Stress Management

Psychological Methods
1. Stress Inoculation Therapy
  1. 1. Conceptualisation Phase
    1. Therapist and patient establish relationship
    2. Patient educated about stress
    3. Asked to keep diary
  2. 2. Skills Acquisition Phase
    1. Coping skills are taught and practised
      1. Intially in clinic
      2. Gradually in real life
    2. Skills tailored to patient
      1. Positive thinking
      2. Relaxation
  3. 3. Application Phase
    1. Clients given opportunities to practice skills in different situations
    2. Therapists monitor success
    3. Patient may even be asked to train others
2. Evaluation
  1. Effective
    1. Gaab et al. (2003)
  2. Time Consuming
    1. Slow relief compared to drugs
  3. Unnecessarily complex
    1. Activities could be reduced and have no effect on results
Biological Methods
1. Benzodiazepines
  1. Enhances GABA
  2. Binds to special sites on recpetors
  3. Allows more chloride ions to enter neuron
    1. More resistant to excitation
  4. Brain outputs less excitatory neurotransmitters
    1. Calming effect
2. Betablockers
  1. Reduce activity of adrenaline and nor adrenaline
  2. Bind to receptors on heart cells
    1. Harder to stimulate cells
  3. Heart beats slower and with less force
    1. Lowers blood pressure
3. Evaluation
  1. Effectiveness
    1. Kahn et al.
      1. BZs superior to placebos
  2. Addiction
    1. Patients experience withdrawal symptoms
  3. Side Effects
    1. Aggressive
    2. Memory Loss
    3. Diabetes
  4. Symptoms over Problem
    1. Does not deal with cause
    2. Once treatment stops, symptoms return
  5. Ease of Use
    1. Fast relief compared to SIT

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Stress Management

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