Behavioral Dynamics Flashcards
What can psychiatrists do?
Diagnostic evaluations
Psychotherapy
Medication management
What can clinical psychologists do?
Administer & interpret psychological testing
Development of prevention & treatment programs
Psychotherapy
Expert testimony
What can counseling psychologists do?
Counseling
Psychotherapy
Assessments
Consultation
What can educational psychologists do?
Diagnostic & psychological assessments
Counseling
Mediation
Refers to other professionals
What can licensed clinical professional counselors do?
Therapy
What can psychiatric social workers do?
Mental health assessments
Case management
Group facilitators
What can a counselor do?
Collect case history data
Tests for interests & aptitudes
Help a patient meet their goals
What is psychodynamic or psychoanalytic psychotherapy used for?
Severe & chronic personality disorders
Persistent problems in coping with life events
How to reduce symptoms during behavioral therapy?
Relaxation techniques
Changing factors that reinforce symptoms
Graduated exposure to distressing stimuli
What is behavioral therapy used for?
Anxiety disorders
Depression
Psychosomatic complaints
Define Cognitive Behavioral Therapy
Assumption that negative thoughts promote anxiety or depression
What is CBT used for?
Depression
Anxiety Disorder
Problems with substance abuse
What is the first therapy that has shown positive changes in Borderline Personality Disorder?
Dialectical behavioral therapy
CBT & mindfulness
Define Consciousness
Awareness of self & environment
Define Emotion
Psychic felling with a physiological response
Define Motor Behavior
Physical movement
Define Cognitive Process
Forming mental images or concepts
Define Speech
Utterances of vocal sounds
Define Perception
Recognition & interpretation of sensory stimuli
Define Hallucinations
Something that the patient perceives that has no physical stimulus
Define Illusions
Based on an external stimulus
Define Delusions
Fixed belief that has no basis in reality
Can be very hard to break
Define Memory
Reservoir of past experiences
Define Intelligence
Potential ability & capacity to acquire, retain, and apply understanding, knowledge, reasoning, or judgement
Define Insight
Capacity to understand true nature of situation
Define Judgement
Recognizes relationship of ideas
Form correct conclusions
Portions of a Psychiatric Interview
Behavioral orientation
Feelings/emotions
Behaviors
Expressions
4 Parts of Building Rapport
Reflection
Silence
Confrontation
Reassurance
How to build rapport through reflection
State what they said back to them in your own words
How to build rapport through silence
Give them time to communicate
How to build rapport through confrontation
Present what they say and what your observing back to them
How to build rapport through reassurance
“We are going to work through this together to help you get better”
Mental Status Exam
Describe behavior, speech, emotions, cognition, perceptual processes Objective report Present time Appearance: clothes, posture, grooming, degree of alertness Behavior: motor activity (hypermotor/slowed, impulse control, gestures, gait) Speech: volume, rate, accents, clarity Mood Affect Perception Thought processes Thought content Concentration Attention Orientation Memory Judgement Insight Intelligence
What expression are you observing when looking at affect?
Lability
Stability
Congruency
Define Concentration
Ability to focus
Define Attention
Ability to sustain focus
Parts of Insight in Mental Status Exam
Complete denial
Dim awareness
Awareness but inappropriate blame
Awareness with knowledge of internal source
Mini Mental Status Exam
Orientation Registration: attention, concentration Attention & calculation Recall Language: understanding & following instructions Visual-motor integrity Level of consciousness along a continuum
Survey Instruments
SLUMS MOCA Zung Self-Rating Depression Scale Hamilton Rating Scale for Depression Beck Anxiety Inventory Mood Disorder Questionnaire
SLUMS Dementia
MOCA
Orientation Executive functioning Memory Language Calculation Visuoconstructive skills
Multiaxial Diagnosis of the DSM
Axis I: chief psych diagnoses Axis II: personality disorders, intellectual disabilities Axis III: medical Axis IV: social issues Axis V: global assessment of functioning
