Samenvatting
Summary Low Intensity Treatments for Common Mental Disorders - Notes & Practice Exam
Full notes for all the lectures with key points from all articles. 120 open-ended question practice exam.
[Meer zien]Voorbeeld 4 van de 69 pagina's
Voorbeeld 4 van de 69 pagina's
In winkelwagengesponsord bericht van onze partner
Voorbeeld van de inhoud
Low-Intensity Treatments for Common Mental DisordersLectures
Week 1
Lecture 1: Introduction & Motivational Interviewing
Lecture 2: Self Help & Problem-Solving Therapy
Week 2
Lecture 3: Low-Intensity Treatments in the context of Psycho-oncology
Week 3
Lecture 4: Low Intensity Behavioural Activation in Depression
Week 4
Lecture 5: Exposure Therapy
Lecture 6: Digital Interventions for Worrying
Week 5
Lecture 7: Low Intensity CBT for Insomnia
Week 6
Lecture 8: Low-Intensity Cognitive Restructuring
Week 7
Lecture 9: Low-Intensity Treatments in a Cross-cultural context
Practice Exam
Lecture 1: Introduction & Motivational Interviewing
Lecture 2: Self-help & Problem-Solving Therapy
Lecture 3: Low-intensity Treatments in Psychosocial Oncology
Lecture 4: Behavioral Activation
Lecture 5: Exposure Therapy
Lecture 6: Digital Interventions
Lecture 7: Sleep & Insomnia
Lecture 8: Cognitive Restructuring
Lecture 9: Global Mental Health & Cultural Adaptation
, Lectures
Week 1
Lecture 1: Introduction & Motivational Interviewing
Flynn HA (2011) = integration of motivational interviewing with cognitive behavioral therapy
in the treatment of depression
- Cognitive behavioral Therapy (CBT) is one of the most common
treatments for depression but many individuals do not fully respond
to treatment
- Aim: explore integration of Motivational Interviewing (MI) to
change CBT outcome
- MI: addressing motivation for treatment, addressing ambivalence &
adherence, readiness to change
- CBT: focused on changing maladaptive thoughts & behaviors
- Rationale: motivational interviewing targets the symptoms of
depression focusing on deficiencies in ambivalence & change
- Integration of MI as treatment-engagement intervention are
effective in substance abuse
- Possible benefits of integration of MI & CBT for depression
- Increased client engagement & motivation
- Improved treatment adherence
- Comprehensive & personal treatment planning
Low-intensity Treatments = lower doses of intervention, fewer or shorter sessions, groups
- Less contact with the therapist (involving self-help interventions)
- More self-direction of the client (higher accountability of the client)
- Modes of delivery: books, online, telephone
- Advantages: More flexible: time & pace, lower cost
- Less of a conventional therapist and more of a “coach”
- Require a different way of working with your patient
- Less guidance
- Often used for prevention & milder symptoms but also works for
severe problems
Content of interventions may not be different!
- Often based on Cognitive Behavioral Therapy (CBT) just delivered
differently
- Shorter duration with other tools
History
- Created in the UK to be more efficient
- It is also cheaper
- NOT because they are better or content related ONLY political &
economical reasons
Main characteristics
1. Efficiency: lower doses of the treatment, less & shorter sessions,
groups
2. Vehicles: use self-help materials for more efficiency
- Not using so much time of the therapist
3. Early access to services: in community, self-referral, prevention
- Less stigmatizing
Stepped care approach = beginning with less intense treatment and stepping up to more intense
1
, treatment
- Evaluate after each step!
- Good for the therapist & the client: More efficient, less stigmatizing
(accessible) & affordable
- Avoid giving treatment that is not needed
- UK: guidelines for treatment is stepped care
1. Primary care: Psychoeducation
2. Low-intensity treatment: Self-help
3. High-intensity treatment: face-to-face CBT
4. Multidisciplinary
5. Inpatient care
Used to close the treatment gap!
- Difference between people who have mental health problems and
those who seek & receive help
Application - Highest need in common mental health disorders such as anxiety &
depression
- Prevention
- Mild symptoms
- Have a broader use
Improving Access to Psychological Therapies (IAPT)
- Implemented in the UK by the NHS
- Delivering LIT for common mental health disorders in about 5 (face
to face) sessions
- Created a new profession: Psychological Wellbeing Practitioners
(PWP)
Cognitive Behavioural Suitable for low-intensity treatments
Therapy ● Proticalized
● Short and to the point
● Practical (with assignments, focused on the here and now)
Modes of Delivery - Self-help materials
- Group therapy
- Online Interventions
- Applications
- Games: good for children as well
- VR: good for exposure therapy
Quality: Always has a structure theory and rationale!
Criteria:
● Readable
● Unambiguous
● Engaging
● Appealing
● User-Friendly
Effectiveness = We are not sure if it works (when a therapist is involved it seems to be
effective) but how well & how much?
- Difficult to evaluate since people who do high intensity will have a
different severity
2
, No convincing evidence of…
● Number of sessions needed
● Difference between complex therapy
● Mode of delivery
● Therapist qualifications
Preference & expectations are most important!
Guided Self-Help vs Face to Face (2010 study)
- Minimal difference (favor between face-to-face and self-help
wavered)
- In 12-month follow up there was no difference
- No dropout difference
Motivational Interviewing = ‘Directive, client-centered, counseling style for eliciting behavior change
by helping clients to explore and resolve ambivalence’
- Take responsibility for your trajectory
Development
- Comes from addiction to motivate clients for behavioral change
- Aim: to increase adherence and clinical outcomes
- From addiction → lifestyle changes
- Not mainly used for anxiety, depression but used when
motivation is getting in the way of treatment
Motivational Interviewing in Practice:
1. Stand-alone treatment in addiction (not in a lot of others)
2. Use at the start for motivation for a different treatment (CBT)
3. Integrate into treatment when motivation is lacking
- Focus on MI when ambivalence or resistance is present
- Requires flexibility of interventions
Rationale:
- Education is not sufficient to investigate behavioral change
(psychoeducation is not enough)
- Moving from good intention → behavior change is a big step
- Ambivalence towards ‘new’ behavior competes and hinders the
implementation of intentions
- Ambivalence creates tension & discomfort leading to
negative affect (anxiety, avoidance, procrastination)
- Tool to resolve ambivalence
- Focus on intrinsic motivation for change
Without motivation, treatment becomes obsolete!
Components/Structure
3
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper ClaireJSmith. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €12,19. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 73314 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen