Family-based treatment (FBT, also sometimes referred to as the Maudsley method) is a leading treatment for adolescent eating disorders including anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorder (OSFED ). It is a manualized treatment delivered by trained professionals.
What does manualized treatment mean?
Publication types
- Comparative Study
- Multicenter Study
- Randomized Controlled Trial
What are manual therapy techniques?
Manual therapy encompasses a variety of hands-on techniques including a “continuum of skilled passive movements to the joints and/or related soft tissues that are applied at varying speeds and amplitudes, including a small-amplitude and high-velocity therapeutic movement. 1 ”. Specifically manual therapy can include: Passive stretching of muscle, connective tissue or nerve.
What are the dangers of EMDR therapy?
- Depression
- Anxiety
- Anxiety attacks
- Panic attacks
- Eating disorders
- Substance use disorder
- Alcoholism
- Addiction
What is EMDR therapy like?
What is EMDR Therapy Like?
- History and Treatment Planning. The initial stage of EMDR therapy is designed to help the therapist learn as much as possible about the client and their personal history.
- Preparation. Going from not being able to talk about the traumatic event to reprocessing it and learning how to properly cope with it takes work and skill.
- Assessment. ...
- Desensitization. ...
What is manual based treatment?
Manual-based treatments: the clinical application of research findings
Why are treatment manuals important?
In addition to their now required use in controlled outcome studies, treatment manuals offer important advantages for clinical practice . Manual-based treatments are often empirically-validated, more focused, and more disseminable. They are useful in the training and supervision of therapists. Criticisms of manual-based treatments center on five main themes: they are conceptually at odds with fundamental principles of cognitive-behavioral therapy; they preclude idiographic case formulation; they undermine therapists' clinical artistry; they apply primarily to research samples which differ from the patients practitioners treat; and they promote particular 'schools' of psychological therapy. This paper emphasizes the inherent limitations of idiographic case formulation. It is argued that treatment manuals are consistent with an actuarial approach to assessment and therapy, which, on average, is superior to individual clinical judgment. Available data suggest that standardized treatment is no less effective than individualized therapy. Manual-based treatment demands therapist skill in its implementation. In suitably chosen therapists these skills are more a function of training than amount of clinical experience. Treatment manuals are likely to encourage a pragmatic approach to therapy and should not discourage clinical innovations.
What is the purpose of the SASCI?
The SASCI (Hayes et al., 2008) is a 4-item self-report measure that is designed to assess SAD symptom change since the beginning of treatment. In particular, respondents are asked to indicate how much their anxiety, avoidance behaviors, concern about humiliation and embarrassment, and interference in daily life has changed since treatment began. Respondents indicate on a 7-point scale (1 = much less; 7 = much more) how much they have changed. Lower scores on the SASCI correspond to greater symptom improvement. Total scores of 4–15 indicate symptom improvement and scores of 17–28 indicate no change in, or deterioration of, symptoms (Hayes et al., 2008). Research has supported the internal consistency of the SASCI (Hayes et al., 2008). Because this measure only examines change since the beginning of treatment, this measure was administered before every session, beginning at session 2.
How many sessions of psychoeducation are there?
The first segment of treatment, psychoeducation, is recommended to be completed in approximately 4 sessions if the therapist determines that they have established a good therapeutic alliance with their patient and the client is motivated and understands the material presented (Hope et al., 2006; Turk et al., 2008). This portion of treatment covers the first four chapters of the client workbook. It was deemed that Henry was highly motivated at the beginning, and throughout the course, of treatment. Thus, this segment of treatment consisted of only three sessions. During these first three sessions Henry was introduced to the course of treatment, normal versus abnormal social anxiety, the three components of anxiety (physiological, cognitive, and behavioral), factors related to the development of social anxiety, an introduction to Subjective Units of Discomfort Scale (Wolpe & Lazarus, 1966), and a fear and avoidance hierarchy (Hope et al., 2006; 2010). Henry was an active participant during this segment of treatment. He was able to identify the physiological, cognitive, and behavioral components of his social anxiety and was able to understand how not all anxiety is problematic. Homework during this segment included self-monitoring situations that made him socially anxious and identifying the physiological, cognitive, and behavioral symptoms he experienced; evaluating his reactions to beginning treatment; and creating a fear and avoidance hierarchy (Hope et al., 2010).
Is cognitive behavioral therapy effective for SAD?
Due to the cognitive, behavioral, and physiological components of SAD, numerous studies have investigated the efficacy of cognitive-behavioral therapy (CBT) on SAD. In fact, CBT is the most widely used and researched treatment for SAD (Feeney, 2004). Research has consistently shown CBT to be an efficacious treatment for SAD when administered either individually or in a group format (Fedoroff, & Taylor, 2001; Gould, Buckminster, Pollack, Otto, & Yap, 1997; Heimberg & Becker, 2002). Recently a manualized CBT treatment for SAD, Managing Social Anxiety: A Cognitive-Behavioral Therapy Approach(Hope et al., 2006; 2010), has been developed for the individual treatment of SAD. Although treatment following this manual has been shown to be efficacious, researchers have called for continued empirical examination of this treatment (Ledley et al., 2009). The following case study is an example of this manualized CBT treatment for SAD.
What is a psychotherapy treatment manual?
Psychotherapy treatment manuals are intended to direct therapists in the application of their approach. Manualized treatments specify a theoretical basis, the number and sequencing of treatment sessions, the content and objectives of each session, and the procedures required to achieve the objective of each session. The use of manuals have been embraced, and at times required, by overseeing institutions such as the American Psychological Association (APA) and the National Institute for Health and Care Excellence (NICE).
Is therapy okay for mental illness?
Most of these studies serve as last-ditch attempt to legitimize “therapy” as okay while so many people are damning psychiatry. Therapy is psychiatry’s little sister. For many patients, if not almost all, therapy is the Gateway to the Endless Pit of the Mental Illness System, never to return. You want a diagnosis, drugs, more diagnoses, increased level of care needed, repeat offender, chronicity? Please go to a therapist. It might be a slower, more insidious route than showing up at an ER, but it’ll work just as well to silence you, put you out of work, ghettoize you, and kill you off early.
Is manual therapy a pushback?
They note that in clinical practice, there has been pushback to manualized approaches and the utility of manuals has been critiqued. Scholars and psychotherapists have expressed concerns that manuals inhibit flexible application of approaches, and impedes on one’s ability to tailor therapy to individual needs or adapt interventions to multiple, or “comorbid” presentations of distress.
Does adherence to the manual affect outcomes?
One meta-analysis found that the degree of therapist adherence to the manual did not affect outcomes. The remaining 15 studies provided unclear results. Truijens and team comment on these findings:
Is manualized psychotherapy better than non-manualized psychotherapy?
Researchers, Dr. Femke Truijens and colleagues in Europe, found that manualized psychotherapy is no more superior to psychotherapy delivered without a manual.
What is TMS Therapy?
Transcranial magnetic stimulation (TMS) is a non-invasive, FDA-approved outpatient procedure that uses magnetic resonance to target specific parts of the brain.
When is TMS used?
Repetitive TMS is typically used when other treatments have not been effective for patients.
What is TMS in medical?
Transcranial magnetic stimulation (TMS) is a non-invasive, FDA-approved outpatient procedure that uses magnetic resonance to target specific parts of the brain. Magnetic field pulses and electrical currents stimulate nerve cells in the prefrontal cortex, which has proven to effectively treat conditions such as drug addiction and depression.
How does a TMS coil work?
During the first procedure, several measurements are made to ensure that the TMS coil is properly positioned over the patient’s head. Then, the TMS coil is suspended over the patient’s scalp. The TMS physician then measures the patient’s motor threshold by processing several quick pulses.
How long does a TMS session last?
Sessions vary in length according to the TMS coil used and the number of pulses delivered. However, a session usually lasts around 30 to 40 minutes.
How long does TMS therapy take?
It is particularly helpful for treatment-resistant depression that is not responding to antidepressant medications. TMS therapy usually takes a few weeks before patients feel any noticeable improvements.
Why do you need to wear earplugs during TMS?
Patients should also wear earplugs during the procedure for hearing protection because TMS creates a loud clicking noise with each pulse, similar to an MRI machine.
