Assessment, Diagnosis, and Treatment Planning Flashcards
assessment done in the context of psychotherapy and include the domains of biological, psychological and social factors
Biopsychosocial Assessment
involves genetics, physiology, chemistry and neurology; questions that help address this include diet, sleep habits, drugs, and family history
Biological Factors
involve personality, thoughts, emotions and behavior; questions that help address this include cognitive functioning, coping skills and mood
Psychological Factors
involve environmental or interpersonal aspects that affect thoughts, feelings and behavior; questions that help address this include family relationships, spirituality, traditions, community supports, financial stability and educational background
Social Factors
21 item self-reported inventory that assesses the presence and degree of depression in adolescents and adults (13+)
Beck Depression Inventory (BDI)
an objective test that is only used with adults; asks the subject to answer around 550 true and false statements and 16 repetitive questions; used to assess psychopathology and personality characteristics
Minnesota Multiphasic Personality Inventory (MMPI)
projective test where client responses to inkblots are used to asses perceptual reactions and psychological functioning; used to assess personality characteristics and underlying disorders among children and adults
Rorschach Inkblot Test
assessments used to measure cognitive ability
Wechsler Adult Intelligence Scale (WAIS) and Wechsler Intelligence Scale for Children (WISC)
projective test that asks subjects to view a series of pictures and ambiguous scenes to provide a story about what they see; assesses personality through stories, used to gain insight into worldview and attitudes towards the self
Thematic Apperception Test (TAT)
designed to assess DSM-5 related disorders by measuring 25 personality scales
Millon Clinical Multiaxial Inventory
used to gauge intelligence using 5 factors of cognitive abilities: fluid reasoning, knowledge, quantitative reasoning, working memory, and visual-spatial processing; determines intelligence quotient or IQ
Standard-Binet Intelligence Scale
structured assessment of client’s behavioral and cognitive functioning based on observation and directed interview
Mental Status Exam (MSE)
used to screen for cognitive impairment in older adults; a set of 11 questions often used to identify possible dementia and track changes in cognitive function over time
Mini Mental Status Exam (MMSE)
method of documentation used in healthcare settings including the format: subjective, objective, assessment, and plan
SOAP Assessment
the client reports how they have been doing since last visit; what brought them in?
Subjective (SOAP)
the clients observable characteristics; appearance, behavior, mood during session
Objective (SOAP)
health care provider pulls the subjective and objective together
Assessment (SOAP)
health care provider creates a method for treating the client’s concerns
Plan (SOAP)
a disorder characterized by a decline in cognitive functioning; includes a brief state of mental confusion, manifests over a short time (hours to days), and varies in severity throughout the course of a day
Delirium
a direct physiological result of another medical condition, substance intoxication or withdrawal, exposure to a toxin, or multiple etiologies
Delirium
a disorder characterized by a decline in cognitive functioning; deterioration of mental skills like judgment, memory, concentration, and sometimes paired with emotional instability
Dementia
caused by organic brain damage (Alzheimer’s), head trauma, metabolic conditions, or the presence of a tumor
Dementia
