1. Prof: Prof: ABDULRAZZAK ALHAMAD. Department of psychiatry College of medicine. King saud university 10.8.1427 3.9.2006

2. Psycholgical Treatments 1.Definition: - Therapeutic relationships. -- Leading to change. 2.Types of Methods: - Interpretative. - Cognitive. - Behavioral. - Counseling. - Supportive.

3. Psycholgical Treatments cont’d 3.Types of Patients: - Individual. - Group. - Couple (marital). - Family. 4.Patient Selection: - Expressive. - Accepting. - Psychological background.

4. A. Counselling: Goal - Goal: - Information. - Education. - Understanding. - Indication: - Any presenting difficulty. - Duration: few weeks.

5. A. Counselling cont’d : -Techniques: - Ventilation. - Discussion. - Enable decision making. - Enable Learning. - Enable growth.

6. B - Supportive: - Goal: - Support. - Reality testing. - Ego support. - Maintain or re-establish usual level of functioning. - Indication: - Overwhelming problem. -Duration: As needed.

7. B- Supportive cont’d : - Technique: - Strengthen defenses. - Working reality- based relationship. - support, concern. - Problem solving. - Suggestion, reinforcement. - Advice. - Reassurance. - Reality testing. - Cognitive restructuring. - Listening. - Empathy.

8. C- Cognitive Therapy: - Goal: modify thoughts. - Indication: - Depression, -Anxiety, - Phobias, - Panic. - Duration: 4 – 12 sessions. - Technique: - Identify negative thoughts. - Alternatives. - Clarify mechanisms.

9. D- Behavior Therapy: - Goal: Modify behavior. - Indication: Any distressing behavior e.g. 1. Phobias. 2. Obsessions. 3. Compulsions.

10. Techniques:- Relaxation. Anxiety management. Exposure. Response prevention. Modelling. Mass practice. Thought stop.__________________________________