Behaviour therapy

Priyanka Benjamin post basic B.sc nursing

1. welcome to behavior therapy

2. INTRODUCTION behavior therapy The term behavior therapy is applied psychological treatments based on experimental psychology and intended to change symptoms and behavior .It refers to a particular group of procedures based on operant conditioning.

3. Definition behavior therapy Behavioral therapy is an umbrella term for types of therapy that treat mental health disorders . This form of therapy seeks to identify and help change potentially self-destructive or unhealthy behaviors. It functions on the idea that all behaviors are learned and that unhealthy behaviors can be changed. The focus of treatment is often on current problems and how to change them .

4. OR behavior therapy It is the systematic application of scientific principles of learning and a form of psychotherapy ,aims at changing maladaptive behavior by substituting it with adaptive behavior.

5. P urposes behavior therapy Permanent change in behavior occurs as a result of practice or experience . Correction of the abnormal psycho-dynamics which are contributing the illness . Helpful even in those conditions which are refractory(stubborn) to other form of therapy.

6. Indications behavior therapy Anxiety disorders: Panic Phobia Obsessive compulsive neurosis Generalization anxiety Post traumatic stress Neurotic depression

7. behavior therapy Mood disorders Bipolar disorder Major depression Schizophrenia Somatoform disorders Tics Maladaptive habits

8. behavior therapy Eating disorders Bulimia Obesity Anorexia nervosa Dissociative disorders Psychosomatic disorders Headache Hypertension Reynaud’s syndrome Chronic pain Asthma Insomnia Gastro-intestine disorders

9. Tics Raynaud’s hyperkinesia syndrome

10. behavior therapy Psychosexual disorders Paraphilia Gender identity disorders Homosexuality Substance abuse Alcohol dependence

11. behavior therapy Childhood disorders Enuresis Conduct disorders Hyperkinesia Autism Habit disorders Mental retardation

12. Geropsychiatric disorders Dementia Personality disorders Psychopathy Criminality Sexual deviation behavior therapy

13. The diseases in which symptomatology is acute pervasive or non- circumscribed and in which triggering environmental events or external reinforcement are not obvious Contraindications behavior therapy

14. Theories behavior therapy Classical conditioning Operant conditioning Cognitive learning

15. principles behavior therapy General reliance on principles of learning , that is by learning by doing , learning by trail and error , learning by conditioning. Close observation of behavior . Concentration on the symptoms as they are target for therapy . A commitment to objective evaluation of efficacy.

16. Techniques behavior therapy Systematic desensitization Flooding Aversion therapy (impulsion therapy) Modelling Shaping Response prevention and restraint Self control techniques

17. behavior therapy Contingency management Token economy Assertiveness Negative practice Reciprocal inhibition Operant conditioning Relaxation

18. EXAMPLE OF SD behavior therapy FIRST: THE PATIENT IS THOUGHT TO TAKE DEEP BREATH(BREATHING EXERCISES EG .CONTROL OVER BREATHING ,MEDITATION . SECOND : PATIENT CREATES A FEAR HIERARCHY STARTING FROM LEAST ANXIETY . IN VITRO – THE CLIENT IMAGINES phobia IN VIVO –THE CLIENT IS EXPOSED

19. Behavior Fear rating Think about spider 10 Look at a photo of spider 25 Look at a real spider in a close box 50 Hold the box with the spider 60 Let the spider scrawl on your desk 70 Let a spider scrawl on your shoe 80 Let a spider scrawl on your pants legs 90 Let a spider scrawl on your sleeves 95 Let a spider scrawl on your bare arms 100

20. Negative reinforcement behavior therapy You decide to clean up your mess in the kitchen (the behavior) to avoid getting into a fight with your roommate (removal of the aversive stimulus). On Monday morning, you leave the house early (the behavior) to avoid getting stuck in traffic and being late for class (removal of an aversive stimulus).

21. Nurses' role behavior therapy Devises (plan) behavioral objectives with the client. Identifies the behavior that is to be changed and breaks them down in to small and manage able segments. Advocates for clients identification behaviors that are appropriate, constructive and amenable to change whatever the treatment setting . Observe , documents and outline behavior targeted for change .

22. behavior therapy Teaches and reinforces cognitive – behavior techniques particularly in inpatient or community setting with a behavioral orientation. Teaches progressive relaxation to the client with anxiety , models , shapes and reinforces appropriate behavior.

23. behavior therapy Initiates and leads groups that focus on developing social skills and assertive behaviors . Refers the clients for cognitive behavior therapy . As a member of the interdisciplinary team , conducts 6-20 sessions for effective outcome .

24. BIBLOGRAPHY behavior therapy Gupta K.R. A Text book of Mental Health Nursing. 2ed. S.Vikas and company ;India : P.188. Neeraj .K.P. Essential of Mental Health and Psychiatric Nursing. 1 st ed .; Jaypee:P 337-42 Sreevani.R . A Guide to Mental Health and Psychiatric Nursing.4 th ed.Japee ; P144-77. Lalitha .K. Mental Health and Psychiatric Nursing. 3 rd ed;Anarda M, Ramesh M; P215-29.

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