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Cognitive-Behavioral Therapy vs. Psychodynamic Therapy for V

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Organizational Behavior

on 3 December 2014

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Transcript of Cognitive-Behavioral Therapy vs. Psychodynamic Therapy for V

Cognitive-Behavioral Therapy
Approach to psychotherapy which includes altering dysfunctional thoughts and cognitive distortions.
Psychodynamic Therapy
Therapy was first developed for individuals with depression.
Emphasizes the importance of disturbed interpersonal relationsips in the source of depression and PTSD

Image by Tom Mooring
Study #2
Cognitive-Behavioral Therapy vs. Psychodynamic Therapy for Veterans with Posttraumatic Stress Disorder and/or Depression
CBT for Veterans
CBT for veterans is designed to alter the negativity that constantly threatens them due to traumatic war events in order to remove thoughts and actions that stop them from everyday life.
This study a different in which it measured major depressive disorder and PTSD in Veterans
Veterans were given CBT through telepone-administered therapy sessions
Veterans were evaluated with Hamilton Depression Rating Scale & the Patient Health Questionnaire (self-reported depression scales)
Results suggested no significant difference between treatment groups 6 months after the CBT.
Results support that CBT over the phone is not effective
Veterans were given CBT or PET for PTSD in either groups or individually for 8-11 sessions.
MMPI-2 & PTSD Checklist-Military Version
Results support the hypothesis a there is a strong effectiveness of CBT for veterans with PTSD
Study #1
Prolonged Exposure Therapy
PET involves having the client revisit their traumatic experience which caused the PTSD (war related event), repeatedly until their symptoms of distress and fear decrease.
Psychodynamic Therapy for Veterans
Psychodynamic Therapy has been associated with the reduction of symptoms in both depression and PTSD in veterans
Dynamic Interpersonal Therapy
DIT focuses on the idea that patients with symptoms of depression and PTSD also present difficulties with relationships that lead to distress.
Study #1
Evaluated the effectiveness of psychodynamic therapy applied to individuals with PTSD compared to a waiting-list control group
PTSD due to violent crime situations, accidents, loss of a loved one
Individuals were given 18.8 sessions of therapy and were evaluated before and after the therapy
Study #2
Three types of therapy including Psychodynamic
Conducted to examine the relationship between trauma-focused psychodynamic therapy and changes in symptoms of PTSD.
27 female assault survivors with PTSD
Four phases:
pre therapy
12 weeks of therapy
therapy process assessment
post therapy
Word-Stem completion task, Stroop task, physiological response task
Results revealed that clients showed a reduction of symptoms of PTSD after therapy
Psychodynamic therapy had the most effectiveness in treating PTSD in the clients
No significant difference in dissociation, depression, anxiety or interpersonal sensitivity symptoms after treatment
Conclusion
Both therapies aim to reduce the symptoms of PTSD and have shown effectiveness, but differ in the ways that they achieve symptom reduction
Biggest difference:
Psychodynamic Therapy is geared toward uncovering unconscious motivations for feelings of stress or depression in relation to PTSD
CBT aims to replace dysfunctional thoughts that come with PTSD in order to change feelings and behavior
Conclusion
Psychodynamic Therapy - less structured
CBT - structured and time-limited
Limitations
Conflicting schedules, innacurate representation of veterans altering the sample size/dynamics, gaps between sessions, lack of control groups, small samples of women
Effectiveness
CBT: three of four studies resulted in significant differences in patients that were treated for PTSD
CBT was not effective for major depressive disorder in over the phone therapy sessions
Psychodynamic Therapy: all studies resulted in significant differences in patients after being treated for PTSD/Depression
Effectiveness
Both (except for over the phone CBT) suggested effective results
Any two therapies can be effective depending on the patient
If the goal of therapy is to assess past history linked to current symptoms of PTSD - Psychodynamic Therapy would be the best fit
If the goal is to only assess current symptoms and feelings linked to PTSD, CBT would be the best fit
Final Point
As a clinician: Psychodynamic Therapy is my best fit based on research and review of these studies
Career goal: Veteran Mental Health
Beliefs: your past carries through to your present life situations which is why Psychodynamic Therapy is my therapy of choice
Less structured therapy allows for a close relationship
by: Daniella Delgado
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