ppt

1. PSYCHOTHERAPY

2. DEFINITION
 It is a process of helping a patient with
emotional and psychological problem, which
aims at facilitating a change in his feelings,
attitudes and behavior by means of verbal and
emotional communication.

3. GOALS
 Removing, modifying existing symptoms.
 Changing disturbed patterns of behavior.
 Promoting positive personality growth and
development.
 Finding out causes for emotional problems.
 Environmental adaptation
 To improve IPR.

4. GOALS
 Protect self-esteem
 Help resolve inner conflict
 Develop positive attitude

5. PSYCHOTHERAPY
SCIENCE
ART

6. TYPES OF PSYCHOTHERAPY
Depth of probing into the unconscious mind.
A. Superficial / Short term
B. Deep / Long term
No of Patients Treated
A. Individual
B. Group
C. Family

7. TYPES
Purpose of which it is given,
A. Supportive
B. Re – Constructive
C. Re educative

8. PHASES OF PSYCHOTHERAPY
 Ventilation- relieve emotional tension, internal
conflict , frustration and unhappiness
 Interpretation-help understand the link between the
behaviour manifestation and the repress conflict
 Reeducation-teach way to solve the conflict

9. GROUP THERAPY
 Group psychotherapy is a treatment in
which carefully selected people who are
emotionally ill , meet in a group guided by a
trained therapist & help one another effect
personality change.

10. GROUP SELECTION
 Homogeneous group e.g. alcoholics,
drug dependence
 Adolescent and patients with
personality disorder
 Families and couples.
 Emotional and behavioural problem

11. ADVANTAGES
 Opportunity for immediate feedback
 Helps understand patient emotional,
psychological and behavioural response in
group.

12. CONTRAINDICATION
 Antisocial patient and destructive
behaviour
 Severe psychotic illness
 Excitement
 Actively suicidal
 Severely depressed
 Delusional patient

13. GROUP SIZE…
 Optimal size for group therapy is 8 to 10
members.
FREQUENCY AND LENGTH OF SESSIONS:
 Most group psychotherapist conduct group
sessions once a week;
 each session may last for 45 minutes to 1 hour.
 Group sit in circle

14.  Therapist role – Facilitator (Provides safe and
comfortable environment).
 Focus on “Here and Now”.
 Protect members from any verbal abuse.
 Provide positive reinforcement.
 Therapist should approach the clients in a
group in a gentle, supportive and non
threatening manner.
APPROACHES

15. APPROACHES
 Able to preserve the self – esteem
 Must able to set limits for the undesired
behaviors of the clients.
 Use Silence.
 Laughter and Moderate Joking contributes to
group cohesiveness.
 Role – playing helps members to develop
insight.

16. TECHNIQUES
 Reflecting or rewarding comments of group
members.
 Asking for group reaction to one member's
statement.
 Pointing out any shared feelings within the
group.
 Summarizing various points at the end of the
session.

17. FAMILY THERAPY
Introduction:
 Family therapy is the branch of psychiatry which
sees an individual’s psychiatric symptoms as related
to the family in which he lives. Thus the focus of
treatment is not on the individual, but the family.
 Family therapy is a relatively new development
that came about in the mid-twentieth century as an
adjunct to individual treatment and refers to the
treatment of the family as whole.

18. Goals :
To reduce dysfunctional behaviour of individual
family members.
To resolve or reduce intrafamily relationship
conflicts.
To improve family communication skills.
To provide awareness to other family members
To strengthen the family ability to cope with the
major life stressors and traumatic events.

19. Indications
 Problems in the relationship within the family
 Child mental health problem like MR
 Adjustment disorder
 Alcoholism and drug dependence
 Eating disorder
 Attempted suicide
 Psychosis, depression, anxiety disorder

20. COMPONENET OF THERAPY
 Assessment of family structure, roles,
boundaries, resources, communication pattern
and problem solving skills
 Teaching communication skills
 Teaching problem solving skills
 Homework assignments

21. INDIVIDUAL PSYCHOTHERAPY
 It is conducted on a one to one basis i.e. the therapist
treat on client at a time on different sessions.
 By this therapist helps the patient to come to a
greater understanding of himself & to find a way of
dealing with his problem.

22. INDIVIDUAL PSYCHOTHERAPY
Indication:
 stress-related disorder,
 alcohol & drug dependence,
 sexual disorder &
 marital disharmony.
 Anxiety disorder
 OCD
 Adjustment disorder
 Depression

23. Supportive Psychotherapy
 It is a form of psychotherapy given to patient with
chronic and disabling psychiatric condition”.
 The therapist helps the patient to relieve emotional
distress & symptoms without probing in to past or
attempting to change or alter the basic personality of
the individual.

24. Supportive Psychotherapy
The therapist utilizes various techniques such as:
 Ventilation
 Reeducation
 Reassurance
 Explanation
 Suggestion
 Reinforcement
 Recreation
 Relaxation