Mental health articles

OF mental health care and mentally ill

mental health care

Matching treatment of anorexia nervosa to need and acceptability

In spite of what we know about the effectiveness of treatments for eating disorders overall, there remain many questions of what is cost effective and/or acceptable for individual patients. The broad clinical presentation of anorexia nervosa over age and severity, and the paucity of evidence, means that there is great uncertainty whether any of the […]

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Manipulation of safety behaviours in panic disorder

Safety behaviours are the acts that people carry out which are designed to prevent a feared catastrophe or outcome. The client may also see them as things that help them cope in a situation. Salkovskis et al. conducted a survey of the types of safety behaviours people employed. Examples of safety behaviours in panic disorder […]

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Exposure to feared stimuli in panic disorder

Exposure may be practised as detailed above. However, in cognitive therapy exposure is used in the context of helping to modify thoughts and beliefs. For example, in panic disorder with agoraphobia a client may be asked to enter an avoided situation and remain until anxiety has reduced by 50 per cent. The therapist’s focus at […]

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Verbal discussion techniques of generalized anxiety disorder

Verbal discussion techniques of generalized anxiety disorder Verbal techniques are central to the practice of cognitive therapy and involve questioning, Socratic dialogue and guided discovery. Socratic dialogue (or Socratic questioning) is a method of questioning derived from Plato’s accounts of the Greek philosopher Socrates’ style of discussion when helping people understand philosophical points. Guided discovery […]

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Practice of therapy of generalized anxiety disorder

In a review, Clark has identified the active ingredients of cognitive therapy for anxiety disorders as: education, verbal discussion techniques, imagery modification, attentional manipulation, exposure to feared stimuli, manipulation of safety behaviours and other behavioural experiments. These therapeutic activities are directly used to address distorted thoughts and beliefs. For more detailed descriptions of the principles […]

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How to conduct exposure therapy

How to conduct exposure therapy Prior to conducting an exposure programme it is important that the client understands what is involved and the reasons for treatment. At this stage it is often useful to use examples from the client’s own life experience to illustrate the principle that ‘the more you do something the easier it […]

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principles of conducting exposure-based therapy

principles of conducting exposure-based therapy Implementing exposure Marks summarized the key principles of conducting exposure-based therapy as: live exposure is preferable to ‘fantasy exposure’, although the latter could be used ‘when the real stimuli evoking fear are not readily accessible for live exposure’. Self-exposure (or self-directed exposure) is, generally, of equivalent value to therapist-aided exposure; […]

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Exposure-based treatments of generalized anxiety disorder

Exposure-based treatments of generalized anxiety disorder Purpose of exposure The purpose of exposure-based treatments is to produce a reduction or removal of the anxiety response in the presence of the formerly anxiety evoking stimulus, situation or thought. As such, the goal of therapy is to produce habituation of the anxiety response. Habituation is a general […]

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Treatment efficacy: panic disorder

Treatment efficacy: panic disorder Unfortunately, neither The NHS Centre for Reviews and Dissemination nor the Cochrane Database of Systematic Reviews  databases have examined panic disorder whether it is with or without agoraphobia. However, the NHS Centre for Reviews and Dissemination has published a review of the efficacy and cognitive processes of cognitive behaviour therapy in […]

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Hypochondriasis Treatment Options

There are only a handful of treatment studies of hypochondriasis. The treatment outcome depends very much on the type of hypochondriasis. Treatment for a disease phobia can be easily implemented with a behavioral package (e.g., flooding, implosion, and thought stopping), but a strict behavioral approach will be less successful with monosymptomatic hypochondriasis. Kellner  reported improvement […]

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