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Clinical Psychology II - Therapies

The Big Picture

• Anxiety Disorders• Cognitive Behaviour Therapies and

Phobias• Mood Disorders• Medication and Therapy

• Schizophrenia• Medication Therapy

• Evaluating Therapies• Is therapy effective?• If so, what makes it effective?

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Anxiety Disorders

• Phobias - usually treated with cognitive therapy

• More serious anxiety disorders (agoraphobia, social phobia, obsessive compulsive disorder) usually treated with a combination of drug therapy and cognitive therapy.

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Systematic Desensitization

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Mood Disorders

• Major Depressive Disorders - usually treated with both medication and cognitive therapy.

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Depression and Cognitive Behaviour Therapy

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Mood Disorders

• Major Depression in severe cases that do not respond to medication and cognitive therapy is sometimes treated with Electro-Convulsive Therapy (ECT).

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Mood Disorders

• Major Depression is severe cases that do not respond to medication and cognitive therapy is sometimes treated with Electro-Convulsive Therapy (ECT).

• Bipolar Disorder - usually treated primarily with medication.

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Schizophrenia

• Schizophrenia - usually treated primarily with medication.

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Schizophrenia

• Schizophrenia - usually treated primarily with medication.

• Both bipolar disorder and schizophrenia often include group therapy. This often allows people to deal with the stigma of mental illness.

• On Being Sane in Insane Places - A study of how being perceived as insane colours other people’s perception of you.

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Evaluating Psychotherapies

• Problems in interpreting effectiveness of therapy• Should we take the patients word?• How about the therapists?• What about spontaneous remission

and regression to the mean?• Is Psychotherapy effective?• Are some therapies better than others?• Does training and experience matter?

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Effectiveness of Therapy

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Focus on University of Waterloo Research (Dr. Johnathan Oakman) on Therapy Effectiveness

• Social Phobias• All clients received medication• Three conditions• Guided self-help• Cognitive behaviour therapy• Cognitive behaviour therapy with

Technology• At this point it looks like all three are

effective, but equally so