Family Systems & Psych Interview Flashcards

1
Q

The family is a dynamic, _____ unit that is continually _______

A

dynanmic, interactive unit, continually evolving

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2
Q

What are the 4 main functions of a family unit?

A

support
regulation
nurturance
socialization

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3
Q

When one person in a family system changes, what happens to the system? This is a main reason for what therapy modalities? (2)

A

the whole system shifts

Couples and family therapy

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4
Q

The primary function of family therapy is to ______ and help healthy functioning

A

conflict resolution

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5
Q

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

A

Interpersonal therapy

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6
Q

Which treatment modality is the most common?

A

CBT

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7
Q

Which treatment modality?

become aware of cognitive distortions

change thoughts, beliefs attitudes

changing thoughts can change actions

A

CBT

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8
Q

CBT is commonly used to treat which two conditions?

A

depression and anxiety

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9
Q

DBT was initially developed to treat what condition?

A

borderline personality disorder

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10
Q

Which treatment modality?

helps w. mood d/o, substance abuse, self-harm, suicidal ideation.

works on emotional regulation, distress tolerance, interpersonal effectiveness, mindfulness

A

Dialectical behavioral training

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11
Q

1/___ females and 1/____ males have been sexually abused…

A

1/3 females

1/5 males

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12
Q

Which type of trauma?

single major incident trauma (wars, accidents, homicide, etc)

A

big T Trauma

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13
Q

Which type of trauma?

stressful incidents over long period.

emotional abuse, anxiety, depression, stress

A

little t trauma

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14
Q

Three treatment modalities for trauma…

A

EMDR
Somatic experiencing
Psychotherapy

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15
Q

Which trauma modality?

  • addresses trauma and negative beliefs
  • uses eye movement or bilateral stimulation while processing traumatic experiences
A

EMDR

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16
Q

Which trauma modality?

focuses on body’s ability to heal itself

uses clients perceived sensations, allows client to release trauma

A

somatic experiencing

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17
Q

6 important questions a PCP can ask to screen for mental health?

A

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?

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18
Q

5 components of psych interview…

A

CC/HPI

Past Psych Hx

Medication Hx

FHx

Social Hx

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19
Q

3 components to past psych hx…

A

past providers
hospitalizations
suicide attempts

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20
Q

4 components to medication hx

A

dose, duration, effectiveness, S/E

21
Q

4 components to social hx

A

SES
relationships
legal hx
developmental hx

22
Q

This assessment is used to describe the patient’s current state of mind by assessing 12 domains.

A

mental status exam

23
Q

The below three components of the MSE can be observed during…

observation
focused questions
specific psych tests

A

psych interview

24
Q

What can help a provider distringuish between mania, depression, psychosis, dementia, neuro or other conditions?

A

MSE

25
Q

The below represent which part of MSE?

grooming/clothing
skin lesions/modifications
habitus

A

appearance domain

26
Q

Disorientation when presented in psych patients usually means what emergency is occurring?

A

delirium

27
Q

When considering speech, what is assessed (3)?

A

speech production: rate, volume, type

28
Q

The below are assessed in what part of the MSE?

hyperactive
hypoactive
rigid
akathisia/restless
combative
tics
eye contact/gait
A

motor behavior

29
Q

This is a patient’s subjective description of his/her emotional state

A

mood

30
Q

this is an observable feeling or tone expressed via voice, facial expression, demeanor described by the clinician.

A

affect

31
Q

What type of memory?

distant past/childhood

A

remote

32
Q

What type of memory?

weeks to months

current events w/in last few mo

A

recent remote

33
Q

What type of memory?

hours/days. what the pt. had for breakfast

A

recent memory

34
Q

What type of memory?

6 digit test
word list recall

A

immediate retention and recall

35
Q

This is the sensory awareness of objets in the environment and their interrelationships.

This can also refer to internal stimuli

A

pereptions

36
Q

These are false sensory perceptions not associated with real stimuli

A

hallucination

37
Q

These are misinterpretations of real external stimuli

A

illusions

38
Q

This is a person’s subjective sense of being unreal, strange or unfamiliar

A

depersonalization

39
Q

this is a subjective sense that the environment is strange or unreal

A

derealization

40
Q

this is the feeling of bugs crawling on or under the skin

A

formication

41
Q

this is a patients awareness that sxs or behavior is normal/abnormal.

It is a patient’s understanding of his/her own illness

A

insight

42
Q

This is the process of comparing and evaluating alternatives when deciding on course of action.

A

judgment

43
Q

This is what the patient thinks about and the focus of their concerns. the extent to which they believe their thoughts

A

thought content

44
Q

fixed, false personal beliefs that are not shared by other members of the person’s culture. They cannot be corrected by reasoning…

A

delusions

45
Q

Recurrent, uncontrollable thoughts, images or impulses.

A

obsessions

46
Q

repetitive behaviors or mental acts that a person feels driven to perform

A

compulsions

47
Q

quality, tempo and coherence of thought.

A

thought process

48
Q

This test is a brief neuropsych test to screen for dementia…

A

mini mental state exam