Individual psychotherapy

MR. JAYESH PATIDAR

www.drjayeshpatidar.blogspot.com4/24/2013 1Jayesh Patidar

It is conducted on a one to one basis i.e. the therapist treat on client at a time

By this therapist helps the patient to come to a greater understanding of himself & to find a way of dealing with his problem.

Indication: stress-related disorder, alcohol & drug dependence, sexual disorder & marital disharmony.

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TYPES OF INDIVIDUAL PSYCHOTHERAPY

1. Psychoanalysis

2. Hypnosis

3. Abreaction

4. Reality therapy

5. Uncovering

6. Supportive therapy


1. PsychoanalysisPsychoanalytical therapy was developed by

Freud.

It focus on unconscious forces such as repressed impulses & memories, internal conflicts & childhood trauma on mental life & adjustment of the individual.

The most important indication for psychoanalytical therapy is the presence of longstanding mental conflicts, which may be unconscious but produce symptoms.


Count…The aim of therapy is to bring all repressed

material to unconscious awareness so that the patient can work towards a healthy resolution of his problems, which are causing the symptoms.

Psychotherapy as a form of therapy is used primarily in psychoneuroses by bringing about basic modification in the personality. This is done by establishing a constructive therapeutic relationship.


Count…The specific methods used to achieve

the effect of therapy are; free association, dream interpretation analysis of resistances & defenses used by the patient, working through the feelings & experiences revealed by the patient during transferring.

Every interaction lasts for 45 minutes. 4-5 days a week for approximately 3-5 years.


2. Hypnosis • Hypnosis is a superficial or deep trance (a

somnolent state/sleep like) resembling sleep.

• It induced in a patient by suggestions of relaxation & concentrating attention on a single object.

• The client becomes highly suggestible, submissive & abandons control & response to therapist influence.

• He can be induced to recall forgotten events, becomes insensitive to pain, gain relief from tension, anxiety & other psychological symptoms.

• It affects behavioral change & control of attitude


Count…Changes that occur during hypnosis:

The person becomes highly suggestible to the commands of the therapist.

There is an ability to produce or remove symptoms or perceptions.

Dissociation of a part of the body or emotions.

Amnesia for the events that occurred during the hypnotic state.


Count…This therapy is used in; obesity,

hypertension, asthma, smoking, peptic ulcer, overeating, abreaction of past experiences, psychosomatic disorders, conversion & dissociative disorders, habit disorder & anxiety disorder or other addiction disorder.


3. Abreaction Therapy

Abreaction is a process by which repressed material, particularly a painful experience or conflict is brought back to consciousness.

The person not only recalls but also relieves the material, which is accompanied by the appropriate emotional response.

It is most useful in acute neurotic conditions caused by extreme stress (PTSD, hysteria etc).


Count…Methods:

Abreaction can be brought about by strong encouragement to relieve the stressful events.

The procedure is begun with neutral topics at first, & gradually approaches area of conflict.

Abreaction can be done with or without the use of medication.


4. Reality Therapy

This is a psychotherapeutic technique which focuses on the present behavior & development of patient’s ability to cope with the stress of reality & take a greater responsibility for the fulfillment of his needs.


Count…To achieve these purposes the therapist

becomes involved in an active relationship with patient, rejects his unrealistic behavior & teaches better ways to meet his need in the real world

The patient need to be stressed on that the past cannot be changed, so he must take responsibility of right or wrong actions of present.


5. Uncovering or Insight Psychotherapy

This technique is used to break through the patient’s repressed conflict & traumatic experience to the surface.

It helps the patient in gaining an insight.

The patient explores different methods to cope with problem, once he gain an insight into his conflict or problem.


6. Supportive Psychotherapy It is a form of “surface therapy”.

The therapist helps the patient to relieve emotional distress & symptoms without probing in to past or attempting to change or alter the basic personality of the individual.

The therapist reinforce the existing defenses used by the client & utilizes various techniques such as:


Count…a. Ventilation

b. Environmental Modification or Manipulation

c. Persuasion

d. Reeducation

e. Reassurance

f. Abreaction

g. Explanation

h. Suggestion

i. Reinforcement

j. Recreation

k. Work as therapy

l. Relaxation

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Individual psychotherapy

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