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Samenvatting diagnostiek en behandeling per stoornis
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Alleen een samenvatting van de diagnostiek en behandeling, overzichtelijk per stoornis weergeven.
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By: mirjamschoenmaker • 2 year ago
By: marianneveld • 2 year ago
By: irenevangoor • 2 year ago
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Stoornis Diagnostiek Behandeling EffectiviteitAngststoornissen Gestructureerde klinische interviews, zoals Farmacotherapie
SCID-I CGT:
Zelfrapportagevragenlijsten voor de ernst en 1. Psycho-educatie
voortgang (ZVB, FQ, GAS, BAI) 2. Registratieopdrachten
3. Relaxatietechnieken
4. Cognitieve herstructurering
5. Exposure
6. Responspreventie
7. Vaardigheidstraining
8. ‘Transfer of change’ en terugvalpreventie
Paniekstoornis BSQ Cognitieve herstructurering + interoceptieve exposure + exposure in vivo 60-80%
Agorabobie ACQ, MI Exposure in vivo + responspreventie
Sociale-angststoornis SPAI, BFNE Cognitieve herstructurering + gedragsexperimenten + taakconcentratietraing (geen exposure in ++
vivo of sociale-vaardigheidstraining)
Specifieke fobie Exposuretherapie (zowel in vivo als imaginair of virtual reality) In vivo meest effectief
Gegeneraliseerde- PSWQ Metacognitieve gedragstherapie: gedachteschema’s + gedragsexperimenten (pieker- 75%
angststoornis uitstelexperiment) + copingstrategieën + opheffen vermijdingsgedrag
Depressieve stoornis Anamnese Stepped-care-model:
Onderzoek naar lichamelijke factoren 1. Basisinterventies en eerste-stapinterventies
Zelfinvulschalen om ernst te bepalen (BDI-II, 1. Psycho-educatie
IDS, HRDS, MADR) 2. Activering
3. Actief volgen
2. Tweede-stapinterventies – kortdurende interventies
1. Probleemoplossende therapie
2. Kortdurende behandeling (5 sessies)
3. Derde-stapinterventies – psychotherapeutische interventies
1. CGT (eerst gedrag daarna cognitief) ++
2. GT ++
3. CT ++
4. IPT ++
Derde-stapinterventies – farmacotherapie en lichttherapie 50-55% (CGT of
4. Vierde-stapinterventies – combinaties combinatie is effectiever)
5. Vijfde-stapinterventies – elektroconvulsietherapie 60-70%
Bipolaire- Life-chart-methode 1. Fase 1: acute behandeling
stemmingsstoornissen Heteroanamnese 1. Psychofarmaca (antipsychotica bij manie)
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