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Therapy - Therapy Who can conduct therapy Types of...

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Therapy
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Who can conduct therapy?
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Types of Therapists Psychiatrists (M.D.) Primarily involved in prescription and monitoring of medications Psychologists (Ph.D., Psy.D.) Cannot prescribe medications Complete various forms of assessments Receive training in treatment of severe clinical disorders Master’s Level Clinicians: Marriage & Family Therapists (M.F.T) Licensed Clinical Social Workers (L.C.S.W.) Master’s in Social Work (M.S.W.) Master’s in Psychology (M.A. or M.S.) Bartenders?
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Psychotherapy Treatment designed to assist people with their mental, emotional, and behavioral problems Eclecticism : Tailoring treatment of individuals to meet their particular needs. Using various type of therapy depending on factors such as Specific type of disorder Personality of the person being treated
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Biomedical Therapies: Medications Biomedical Therapy : Biologically based treatment for reducing or eliminating the symptoms of psychological disorders Chlorpromazine : Fist success with antipsychotic drugs reduced positive symptoms of schizophrenia Used in 1950s to treat delusions, hallucinations
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Biomedical Therapies: Medication Currently many psychological disorders are treated with medications Contributed to reducing the number of patients who used to live out their lives in hospitals Unfortunately, some medications have unpleasant and potentially harmful side-effects Side effects include involuntary movements of tongue, jaw, face, heart conditions, disorientation, suicidality
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Biomedical Therapies: Medication Antipsychotic Drugs Medications that effectively treat positive symptoms of schizophrenia Act as antagonist, blocking and slowing the action of dopamine in the brain Do not work well on negative symptoms (e.g. lack of emotions, apathy, poor social functioning) Produce unwanted & unpleasant side-effects Drowsiness, difficulty concentrating, blurry vision Tardive Dyskenesia: uncontrollable facial tics
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Biomedical Therapies: Medication Antipsychotic Drugs Over past decades new medications (clozapine & resperidone) have come onto the market Reduce negative side-effects Help with negative symptoms Work on variety of receptors (dopamine, seratonin & others) indicating complex of disease
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Biomedical Therapies: Medication Anti-Depressant Drugs Tricyclics : first successful med to treat depression Effects production of nor-epinephrine to remain in synapse thus modulating its effects Selective Seratonin Reuptake Inhibitors (SSRI) Prozac, Celexa, Lexapro, Zoloft, Paxil, LuVox Most Common type of anti-depressant meds
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SSRI: Clinical Effects Serotonin can also influence: Anxiety Impulsivity & Anger Affect Modulation
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SSRIs are often used to treat: Major Depression Dysthymia Generalized Anxiety Disorder Panic Disorder PTSD Social Anxiety Disorder Obsessive-Compulsive Disorder Borderline Personality Disorder Impulse Control Disorders Bulimia Nervosa
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