Best treatments for clinical disorders

  • Created by: brobs123
  • Created on: 02-05-18 22:37
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  • Clinical Psychology
    • Anxiety Disorders
      • Specific Phobias (SP)
        • Behavioural therapy best choice
          • Graded exposure therapy E.G. one-session treatment (OST) most effective
            • Cognitive therapy alone not helpful
      • Social Anxiety Disorder (SAD)
        • Group CBT most effective
          • Cognitive therapy alone unclear effectiveness
            • Behavioural therapy alone (graded exposure) may be useful but used more with SP's
      • Generalised Anxiety Disorder (GAD)
        • Cognitive-behavioural therapy (CBT) most common + effective
          • Most tricky anxiety disorder to treat
      • Panic Disorder (PD)
        • Panic control treatment (PCT) most effective
          • CBT also useful in conjunction with medication
      • Agoraphobia
        • If panic symptoms present, PCT effective
          • CBT also useful in conjunction with medication
    • Mood Disorders
      • Depression
        • CBT most effective in conjunction with medication (but can be as useful as medication for most depression)
          • Behavioural therapy alone not useful
            • Mindfulness-based cognitive therapy (MBCT) shows similar improvements to CBT on mood
              • CBT better for chronic depression
      • Bipolar Disorder
        • Biological treatment best
          • Mood stabilisers common but some only treat mania rather than depressive symptoms
    • Post-traumatic Stress Disorder (PTSD)
      • CBT highly effective
        • Cognitive therapy highly effective at symptom reduction
          • Emotional processing promising cognitive therapy with focus on emotions
            • Behavioural therapy (exposure) can be used for conditioned responses
    • Psychotic Disorders
      • Schizophrenia
        • Atypical Antipsychotics best medication (usually essential and can be used in conjunction with psychological therapy)
          • CBT often dismissed but good evidence
            • Behavioural therapies good for neg symptoms
              • Cognitive therapy can help adapt thinking about symptoms to help cope with reality
    • Obsessive-compulsive Disorder (OCD)
      • CBT effective for mild-moderate (as effective as medication)
        • Exposure and response prevention (ERP) also effective
          • CBT combined with ERP is most efficient
    • Personality Disorders
      • Dialectical behaviour therapy (DBT) most effective
        • Evidence to support mentalisation based therapy (MBT) better effectiveness than CBT
          • MBT = psychodynamic + attachment based
        • DBT = skills focused psyc intervention (acceptance and change skills)

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