MPH - Evaluating Psychotherapies Lesson

Learning Targets:

  • Evaluate the effectiveness of psychotherapy in treating mental health issues.
  • Analyze the comparative effectiveness of different psychotherapies for specific mental health disorders.
  • Identify the common elements shared across various forms of psychotherapy.
  • Understand and explain the ethical principles that guide the practice of psychotherapy.

Courtesy of the AP psychology course and exam description, effective fall 2024. (n.d.). Links to an external site.

 

The Effectiveness of Psychotherapy

Psychotherapy, or talk therapy, is a standard treatment for various mental health disorders. Does psychotherapy really work? How can we determine its effectiveness? While positive testimonials from clients and therapists may indicate the benefits of therapy, they alone cannot prove its effectiveness. Factors like the placebo effect and confirmation bias can cloud judgment when evaluating improvement due to therapy.

To overcome these challenges, researchers utilize a method called meta-analysis. Researchers have discovered valuable insights by statistically analyzing and combining the results of numerous randomized psychotherapy outcome studies. Interestingly, studies have shown that individuals with mental health disorders who do not receive any treatment often experience improvement over time. However, those who undergo psychotherapy are not only more likely to see improvement but also tend to progress at a faster rate. Through rigorous analysis, we can gain a clearer understanding of the impact of psychotherapy on individuals struggling with mental health challenges.

Effectiveness of Different Psychotherapies for Specific Disorders

Psychotherapy is a valuable treatment option for individuals facing specific mental health challenges. While it is essential to understand that no single type of psychotherapy is universally superior to others, specific therapies have been shown to be more effective for particular disorders. For example, cognitive and cognitive-behavioral therapies have been successful in treating conditions such as anxiety, post-traumatic stress disorder (PTSD), insomnia, and depression. On the other hand, behavioral therapy has been known to help individuals dealing with behavioral issues like bedwetting, phobias, and compulsions. Additionally, psychodynamic therapy has proven beneficial for clients experiencing depression and anxiety.

It is crucial to remember that some disorders may naturally improve over time, leading to the misconception that a particular treatment method is solely responsible for the improvement. In addition, the placebo effect can also influence perceived treatment outcomes. To maximize the effectiveness of psychotherapy, evidence-based practice advocates for integrating the most current research findings with the expertise of clinicians and the individual circumstances of each client. By combining these elements, therapy can be tailored to meet the specific needs of each individual, ultimately increasing the likelihood of successful treatment outcomes.

Key Elements of Psychotherapy

Psychotherapy, in all its forms, shares three fundamental elements that offer new hope to those feeling disheartened. Firstly, it provides individuals with a fresh perspective on their challenges, guiding them towards new ways of thinking and problem-solving. For example, cognitive-behavioral therapy encourages patients to challenge negative thought patterns and replace them with more positive ones. Secondly, effective psychotherapy fosters an empathetic, trusting, and caring relationship between the therapist and the individual seeking help. This supportive alliance creates a safe space for clients to explore their emotions and experiences without fear of judgment. Lastly, psychotherapy aims to instill a sense of hope in individuals, showing them that change is possible and that they have the resilience to overcome their difficulties. Overall, these shared elements form the foundation of psychotherapy, offering a pathway toward healing and personal growth.

Indicators for Seeking Therapy

Indicators for Seeking Therapy
Symptoms/Feelings When to Seek Therapy
Feelings of Hopelessness When persistent and affecting daily life and motivation.
Deep and Lasting Depression When depression lasts for weeks and interferes with daily activities.
Self-Destructive Behavior When engaging in behaviors that harm oneself physically or emotionally.
Disruptive Fears When fears are irrational, overwhelming and disrupt daily life. 
Sudden Mood Shifts When experiencing extreme mood swings that are hard to control. 
Suicidal Thoughts Immediately when experiencing thoughts of self-harm or suicide.
Compulsive Rituals When rituals interfere with daily functioning and cause distress.
Hearing or Seeing Things Others Don't When experiencing hallucinations that affect perception and reality

 

Understanding Ethical Principles in Psychotherapy

Psychotherapists adhere to specific ethical principles and codes of conduct established by their country and professional organizations. According to the American Psychological Association (APA), therapists should prioritize confidentiality, respect the autonomy of their clients, and strive not to harm. These guidelines help ensure that therapy remains a safe and ethical practice, promoting the well-being of both clients and therapists alike.

 

Use these flashcards to review ethical principles in psychotherapy.

 

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