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SUBMITTED BY
MR.A.SURESH B.SC(N)
STAFF NURSE(PSY-WARD)
SRM MEDICAL COLLEGE HOSPITAL &
RESEARCH CENTRE
 Behavioral therapy is an umbrella term for types of
therapy that treat mental health disorders. This form
of therapy seeks to identify and help change
potentially self-destructive or unhealthy behaviors. ...
The focus of treatment is often on current problems
and how to change them
 Theory of Classical conditioning: involves learning
by association and is usually the cause of most
phobias.(dog -food-bell-salivation)
 • Theory of Operant conditioning: involves learning
by reinforcement (e.g. rewards) and punishment, and
can explain abnormal behavior should as eating
disorders.(rat-shock-)
• obsessive-compulsive disorder (OCD)
 • post-traumatic stress disorder (PTSD)
• depression
• social phobia
• bipolar disorder
 • schizophrenia
• autism
 • personality disorders
• substance abuse
• eating disorders
 1.Behavioral modification
 2.Systematic desensitization
 3.Aversion therapy
 4.Assertiveness training
 5.Cognitive behavior therapy
 6.Implosive (flooding) therapy
 7.Positive reinforcement
 a.Response shaping
 b.Modelling
 c.Token economy
 It is also called “simple Extinction.”
 Learned behavior pattern becomes a waste or
disappears if it is not reinforced.
 To eliminated a maladaptive behavior one has to
remove the reinforcement for it.
 It is effective when reinforcement is being used
without the knowledge of the affected individual
 For Example;
 Every time sonu, a nine year old girl bites her nails, her
mother gives her an angry look. Sonu understand the
mother anger & tries not to repeat the bad habit. A
maladaptive behavior is gradually removed. Mother
anger is a punishment for sonu.
 Reward are also provide to reduce the maladaptive
learning. Rishu, 11 year old boy, is told that if he studies
one hour regularly on his own in class VI he could be
allowed to buy a crocket set of his choice
 it is a form of behavior therapy developed by Joseph Wolpe.
 The objective of the therapy is to reduce or elimination fear
or anxiety in which;
 I.The patient is trained in deep muscles relaxation.
 II.He has various anxiety-provoking situation or specific
phobia, such as fear of death, fear of animals. These
problems are placed from the strongest to the weakest
order i.e. the client is anxious about which one is causing
anxiety the least.
 Each of these situations is presented in imagination or in
reality beginning with the weakest. Once the patient
relaxes while imagining, that means the anxiety is getting
reduced gradually
 For Example; A child is having fear of crossing the road.
For a few days the mother can take the child to the road &
just stand & talk about other thing. The child keeps
observing people crossing the road. Than after 2-3 days
mother & child cross the road while they are talking. This
may reduce the anxiety in a child as he is allowed to cross
the road in a relaxed manner. Therapy is very useful for
patient who have developed certain fears specially to
domestic animals like dog.
 It is a form of behavior therapy in which the patient is
conditioned to avoid an undesirable behavior or symptoms
by associating them with painful or unpleasant
experiences, such as putting a bitter taste on nails or
tongue for nail biting, giving drug like apormorphinewhich
cause nausea & vomiting on taking alcohol or an electric
shock to treat a child with enuresis.
 Aversion therapy has been used for alcoholism,
transvestism, compulsive unacceptable social behavior like
homosexuality & other sexual deviation.
 Typically, 20-40 session are given, with each session lasting
about 1 hour. After completion of treatment, booster
session may be given.
 It is a behavior therapy techniques in which the patient is given
training to bring about changes in emotional & other behavioral
pattern by asserting himself.
 One is encouraged not to be afraid of showing an appropriate
response, negative or positive, to an idea or suggestion.
 The assertive behavior training is given by the therapist first by
role playing & then by practice in a real life situation
 Attention is focus on more effective interpersonal-skill.
 The most techniques used in assertiveness training is behavioral
rehearsal, in which the patient act out problematic interpersonal
interactions with the nurse or therapist. After this role-playing
specific maladaptive behavior are identified & the client
behavior can be adapted.
 This training can be used for client with bulimia nervosa & major
depression, mentally healthy & mentally ill persons
 It is a psychotherapeutic approach based on the idea
that emotional problems in an individual arise due to
faulty ways of thinking & distorted attitude towards
oneself & others.
 The therapist takes the role of a guide who helps the
patient to correct & revise his perceptions & thoughts.
 This helps the patient to change his thoughts, feelings
& behavior about himself.
 Cognitive behavior therapy is considered effective in
the treatment of depression & adjustment difficulties.
 It is a behavior therapy techniques opposite to systematic
desensitization, no prior relaxation techniques are taught
to the patient.
 In this therapy, an individual is exposed directly to a
maximum intensity fear-producing situation either in
imagination or in real life. The patient gradually feels no
actual danger in the situation.
 For Examples; He has developed intense phobia of a
lizard. During psychotherapy session suddenly the
therapist puts a rubberized lizard on the table. For a
minute the patient may get scared but gradually may start
handling a rubberized lizard while taking.
 It is a stimulus or stimulus situation which is given to a
patient or individual after the response.
 When the stimulus is given after the response it is on
the basis that the strength of the response is increased
& that the response will appear again.
 Examples;as soon as the infants gets up & walks, the
mother claps & gives the infant a piece of chocolate to
enjoy.
 DEFINITION:-
 Principles of Behavior Therapy
 Indications of Behavior therapy
 BEHAVIOR THERAPY TECHNIQUES
 Agras, W. S., B. T. Walsh, C. G. Fairburn, G. T. Wilson,
and H. C. Kraemer. 2000. A multicenter comparison of
cognitive-behavioral therapy and interpersonal
psychotherapy for bulimia nervosa. Archives of
General Psychiatry 57.5: 459–466.
 Hofmann, S. G., A. Asnaani, I. J. J. Vonk, A. T. Sawyer,
and A. Fang. 2012. The efficacy of cognitive behavioral
therapy: A review of meta-analyses. Cognitive Therapy
and Research 36.5: 427–440.
Behavior Therapy Techniques for Mental Health Disorders
Behavior Therapy Techniques for Mental Health Disorders

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Behavior Therapy Techniques for Mental Health Disorders

  • 1. SUBMITTED BY MR.A.SURESH B.SC(N) STAFF NURSE(PSY-WARD) SRM MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE
  • 2.  Behavioral therapy is an umbrella term for types of therapy that treat mental health disorders. This form of therapy seeks to identify and help change potentially self-destructive or unhealthy behaviors. ... The focus of treatment is often on current problems and how to change them
  • 3.  Theory of Classical conditioning: involves learning by association and is usually the cause of most phobias.(dog -food-bell-salivation)  • Theory of Operant conditioning: involves learning by reinforcement (e.g. rewards) and punishment, and can explain abnormal behavior should as eating disorders.(rat-shock-)
  • 4.
  • 5.
  • 6. • obsessive-compulsive disorder (OCD)  • post-traumatic stress disorder (PTSD) • depression • social phobia • bipolar disorder  • schizophrenia • autism  • personality disorders • substance abuse • eating disorders
  • 7.  1.Behavioral modification  2.Systematic desensitization  3.Aversion therapy  4.Assertiveness training  5.Cognitive behavior therapy  6.Implosive (flooding) therapy  7.Positive reinforcement  a.Response shaping  b.Modelling  c.Token economy
  • 8.  It is also called “simple Extinction.”  Learned behavior pattern becomes a waste or disappears if it is not reinforced.  To eliminated a maladaptive behavior one has to remove the reinforcement for it.  It is effective when reinforcement is being used without the knowledge of the affected individual
  • 9.  For Example;  Every time sonu, a nine year old girl bites her nails, her mother gives her an angry look. Sonu understand the mother anger & tries not to repeat the bad habit. A maladaptive behavior is gradually removed. Mother anger is a punishment for sonu.
  • 10.  Reward are also provide to reduce the maladaptive learning. Rishu, 11 year old boy, is told that if he studies one hour regularly on his own in class VI he could be allowed to buy a crocket set of his choice
  • 11.  it is a form of behavior therapy developed by Joseph Wolpe.  The objective of the therapy is to reduce or elimination fear or anxiety in which;  I.The patient is trained in deep muscles relaxation.  II.He has various anxiety-provoking situation or specific phobia, such as fear of death, fear of animals. These problems are placed from the strongest to the weakest order i.e. the client is anxious about which one is causing anxiety the least.  Each of these situations is presented in imagination or in reality beginning with the weakest. Once the patient relaxes while imagining, that means the anxiety is getting reduced gradually
  • 12.  For Example; A child is having fear of crossing the road. For a few days the mother can take the child to the road & just stand & talk about other thing. The child keeps observing people crossing the road. Than after 2-3 days mother & child cross the road while they are talking. This may reduce the anxiety in a child as he is allowed to cross the road in a relaxed manner. Therapy is very useful for patient who have developed certain fears specially to domestic animals like dog.
  • 13.  It is a form of behavior therapy in which the patient is conditioned to avoid an undesirable behavior or symptoms by associating them with painful or unpleasant experiences, such as putting a bitter taste on nails or tongue for nail biting, giving drug like apormorphinewhich cause nausea & vomiting on taking alcohol or an electric shock to treat a child with enuresis.  Aversion therapy has been used for alcoholism, transvestism, compulsive unacceptable social behavior like homosexuality & other sexual deviation.  Typically, 20-40 session are given, with each session lasting about 1 hour. After completion of treatment, booster session may be given.
  • 14.  It is a behavior therapy techniques in which the patient is given training to bring about changes in emotional & other behavioral pattern by asserting himself.  One is encouraged not to be afraid of showing an appropriate response, negative or positive, to an idea or suggestion.  The assertive behavior training is given by the therapist first by role playing & then by practice in a real life situation  Attention is focus on more effective interpersonal-skill.  The most techniques used in assertiveness training is behavioral rehearsal, in which the patient act out problematic interpersonal interactions with the nurse or therapist. After this role-playing specific maladaptive behavior are identified & the client behavior can be adapted.  This training can be used for client with bulimia nervosa & major depression, mentally healthy & mentally ill persons
  • 15.  It is a psychotherapeutic approach based on the idea that emotional problems in an individual arise due to faulty ways of thinking & distorted attitude towards oneself & others.  The therapist takes the role of a guide who helps the patient to correct & revise his perceptions & thoughts.  This helps the patient to change his thoughts, feelings & behavior about himself.  Cognitive behavior therapy is considered effective in the treatment of depression & adjustment difficulties.
  • 16.  It is a behavior therapy techniques opposite to systematic desensitization, no prior relaxation techniques are taught to the patient.  In this therapy, an individual is exposed directly to a maximum intensity fear-producing situation either in imagination or in real life. The patient gradually feels no actual danger in the situation.  For Examples; He has developed intense phobia of a lizard. During psychotherapy session suddenly the therapist puts a rubberized lizard on the table. For a minute the patient may get scared but gradually may start handling a rubberized lizard while taking.
  • 17.  It is a stimulus or stimulus situation which is given to a patient or individual after the response.  When the stimulus is given after the response it is on the basis that the strength of the response is increased & that the response will appear again.  Examples;as soon as the infants gets up & walks, the mother claps & gives the infant a piece of chocolate to enjoy.
  • 18.  DEFINITION:-  Principles of Behavior Therapy  Indications of Behavior therapy  BEHAVIOR THERAPY TECHNIQUES
  • 19.  Agras, W. S., B. T. Walsh, C. G. Fairburn, G. T. Wilson, and H. C. Kraemer. 2000. A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry 57.5: 459–466.  Hofmann, S. G., A. Asnaani, I. J. J. Vonk, A. T. Sawyer, and A. Fang. 2012. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research 36.5: 427–440.