Behavioral Dynamics

Question 1

What is the difference between counseling and therapy?

Answer 1

Counseling is personal guidance to meet their goals.

Therapy is relieving or curing a disability or illness

Question 2

What are the types of psychotherapy? Describe each.

Answer 2

Psychoanalytic:
-freudian traditions; few months to a few years

Behavioral Therapy:
-reduces sx; relaxation techniques, graduated exposure to distressing stimuli. 6-12sessions

Cognitive Behavioral Therapy:
-pt taught to challenge negative thoughts; 10-20sessions

Dialectical Behavioral Therapy:
-works on life skills, 1st therapy to show positive change in borderline personality disorder.

Group Therapy:

Question 3

Describe the differences between hallucinations, delusions, andd illusions

Answer 3

Illusions are based on external stimulus – ex. voices on the wind or heat waves that cause distortion.

Hallucinations are not based on an external stimulus, they are construed in the head.

Delusion - fixed belief that has no basis in reality.

Question 4

What are 4 ways to build rapport during the psychiatric interview?

Answer 4

Reflection, silence, confrontation, reassurance

Question 5

What is the MOCA used to dx? What is the dx if the pt scores less than 26?

What is SLUMS used for?

What are the two tests to screen for depression? describe scoring of each

Answer 5

Montreal Cognitive Assessment

Used for dx of dimentia, score less than 26 = mild cognitive impairment.

SLUMS = dementia; St Louie university mental status

Depression:
-Zung Self-rating depression scale: average score depression is 50-69 and severe depression is greater than 69.

-Hamilton Rating Scale for Depression:
0-7: WNL
8-19: Mild depression
greater than 20: moderate to severe