Chapters 6 & 7

Question 1

What does a mental status exam assess?

Answer 1

Affect, memory, orientation to time and place, speech, and appearance

Question 2

What do personality assessments measure?

Answer 2

Relatively stable traits

Question 3

What are the key components of the Temporal/Contextual case conceptualization model?

Answer 3

Affect, cognition/hot thoughts, behavior (somatic symptoms, self efficacy, readiness for change), genetics/heredity, biology, attitudes/values/beliefs, strengths & supports, relationships, culture, family norms & values, past influences, present influences/precipitating events, and future goals.

Question 4

What are some drawbacks to the DSM 5?

Answer 4

• difficult to use with more than 1 diagnosis
• doesn’t help coordinate treatment plans
• categorical (yes or no, not continuous)

Question 5

What is the purpose of case conceptualization?

Answer 5

To fill in any gaps left by the client’s DSM diagnosis. Helps the counselor more fully understand the client’s needs and provides a “blueprint” for how to interact with, listen to, and help them.

Question 6

What are the steps to approach a case conceptualization?

Answer 6

1. description of clients problems
2. identify precipitating factors
3. identify maintaining factors
4. identify risk factors
5. identify protective factors
6. develop a hypothesis
7. develop a treatment plan

Question 7

What is a projective test?

Answer 7

The client “projects” unconscious feelings onto the assessment material (Ex Rorschach or sentence completion)

Question 8

Why should you always identify the clients strengths and support?

Answer 8

• gives client hope
• helps you set goals with the client
• builds rapport and the client’s trust in you

Question 9

How should you select your theoretical approach to each client?

Answer 9

Through themes that come up during case conceptualization.

Question 10

What are the key aspects of a Solution Focused Brief Therapy approach?

Answer 10

-problems arise because client doesn’t recognize own resources and feels disempowered
-focus on present
-focus on solutions, not problems
“cheerlead” client, point out strenghts

Question 11

What are the key aspects of a Cognitive Behavioral Therapy approach?

Answer 11

• problems arise from client’s dysfunctional thinking patterns
• help client address and challenge cognitions
• thinking, feeling, and acting all affect each other
• find out client’s “payoff” for undesired behaviors

Question 12

What are the key aspects of a Psychodynamic Therapy approach?

Answer 12

• problems arise from early childhood maladaptation

- use clients transference to help them recognize faulty relationship patterns

Question 13

What are the key aspects of a Humanistic approach?

Answer 13

• problems arise from self-esteem issues
• relational; use relationship with client to change how they feel about themselves
• encourage client often

Question 14

What are the key aspects of an Existential approach?

Answer 14

• problems arise because client is stuck on existential questions
• outward focus; discover “meaning”

Question 15

What are the key aspects of a Family Systems approach?

Answer 15

• problems arise from issues embedded in family system

- change 1 part of system, everything else will change

Question 16

What are the key aspects of a Post Modern approach?

Answer 16

• Narrative: encourage client to “rewrite” life story

- Feminist: account for client’s broader social context

Question 17

What are the key aspects of a Biopsychosocial approach?

Answer 17

-contextual; we are embedded in multiple levels of systems

Question 18

What are the levels of systems in the Biopsychosocial model?

Answer 18

• Microsystem: people closest to you
• Exosystem: indirect; things that affect those closest to you which in turn affects you
• Macrosystem: broad cultural messages
• Mesosystem: interactions between systems or people within microsystem
• Chronosystem: evolution of context across time

Question 19

What are Prochaska’s stages of change?

Answer 19

• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance

Question 20

What does the Inner Circle in the T/C Model represent?

Answer 20

The boundary between client’s internal and external worlds, and the interactions between those worlds

• symptoms
• coping skills and strengths
• readiness for change
• client’s life roles

Question 21

What does the Triangle in the T/C Model represent?

Answer 21

Affect, behavior, and cognition.

Question 22

What does the Outer Circle in the T/C Model represent?

Answer 22

The client’s multiple environmental and relational influences.

• interpersonal relationships
• culture, SES, societal norms, etc
• client-counselor relationship

Question 23

What does the Timeline in the T/C Model represent?

Answer 23

Past, present, and future (context and setting)

Question 24

What are key aspects of a creating treatment plan?

Answer 24

Individualized to the client, cooperative (collaboration with client), fluid and must be adjusted over time, and includes specific and measurable objectives.

Question 25

What are the components of a treatment plan?

Answer 25

Problems, goals, objectives, and interventions.

Question 26

What does S.M.A.R.T. objectives stand for?

Answer 26

Specific
Measurable
Attainable
Time-limited
Realistic

Question 27

What is the “feedback loop” of case conceptualization and treatment planning?

Answer 27

Case conceptualization leads to treatment planning, which changes the case conceptualization over time, which changes the treatment plan… etc.