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Chapter 5

Chapter 5. Treatments for Abnormality. Antipsychotic Drugs. Reduce symptoms of psychosis. Thorazine, Clozaril, Haldol. Antidepressant Drugs (MAOI, tricyclics, SSRIs). Reduce symptoms of depression. Parnate, Elavil, Prozac. Lithium/Mood Stabilizers. Reduce symptoms of anxiety.

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Chapter 5

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  1. Chapter 5 Treatments for Abnormality

  2. Antipsychotic Drugs • Reduce symptoms of psychosis. Thorazine, Clozaril, Haldol • Antidepressant Drugs (MAOI, tricyclics, SSRIs) • Reduce symptoms of depression. • Parnate, Elavil, Prozac • Lithium/Mood Stabilizers • Reduce symptoms of anxiety. • Lithobid, Cibalith-S • Antianxiety Drugs • Reduce symptoms of anxiety. • Nembutal, Valium Biological Treatments: Drug Therapies

  3. The Social Impact of the Biological Approach to Therapy • What is the responsibility of the sufferer? • What side effects could produce unwanted social harms? • Is there an ease to drugs that allows us to forget or over-look other issues? • Are there alternatives within the biological approach to therapy? What about herbs or holistic approaches?

  4. Psychological Therapies

  5. Psychodynamic Therapies TherapeuticAlliance FreeAssociation Concepts WorkingThrough Resistance Counter-Transference Transference

  6. Behavior Therapies • The behavioral assessment is the foundation for behavior therapy. • Therapist works with the client to identify the specific circumstances that seem to elicit the client’s negative behavior or emotional responses. • Functional analysis.

  7. Methods Used In Behavior Therapies • Removal of reinforcements • Aversion therapy • Relaxation exercises • Distraction techniques • Flooding or implosive therapy/Exposure therapy.

  8. Methods Used In Behavior Therapies, continued • Systematic desensitization • Response shaping through operant conditioning • Behavioral contracting • Modeling and observational learning

  9. Cognitive Therapies • Assist clients in identifying their irrational and maladaptive thoughts and replacing them with more adaptive ways of thinking. • Often combined with behavioral approaches. Clients are instructed to “test” new adaptive thoughts through behavioral experiments/assignments.

  10. Monitoring Form • Date _________________________ • Specific Trigger (Situation and/or physical symptom). __________________________________________________________________________________________________________________________ • Automatic thought (Negative thought). __________________________________________________________________________________________________________________________ • My evidence (Why do you think #3, your Automatic Thought, will happen?) __________________________________________________________________________________________________________________________ • Alternative thoughts (Positive thought – is there another, alternative explanation). __________________________________________________________________________________________________________________________ • How believable is #3 now? (0-100).

  11. Acceptance- and Mindfulness-Based Treatments • Focus not on change or elimination of distress. • Instead, focus is placed on living a life worth living and being willing to experience distress (as it is unavoidable). • Cognitive defusion (i.e., viewing thoughts as thoughts – nothing else) • Mindful awareness (i.e., non-evaluative awareness).

  12. Factors of Successful Therapy • A positive relationship with therapist • An explanation or interpretation of why the client is suffering • Other factors • Encouragement to confront negative emotions • An integrative approach

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