3 Family and Physiopsych Connection

Question 1

The family is a _____________ unit that is ___________.

Answer 1

Dynamic, interactive unit

Continually evolving

Question 2

The main functions of the family unit are…

Answer 2

Support, regulation, nurturant, and socialization

Question 3

To understand an individual, we must also be aware of …

Answer 3

The system from which they come and the relationship between the members of that system.

Question 4

When one person in a system changes (whether by choice or happenstance) …

Answer 4

The whole system shifts and changes

Systems are not static after all..

Question 5

What is the theory behind couples therapy?

Answer 5

What happens to one of them happens to both

All physical and emotional difficulties that affect one will affect both and also the children if they have any

Question 6

Marriage and family systems go through __________ just like human development in individuals

Answer 6

Developmental stages

Question 7

_______ females and _______ males has been sexually abused

Answer 7

1 out of 3 females

1 out of 5 males

The statistics are higher if we add in physical and emotional abuse

Question 8

______ is always present in sexual and physical abuse

Answer 8

Emotional abuse

Question 9

Developing a network of mental health professionals for consultation and referral allow you to…

Answer 9

Give you patients more comprehensive care

Nurture an ongoing relationship to work collaboratively for best quality of care for your patients

Question 10

What is Big “T” Trauma?

Answer 10

Single major incident of trauma

War veterans, car accidents, other accidents, homicides, suicides, natural disasters

Question 11

What is little “t” trauma?

Answer 11

Stressful incidents that occur over a long period of time

Emotional abuse can be included in this category, as can anxiety, depression, and stress

Question 12

Both Big “T” and little “t” traumas put individuals at risk for…

Answer 12

Physical and emotional difficulties

Question 13

Individuals who suffered childhood abuse often have …

Answer 13

Multiple diagnoses, especially represented in the immune system disorders

Question 14

Name the trauma treatment:

The client talks about the trauma and the feelings and emotions and processes how this has changed the client’s perception of reality

Answer 14

Psychotherapy (the official term for traditional talk therapy)

Question 15

Name the trauma treatment:

The focus of therapy is on bodily sensations, rather than thoughts and memories about the traumatic event

Answer 15

Somatic experiencing

Takes advantage of the body’s unique ability to heal itself

Question 16

Name the trauma treatment:

Treatment incorporates elements of CBT with eye movement or other forms of rhythmic, left-right stimulation. These back and forth eye movements work by “unfreezing” traumatic memories, allowing you to reprocess them

Answer 16

EMDR (Eye Movement Desensitization and Reprocessing)

Question 17

Name the trauma treatment:

Therapy that seeks to help patient process and evaluate thoughts and feelings about a trauma. While it doesn’t treat the physiological effects of trauma, it can be helpful when used in addition to a body-based therapy such as somatic experiencing or EMDR.

Answer 17

Cognitive-Behavioral Therapy (CBT)

Question 18

What are the three things our brains do during sleep?

Answer 18

“Take out the trash” - waste proteins (beta amyloid plaques) produced when awake are cleaned away

“Making memories” - Information gathered during the day gets downloaded into your long-term memory from your hippocampus

“Making you a more creative problem solver” - As your brain loses unnecessary details, it focuses in on the most important elements of an issue

Question 19

What is the connection between chronic pain and mental health?

Answer 19

Chronic pain causes stress, anxiety, and depression in most people

Trauma often causes chronic pain

This cycle is hard to break

Question 20

One of the primary mental health issues you will see in primary care

Answer 20

Depression

Some will identify that they are depressed, but others will present with other issues. You should assess every client you see for depression

Question 21

Treatment options for depression include…

Answer 21

Medications, therapy, diet, and exercise

For most patients, all of these should be included

Question 22

The second most common mental health issue you will see in public health

Answer 22

Anxiety

You have to figure out whether the patient is anxious b/c they are at the doctor’s office, or whether the anxiety is pervasive and debilitating in their life or somewhere in between