Family Systems & Psych Interview Flashcards
The family is a dynamic, _____ unit that is continually _______
dynanmic, interactive unit, continually evolving
What are the 4 main functions of a family unit?
support
regulation
nurturance
socialization
When one person in a family system changes, what happens to the system? This is a main reason for what therapy modalities? (2)
the whole system shifts
Couples and family therapy
The primary function of family therapy is to ______ and help healthy functioning
conflict resolution
Which treatment modality?
Heavy reliance on therapist and client
therapist/client relationship mirrors client’s life.
Therapist reflects how they experience them, helps client see what works and what doesnt
Interpersonal therapy
Which treatment modality is the most common?
CBT
Which treatment modality?
become aware of cognitive distortions
change thoughts, beliefs attitudes
changing thoughts can change actions
CBT
CBT is commonly used to treat which two conditions?
depression and anxiety
DBT was initially developed to treat what condition?
borderline personality disorder
Which treatment modality?
helps w. mood d/o, substance abuse, self-harm, suicidal ideation.
works on emotional regulation, distress tolerance, interpersonal effectiveness, mindfulness
Dialectical behavioral training
1/___ females and 1/____ males have been sexually abused…
1/3 females
1/5 males
Which type of trauma?
single major incident trauma (wars, accidents, homicide, etc)
big T Trauma
Which type of trauma?
stressful incidents over long period.
emotional abuse, anxiety, depression, stress
little t trauma
Three treatment modalities for trauma…
EMDR
Somatic experiencing
Psychotherapy
Which trauma modality?
- addresses trauma and negative beliefs
- uses eye movement or bilateral stimulation while processing traumatic experiences
EMDR
Which trauma modality?
focuses on body’s ability to heal itself
uses clients perceived sensations, allows client to release trauma
somatic experiencing
6 important questions a PCP can ask to screen for mental health?
how do you take care of stresses?
how well are you sleeping
hx of trauma/abuse
quality of relationships?
had suicidal thoughts?
experiencing anxiety, depression?
5 components of psych interview…
CC/HPI
Past Psych Hx
Medication Hx
FHx
Social Hx
3 components to past psych hx…
past providers
hospitalizations
suicide attempts
4 components to medication hx
dose, duration, effectiveness, S/E
4 components to social hx
SES
relationships
legal hx
developmental hx
This assessment is used to describe the patient’s current state of mind by assessing 12 domains.
mental status exam
The below three components of the MSE can be observed during…
observation
focused questions
specific psych tests
psych interview
What can help a provider distringuish between mania, depression, psychosis, dementia, neuro or other conditions?
MSE
The below represent which part of MSE?
grooming/clothing
skin lesions/modifications
habitus
appearance domain
Disorientation when presented in psych patients usually means what emergency is occurring?
delirium
When considering speech, what is assessed (3)?
speech production: rate, volume, type
The below are assessed in what part of the MSE?
hyperactive hypoactive rigid akathisia/restless combative tics eye contact/gait
motor behavior
This is a patient’s subjective description of his/her emotional state
mood
this is an observable feeling or tone expressed via voice, facial expression, demeanor described by the clinician.
affect
What type of memory?
distant past/childhood
remote
What type of memory?
weeks to months
current events w/in last few mo
recent remote
What type of memory?
hours/days. what the pt. had for breakfast
recent memory
What type of memory?
6 digit test
word list recall
immediate retention and recall
This is the sensory awareness of objets in the environment and their interrelationships.
This can also refer to internal stimuli
pereptions
These are false sensory perceptions not associated with real stimuli
hallucination
These are misinterpretations of real external stimuli
illusions
This is a person’s subjective sense of being unreal, strange or unfamiliar
depersonalization
this is a subjective sense that the environment is strange or unreal
derealization
this is the feeling of bugs crawling on or under the skin
formication
this is a patients awareness that sxs or behavior is normal/abnormal.
It is a patient’s understanding of his/her own illness
insight
This is the process of comparing and evaluating alternatives when deciding on course of action.
judgment
This is what the patient thinks about and the focus of their concerns. the extent to which they believe their thoughts
thought content
fixed, false personal beliefs that are not shared by other members of the person’s culture. They cannot be corrected by reasoning…
delusions
Recurrent, uncontrollable thoughts, images or impulses.
obsessions
repetitive behaviors or mental acts that a person feels driven to perform
compulsions
quality, tempo and coherence of thought.
thought process
This test is a brief neuropsych test to screen for dementia…
mini mental state exam
