4.1.3 Behavioural Interventions

Describe Behavioural Interventions (e.g. Relaxation Training, Assertiveness Training, Relapse Prevention) and know for Which Problems They are Indicated or Contraindicated

Behavioural interventions are a group of psychotherapeutic approaches that aim to change maladaptive behaviours that cause or maintain mental health problems. They are based on the principles of learning theory and emphasize the importance of observable behaviours in the assessment and treatment of mental health problems. In this response, I will describe three behavioural interventions: relaxation training, assertiveness training, and relapse prevention, and discuss their indications and contraindications.

Relaxation Training:

Relaxation training is a behavioural intervention that involves teaching individuals how to relax their muscles and calm their minds. This technique can be used to treat a variety of mental health conditions, including anxiety disorders, depression, and chronic pain. Relaxation training is contraindicated in individuals with certain medical conditions that may be exacerbated by relaxation, such as asthma or low blood pressure.

Assertiveness Training:

Assertiveness training is a behavioural intervention that aims to teach individuals how to communicate their thoughts and feelings effectively while respecting the rights of others. This technique is particularly useful for individuals with anxiety or depression who struggle with interpersonal relationships or have difficulty expressing themselves. Assertiveness training may not be suitable for individuals who have experienced trauma or have a history of aggressive behaviour.

Relapse Prevention:

Relapse prevention is a behavioural intervention that aims to teach individuals how to identify and avoid situations that may lead to a return of their symptoms. This technique is particularly useful for individuals with substance use disorders, eating disorders, or mood disorders who have a high risk of relapse. Relapse prevention may not be suitable for individuals who have a limited support system or who lack the motivation to change their behaviour.

InterventionIndicationsContraindications
Relaxation TrainingAnxiety disorders, depression, chronic painAsthma, low blood pressure
Assertiveness TrainingAnxiety, depression, interpersonal difficultiesHistory of trauma, aggressive behaviour
Relapse PreventionSubstance use disorders, eating disorders, mood disordersLimited support system, lack of motivation

Reference:

  1. Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  2. Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52(1), 685-716.
  3. Dimeff, L. A., & Linehan, M. M. (2008). Dialectical behavior therapy for substance abusers. Addiction Science & Clinical Practice, 4(2), 39-47.
  4. Hayes, S. C., Follette, V. M., & Linehan, M. M. (Eds.). (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. Guilford Press.
  5. Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. Guilford Press.