Final Flashcards
what is becks CBT goal?
recognize + change negative thoughts and beliefs
what is Ellis’ ABC theory of emotions?
A = activating event in environment B = belief that is triggered C = emotional Consequence
what are the stages of changes?
precontemplation contemplation prepare action maintenance
what is over generalizing?
everything is bad
what is selective abstraction?
failures only matter
what is excessive responsibility?
i am responsible for all bad things
what is Assuming temporal causality?
if its true in the past, its always true
what is catastrophizing?
always thinking of the worst will happen to you
what is dichotomous thinking?
one extreme or another
What is MICA?
mentally ill, chemically addicted
dual dx
what is occupational alienation?
can be effect of substance dependency
a loss of meaning and satisfying roles
what is occupational deprivation?
deterioration in performance may lead to loss of meaningful and satisfying roles
what is the occupational impact of substance abuse?
activities are replaced by activities focused on maintaining the addiction
what are the tx approaches to substance abuse?
12 step
motivational interviewing (transtheoretical)
CBT
CAGE
alcohol screening
misses at risk drinkers + drugs
DAST
drug screening
3-5 = moderate drug addiction
MAST
drug screen for older adults
what are the principles for motivational interviewing?
- express empathy
- develop discrepancy
- roll with resistance
- support self efficacy
what is locus of control?
sense of control to manage illness independently outside of clinic
what are side effects of antipsychotics?
dystonia, tachycardia, hypotension, lethargy, dry mouth
what are the side effects of SSRI’s?
sex dysfx, nausea, insomnia, agitation, increased temp
what to avoid when taking MAOI’s?
avoid foods with tyramine that can lead to stroke
What are side effects of Benzo’s?
withdrawal and rebound sys
what is modeling?
observational learning
person learns a new social skill by watching someone else use that skill
what is shaping?
reinforcement of steps toward desired goal
most skills taught in training are too complex for clients to learn in single trial
What are the principles of MOHO?
volition
value
personal causation
what are the methods of motivational Interviewing?
open Q's listen reflectively affirm summarize change talk
what are de-escalation techniques for anxious pt?
supportive approach = non judgemental empathetic pay attn use silence and restatement reflection
what are de-escalation techniques for defensive pt?
directive approach = set limits clear + concise understanding tone dont challenge enforce limits
what are de-escalation techniques for acting out person?
tension reduction = physical and emotional release restores rationality and re-est therapeutic rapport
what is the appropriate safety zone with supportive stance?
> 3 feet, 1.5 arms length
45 degree angle ability to pivot
what are the leading causes of re-hospitalization?
not taking meds and stressful life events
what are the 6 problem solving steps?
- identification
- strategies
- pros and cons of strategy
- selection of strategy
- implementation
- follow up
what is problem flooding?
trying to solve 1 problem and client brings up another
what is distraction?
divert attn of therapist
what is help rejection complainer?
rejects efforts to help to continue complaining
what is avoidance denial strategy?
avoiding problems instead of confronting
need to find out consequences to avoidance
what are receptive behaviors?
attn to and interpretation of relevant cues
emotional recognition
what are situation factors?
social intelligence
knowledge of social norms
what are response timing?
prolonged delay in response may be due to abnormal stimuli
what are social reinforcers?
ability to praise other persons/show interest
what are paralinguistic features?
voice volume
speech rate
pitch/intonation
who loves you?
DADDY
what is over-learning?
repeatedly practicing skill until it becomes automatic
may appear robotic (not generalized)
who does Daddy love?
Mommy and Baby
what is milieu therapy?
practicing social skills naturally in clinic
