Behavioral Dynamics

Question 1

What can psychiatrists do?

Answer 1

Diagnostic evaluations
Psychotherapy
Medication management

Question 2

What can clinical psychologists do?

Answer 2

Administer & interpret psychological testing
Development of prevention & treatment programs
Psychotherapy
Expert testimony

Question 3

What can counseling psychologists do?

Answer 3

Counseling
Psychotherapy
Assessments
Consultation

Question 4

What can educational psychologists do?

Answer 4

Diagnostic & psychological assessments
Counseling
Mediation
Refers to other professionals

Question 5

What can licensed clinical professional counselors do?

Answer 5

Therapy

Question 6

What can psychiatric social workers do?

Answer 6

Mental health assessments
Case management
Group facilitators

Question 7

What can a counselor do?

Answer 7

Collect case history data
Tests for interests & aptitudes
Help a patient meet their goals

Question 8

What is psychodynamic or psychoanalytic psychotherapy used for?

Answer 8

Severe & chronic personality disorders

Persistent problems in coping with life events

Question 9

How to reduce symptoms during behavioral therapy?

Answer 9

Relaxation techniques
Changing factors that reinforce symptoms
Graduated exposure to distressing stimuli

Question 10

What is behavioral therapy used for?

Answer 10

Anxiety disorders
Depression
Psychosomatic complaints

Question 11

Define Cognitive Behavioral Therapy

Answer 11

Assumption that negative thoughts promote anxiety or depression

Question 12

What is CBT used for?

Answer 12

Depression
Anxiety Disorder
Problems with substance abuse

Question 13

What is the first therapy that has shown positive changes in Borderline Personality Disorder?

Answer 13

Dialectical behavioral therapy

CBT & mindfulness

Question 14

Define Consciousness

Answer 14

Awareness of self & environment

Question 15

Define Emotion

Answer 15

Psychic felling with a physiological response

Question 16

Define Motor Behavior

Answer 16

Physical movement

Question 17

Define Cognitive Process

Answer 17

Forming mental images or concepts

Question 18

Define Speech

Answer 18

Utterances of vocal sounds

Question 19

Define Perception

Answer 19

Recognition & interpretation of sensory stimuli

Question 20

Define Hallucinations

Answer 20

Something that the patient perceives that has no physical stimulus

Question 21

Define Illusions

Answer 21

Based on an external stimulus

Question 22

Define Delusions

Answer 22

Fixed belief that has no basis in reality

Can be very hard to break

Question 23

Define Memory

Answer 23

Reservoir of past experiences

Question 24

Define Intelligence

Answer 24

Potential ability & capacity to acquire, retain, and apply understanding, knowledge, reasoning, or judgement

Question 25

Define Insight

Answer 25

Capacity to understand true nature of situation

Question 26

Define Judgement

Answer 26

Recognizes relationship of ideas | Form correct conclusions

Question 27

Portions of a Psychiatric Interview

Answer 27

Behavioral orientation Feelings/emotions Behaviors Expressions

Question 28

4 Parts of Building Rapport

Answer 28

Reflection Silence Confrontation Reassurance

Question 29

How to build rapport through reflection

Answer 29

State what they said back to them in your own words

Question 30

How to build rapport through silence

Answer 30

Give them time to communicate

Question 31

How to build rapport through confrontation

Answer 31

Present what they say and what your observing back to them

Question 32

How to build rapport through reassurance

Answer 32

"We are going to work through this together to help you get better"

Question 33

Mental Status Exam

Answer 33

``` 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 ```

Question 34

What expression are you observing when looking at affect?

Answer 34

Lability Stability Congruency

Question 35

Define Concentration

Answer 35

Ability to focus

Question 36

Define Attention

Answer 36

Ability to sustain focus

Question 37

Parts of Insight in Mental Status Exam

Answer 37

Complete denial Dim awareness Awareness but inappropriate blame Awareness with knowledge of internal source

Question 38

Mini Mental Status Exam

Answer 38

``` Orientation Registration: attention, concentration Attention & calculation Recall Language: understanding & following instructions Visual-motor integrity Level of consciousness along a continuum ```

Question 39

Survey Instruments

Answer 39

``` SLUMS MOCA Zung Self-Rating Depression Scale Hamilton Rating Scale for Depression Beck Anxiety Inventory Mood Disorder Questionnaire ```

Question 40

SLUMS Dementia | MOCA

Answer 40

``` Orientation Executive functioning Memory Language Calculation Visuoconstructive skills ```

Question 41

Multiaxial Diagnosis of the DSM

Answer 41

``` Axis I: chief psych diagnoses Axis II: personality disorders, intellectual disabilities Axis III: medical Axis IV: social issues Axis V: global assessment of functioning ```