Summary of psychotherapeutic approaches for ABI

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9 Terms

1
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Nature of psych. distress post-ABI (1)

  • Broader emotional dysregulation rather than single psychiatric diagnosis


2
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Framework for understanding psych. changes (1→4)

Biopsychosocial

  • Neurobio.: fronto-limbic

  • Pre-injury vulnerabilities

  • Precipitating stressors

  • Contextual + social support


3
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CBT: traditional vs third wave

  • Traditional: logically challenge maladaptive schemas/unhelpful thought cycles

  • Third wave: change relationship to challenging mental events rather than challenge the content itself


4
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Third wave therapies (5)

  • ACT

  • MBCT

  • DBT

  • CFT

  • PPT


5
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ACT: assumption, model (1→1), target population + why

  • Suffering arises from experiential avoidance


  • ACT hexaflex

  1. Acceptance

  2. Cognitive defusion

  3. Present moment

  4. Self as transcendent

  5. Values

  6. Actions


  • Cognitive impairments → value-based actions rather than complex abstract verbal reasoning


6
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CFT: model (1→3), application (1→1), target population

  • Three circles model of affect regulation

    • Threat system: protection, sympathetic

      • Overactive post-ABI

    • Achievement/drive system: goal + resource oriented

    • Soothing/affiliative system: safety, parasympathetic

      • Underactive post-ABI


  • Use CMT to address imbalance

    • Mindfulness techniques + self-compassion → parasympathetic


  • Reduce shame + self-criticism post-ABI


7
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PPT: distinction from other therapies, mode (1→5), techniques (3), effects (3)

  • Facilitate human flourishing rather than reduce psychological distress


  • PERMA

    • Positive emotion

    • Engagement

    • Relationships

    • Meaning

    • Achievement


  • 3 good things

  • Use strengths within limitations

  • Gift of time


  • Restore purpose, engagement + wellbeing


8
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Y-shaped model (5)

  • Aspired vs current self

  • Will continue in cycle of aspiration + avoidance if cycle isn’t broken

  • Safely explore possibilities in therapy

  • Build skills, self-efficacy → move beyond threat of discrepancy

  • Progressively explore new ways of being to reconnect w self + others


9
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Use of Y-shaped model?

  • Addressing identity discrepancies post-ABI