ERP
What does ERP stand for?
Exposure Response Prevention
What is a mistrial?
Doing behaviors during an exposure that interrupt or interfere the habituation process
What does CBT stand for?
Cognitive Behavioral Therapy
What time does the programming day start at?
Patients are expected to arrive to programming by 8:30 for check-in.
True or False:
You can provide validation without providing reassurance.
True
What is overcorrection?
Doing exposures that might seem especially risky or involve doing (or thinking about) things most people wouldn't ordinarily do on purpose.
Doing a compulsion while feeling anxious does what to OCD?
Reinforces OCD. This creates a false message that you need the compulsions in order to take the anxiety away and feel better
Why do we like to practice coping skills even if we are not anxious?
So they are easier to do when we really are feeling anxious!
What is the name of our clinic assistant?
Allison
What is an extinction burst?
Extinction refers to the removal of a reward or reinforcement for a specified behavior. Due to the removal of the reinforcement, the behavior is likely to increase before it is extinguished. Think of putting a dollar into a vending machine and pressing the button but not receiving a candy bar. Most people will push the button at an accelerated rate before walking away.
What are the 3 key things to note when completing exposures? All exposures should be... ____, _____, & ____.
Prolonged, repetitive, and graduated
What is the difference between anxiety and fear?
Fear: a response to an immediate threat
Anxiety: apprehension about a future threat
What are the 3 points of the CBT triangle? (100pts each)
Thoughts
Feelings
Behaviors
What state did Rogers first open in?
Wisconsin
What is behavior activation AND what is it typically used to treat?
Behavior activation is used to break avoidance cycles that often lead to low mood and depression. This is done by increasing engagement with activities that offer positive reward such as routines, socialization, exercise, and enjoyable tasks.
Making a choice not to do a compulsive behavior once your anxiety has been triggered is called...
Response prevention
Explain the stress response
The parasympathetic nervous system helps us "rest and digest" and maintains the stability of our physiology. When the sympathetic nervous system kicks in the "stress response" is initiated causing physiological changes to help us deal with the stressor by allowing our bodies to quickly deal with the threat. This includes increased heart rate, increase respiration, and blood diverting to muscles.
What do you call keeping your focus on one particular thing without interpretation or judgement?
Mindfulness
What colors are the Rogers logo?
Orange, blue, & grey
What does TIPP stand for?
Temperature
Intense Exercise
Paced Breathing
Paired Muscle Relaxation
What are the 3 different types of exposures?
In vivo (in real life)
Imaginal
Interoceptive (physical sensations)
Explain how anxiety can effect performance. Positively and negatively.
Strong anxiety can impair performance where low anxiety can decrease attention and interest.
Why does working on changing behaviors help with OCD?
The CBT triangle! Your behaviors, thoughts, and feelings, all influence each other. If you modify your behavior it will also modify your thoughts and feelings.
How many exposure rooms are there on the child side?
16
True or False:
"I am a failure if my child does not get better".
FALSE:
In CBT, we talk about how we do not have control of our thoughts or feelings, but our behaviors. We also do not have control over other’s behaviors, therefore, you cannot control whether your child resists a ritual, has a temper tantrum, or disobeys you. You can only control YOUR response to their behaviors and what you can do differently.