BB_101_S2010_Treatments - Note this outline is not to be...

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Note: this outline is not to be distributed or posted on other sites; that is copyright infringement It is very important to take detailed notes, to augment this outline. Read through these notes before coming to class. It should help your note-taking to be most efficient. I. Who seeks therapy? 15% of US (in any given year) receive treatment (TX) median delay in seeking TX = o 6 yrs. (bipolar disorder or drug dependence) o 8 yrs. (depression) o 9 yrs. (generalized anxiety disorder) o 10 yrs. (panic disorder) o Schizophrenia is much shorter because it is so severe only 50% have diagnosable disorder, others seek help for everyday problems ~28% US have diagnosable mental-health problem but only 8% receive TX women > men stigma and financial concerns are obstacles to seeking TX II. Who provides TX? Non-mental health specialists o e.g. ministers, priests, rabbi Mental health specialists o clinical psychologists (PhD)-all treatment ideas are research based o counseling psychologists (PsyD, Ed.D., Masters in counseling, PhD)-not as much emphasis on research, methods just passed down among counselors, focus more on everyday problems (martial issues, etc.) o Psychiatrists (M.D.)-psychodynamic treatment backgrounds, can prescribe medication o Clinical social workers (MSW, DSW) o School counselors (BA, Ed.M., Ed.D.) o Psychiatric nurses (BSN, MSN, DNP) Psychiatric-mental health clinical nurse specialists or psychiatric nurse practitioners) III. Important factors when choosing therapist Degree? o prescribing medication Good relationship—you should like your therapist because counseling is very social o emotional support/empathy o cultivation of hope/positive expectations o helps with understanding problems/makes suggestions for making changes o comfortable environment IV. Insight therapies A. Psychoanalysis/Psychodynamic How do they believe mental disorders arise (e.g. anxiety)?
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o unconscious, unresolved conflicts o usually sexual What would the goal of TX be? o How can they do this? o free association- talk and relax patient (couch) because thoughts automatically move towards conflict o dream analysis-dreams are royal road to unconscious o analyzing resistance-find uncomfortable topic during therapy, counselors look closure o analyzing transference-people act angry at therapist, “who is he really angry at?”, transference not always accurate B. Client-centered therapy (from the humanist perspective)
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BB_101_S2010_Treatments - Note this outline is not to be...

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