This document provides an overview of different approaches to psychotherapy and therapy, including psychoanalysis, humanistic therapy, cognitive therapies, behavior therapies, and biological approaches. It discusses key concepts for different therapeutic approaches such as transference, dream analysis, cognitive restructuring, systematic desensitization, and drug therapies. It also examines what makes an effective therapist and different types of therapies such as group therapy.
This is a guide to the basic model that underpins Cognitive Behavioural Therapy. It is not intended to replace any professional advice and the author does not work in any medical field; he does, however, have experience of using the tools in a different industry (not related to the medical profession) and he also has experience of having used the tools in a personal capaciity.
Dr. Nasreen Khatri, a clinical psychologist and researcher at the Rotman Research Institute, a brain Institute fully affiliated with the University of Toronto and core CREST.BD member, describes current research and the clinical impact of cognitive behaviour therapy (CBT) in bipolar disorder. CBT is an evidence-based, collaborative, structured self-management talk therapy that helps individuals to monitor and manage symptoms of bipolar disorder by improving problem-solving skills. Learn about the evidence and considerations for CBT treatment for bipolar disorder in adults and how CBT can be used in combination with medication to optimize wellness and quality of life for people who have bipolar disorder.
Dr. Nasreen Khatri is a registered clinical psychologist who specializes in the assessment, treatment and research of mood and anxiety disorders. From 2004 to 2012, she led the Mood and Related Disorders Clinic and Cognitive Behaviour Therapy (CBT) service at Baycrest. In 2012, Dr. Khatri joined the Rotman Research Institute, a brain institute fully affiliated with the University of Toronto, where she studies how mood disorders impact the aging brain. Dr. Khatri’s research has been funded by the Canadian Institutes of Health Research (CIHR), the Alzheimer’s Society of Canada (ASC), and in 2013 she was awarded the Women of Baycrest Innovators in Research Award. In addition to her research and private practice, she has completed over 150 presentations, most recently for Bell Let's Talk Day. She has been cited in the media, including The Globe and Mail, The Wall Street Journal (US) and The Daily Mail (UK). She currently blogs for The Huffington Post on the topic of Mind your Mood: Depression and the Aging Brain. She serves on the Board of Trustees of The Psychology Foundation
Cbt workshop for internationally trained health professionalsMatt Stan
Cognitive therapy is an active, directed, time-limited, structured approach, used to treat a variety of psychiatric disorders (depression, anxiety, phobias, chronic pain and others)
This is a guide to the basic model that underpins Cognitive Behavioural Therapy. It is not intended to replace any professional advice and the author does not work in any medical field; he does, however, have experience of using the tools in a different industry (not related to the medical profession) and he also has experience of having used the tools in a personal capaciity.
Dr. Nasreen Khatri, a clinical psychologist and researcher at the Rotman Research Institute, a brain Institute fully affiliated with the University of Toronto and core CREST.BD member, describes current research and the clinical impact of cognitive behaviour therapy (CBT) in bipolar disorder. CBT is an evidence-based, collaborative, structured self-management talk therapy that helps individuals to monitor and manage symptoms of bipolar disorder by improving problem-solving skills. Learn about the evidence and considerations for CBT treatment for bipolar disorder in adults and how CBT can be used in combination with medication to optimize wellness and quality of life for people who have bipolar disorder.
Dr. Nasreen Khatri is a registered clinical psychologist who specializes in the assessment, treatment and research of mood and anxiety disorders. From 2004 to 2012, she led the Mood and Related Disorders Clinic and Cognitive Behaviour Therapy (CBT) service at Baycrest. In 2012, Dr. Khatri joined the Rotman Research Institute, a brain institute fully affiliated with the University of Toronto, where she studies how mood disorders impact the aging brain. Dr. Khatri’s research has been funded by the Canadian Institutes of Health Research (CIHR), the Alzheimer’s Society of Canada (ASC), and in 2013 she was awarded the Women of Baycrest Innovators in Research Award. In addition to her research and private practice, she has completed over 150 presentations, most recently for Bell Let's Talk Day. She has been cited in the media, including The Globe and Mail, The Wall Street Journal (US) and The Daily Mail (UK). She currently blogs for The Huffington Post on the topic of Mind your Mood: Depression and the Aging Brain. She serves on the Board of Trustees of The Psychology Foundation
Cbt workshop for internationally trained health professionalsMatt Stan
Cognitive therapy is an active, directed, time-limited, structured approach, used to treat a variety of psychiatric disorders (depression, anxiety, phobias, chronic pain and others)
This Powerpoint Presentation is on the 15th chapter of The Story Of My Life by Helen Keller which is the additional textbook for Class 10 CBSE Board.
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Psychotherapy is a therapeutic interaction contracted between trained psychotherapists and the patient based upon verbal or nonverbal communication for treatment of emotional, behavioral, personality, and psychiatric disorders.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
2. Psychotherapy
• Any treatment used by therapists to help troubled
individuals overcome their problems.
1. Verbal Interaction
2. Development of Supportive/Trusting Relationship
3. Analysis of problems by therapist, including
strategies to solve the problems
3. The Nature of Psychotherapy
• Medical Model
• Read Quote from “One Nation Under Therapy”
• “Mental Illness” = Less Social Stigma, but also less
taking responsibility/personal efforts to overcome
problems
• Agree or Disagree?
4. Main Kinds of Therapy
• Psychoanalysis
• Humanistic
• Cognitive
• Behavioral
• Biological
Activity – Leopold is struggling in school. He has problems relating to his
peers and completing homework because he really doesn’t care. While
not overtly misbehaving in class, he often just ignores the instructor,
spending much time in class day dreaming.
In groups, use each approach to try to treat Leopold. Identify his potential
problem. What solution(s) would you suggest? What other things can you
deduce from this scenario about potential problems?
6. What makes a good therapist?
• Psychological Healthy
• Empathy – warmth/understanding
• Experience dealing with people/understanding
complexities of individuals and situations
7. Group Therapies
• Most often grouped by issues
• Patients work together with the aid of a leader to
resolve interpersonal problems
• Put people who are struggling with similar problems
together.
• Includes family therapy, self-help groups
• Benefits?
• Concerns?
8. Does Psychotherapy Work?
• 1994 Consumer Reports Self Reported Survey
(Since not random, can’t be generalized, just see trends)
1. Therapy did help feel better, minimize/eliminate
symptoms, especially if lasts 6+ months
2. Improvements greatest when from psychologists,
psychiatrists, and social workers
3. Longer therapy lasted = greater improvements
4. Type of therapy generally didn’t matter
10. What is Psychoanalysis?
• Therapy aimed at making patients aware of their
unconscious motives so that they can gain control of
their behavior.
• Overcome repression recognize and confront hidden
impulses and feelings
• Lead to abreaction release of energy/tensions =
growth
11. Resistance
• Reluctance of a patient either to reveal painful feelings
or to examine long standing behavior patterns
15. Humanistic Therapy
• Abraham Maslow and Carl Rogers – key guys
• Focus on value, dignity, and worth of each person;
holds that healthy living is the result of realizing one’s
full potential (“self-actualizing”)
17. Nondirective Therapy
• Free flow of images/ideas, no particular direction
• Client completely in charge
• Therapist listens, encourages conversation, doesn’t give
opinions
18. Active Listening
• Empathetic listening, listener acknowledges, restates,
clarifies a person’s thoughts/concerns without arguing
or judging
• Used in relationships also…
20. Cognitive Therapies
• Changing emotions/behaviors by modifying thoughts
• Assumes that faulty cognitions are the cause of
distorted behaviors, attitudes and emotions
Disconfirmation – evidence challenge clients thinking
Reconceptualization – work towards new belief systems
Insight – work toward understanding/deriving new or
revised beliefs
21. Rational-Emotive Therapy
• Ellis (1973) – people behave in delibrate/rational ways
based on assumptions about life.
• Therefore, problems arise from false assumptions
• So, the goal is to change those assumptions
• Techniques - Role Playing, Modeling, Persuasion
• ABC’s – Activating, Belief, Consequences
22. Beck’s Cognitive Therapy
• Focus on illogical thought process, disprove thoughts
• 3 Types of Illogical Thoughts
1. Overgeneralization
2. Polarized Thinking
3. Selective Attention
24. Behavior Therapies
• Focus on behavior, not thinking
• Assumption Disturbed people learn bad behavior,
any behavior can be unlearned, often through
conditioning
• Reasons for behavior unimportant
25. Counter-conditioning
• 3 Steps
1. Anxiety hierarchy – list things, least to most anxious
2. Learn deep muscle relaxation
3. Imagine/experience each step with gradual intensity
Useful in treating phobias
26. Systematic Desensitization
Help patient overcome irrational fears/anxieties
• Imagine fear while relaxing
• Gradually imagine/experience increase in stress
• Can’t feel anxious while relaxing at the same time
27. Aversive Conditioning
• Linking unpleasant state with an unwanted behavior in
an attempt to eliminate the behavior
• Shot for alcoholics, feel sick
• Aversive = bad
31. Drug Therapy
• Most commonly used biological approach, and
approach to psychological problems overall
32. Antipsychotic Drugs
• Used to treat schizophrenia
• Reduces agitation, delusions, hallucinations by blocking
activity of dopamine in the brain
• Drugs are tranquilizers
33. Antidepressant drugs
• Treat major depression
• Affects neurotransmitters
noradrenalin and serotonin
• Some of the most widely
prescribed drugs in the USA
34. Lithium Carbonate
• Naturally occuring salt element
(other drugs are synthetics)
• Used to treat Bipolar disorder
• Helps reduce mood swings
35. Anti-anxiety Drugs
• Used to treat Anxiety disorders; slow nervous system
• Depressives
• Valium, Xanax
• Side Effects – Drowsiness, Dependence
36. Electroconvulsive Therapy
• “Shock Treatment”
• Sent through brain
• Treat severe depression, acute mania, schizophrenia
• Not sure how it works
• Theory – Induced seizures “prime” the brain, “knock
loose” some transmitters
37. Psychosurgery
• Drastic procedures, last resort
• More common in past
• Destroy part of brain to relieve symptoms
• Example – Severed corpus callosum to relieve seizures
38. Prefrontal Lobotomy
• A section of the frontal lobe is destroyed
• Help control emotions
• Side effects difficulty planning, apathy, lack creativity