Transcript Clinical Psychology II - Therapies The Big Picture

Clinical Psychology II - Therapies
The Big Picture
• Anxiety Disorders
• Cognitive Behaviour Therapies and
Phobias
• Mood Disorders
• Medication and Therapy
• Schizophrenia
• Medication Therapy
• Evaluating Therapies
• Is therapy effective?
• If so, what makes it effective?
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Anxiety Disorders
• Phobias - usually treated with cognitive
therapy
• More serious anxiety disorders (agoraphobia,
social phobia, obsessive compulsive
disorder) usually treated with a combination
of drug therapy and cognitive therapy.
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Systematic Desensitization
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Mood Disorders
• Major Depressive Disorders - usually treated
with both medication and cognitive therapy.
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Depression and Cognitive Behaviour
Therapy
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Mood Disorders
• Major Depression in severe cases that do not
respond to medication and cognitive therapy
is sometimes treated with Electro-Convulsive
Therapy (ECT).
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Mood Disorders
• Major Depression is severe cases that do not
respond to medication and cognitive therapy
is sometimes treated with Electro-Convulsive
Therapy (ECT).
• Bipolar Disorder - usually treated primarily
with medication.
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Schizophrenia
• Schizophrenia - usually treated primarily with
medication.
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Schizophrenia
• Schizophrenia - usually treated primarily with
medication.
• Both bipolar disorder and schizophrenia
often include group therapy. This often allows
people to deal with the stigma of mental
illness.
• On Being Sane in Insane Places - A study of
how being perceived as insane colours other
people’s perception of you.
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Evaluating Psychotherapies
• Problems in interpreting effectiveness of
therapy
• Should we take the patients word?
• How about the therapists?
• What about spontaneous remission and
regression to the mean?
• Is Psychotherapy effective?
• Are some therapies better than others?
• Does training and experience matter?
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Effectiveness of Therapy
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Focus on University of Waterloo
Research (Dr. Johnathan Oakman)
on Therapy Effectiveness
• Social Phobias
• All clients received medication
• Three conditions
• Guided self-help
• Cognitive behaviour therapy
• Cognitive behaviour therapy with
Technology
• At this point it looks like all three are
effective, but equally so
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