1. Chapter 15: Treatment of Psychological Disorder

2. Three Types of Treatment
Insight Therapy- Talk therapy
Family therapy, marital therapy
Behavior Therapy- Work to change the behavior of patients
Help with getting over a phobia
Biomedical Therapy- drug therapy

3. Clinical- training emphasizes the treatment of full fledged disorders
Psychologists
Clinical- training emphasizes the treatment of full fledged disorders
Counseling- focus on everyday adjustment problems
Both must have a Ph.D, Psy.D or Ed.D.
Typically use insight or behavior therapy

4. Depend on medication as their primary mode of treatment
Psychiatrists
Physicians who specialize in the diagnosis and treatment of more severe psychological disorders.
Depend on medication as their primary mode of treatment
M.D

5. Insight Therapy
Verbal interaction is important to enhance the client’s self- knowledge and promote healthful changes in personality
Psychoanalysis
Client-Centered

6. Psychoanalysis Sigmund Freud
Problems arise from early childhood and we use defense mechanisms
Focuses on unconscious conflicts
Free association
Dream analysis
Resistance- clients may not like what they hear
Transference- clients may reenact relations with crucial people in their lives
Once clients recognize the unconscious sources of conflict they can resolve the conflicts

7. Client-Centered Therapy
Anxiety comes from “incongruence”. Your self concept does not match reality.
This incongruence comes from a person wanting others to accept them
Therapist help clients to realize that they do not have to worry about pleasing others
Clients need to confront their shortcomings without feeling threatened
Therapist needs to be genuine, show unconditional support and show empathy

8. Therapeutic Process
Therapist tries to act like a mirror….click on link to see
Advice is kept to a minimum and the therapist’s key task is clarification

9. Forms Insight Therapy Group: Act as therapist for each other.
Couples: Marriage counseling
Family: Usually emerges to treat children

10. Behavior Therapies
Focus on changing behavior in order to change emotions and moods
Behavior is learned through…
Classical Conditioning- we associate things together
Ex- I am afraid of elevators because I got stuck in one
Operant Conditioning- We act a certain way because of consequences
Ex- I always read books over the weekend because my teacher gives me stickers
Observational Learning
Ex- Monkey see, Monkey do

11. Systematic Desensitization
A type of exposure therapy that associates a relaxed state of mind with gradually increasing anxiety-inducing stimuli
video

12. Exposure Therapy
Treat anxiety by having a person face their fears by exposing them to real or imagined situations they typically avoid

13. Aversion Therapy
Involves pairing an unpleasant stimulus with the targeted behavior
Ex- Alcoholics take a pill and if it is mixed with alcohol it will make them sick.

14. Social Skills Training
Some anxiety comes from never learning how to act in society
Therapists help improve interpersonal skills
Modeling, behavior rehearsal, and shaping used
EX- Clients watch socially skilled friends and try to mimic them
Shaping- try to make new friends, initiate plans, stand up to boss

15. Cognitive Therapy
People have errors in the way they think (common in depressed clients)
Clients are trained to detect their negative thoughts
Therapist trains them to think more positive
Homework- Take note of all positive things that happened today.

16. Practice Elimination of maladaptive behaviors or symptoms
Psychoanalysis
Client-Centered Therapy
Cognitive Therapy
Behavior Therapy
Elimination of maladaptive behaviors or symptoms
Acceptance of genuine self, personal growth
Recovery of unconscious conflicts, character reconstruction
Detection and reduction of negative thinking

17. Biomedical Therapies
Physiological interventions intended to reduce symptoms associated with psychological disorders
Psychopharmacotherapy- treating disorders with medication (drug therapy)
Anti-anxiety drugs-Relieves tension and nervousness
Antipsychotic drugs-Reduces hyperactivity, mental confusion, hallucinations and delusions
Antidepressant drugs-Elevate mood
Mood-stabilizing drugs- control mood swings in patients with bipolar disorders

18. Eclecticism the practice or therapy that involves two or more systems of therapy instead of committing to just one system

19. Institutional Treatment
Mental Hospital- Institution specializing in providing inpatient care of psychological disorders Deinstitutionalization- transferring treatment from inpatient institutions to community-based facilities that emphasize outpatient care

20. How has deinstitutionalization worked out?
Positives?
Negatives?

21. Practice Pick one word that comes to mind when you hear the following
Insight Therapy
Psychoanalysis
Client-centered Therapy
Behavior Therapies
Systematic Desensitization
Exposure Therapy
Aversion Therapy
Social Skills Training
Cognitive Therapy
Biomedical- Physiological

22. Treatment Plans What is the disorder? What are the clients needs?
What type of therapy would the client benefit from? Why?
What might a session look like? Explain by putting together a skit of about lines