Chapter 14: Ongoing Counseling Flashcards
What is crisis intervention
A short term helping process designed to provide immediate relief in an emergency situation which is active direct and brief occuring after a crisis has happened aimed at ameliorate situations.
Such emergency can include
Strong suicidal tendencies
Hysterical reaction following acute anxiety and panic
Death of love one
What do those infected with HIV experience
Fear Loss Grief Guilt Denial Anger Anxiety Low self esteem Depression Suicidal behaviour or ideation. Obsessive condition and hypochondria Spiritual concerns Socio economic issues Hope and equilibrium
How does HIV infections impact on affected significant others
Affected others experience fear and anxiety about own risk of infection
Affected others are often enraged with infected person burden of infection
Affected others start anticipate loss of infected person
What are some conditions prevalent with HIV infected individuals
Stress: is a state of physiological and psychological response to internal and external threats.
Acute stress disorder (ASD) and post traumatic stress disorder (PTSD) are conditions marked by increase in stress and anxiety after exposure to traumatic event.
Counselors may experience burnout which is emotional exhaustion from excessive demand on energy strength and personal resources
CBSM is an intervention that focuses on altering negative thoughts about an illness and decrease illness related distress while improving coping styles
Explain what Adjustment disorder is
Is the development of maladaptive symptoms in response to a stressor. Symptoms include.
Anxiety
Depression
Behavioural disturbances
Emotional disturbances
What is anxiety
GAD is a condition characterized by excessive anxiety and worry about things that last longer than six months and impairs normal functioning.
A highly anxious person may be restless, jittery, fidgety , fatigue, tense unable to concentrate
Treatment involves psychotherapy and cognitive behavioural therapy.
Comment on depression
Symptoms include
Affective symptoms like feelings of sadness unhappiness worthlessness
Cognitive symptoms like feelings of futility emptyiness and hopelessness. Suicidal thoughts guilt negative thinking and concentration problem
Behavioural symptoms like lack of energy self neglect crying
Physiological symptoms like loss of appetite and weight sleep disturbances loss of libido
Treatment involves psychotherapy and antidepressant
Explain suicide
Factors linked to suicide are hopelessness and negative expectations of the future and depression.
Suicidal intervention include
Knowledge and identification of risk and warning signs
Evaluation of probability that person will commit suicide
Implementation to prevent suicide
Comment on neurocognitive disorders
Are conditions that disrupt cognitive functions like memory language orientation judgement.
Discuss substance and alcohol addiction
Substance abuse is one of the assumed ways to cope with stress of chronic illness.
Opiates help person feel calm mellow
Stimulants counter feeling of being unloved or weak.
Sedatives help overcome negative unwelcome feelings.
Why counsel women or pregnant couples
HIV infected pregnant women concern about health of baby.
HIV infected pregnant women considering termination
Discordant couples considering pregnancy
