Intake/Assessment/Diagnosis Flashcards
Structured Clinical Interview for DSM-5, or SCID-5
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.
Four Areas to Assess Current Level of Function (the four areas that could be affected)
Relationship
Occupation
Social Interactions
Education
(ROSE)
Oriented x3
Orientation to person, place, and time
Choreiform
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.
Descriptions of Affect (4)
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
Dysarthria
-articulation is difficult
-disordered speech sounds but language (grammar, word choice) is intact
Dysthymia
-Symptom of depression
-Low mood occurring for at least two years, along with at least two other symptoms of depression
Euthymia
Living in a state of “normal” or “stable” moods
Folie à Deux
-Means madness for two.
-When two closely related people share a delusion.
-Usually the same family.
General Components of the MSE
Term
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
Ideas of Reference
-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
All-or-Nothing Thinking (Cognitive Distortion)
Seeing events as absolute successes or complete failures,
with no room for partial success or gray areas in between.
Catastrophizing (Cognitive Distortion)
A process of exaggerating the negative outcome of a
situation or event.
Discounting the Positive (Cognitive Distortion)
A cognitive bias in which an individual dismisses positive
experiences, achievements, or feedback as not being
important or valid.
Emotional Reasoning (Cognitive Distortion)
Assuming something must be true simply because you feel
a certain way about it—regardless of any actual evidence
suggesting otherwise.
Labeling (Cognitive Distortion)
A cognitive bias in which an individual assigns a label to
themselves or to another person based on their own
emotions or perceived characteristics.
Magnification/Minimization (Cognitive Distortion)
Exaggerating the significance of certain aspects while
downplaying others in order to make a situation seem more
extreme than it really is.
Mental Filter
A cognitive bias that involves focusing on a single negative
detail and ignoring all other information.
Overgeneralization (Cognitive Distortion)
Drawing sweeping conclusions from single cases in life
rather than looking at the bigger picture over time
Personalization (Cognitive Distortion)
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.
“Should” Statements (Cognitive Distortions)
Holding oneself to unrealistically high standards based on
rigid expectations; having an internal dialogue filled with
“shoulds” instead of “wants” or “coulds.”
Oriented x3
Orientation to person, place, and time
The Auditory Continuous Performance Test
determines ADD/ADHD by assessing auditory attention deficit.
The Marital Satisfaction Survey
assesses conflict within the relationship.
Stages of change
1) pre-contemplation, 2) contemplation, 3) preparation, 4) action, or 5) maintenance.
Gottman’s Four Horseman of relationship Apocalypse
Criticism, Defensiveness, Contempt, and Stonewalling.
Congruence
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.
The Dyadic Adjustment Scale
measures a partner’s perceptions of his or her intimate relationship.
Reaction formation
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.
Collaborative Assessment and Management of Suicidality (CAMS)
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.
The Behavioral Summarized Evaluation
assesses Autism Spectrum Disorders.
