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2015-05-20 05:27:24

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  1. what are the 7 steps to treatment planning
    • Problem chronicity/complexity
    • Problem solving phase
    • Social support
    • Subjective Distress
    • Functional impairment
    • Resistance
    • coping style
  2. What are the treatment steps for functional impairment?
    • High
    • -high restrictiveness i.e. locked up for own safety
    • Intensity, sicker people need higher intensity
    • Medical vs psychotherapy
    • Prognosis,
    • Urgency

    • Low
    • -low restriction ie out patient
    • low intensity e.g. a bit anxious
    • No meds
    • good pronosis
    • not urgent
  3. what are the treatment considerations for social support
    • CBT VS rels prog
    • duration of treatment
    • psychosocial vs meds
    • possible group intervention

    • the quality and quantity of support available.
    • High = shorter therapy duration, therapy gains faster and maintained esp. those related to relationship skills
    • low - CBT more effective, meds and longer treatment more likely, group therapy might be good
  4. what are the treatment considerations for Problem complexity/chronicity?
    narrow symptom focus VS thematic unresolved issues

    more likely to be identified by psychodynamic clinicans.

    • High - free association
    • 2 chair
    • dream work
    • carthartic discharge
    • interpretation

    • Low- behavioural intervention
    • CBT
    • self monitoring
    • relaxation

    phobia vs self fulfilling prophecy e.g. poor selction of partner.
  5. WHat arethe treatment considerations for coping style
    behavioural vs insight oriented

    • externaliser
    • act out, blame others e.g. projection, extroversion, manipulation

    DO better with behavioural  e.g. social skills contracts, questioning beliefs

    • Internaliser
    • intellectualise, deny, withdraw

    do better with insight orientated e.g. blbliotherapy, dream interpreatation, interpretation, 2 chair.
  6. what are the treatement considerations for resistance?
    directive vs non directive

    • High resiatnce
    • anxious, oppositional conflict, non compliant
    • use non directive approach e.g. support and reassurance, prescribe no change

    • Low resitance submissive, open
    • direct approach
    • CBT
  7. what are the treatment considerations for subjective distress?
    increase/decrease arousal

    • high distress -visible autonomic agitation
    • reduce using PMR exercise CBT for physical agitation
    • mental agitation, meditation, reassurance

    • low distress low energy, absence of
    • symptoms.
    • role play, confrontation pratcie, interpretaion
  8. treatment considerations in problem solving phase
    stages of change