Exam 3 Update Flashcards
Therapy with older adults modifications
1. Take more time to review new material
2. Repeat material and skills
3. Allow more time, glasses, bigger print, hearing aids
PHQ-9
1-4………minimal depression
5-9………mild depression
10-14…..moderate depression
15-19….moderate severe depression
20-27…severe depression
How is the PHQ-9 modified for teens
Need 5 or more positive symptoms (positive is defined by a 2 or 3 in questions 1-8 and by a 1,2, or 3 in question 9. The functional impairment questions (How difficult…) needs to be rated least as “somewhat difficult”
Interpersonal Therapy
Is a good choice for adults who present with grief, loss, interpersonal conflicts, and role transitions.
Helpful for patients who are mild to moderately depressed.
Stages of development: Thought Substage lasts from 4-7 years
Is marked by greater dependence on intuitive thinking rather than just perception. At this stage, children ask many questions as they attempt to understand the world around them using immature reasoning
Motivational Interviewing is used with children and adolescents because
Resistance can be managed with less resistance and hostility
Strength-Based Approach with Children
This approach is best during the first meeting
An example is to praise youth for their efforts to maintain control of some aspect of life.
Strength-Based Approach with Children-Using CBT with family systems focuses to address bipolar using a strength-based approach…what’s an example
“Can you tell me about the family?”
Trauma-focused cognitive behavior therapy
Is the best therapy for a child with extensive trauma history (abuse, neglect) with symptoms of poor sleep, nightmares, irritability, minor aggression, and restlessness.
3 main characteristics of ADHD in children…
the DSM-5 criteria
1. Inattentiveness
2. Hyperactivity
3. Impulsivity
Strength-Based Approach with Children
For youth taking stimulants for ADHD and still having poor attention in school, the best behavioral, cognitive, or psychoeducational intervention to augment the medication is
Cognitive training focused on enhancing working memory. Behavior therapy and psychosocial treatment are recommended as an adjunct to medication for moderate to severe ADHD
Fusion
Example- seeing a family where parents formed dysfunctional interaction patterns and function as single system
Know the term
Normalizing
Person states “I am weird, I don’t like heights.”
Normalizing reply- “At times many people feel anxious when they are high up.”
Multigenerational Transformation Process
This process entails the way family emotional processes are transferred and maintained over the generations. “She’s just like your cousin Jenny, she was divorced 4 times.”
Transform dysfunctional generation patterns
Ex.-an adult woman in a family dyad is the therapist’s client and the therapist states that the “women in the family tend to over function and marry partners who are irresponsible or under function.” —the psychotherapy technique is to transform dysfunctional generation patterns.
Triangles and triangulation
Ex- When distressed or feeling intense emotions, they will seek a third person to triangulate.
Undifferentiated Ego Mass
Ex-a family you are seeing for family therapy, several members appear stuck together with low levels of differentiation, one member says they could never make it without the others.
Family Projection Process
Ex-You are seeing a family and think that the only child is serving as an emotional extension of the parents. You suspect that the child is fused and triangulated to the parents, this is called family projection process
Bowen’s Theory
Bowen’s family system theory is a theory of human behavior that views the family as an emotional unit and uses systems thinking to describe the units complex interactions. It is the nature of a family that its members are intensely connected emotionally.
The theory considers family members’ interdependence. A change in one person’s behavior affects the other members of the family
Enmeshed Family
Parents are excessively involved in children’s minor conflicts and do not allow the children the opportunity to solve their own problems. Parents consumed with youngest child’s bad grade she brought home the week before (overall has good grades but had one bad grade)
Codependent Family
Ex--If a parent sees that something painful is happening in their child's life, they will try to gain control by getting overly involved.
Disengaged Family
A family whose members are mutually withdrawn from each other psychologically and emotionally. EX- Families that share little to nothing, typically overly rigid families, are described as detached. (little to no communication and no flexibility in the family patterns to accommodate effective support and guidance.)
Minuchin's factors that lead to family dysfunction
Symptoms arise from structural imbalances in the family system (The family composition may change due to the birth of a child, the inclusion of a relative, or the addition of a foster child. *If the family does not change or modify its interactions and transactions to include the new family member, stress resulting from the situation may cause family dysfunction.