Intake/Assessment/Diagnosis

Question 1

Structured Clinical Interview for DSM-5, or SCID-5

Answer 1

Used by clinicians as a guide to formulate DSM-5 diagnoses. The assessment is a semi-structured, which means that it’s a combination of structured and unstructured questions.

In the SCID, structured questions are typically closed-ended questions where the client is asked to provide a yes/no response.

Unstructured questions are generally open-ended questions, where the client can provide details in their own words.

Question 2

Four Areas to Assess Current Level of Function (the four areas that could be affected)

Answer 2

Relationship
Occupation
Social Interactions
Education

(ROSE)

Question 3

Oriented x3

Answer 3

Orientation to person, place, and time

Question 4

Choreiform

Answer 4

Rapid movements are rapid, jerky, nonrepetitive movements that often occur in the face, arms, and legs. They may be caused by certain diseases, such as Huntington’s disease or drug toxicity. Treatment can involve medications such as anticonvulsants, antipsychotics, and dopamine agonists to reduce movements.

Question 5

Descriptions of Affect (4)

Answer 5

1) Flat/blunted -associated with depression
2) Labile - rapid-cycling bipolar or schizophrenia
3) Inappropriate responses may be a sign of intoxication, schizophrenia, organic brain disease
4) Be aware that poor eye contact may be cultural

Question 6

Dysarthria

Answer 6

-articulation is difficult
-disordered speech sounds but language (grammar, word choice) is intact

Question 7

Dysthymia

Answer 7

-Symptom of depression
-Low mood occurring for at least two years, along with at least two other symptoms of depression

Question 8

Euthymia

Answer 8

Living in a state of “normal” or “stable” moods

Question 9

Folie à Deux

Answer 9

-Means madness for two.
-When two closely related people share a delusion.
-Usually the same family.

Question 10

General Components of the MSE
Term

Answer 10

1) General Appearance, Behavior & Attitude
2) Level of Consciousness & Orientation
3) Speech & Language
4) Mood & Affect
5) Thought Process, Content, & Perceptions
6) Memory & Cognition
7) Insight & Judgment

Question 11

Ideas of Reference

Answer 11

-Overvalued ideas
-The client is virtually, but not totally, convinced that objects, people, or events in the immediate environment have personal significance
-If delusional, the client would become certain of the reality of the ideas

Question 12

All-or-Nothing Thinking (Cognitive Distortion)

Answer 12

Seeing events as absolute successes or complete failures,
with no room for partial success or gray areas in between.

Question 13

Catastrophizing (Cognitive Distortion)

Answer 13

A process of exaggerating the negative outcome of a
situation or event.

Question 14

Discounting the Positive (Cognitive Distortion)

Answer 14

A cognitive bias in which an individual dismisses positive
experiences, achievements, or feedback as not being
important or valid.

Question 15

Emotional Reasoning (Cognitive Distortion)

Answer 15

Assuming something must be true simply because you feel
a certain way about it—regardless of any actual evidence
suggesting otherwise.

Question 16

Labeling (Cognitive Distortion)

Answer 16

A cognitive bias in which an individual assigns a label to
themselves or to another person based on their own
emotions or perceived characteristics.

Question 17

Magnification/Minimization (Cognitive Distortion)

Answer 17

Exaggerating the significance of certain aspects while
downplaying others in order to make a situation seem more
extreme than it really is.

Question 18

Mental Filter

Answer 18

A cognitive bias that involves focusing on a single negative
detail and ignoring all other information.

Question 19

Overgeneralization (Cognitive Distortion)

Answer 19

Drawing sweeping conclusions from single cases in life
rather than looking at the bigger picture over time

Question 20

Personalization (Cognitive Distortion)

Answer 20

A cognitive bias in which an individual believes that
everything is their fault or that they are responsible for the
negative outcome of a situation.

Question 21

“Should” Statements (Cognitive Distortions)

Answer 21

Holding oneself to unrealistically high standards based on
rigid expectations; having an internal dialogue filled with
“shoulds” instead of “wants” or “coulds.”

Question 22

Oriented x3

Answer 22

Orientation to person, place, and time

Question 23

The Auditory Continuous Performance Test

Answer 23

determines ADD/ADHD by assessing auditory attention deficit.

Question 24

The Marital Satisfaction Survey

Answer 24

assesses conflict within the relationship.

Question 25

Stages of change

Answer 25

1) pre-contemplation, 2) contemplation, 3) preparation, 4) action, or 5) maintenance.

Question 26

Gottman’s Four Horseman of relationship Apocalypse

Answer 26

Criticism, Defensiveness, Contempt, and Stonewalling.

Question 27

Congruence

Answer 27

a technique used in counseling that focuses on creating a genuine connection between the counselor and the client. It involves being fully present with the client and honest about one’s reactions and feelings without judgment.

Question 28

The Dyadic Adjustment Scale

Answer 28

measures a partner’s perceptions of his or her intimate relationship.

Question 29

Reaction formation

Answer 29

Replacing one’s initial impulse toward a situation or idea with the opposite impulse. This defense mechanism may be present in someone who teases or insults a romantic interest whom they like. Conversely, reaction formation may be present in someone who is overly kind to someone whom they dislike.

Question 30

Collaborative Assessment and Management of Suicidality (CAMS)

Answer 30

The CAMS is considered to be the best tool to assess suicidality and plan treatment around suicide risk. The collaborative nature of the CAMS allows extensive coordination of treatment between the client and therapist, which is important for this client.

Although developed originally for use with adults, the CAMS is now being used with populations as young as five years old.

Question 31

The Behavioral Summarized Evaluation

Answer 31

assesses Autism Spectrum Disorders.