1. Psychotherapy Interaction between a trained therapist and someone suffering from psychological difficulties. usually short term less than one year 2. Work Phase Interactions 3. Humanistic Approach Express feelings and thoughts Explore options and possibilitiesReinforce healthy coping Change ineffective coping by alt. strategiesAdhering to medication Role Playing interpersonal skills -self awareness and understanding huge! Focus on peoples -self fulfillment -present and future (NOT PAST) -Conscious thoughts -Responsibility of actions instead of blaming 4. Maslows Physical Safety/securityLove belongingSelf Esteem Self Actualization 5. Carl Rogers "per- son centered ap-proach" 6. Behaviorism "John Watson" 7. BehavioralTech-niques Genuineness Unconditional positive regard and Empathetic understanding (active listening) Learned response Therapy is the treatment that helps change potentially selfdestructing behaviors. Change bad habits with good onesSpecifically tailored!! -Role playing -Breathing and relaxation 2 / 8 8. Classical Condi-tioning 9. Counter Conditioning 10. Systemic Desensitization 11. AversiveCondi-tioning 12. Operant Conditioning -Positive Reinforcement -Activities to promote focus -Journal writing -Social skills training -Modifications to anger, fear, pain Learned behavior new responses to stimulithat trigger unwanted behaviors. -Behavioral therapy new responses to stimuli that triggerunwanted behaviors. Systemic DesensitizationAversive Conditioning Pleasant relaxed state with gradually increasing anxietytriggering stimuli. -Progressive -Exposure -Flooding Counterconditioning associates unpleasant state with un-wanted behavior. Finger tasting hot with nail biters Token economy: Rewards behavior for good responses 13. Role of Nurse Plan for behavior devised using appropriate techniquesAll members must be aware of plan CONSISTENCY! 14. Cognitive Behav-ioral Therapy 15. Overgeneraliza- tion What you think is how you feel, replace bad thoughts withgood thoughts GOAL: Positive thoughts become automatic Negastive leading to feelings of hopelessness 3 / 8 16. Mental Filtering Positive, fit core belief or assumptions regarding event 17. Catastrophizing Negative aspects, predicting outcome of failure, 18. Minimilization Positive thoughts of accomplishments reinforces negativeself appraisal 19. Magnification Focusing on only negative facts of a situation 20. Dichotomization Sorting/dividing judgment categories of good or bad all ornothing no grey area 21. Arbitrary infer- ence or fortunetelling automatic conclusions regarding outcome of situation without considering actualfacts insituation and alternativesolutions 22. Personalization Putting outcome of event as reflective only to them. 23. Dialectal Behav-ioral Therapy 24. Therapeutic Mi-lieu 25. Goals of Milieu Therapy TRY HARDER!THINK POSITIVE Individual, group, telephone support/therapy -Structured individuals -Skills groups -Skills coaching -Consultation team Goal: Life worth living, hope! Environment specifically created and maintained to re- store and promote optimal psychological health and well-ness. -safety, healing environment -Pt. owns own environment and behavior -group support!! peer pressure useful -inappropriate behavior death as it occurs -restrictions/punishment avoided! Safe Environment