Sustained empathy Patience and long term planning Limiting control battles

Sustained empathy patience and long term planning

This preview shows page 42 - 46 out of 48 pages.

Sustained empathy Patience and long term planning Limiting control battles Boundaries Making behavioral arrangements Challenging cognitive distortions Balance between nurturing and being authoritative Critical techniques for successful treatment Individual, family, couples Outpatient therapy Levels of care PSYCH 134 Page 42
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Individual, family, couples 1 to 2 times per week Dietician, psychiatrist, medical doctor Group therapy 3 to 4 hours per day for 3 to 5 days Intensive outpatient therapy (IOP) Group therapy 6 to 8 hrs, 5 days a week Partial hospitalization programming (PHP) 24 hr supervision Residential treatment center (RTC) 24 hrs supervision Medical stabilization Inpatient hospitalization Types of Groups No numbers Avoid discussing specific behaviors Common group rules Splitting Trading secrets developing unsupportive friendships Comparing, competition Mixing patients with Eds Malnourished Challenges of group therapy PSYCH 134 Page 43
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Dialectical Behavioral Therapy (DBT) Cognitive Behavioral Therapy (CBT) Family based therapy: Maudsley Method Narrative Experimental Types of Therapy Developed first of MDD DBT (Dialectical Behavioral Therapy) Responses of the individual are incorrect, inaccurate, faulty or otherwise invalid Ex. Father telling child their emotions are wrong and they should stuff their feelings Fails to respond to the individual needs Problems arise out of invalidation Invalidating Environment Effectively regulate or express emotion Trust experiences as valid responses to events Communicate pain effectively Tolerate Individual are unable to: Actively self invalidate and search social environment for cues about how to respond Look for cues on how to respond to the environment/situation Oscillate between emotional inhibition and extreme emotional styles Respond with high negative arousal to failure Form unrealistic goals and expectations Hold perfectionist standards Instead the individuals.. Especially those causing misery and distress Goals: end up being learn and refine skills in changing behavioral, emotional, and thinking patterns associated with problems in life Consequences of invalidating and oversimplifying responses Interpersonal chaos Labile emotions, moods Impulsiveness Confusion about self Decrease behaviors Mindfulness Interpersonal effectiveness Emotional regulation Distress tolerance Increase behaviors Primary Goals of DBT (Dialectical Behavior Theory): Distract yourself from situations that are causing you pain Self soothing skills Strategies: Helps someone cope with painful events by building up his or her resiliency and giving him or her new ways to soften the effects of upsetting circumstances Distress Tolerance: Lecture 16 Tuesday, December 09, 2014 10:57 AM PSYCH 134 Page 44
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Self soothing skills Meditation, create a place in their mind Safe place visualization Cue controlled relaxation
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