility) w

What are biological treatments

Emphasize biological factors


-designed to alter brain functioning


(Drugs, electroconvulsive theory, psychosurgery)


- Drug theories


-direct brain intervention

What is psychopharmacology and psychopharmacotherapy

psychopharmacology


Study of how drugs affect cognitions, emotions, behaviour


psychopharmacotherapy


Refers to the use of drugs to manage or reduce clients symptoms

What are psychotopic drugs

Medications designrd to alter psychological funtioning


-cross blood brain barrier yo affect neurotransmitters


What is the blood brain barrier

Network of tightly packed cells that only allow specific types if substance to move from bloodstream to the brain


-protect brain cells against harmful infections

What are the main classes of drugs to treat emotional and mental disorders

1) anti-anxiety drugs/ tranquilizers


2) antidepressant drugs


3) antipsychotic drugs


4) lithium carbonate (mood stabilizer)

What are anti anxiety drugs

-affect activity of GABA and inhibitory neurotransmitter that reduces neural activity


(Slow down excitatory synaptic activity)


-used for mood and panic disorders


-dependence


-anxiety returned after off


-fatigue


-development of tolerance


(Valium, Xanax, Buspitone)

What are antidepressants

Target areas of brain that are rich of monoamine neurotransmitters


-treated depression, anxiety, phobias, OCD


- no addictive


- dry mouth


-constipation


-head aches


-nausea


-restlessness

What are the 3 classes of antidepressants

1) tricyclics (increase activity of norepinephrine, serotonin)


2) monoamine oxidase inhibitors (MAOI) (increase activity of norepinephrine, dopamine, serotonin)


3) selective serotonin reuptake inhibitors (SSRI) (block reuptake of serotonin


4) herbal methods (St John wort) (influence several neurotransmitter systems, reduces epinephrine impact)

What are antipsychotic

-neuroleptics


-used for schizophrenia


-decrease action of dopamine


-cab cause tardive dyskinesia (movement disorder)

What are atypical antipsychotics

Second generation antipsychotic


-less likely to cause side effects like movement disorders

What is lithium carbonate

Drugs used to prevent and reduce the severity of mood swings


-used for bipolar disorder


Short term effects (tremors)


Long term effects (kidney damage)


(Must be given right does and bloodstream levels monitored)

What are the cautions about drug treatments

-placebo effect


- High relapse and dropout rates


-dosage problems (therapeutic window) (people respond different)


-disregarded for effective non medical treatments (Drugs popular cause advertisement


-unknown long term risks


-untested off label uses (once approved, can be given and used to others not originally tested for)

Direct brain intervention

Electriconculsive theory


Psychosurgery


Transcranial magnetic stimulation (TMS)

What is Electroconvulsive theory

Used to treat sever depression


-used in cases of prolonged and severe major depression where a brief brain seizure is induced


-doesn't help schizophrenia or anxiety disorders


(Short lasting effects)

What is the procedure for ECT

-patient given sedative and musle relaxant


-placed on padded mattress


-electrodes attached to scalp


-such less then 1 second, causing seizure of CNS

Criticisms of ECT

- High relapse


-permanent memory loss if improperly


-permanent brain damage if used improperly

What is psychosurgery

Surgical procedure thst destroys selected areas of the brain believed to be involved on emotional disorders or destructive behaviour

What are focal lesions and cingulotomy

Focal lesions


-small areas of brain tissue that are surgically destroyed


Cingulotomy


-cut figured that connect fro talk lobes and limbic system (severe depression and OCD)

What is transcranial magnetic stimulation

Use pulsing magnetic coil held to a person's skull over left prefrontal cortex


-less active area in depression


-help schizophrenia

What is deep brain stimulation

Technique that involed electrically stimulation specific regions of the brain


-internal bleeding


- behavioural side effects

What are the different kinds of psychotherapy

Insight therapies


-psychodynamic


-humanistic


-existential


Behavioural theory


Cognitive theory


Group theory


Family and couples theory

What is pdychoanalysis

Method of psychotherapy developed by frued


-emphasizes the exploration of unconscious motives and conflicts through free association to memories and dreams to gain insight

What are insight therapies

Refers to psychotherapy that involves dialogue between client and therapist for the purpose of gaining awareness and understanding of problems and conflicts

What is psychodynamic theories

Form of insight theory


-empahsizes the need to discover and resolve unconscious conflicts

What is psychoanalysis

Insight therapy developed by frued


-precursor to psychodynamic


-frued believed we tried a sexual and aggressive implies as we fight, intimidating or humiliating moments


Help patients achieve insight

What are the technuques for psychanalysis

1) free assiciation (client talks or write without censoring their thoughts)


2) dream interpretation (examining details of dream to get insight into true meaning, symbolically)


3) resistance (Clients engage in strategies that keep information from fully manifesting in couscious)

What is transference in psychodynamic theory

Client transfers unconscious emotions and reactions onto the therapist


(Brings out repressed feelings)


2 types


Positive (transfer feelings of affection and dependency)


Negative (irrational expressions of anger, disappointment)

What is brief psychodynamic theories

Focus in understanding maladaptive past influences and relating them to current self defeating behaviour

What is phenomenological approach

Therapist addresses clients subjective feelings and thoughts that they unfold in the moment rather than looking at uncousious motive in past

Look at

What is humanist therapy

Emphasizes people free Will go change


-bases of assumptions that people seek self actualization and self fulfillment


-conscious control of behaviour


-present and future

What is client centered therapy (humanistic)

-carl Rogers


-focus on individuals ability to solve their problems and reduce full potential with the encouragement of therapist

Client centered what are the 3 key characteristics of a therapist

Unconditional positive regard (no judgment)


Empathy (veiw through clients eyes)


Genuineness

What is existential theory

Clients explore the meaing if existence and face with courage the issues of life like death


-goal


(To help clients cope with realities of life and death and meaning)


Fist step (taking responsibility for life situations)

Behaviour and cognitive theory

What is behaviour theory

Address problem behaviours and thoughts and the environmental factors that trigger them


(Classical and operant conditioning)

What is systematic desensitization (counterconditioning) (CC)

Step by step process of desensitizing a client to a feared object or experience


Steps


-train muscle relaxation skills


-stimulus hierarchy construction


-desensitization session

Systematics desensitization (Classical conditiong)

In vivo desensitization (controlled exposure to real life stuations)

Exposure, flooding, implosion (CC)

Exposure


Treat phobias through exposure to feared CS in the absence US


Flooding


- people are taken directly into the feared situation until experts stops


Implosion


-imagine science involving stimuli

What is graduated exposure (CC)

Person with phobia is gradually taken into feared situation or exposed to traumatic memory until anxiety subsides

What is virtual reality exposure

Treatment that uses graphical displays to create an experience in which the client seems to be immersed in an actual environment


-PTSD


-

What is aversion therapy (CC)

Behavioural technique that involved replacing a positive response to a stimulus with a negative response


-stimulus attractive to person (CS) paired with an noxious UC

What is behavioural self monitoring (OC)

Method of keeping careful data on the frequency and consequences of the behaviour to be changed

What is behaviour modification (OP)

Increase or reduce a specific behaviour


-focuses in externally observable behaviour

What us token economic (OC)

Positive reinforcement


- token given for desirable behaviour


-tolkien exchanged for tangible reinforces


(Achive behaviour with tangible reinforces until become reinforced with social riendfocers

Modeling and role playing (behavioural therapies)

Skill training


-teach client skills they lack as well as new .ore constructive behaviour to reduce self defeating ones (use modeling and role playing to do so)

What is cognitive theory

Designed to identify and change irrational, unproductive ways it thinking to reduce negative emotions and their behavioural consequences


-beck and Ellis


-

What do therapists try to get clients to do in cognitive

-identify beliefs that underline their problems and conflicts


-examine the evidence for their beliefs


-Consider other explanations for the behaviour of others


-identify assumptions and biases

What is Becks cognitive theory

-avoids direct challenges to clients beliefs


-Encourages clients to test their -


beliefs against others


(Points out errors of thinking)


-major contribution for depression

What us Ellis rational emotive behaviour theory

-Activating event that triggers emotion


-belief system that underlines the way a person appraises the event


-consequences of the appraisal


-disputing or challengesjng maladaptive emotions and behaviours

What is cognitive behavioural therapies

Consists of procedures such as cognitive restructuring, stress inoculation teaming and exposing people to experiences that may be a tendency to avoid

What us cognitive restructuring

Happens as clients beliefs and interpretations about events are shifted or restructured so they can be viewed from a more rational and less emotional perspective

Cognitive behaviour therapies

Internal attribution (blaming himself excessively for negative things that happen)


Stable attribution (coming to see the situation as a permanent and irreversible)


Global events (rather than seeing it as 1 negative event, applies to all events)

What are the 3 stages of stress inoculation (cognitive behaviour)

1) education phase (taught the nature and identify situations that cause anxiety)


2) rehearsal phase (taught to manage anxiety)


3) implementation phase (deal with anxiety provoking stimuli in real world)

What is mindfulness based cognitive theory

Combining mindfulness meditation with standard cognitive behavioural therapy tools

What us group and family therapies

Therapists are trajbrd to implement group techniques adapted from the major types of therapy


-involves working with couples, families to identify the change patterns that perpetuate problems

What us family system perspective

Approach to doing therapy with families by examining how each member forms part of a larger interacting system


-behaviour change Can upset members

What is integrative Approach

Willingness to combine treatments


Willingness to use whatever therapy may be most appropriate for particular clients

What do behavioural therapies effective in

-symptoms of anxiety disorders


-skill training


-decreasing targeted problmentic behaviours

What has cognitive- behavioural theory effective in

Treating depression


Treating anxiety, obesity, eating disorders