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What is the difference between a psychologist and a psychiatrist?
Clinical psychologists complete a minimum of six or seven years
of university-level study, and have expertise in the area of
human behaviour. Although clinical psychologists frequently have
doctoral degrees and are referred to as “doctor”, they do not
have medical degrees, and are not able to prescribe medications.
Rather, psychologists assess clients and then use scientifically
supported therapies (for example, Cognitive Behavioural Therapy)
in working with clients to achieve their goals, improve their
quality of life, and function more healthily and effectively on
a day-to-day basis. Psychologists, therefore, help clients with
a wide range of problems, including changing behaviours (e.g.,
smoking, problems with eating or motivation), managing stress,
and clinical diagnoses, such as depression and anxiety.
Psychiatrists, on the other hand, study for six years to obtain
a general medical degree, and then complete further study to
gain additional qualifications in the area of mental health.
They may prescribe medication and use therapy-based strategies
to treat mental health problems. Psychologists and psychiatrists
often work together. Some psychiatrists focus primarily on
medication, and refer clients to psychologists for non-medical
therapy (e.g., cognitive behavioural therapy).
What is CBT?
CBT or “Cognitive Behavioural Therapy” is a form of therapy that
helps clients to identify and change unhelpful actions (behaviours)
and thinking patterns (cognitions). CBT focuses on your present
thoughts and behaviours and how they affect how you feel.
What
types of problems can be addressed with CBT?
Numerous research studies over many years have supported the
effectiveness of CBT, and for some problems (e.g.,depression),
CBT has been shown to be as effective as anti-depressant
medications in minimising and treating symptoms. This type of
therapy is helpful for people experiencing a wide range of
difficulties and with all age groups (children, adolescents,
adults, and older adults). The types of problems CBT addresses
include anxiety (including panic, phobias, generalised anxiety
and obsessive compulsive disorder), depression, stress, anger
management, low self-esteem, adjustment difficulties, managing
and coping with the effects of health problems (e.g., fatigue,
pain), eating disorders (e.g., bulimia), post-traumatic stress
disorder, and bipolar disorder.
What will the treatment process be like with CBT?
CBT requires a comprehensive assessment where a psychologist
will find out what is going on for you and what is contributing
to and maintaining those issues. Your psychologist will develop
a treatment plan for you, which will require you to work with
your therapist as an active participant in your therapy. You
will also be required to practice strategies provided by your
therapist between sessions (“homework”). This may include
completing forms, practising strategies that you have learned in
sessions (e.g., breathing and relaxation techniques), and
performing actions (for example, doing things that increase or
decrease behaviours). Your therapist will work with you to
identify unhelpful thoughts and behaviours that may be
contributing to your difficulties, and to replace these with
more realistic, effective thoughts and behaviours.
CBT aims not only to help you with your current problems, but to
provide you with the skills to be able to reduce the likelihood
that you will experience similar problems in the future.
What is Schema Therapy?
Schema Therapy is essentially a combination of specific aspects
of a range of therapies, including cognitive, behavioural,
experiential, interpersonal and psychoanalytic therapies. The
aim of Schema Therapy is to examine a client’s history so that
core unmet needs from childhood can be identified.
Identification of these unmet needs helps to determine unhealthy
beliefs (schemas) that are impacting on a client’s present life.
What types of problems can be addressed with Schema Therapy?
Research shows that Schema Therapy is most effective for people
who have had lifelong patterns of difficulties, or for whom
standard therapies, such as Cognitive Behavioural Therapy, do
not result in sufficient improvement. This type of therapy has
been shown to be helpful for both individuals and couples
experiencing chronic depression, interpersonal difficulties, and
other long-standing psychological issues.
What will the treatment process be like with Schema Therapy?
Schema Therapy comprises three stages. In the first stage of
therapy, your therapist will conduct a thorough assessment aimed
at identifying your schemas. You may be requested to complete
questionnaires and to engage in experiential techniques (for
example, imagery). In the second stage of therapy, the emotional
awareness and experiential phase, your therapist will help you
to get in touch with these schemas and learn how to become more
aware of them when they are impacting on your everyday life. In
the third and final stage of therapy, the behavioural change
stage, your therapist will guide you in replacing negative,
habitual thoughts and behaviours with alternative thoughts and
behaviours that are more likely to work better for you and
improve your day-to-day life.
What is ACT?
Acceptance and Commitment Therapy (ACT) is a mindfulness-based
form of Cognitive Behavioural therapy. The overarching aim of
ACT is to help you to achieve two main goals: (1) to effectively
handle painful thoughts and feelings, and (2) to create a rich,
full and meaningful life. The ACT approach suggests that our
attempts to control, limit, or push away inner experiences cause
emotional suffering, by way of constricting our lives and
disconnecting us from what we value most.
What types of problems can be addressed with ACT?
Research evidence to date has shown that ACT can assist people
with a range of psychological problems, including depression,
anxiety (including obsessive compulsive disorder and
posttraumatic stress disorder), stress, pain, eating disorders,
addictions, and psychosis. ACT has been shown to be effective
for individuals and couples, as well as in group therapy.
What will the treatment process be like with ACT?
ACT requires a comprehensive assessment where a psychologist
will find out what is going on for you and what is contributing
to and maintaining those issues. Your psychologist will develop
a treatment plan for you, which could involve you working with
your therapist as an active participant in your therapy. You
might practice techniques between sessions (“homework”),
involving, for example, mindfulness strategies that improve your
present moment awareness, and/or complete work sheets to clarify
your personal life values.
Over the course of therapy, your therapist will take you through
the as many of the six principles of ACT that are warranted, so
that you can learn skills to help you to accept and experience
uncomfortable emotions, to distance yourself from unhelpful
thoughts, and to connect with the present moment in order to
achieve your goals and to live by your chosen values. This could
involve engaging in experiential and verbal techniques aimed at
targeting avoidance of emotions, both with your therapist during
sessions and as homework between sessions.
What is Triple P?
The Triple P- Positive Parenting Program is about teaching
parents a range of parenting techniques that increase parental
competence and are helpful in managing child behavioural
problems. The program increases the knowledge, skills and
confidence of parents, and may not only assist parents with
current difficulties, but also prevent children from developing
some problems, such as severe behavioural, emotional and
developmental problems. The design of the Triple P program
allows treatment to be tailored to the needs of individual
families.
What types of problems can be addressed with Triple P?
Triple P has been shown to be effective in helping parents to
manage a wide range of problems experienced by preschool, and
primary school children, including aggression, fears,
nightmares, bed-wetting, bullying, and low self-esteem. This
type of therapy has also assisted parents of teenagers with
issues such as dating, peer relationships, depression, and
anxiety. Parents managing difficulties associated with Attention
Deficit Hyperactivity Disorder, Asperger’s Syndrome and Downs
Syndrome, have also found strategies provided within the Triple
P framework to be helpful for themselves and their children.
The Triple P program also comprises a range of strategies to
assist parents coping with marital conflict, separation,
depression, anxiety, and stress.
What will the treatment process be like with Triple P?
At the commencement of the program, your therapist will conduct
a thorough assessment of aspects of your child’s functioning,
which may require you to complete forms between sessions. Your
therapist will also consider aspects of your functioning and
parenting style that may impact on your parenting, which may
require you to complete questionnaires. Your therapist will then
formulate a treatment plan, and work with you on strategies to
appropriately address difficulties that you are experiencing
with parenting your child. Your therapist will help you tailor
these strategies to your fmily and may role-play these
strategies with you in sessions. You will be required to use
these techniques with your child in between sessions. Your
therapist will also work with you at each session to address any
difficulties you have in successfully implementing strategies
with your child.
The Triple P program aims not only to assist you with current
parenting difficulties, but to provide you with a range of
strategies that you will be able to generalise to a variety of
problems that may arise as your child moves through
developmental stages.
Emotion-Focused Therapy
Emotion-Focused Therapy is a type of therapy aimed at promoting healthy emotion regulation. Emotions are a valuable information system, however with traumatic experiences this system can become altered. Many people who enter therapy experience either heightened emotions (e.g., excessive anxiety, guilt, or shame) and/or suppression of others (e.g., healthy assertion, joy).
Emotion-focused therapy is based on emotion theory and attachment theory, and can help clients to:
• Differentiate between different emotion states.
• Regulate maladaptive emotions and increase adaptive emotion states.
• Use emotions as a guide.
• Allow for greater levels of emotional intimacy in relationships.
• Overcome traumatic experiences, particularly childhood experiences of abuse, trauma or neglect.
Psychodynamic Psychotherapy
Psychodynamic psychotherapy encompasses a range of different therapy approaches where the focus is on understanding and becoming aware of thoughts and feelings that were previously outside the person’s conscious, in order to provide relief from emotional pain. Much of the work is focused on how childhood experiences affect us as adults, in particular the development of self esteem, coping skills and patterns of interpersonal relating. It is generally a longer-term therapy approach which focuses on character and personality change as well as symptom relief. Psychodynamic psychotherapy may provide clients with:
• A sense of support and understanding for distressing issues.
• A greater understanding of how their own internal dynamics affect mood, behaviour and relationships.
• More choices and options for problem-solving and coping.
• An opportunity to work through and process distressing memories from childhood.
• A sense of self cohesion, identity and greater self esteem.
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