A quick overview of best practice treatments for mental disorders. Great for personal study, as flashcards, for study for the NCMHCE or similar exams, or as a presentation.

2.  Ethnicity
 Culture
 Empathy
 Congruence
 Positive Regard

3.  Danger of client
 Severity of symptoms
 Objectives of treatment
 Cost
 Least restrictive
environment
 Sufficient resources
Levels of Care
 Hospitalization
 Partial hospitalization
 Day treatment
(outpatient therapy)

4. Examples:
 Crisis intervention
 Safety
 Alleviation of symptoms
 Self growth
 Recovery

6.  Depression
 Anxiety
 Alcohol misuse
 Personality disorders
 Interpersonal relationship problems
 Coping with cancer
 Trauma

7.  OCD
 conduct disorder
 ODD
 Some sleep disorders
 Anxiety
 Mood disorders
For people motivated to
change and follow
through with homework
assignments, and
supportive people to help
them

8.  Motivated to change,
 Committed to therapy
 Psychologically minded
 Smart
 Good verbal skills
 Flexible and mature
defenses
 Have a focal issue
 Had one meaningful
relationship in their
childhood
Not for:
 Severe Personality
Disorders
 Severe Depression
 Psychosis

10. Treatment:
 Long term individual
psychotherapy
 Cognitive-behavioral
Therapy
 Group therapy can be
helpful (feedback)
Assessment
instrument:

11. Treatment:
 Psychoanalytic (anger,
envy, self-sufficiency)
 Cognitive-Behavioral
Assessment
instrument:

12. Treatment:
 Individual therapy, with
a structured and active
approach
 Reality based approach
 Anger management
 Substance use disorders
 Social skills training
Assessment
instrument:
DysfunctionalThought
Record (active log)

13. Assessments:
 Cambridge Depersonalization Scale
 Structured Clinical Interview for
Depersonalization and Derealization Spectrum

14. Treatment:
 Group therapy better than
individual therapy
 Dialectical BehaviorTherapy
 Mentalization-based
Therapy
 Transference-focused
Therapy
 Schema-focusedCBT
 Supportive psychotherapy
 STEPP group therapy
Assessment instrument:

15. Treatment:
 Individual therapy, with
a structured and active
approach
 Reality based approach
 Anger management
 Substance use disorders
 Social skills training
Assessment
instrument:

16. Treatment:
 Supportive, lengthy and
slow
 CognitiveTherapy
 behavior therapy for
speech patterns
Assessment
instrument:

17. Treatment:
 Schema therapy
 Behavioral techniques
such as social and
communication skills
Assessment
instrument:

18. Treatment:
 individualized
treatment preferred
 not good candidates
for group therapy
 Not cognitive therapy
Assessment
instrument:
 Millon Clinical
Multiaxial Inventory
 MMPI
 Structured Clinical
Interview

19. 1. Check for metabolic problem
2. Check for a worsening, chronic
physical disorder such as a
cardiovascular or respiratory problem
3. Check for prescription drug effects
4. Check for which cognitive
impairments
Treatment:
 Psychotherapy
 Medication (slow the process)
 Shelter from excessive stimulation
and surround with familiar things
 Psychoeducation
Assessment instrument:
 Delirium Symptom
Interview (DSI)
 Confusion
Assessment Method
(CAM)
 Mental Status
Examination and
Neurology

20. Treatment: Assessment instrument:
 Anxiety Disorders
Interview Schedule
(ADIS-IV-L)

21. Treatment:
 Behavioral treatment
 Relaxation therapy,
including progressive
relaxation
 Biofeedback
 Cognitive thought
stopping
Assessment
instrument:
 Yale-Brown
Obsessive
Compulsive Scale (Y-
BOCS)
 Obsessive-
Compulsive
Inventory-Revised

22. Treatment:
 Medication
 Group therapy
 Sex Addicts
Anonymous 12 Step
program
 Sexual Compulsives
Anonymous
 Sex and Love Addicts
Assessment instrument:
 The Sexual Interest and Desire
Inventory-Female (SIDI-F)
 The Sexual Opinion Survey
(SOS)
 Sexual Dysfunction Scale
 Sexual Desire Inventory
 Early Sexual Experiences
Checklist used to detect
unwanted sexual experiences
before age 16
 Interview for Sexual
Functioning (DISF)

23. Treatment: Assessment instrument:
 Rapid Alcohol Problems
Screen (RAPS4)
 Michigan Alcoholism
ScreeningTest (MAST)
 CAGE (Screening for
Alcohol Abuse)
 Alcohol Use Disorders
IdentificationTest (AUDIT)

24. Treatment:
 Manual based CBT
Assessment
instrument:

25. Therapy:
 Interpersonal and Social
RhythmTherapy (IPSRT)
 Family FocusedTherapy
(FFT)
 Cognitive Behavioral
Therapy
Also
 Career counseling
 Interpersonal skill
 Group counseling
Assessment:
 Family history

26. Therapy:
 Cognitive-behavioral
 interpersonal therapy
 social skills training
 Assertiveness
 decision-making skill-
building
Instrument:
 Beck Depression
Inventory
 Steen Happiness Index

27. Treatment:
 (SIB) Behavior
modification is
treatment of choice (for
self-injury)
 ParentTraining,
 Community Based
Treatment
 Individual
Psychotherapy
Assessment instrument:
 Weschler's and
Standford-Binet's
Intelligence tests

28. Treatment:
 Behavioral therapy,
although no best treatment
 FloorTechnique
 Pervasive Development
Pivotal ResponseTraining
(PRI)
 Group therapy
 Social skills training,
 Psychoeducation
Assessment instrument:
 Childhood Autism Rating
Scale
 The Social Communication
Questionnaire
 Taylor and Jasper’s Social
Skills Inventory (eye
contact, empathy,
answering social questions,
etc)

29. Treatment:
 Stimulant Medications
 ParentTraining
 Counseling
 BehavioralTargeted
Classroom Intervention
 Social Skills
Assessment instrument:
 Achenbach Child Behavior
Checklist
 Behavior Assessment
System for Children, 2nd
edition
 Conners’Teacher Rating
Scales-Revised

30. Treatment:
 Problem-Solving Skill
(PSST)
 Dysregulation
 Impulsivity
 Social Skills, Anger
Management
 Parent Management
Assessment
instrument:
 Achenbach Child
Behavior Checklist
 Behavior Assessment
System for Children,
2nd edition
 Conners’Teacher
Rating Scales-
Revised

31. Treatment:
 Problem-solving Skills
Training (PSST)
 Cognitive Behavioral
Therapy
 IndividualTherapy
Assessment instrument:
 Achenbach Child
Behavior Checklist
 Behavior Assessment
System for Children,
2nd edition
 Conners’Teacher
Rating Scales-Revised

32. Treatment:
 Cognitive-Behavioral
most effective
 Exposure therapy
useful, Coping Cat
model (manual)
Assessment instrument:
 Child’s Depression
Inventory (ages 7-17

33. Treatment:
 CBT
 InterpersonalTherapy
 Combination Family Focused
and CBT
 Psychoeducation
 DBT has some support
For children, Instruments used:
Assessment instrument:
 Child’s Depression
Inventory (ages 7-17),
 TheWashington University
Schedule forAffective
Disorders and
Schizophrenia
(for school age children)
 Young Mania Rating Scale
(YMRS) (distinguishes
between
bipolar and other
disorders)

34. Treatment:
 CBT
 Emotion Focused
Cognitive-behavioral,
 Trauma Focused CBT
(sexually abused
children)
Assessment instrument:
 Trauma Symptom
Checklist for Children,
 Beck Anxiety Inventory

35. Treatment:
 Prolonged ExposureTherapy is
best
 Cognitive ProcessingTherapy
(CPT) for sexual assault
 Anxiety ManagementTraining
Also
 EMDR
 Group and family therapy
 Stress InoculationTraining
Assessment instrument:
 Beck Anxiety Inventory
 The Clinician-
Administered PTSD
Scale (CAPS)
 PTSD Checklist
 DAP

36. Treatment:
 No best practice
 Crisis-intervention
model, relieving acute
symptoms
 Brief psychodynamic
psychotherapy
Assessment instrument:
 None specific

37. Treatment:
 CBT
 Interpersonal
Psychotherapy (best
for low level of social
functioning)
 Mindfulness Practice
 Exercise
Assessment instrument:
 Beck Depression
Inventory
 Hamilton Rating Scale
 SCID

38. Treatment:
 Medication First
 Family Focused Psycho-
educationalTreatment,
 InterpersonalTherapy (IPT)
 Cognitive-BehavioralTherapy
 GroupTherapy during
recovery
Also
 Day treatment
 group therapy
 self-help groups
Assessment
instrument:
 Beck Depression
Inventory
 Hamilton Rating
Scale
 SCID

39. Treatment:
 Cognitive-behavioral
therapy
 Exposure therapy
 Acceptance-Based
therapy (interoceptive)
 Exposure
 Mindfulness meditation
 SIT
 DBT
 ACT
Assessment
instrument:
 Beck Anxiety
Inventory
 Anxiety Disorders
Interview Schedule

40. Treatment:
 Cognitive-Behavioral
therapy is best
 Panic ControlTherapy
(PCT)
Also
 ACT
 SFIT
 FamilyTherapy
 GroupTherapy
 Graduated and Pacing
Exposure
Assessment instrument:
 ADVIS (Brown et
al.,1994) measures
avoidance, severity of
panic and panic related
symptoms

41. Treatment:
 Exposure-based are
best
 May include exposure
as relaxation training,
breathing retraining
and paradoxical
intention
Assessment instrument:
 Beck Anxiety
Inventory, for
differences in phobias
and delusional fears

43.  Combination of cognitive restructuring with training
in verbal self-instruction and behavioral self-
management techniques
 Clients apply these skills to a series of increasingly
stressful situations as therapy progresses

44. Interpersonal
Psychotherapy is
effective treatment for :
 Depression
 Bipolar disorder
 Bulimia nervosa
 post-partum
depression
 Major depressive
disorder
 Cyclothymia
 Various other disorder
 Focuses on
relationships
 Time-limited
 Employs homework,
structured interviews,
and assessment tools
 Related to CBT