Ch. 3 Lecs Flashcards
In 5 states, psychologists can describe psychotropic meds:
- … and … were the first states
~
controversy regarding … of mental disorders
New Mexico;
Louisiana;
overexpansion
Historically, only difference between psychiatrists and psychologists were …
- psychiatrists are not … –> they deal with …/…
prescription privileges;
licensed therapists;
biological/medical model
(why psychs should prescribe)
- shortage of …, esp in 5 states that already legalized it –> … is the term we use when talking about psychiatric medications
- more expertise in psychological disorders than …
psychiatrists;
psychotropic meds;
family doctors
(why psychs should prescribe)
- other … have prescription privileges (e.g. dentists, optometrists, advanced practice nurses)
- nearly 80% of psychotropic meds are written by … and not by …
- … for clients –> wouldn’t have to see both a … and a …
non-physicians; primary care physicians; professionals in the field; "one-stop" shopping; therapist; psychiatrist
(why psychs should prescribe)
- … - independently providing a … –> right now, therapist has to communicate with the … about the client
professional autonomy;
wider range of services;
prescriber
(why psychs should prescribe)
- … - would set … apart
- potentially the … of the profession, prescribing as the …
- … for the profession - increasing …
professional identification; prescribers; natural evolution; logical next step; revenue; income
(why psychs shouldn’t prescribe)
- … issues - what kind of training would they have to go to, who should those courses …, as well?
- threats to …
training;
be taught by;
psychotherapy;
(why psychs shouldn’t prescribe)
- threats to psychotherapy –> can … threaten psychotherapy? … being replaced by … for …
psychopharmacology;
talk therapy;
psychopharmacology;
increased revenue
(why psychs shouldn’t prescribe)
- … –> some psychs prescribing, some won’t - can be … to general public to understand the difference
- influence of … industry –< offer gifts/food, form research, they have a …
identity confusion;
confusing;
pharm;
quota
(evidence-based treatments/manualized therapy)
- therapy that’s … –> looking at what forms of therapy work best for …
- ensures … across therapists
research-based;
specific disorders;
uniformity
(evidence-based treatments/manualized therapy)
ensures uniformity across therapists –> same …, minimizes … among treatment and results
- proven manualized techniques must be done … across the board
- … supports use of manualized therapy
efficacy;
variability;
the same;
data
(evidence-based treatments/manualized therapy)
examples:
… for OCD (…)
- someone with OCD may feel the need to do something … as a response to the … caused by their obsession
exposure plus response prevention;
ERP;
repetitively;
anxiety
(evidence-based treatments/manualized therapy)
examples:
ERP for OCD:
- someone with OCD may feel the need to do something repetitively as a response to the anxiety caused by their obsession
- ERP involves … to obsessions but the …, - gives rise to their … by they cannot have the …
exposure;
response is prevented;
anxiety;
have the OCD response
(evidence-based treatments/manualized therapy)
examples:
- … (…) for … (…)
dialectical behavioral therapy;
BPD;
borderline personality disorder
(advantages of manualized therapy) ... - follows ... - has been ... and ... - has been ... - less focus on ... form of it
scientifically legitimate; scientific method; studied; generalized; proven to work; eclectic
(advantages of manualized therapy)
- establishes levels of … –> when you’re trained in a certain form of therapy, you will be …, in it
- …
competence;
competent;
training improvements
(advantages of manualized therapy)
- decreased reliance on … –> the caveat here is that … is also …
clinical judgment;
clinical judgment;
valuable
(disadvantages of manualized therapy)
- can threaten the … –>do not emphasize this, just focuses on …
- … –> only works if the client has …, most people have … (i.e. …)
psychotherapeutic relationship; technique; diagnostic complications; one disorder; more than one disorder; comorbidity
(disadvantages of manualized therapy)
- … on practice –> without clinical judgment, therapists are just …, not using more than one … - very …
restrictions;
prescribing techniques;
technique;
limiting
(disadvantages of manualized therapy)
… for empirical evidence –> who determines what makes it …?
- favors … and … What about …, …, etc, which can also be beneficial to a client?
debatable criteria;
evidence based;
behavioral; cognitive therapies;
humanism; existentialism
(overexpansion of mental disorders)
- how far are we going with this?
- 35 million Americans are on … Is this necessary?
- criticisms of …
- influence of the … –> they’re pushing …
antidepressants;
increased diagnoses;
pharm industry;
meds
(overexpansion of mental disorders)
we used to tolerate a lot of these things, but now we’re … –> have to look at what’s … in our culture vs what’s truly …
- it only becomes pathological when it causes any of the …
pathologizing them;
“normal”;
pathological;
4 Ds
(payment methods)
- ,.. controls how much clinical psychologists get paid
- … started covering mental health around the 90s
pharm industry;
insurance
(Effect of third party (i.e. insurance) payment on therapy)
Negative impact on …/… of therapy
- insurance companies controlling how … we see a client (e.g. dictating that 15 sessions are enough) –> too little control over …, esp …
- all insurance companies require that patients need to be … to get paid
quality/effect; long; clinical decisions; diagnoses; diagnosed
(Effect of third party (i.e. insurance) payment on therapy)
- greater … for many clients
affordability
(influence of tech)
- can use … to do therapy –> but, can’t make eye contact, see body language, etc?
- many people do … and … online
internet;
assessment;
treatment
(applications of tech)
- … to interview/treat
- … –> maybe as a supplement to therapy?
- interactive …/… to supplement
videoconferencing;
email psychotherapy;
internet sites/apps
(applications of tech)
- online … –> e.g. … you can attend online
- … –> e.g. seeing oneself in an airplane when they have a phobia to flying and dealing with that with the therapist
psychotherapy programs;
groups;
virtual reality therapeutic experiences
(applications of tech)
- …
- therapist/client interaction via … like …
computer-based self-instruction;
hand-held devices; phones
(suggestions for emerging professional issues)
- always … with tech too
- …/… in development (e.g. rn in NJ, therapists can only see people …)
informed consent;
cybertherapy/telehealth laws;
from NJ
(suggestions for emerging professional issues)
- continue following …
- ensure … when online –> zoom-bombing occurs sometimes, can hackers access zoom calls?? … and …
APA ethics;
confidentiality;
challenges; compromises confidentiality
(suggestions for emerging professional issues)
- appreciate …
- is there extra …/… needed?
- know client’s … –> if treating a client in a different state, it may be difficult to know … for those people
culture;
training; practice;
local emergency resources;
psych resources
