Interventions

Question 1

what are the 6 core counselling skills?

Answer 1

attending skills
basic questioning skills
confrontation
focusing
reflection of meaning
influencing skills

Question 2

What is attending skills and when is it used

Answer 2

encourages clients to talk
show’s interest
used throughout (particularly important in intials stages to build relationshiop)

examples: body language

Question 3

When is questioning useful

Answer 3

In the formation gathering stages and throughout

Question 4

what is the therapeutic alliance?

Answer 4

The establishment of a collaborative
relationship characterized by common goals and understanding.

Question 5

what do you do when clarifying client thoughts

Answer 5

(Reflecting and Paraphrasing)
If someone
tells you that her husband cheated on her and that her son stole
money from her don’t say “suck it up princess” or give her a
Freudian interpretation or tell her how you can’t trust people in
this world anymore and it also happened to you. Say something
like: “You have been hurt by your husband and also your son”

Question 6

what are the criteria for interventions? (4)

Answer 6

time limited
structured
have a beginning, middle, end
are specific to goals and outcomes

Question 7

what’s the evidence based interventions for PTSD

Answer 7

TF=-CBT
EMDR
prolonged exposure
psychodynamic

Question 8

You get referred someone because they have a driving phobia. And they were in car accident and can’t sit in drivers seat without getting anxious. What is most appropriate therapy to use in this situation?

1. Cognitive restructuring
2. Narrative therapy
3. Graded exposure
4. Imaginative exposure
5. Motivational interviewoing

Answer 8

3. Graded exposure

Imaginative exposure: exposure to symbolic representation of their fear.

Question 9

A 45-year-old woman is referred to a psychologist for treatment of spider phobia. The psychologist decides to use a form of exposure therapy. Which of the following exposure methods is likely to be most effective?
1. Graduated exposure and habituation to live spiders.
2. Graduated exposure and habituation to plastic spiders
3. Exposure and habituation using pictures of spiders.
4. Exposure and habituation of the response to live and plastic spiders
5. Graduated exposure and habituation using spiders and other insects.

Answer 9

1. Graduated exposure and habituation to live spiders.

Question 10

what are the general concepts for any intervention question on NPE (5)

Answer 10

think about stages of treatment
meet client where they are at
start slow and gentle
start with validating and exploring
find common goals

Question 11

what are the 9 steps in the sequence of therapy?

Answer 11

1. establish rapport
2. explore concerns
3. assessment
4. diagnosis and formulation
5. psycho education / socialisation to treatment
6. develop treatment plan / goals with client
7. Intervention
8. Evaluate treatment
9. closing: summarise / discharge / followup

Question 12

what are the evidence based treatments for depression?

Answer 12

CBT / IPT / brief psychodynamic therapy

Question 13

What is IPT and what 4 areas does it specifically focus on?

Answer 13

Interpersonal Therapy

grief and loss

interperonal disputes (depression in relation to conflict in relationship)

role transitions (adjustment problems; adolescence-adulthood, parenthood, aging, job, relationships)

Interpersonal sensitivities (depression with establishing or maintaining interpersonal relationships) Style of attachment that results in problems with interpersonal functioning.

Question 14

how does IPT work

Answer 14

delivers a structured and formulised treatment plan based on comprehensive assessments of clients attachment style.

Question 15

what is attachment theory?

Answer 15

how individuals form, maintain, develop and end relationships

Question 16

what conditions would you use IPT with

Answer 16

eating disorders
bipolar
substance abuse (not chronic)
anxiety
postnatal
suicide prevention
depression

Question 17

what conditions WOULDN’T you use IPT with (5)

Answer 17

chronic substance abuse
psychosis
sever cognitive deficits
personality disorders
acute suicide risk

Question 18

IPT : phase 1: how many sessions and what does it involve?

Answer 18

Phase 1: sessions 1-2

assessment diagnosis
interpersonal inventory
determine treatment focus
interpersonal formulation
treatment contract

Question 19

IPT: phase 2: how many sessions and components of sessions?

Answer 19

Phase 2: session 2-14

interventions:
clarification
communication analysis
clarifying interpersonal incidents
expressions of affect
role playing
homework
problem solving

Question 20

IPT: phase 3: how many session and components of sessions

Answer 20

Phase 3: session 15+

therapeutic review: with interpersonal inventory
anticipate future problem areas
maintenance contract.

Question 21

with IPT, what needs to be taken into account when assessing attachment? (4)

Answer 21

content of clients description of relationships

quality of client’s narrative: ability to describe dialogue, emotional content and non verbal information

description of other individuals

client / therapist relationship

Question 22

what factors are relevant when assessing for IPT suitability (4)

Answer 22

severity of illness (not suitable if severe)
motivation
therapeutic relationship
resilience (capacity to withstand internal or external stress)

Question 23

what is an interpersonal inventory in IPT

Answer 23

The interpersonal inventory is a brief description of the important people in the client‟s life. It documents the nature of the relationship, quality, expectations and problems.

purpose is to determine which relationships to work on and to gather further info on attachment style and communication patterns

used to develop and orient therapy

Question 24

You are seeing a new client 40 yr old man in first session, tells you doesn’t want to be seeing you, gp sent him, had an accident 2 yrs ago, now doing well and drive in local area, outside local area he gets wife to drive. He doesn’t see this is a problem. What is your next step:
1. Refer to OT to look at driving and advice driving skills
2. Start assessment of difficulties to drive outside local area
3. Develop graded exposure hierarchy for driving difficulties
4. Explore reasons for only driving in local area
5. Do assessment for ptsd.

Answer 24

4. Explore reasons for only driving in local area

Need a soft start as he doesn’t want to be there. Need to explore before doing assessment. First build reapor, then explore, then assessment.
Never start with assessment. Look for words such as explore, validate, listening to client (especially those not keen to have treatment).
Answer is most often in the questions. Why did she bother to tell you that the guy doesn’t want to be there. There is the answer.

Question 25

You are working with panic attack, after ended romantic relationship, now scared of panic attack. You decide to use cbt you want to do graded exp hierarchy and start by identifying triggers for panic attack, he becomes distressed and says this is making him anxious. What would be the next thing you would do?

1. Work with client to understand reasons for distress
2. Encourage be brave and face fears directly
3. Refer to gp for medication
4. Construct fear hierarchy about triggers
5. Don’t talk triggers as causing too much distress

Answer 25

1. Work with client to understand reasons for distress

Question 26

Guy cannot drive, in an accident 9 mths ago, seriously injured, someone died (friend), has nightmares, intrusive thoughts, finding it very hard to drive. What intervention would you use?
1. Graded exposure related to fear of driving
2. Teaching strategies relaxation
3. Trauma focused cbt to help client process trauma history
4. Grief counselling over loss of friend
5. Trauma informed supportive counselling

Answer 26

3. Trauma focused cbt to help client process trauma history

Number 3 because he has symptoms of ptsd, therefore ptsd intervention.

Question 27

Same guy as above, you do assessment and diagnosed ptsd and decided to use trauma focused cbt approach. What would be the next step:
1. Imaginative exposure to car crash memories
2. Psycho education linking symptoms to trauma experience
3. Teaching relaxation strategies to go back to driving
4. Doing in vivo exposure to driving
5. Start with supportive trauma informed counselling then trauma focused cbt

Answer 27

2. Psycho education linking symptoms to trauma experience

This is clearly a question about stages, you’ve done diagnosis and next step is to explain – psychoeducation.

Need to read questions and think about what they are asking. If you find anything like supportive counselling is not want they want. Disregard this option. There is no evidence this helps with ptsd.

Question 28

You are seeing someone and during assessment they say have sig impacts of stress /anxiety when assaulted 3 yrs ago. Have flashbacks and avoids going out. You assess ptsd. Which strategies most effective?
1. Progressive muscle relaxation and invivo exp
2. Imaginative exp of cog restructuring
3. Progressive muscle and image exp
4. Progressive muscle cog restructuring
5. Progressive muscle relaxation and invivo exp

Answer 28

2. Imaginative exp of cog restructuring

Use PMR for GAD and sleep… is PMR is not an intervention to trauma. Because people are very sensitive to body sensations with ptsd. This is counter indicated with people with ptsd. Many can’t do visual exposure.
With ptsd questions need to look for a behavioural strategy and a cognitive strategy.

Why don’t you go graduated exposure for ptsd? As you can’t do in vivo exposure to trauma. You’re not going to put them in a car crash again.
There is some in vivo exposure in ptsd treatment with avoided situations. This comes after you have processed traumatic memories and when they don’t cause distress any more then do in vivo exposure to avoided situations.

Question 29

what is TF-CBT

Answer 29

cognitive restructuring and imaginative exposure. This may be called prolonged exposure. This is another type that involves the same, imaginative exposure and cognitive restructuring

Question 30

Doing some research on the most effective treatments for PTSD and you are just trying to find which one is evidence-based and which isn’t. you lit search and find one intervention not supported. Which one is it?

1. Prolonged exposure
2. Emdr
3. Tf cbt
4. Psychodynamic therapy
5. Thought field therapy

Answer 30

5. Thought field therapy

Question 31

Seeing 30 yr old women, depressed, used to be socially active and used to do exercise. Now not doing anything. You decide to treat with cbt. What strategies would be helpful
1. PMR and cog restruct
2. Socratic questioning and graded exposure
3. Cog restruct and imaginative exposure
4. Behavioural activation and cog restruct
5. Supportive counselling and cog restruct

Answer 31

4. Behavioural activation and cog restruct

Question 32

So now you decide to do behavioural activation plan with client. What is most important thing to include
1. Make sure full weekly plan activities
2. Making sure there are rewards for achievement
3. Make sure client identifies an achievable schedule of activities
4. Make sure client sets consequence for not complying
5. Make sure you prepare client by teacher her regular relaxation before activites.

Answer 32

3. Make sure client identifies an achievable schedule of activities

Behavioural activation is the reward. A sense of mastery. Socialising with friends, feeling better after a walk etc. we’re not 5 any more, we can go buy a bar of chocolate. Outcome of activity is the reward!
Most important thing when developing a behavioural activity chart is it needs to be achievable and realistic!!!!
Don’t set clients up for failure. SMART goals.

Question 33

Seeing 25 yr old, has 3 boys under the age of 6. Referred from gp. Scored 38 on K10. She’s teary and feels guilty about not being good mother, and guilty about everything. You decide she probably has depression. What is the most important next step?
1. Identify the difficulties of being mother 3 young kids
2. Start with behavioural activitation schedule
3. Listen to client and validate feelings and concerns
4. Assesss her capacity to care for children
5. Assess clients need for medication.

Answer 33

3. Listen to client and validate feelings and concerns

Question 34

Depression. Client not progressing. Done 10 sessions. What do you do next?
1. Do another round cbt
2. Exposure therapy
3. Rogiean therapy
4. Emdr
5. Interpersonal therapy.

Answer 34

5. Interpersonal therapy.

For the board, level 1 evidence for depression are cbt and ipt.
For the board: if cbt doesn’t work then they want you to do interpersonal therapy.

Question 35

what is the biopsychosocial model with IPT

Answer 35

The Biopsychosocial Model suggests that attachment and interpersonal behaviour is shaped by:
Genetic predisposition (to emotional health problems)
Social factors (current supports available, or ability to enlist support of others)
Psychological development (temperament, personality, ability to cope with stress /
adapt to change)

people who attribute problems to interpersonal things.

Question 36

what are the techiques of IPT?

Answer 36

1. clarification questions
2. expression of affect / emotional regulation
3. communication analysis
4. clarifying IP incidents
5. problem solving
6. role playing
7. use of therapeutic relationship
8. homework

Question 37

what is communication analysis in IPT

Answer 37

Communication analysis is simply a formal means of investigating the hypothesis that the client‟s difficulties are being caused, perpetuated or exacerbated by poor communication.
Hence the goals of CA are to:
* Help the client identify his/her own communication patterns
* Help the client recognise his/her contribution to the communication problem
* Motivate the client to communicate more effectively

Question 38

Client, long history of headaches, had medical assessments and can’t find anything, gp thinks psychological component, has history of neglect and lost, difficulties with regulating her emotions, when you talk to about identifying triggers for headaches she says that she can’t identify emotions.. Which therapeudic approach
1. Approach t be more interpersonally effective
2. Approach to put feelings and emotions into words
3. Approach includes systematic desn
4. Approach treatment with medicat
5. Approach to help client feel motivated to change behaviour

Answer 38

2. Approach to put feelings and emotions into words

Question 39

You’re an ipt therapist and seeing client, 1st session client says I really like talking to you and I wish therapy would never end. How would you address development of transference
‘1. Address the transference as it’s an active target of IPT
2. ignore comment as it’s not an active target of IPT
3. focus on interpersonal functioning as ipt considers more important than transference.
4. let transference develop over time as hallmark of ipt
5. Address transference straight away so problem isn’t repeated in therapy

Answer 39

3. focus on interpersonal functioning as ipt considers more important than transference.

Transference is not an active component of IPT. IPT is the here and now!!!! What he said is not a problem, can be used as information / material. We will address the comments but not as transferrece

Question 40

With client, middle of therapy, he’s talking about conflict with daughter so you address interpersonal conflict. What strategies would you use?
1) Thought monitoring and challenging of distortions
2) Problem-solving and communication analysis
3) Free association and interpretation of transference
4) Emotion regulation and distress tolerance
(5) Pleasant event scheduling with daughter, distraction when focnlict

Answer 40

2) Problem-solving and communication analysis (ipt)

1) Thought monitoring and challenging of distortions (this is cbt)
2) Problem-solving and communication analysis (ipt)
3) Free association and interpretation of transference (this is psychodynamic)
4) Emotion regulation and distress tolerance (dbt)
(5) Pleasant event scheduling with daughter, distraction when focnlict (cbt)

Question 41

Treating client using IPT and you’re asking them to describe relationship conflict in the past few weeks. What is the main reason to ask this?
1. To assess cognitive schema
2. Assess clients individual style
3. Assess clients cog distortions
4. Assess clients attachment style
5. Asses clients genetic predispition to emotions.

Answer 41

4. Assess clients attachment style

Question 42

Doing IPT / at session 12 and realise you will have to extend treatment to achieve goals. What is the most important thing to consider?
1. Give enough time for client to process experiences of past loss
2. You don’t need to extend for a 2nd time
3. That the focus remains on current symptoms and problems
4. Grief of termination doesn’t take over content of sessions
5. That you fully deal with any transference feelings before finishing therapy.

Answer 42

3. That the focus remains on current symptoms and problems

The board would want you to look at not changing the focus here, not the extension duration.
When the board is asking about treatment, they are asking about treatment plan and goals. This is the focus.

Question 43

what is MI (motivational interviewing)

Answer 43

MI is a collaborative conversation style for strengthening person’s own motivation to change.

person centred, goal oriented, trying to illicit clients internal motivation to change. With questions stay with things about client wanting to change, reasons to change etc. AOD counselling (developed from)

Question 44

what is the main goal of MI

Answer 44

The main goal of MI is to increase the clients’
readiness to change and to help them plan for,
make, and maintain that change

Question 45

what are the 4 principles of MI

Answer 45

Resist the righting reflect

understand clients motivation: MI takes the position that motivation comes from within the client. That is, we do not motivate client or install motivation in them, rather we find the motivation that lies within them and help them to recognise it
.
listen to client

empower client

Question 46

what is the sequence of therapy in general

Answer 46

1.Establish rapport and/or therapeutic relationship
2.Explore concerns
3.Assessment
4.Diagnosis and formulation
5.Psycho-education, socialization to treatment.
6.Develop treatment plan with client (goals, consent, planning)
7.Intervention (cognitive, behavioural, relationship analysis, expression of affect, problem solving, etc)
8.Evaluate treatment
9.Closing: Summarise/consolidate/relapse prevention/discharge/link with other services/follow up

Question 47

what treatments are evidence based for depression

Answer 47

CBT
IPT
brief psychodynamic therapy

Question 48

what treatments are evidence based for anxiety

Answer 48

CBT

Question 48

what treatments are evidence based for anxiety

Answer 48

CBT

Question 49

what treatments are evidence based for personality disorders

Answer 49

psychodynamic
DBT
schema therapy

Question 50

what treatments are evidence based for PTSD

Answer 50

TF-CBT
EMDR
prolonged exposure
psychodynamic

Question 51

what treatments are evidence based for AOD

Answer 51

CBT
motivational interviewing

Question 52

what treatments are evidence based for adolescent / child emotional and behavioural difficulties

Answer 52

Family therapy

Question 53

what treatments are evidence based for ADHD

Answer 53

parent management training.

Question 54

CBT is first line of treatment for what disorders

Answer 54

anxiety
phobias
panic
PTSD
depression

always think 2 elements to CBT: cognitive and behavioural

Question 55

steps for CBT challenging thoughts

Answer 55

1. define situation
2. Clarify meaning of cognitive appraisal
   * What was going through your mind just then?
   * What did the situation mean for you?

3.Evaluate interpretation
* Evidence: For and against this belief?
* Alternatives:Any other explanation(s)?
* Implications: So what….?

Question 56

what does exposure therapy involve?

Answer 56

involves systematic, repeated, and prolonged presentation of objects, situations, or stimuli (either internal or external)

Question 57

what are the 3 types of exposure used for fear reduction

Answer 57

Situational (in vivo)
* Involves contact with physical objects or actual situations that are avoided in the external environment

Imaginal: Involves presentation of symbolic fear stimuli

Internal/interoceptive: Self-focused; involves exposure to feared physical sensations

Most therapists conduct exposure in a graduated fashion guided by an exposure hierarchy. Often called systematic desensitisation.

Question 58

what is bahavioural activation

Answer 58

One of the most important goals for depressed patients is increasing their activity
levels. Most have withdrawn from at least some activities that had previously given them a sense of achievement or pleasure and lifted mood.

BA includes the re-establishment of routines as well as the establishment of new (desirable and positively) reinforcing behaviours
* New behaviours are difficult to establish initially, so focus on pre-depression routines to begin with (e.g activities the person engaged in prior to being depressed that they have ceased doing now)
* Start with small, achievable goals. Work collaboratively with client to make a plan.

Question 59

CBT for anxiety: what to do?

Answer 59

start with cognitive interventions and then exposure

Question 60

CBT for depression, what to start with?

Answer 60

start with behavioural activation as this usually improves mood

Question 61

CBT for panic, what to start with?

Answer 61

cognitive interventions and then graded exposure including, imaginal, in vivo and interoceptive

Question 62

CBT for OCD: what to start with?

Answer 62

cognitive interventions and then graded exposure and response prevention

Question 63

CBT for PTSD (TF-CBT): what to start with?

Answer 63

cognitive interventions and imaginal exposure for traumatic memories

Question 64

What four elements are the underlying spirit of MI

Answer 64

Partnership
acceptance: respecting client’s worth and potential, and honouring client’s autonomy
Compassion:
Evocation: role of psychologist is to evoke / draw out clients own intrinsic motivation for change.

Question 65

Solution focused therapy (SFT). what are the 2 goals

Answer 65

get clients to explore:
1. what they want different in their lives (goals)
2. what strengths and resources they can bring to bear on making these differences.

conversations focus on building solutions rather than solving problems

Question 66

SFT: key criteria

Answer 66

find clients streghts and resources with then
therapist’s job is the identify and amplify change
don’t really need to know much about the complaint
not necessary to know cause or function of complaint
a small change is all that is necessary
therapy is future and solution focused

Question 67

what types of questions are used in SFT (5)

Answer 67

goal setting
miracle questions
exception questions
coping questions
scaling questions

Question 68

what is the main goal of MI if the board asks?

Answer 68

helping the client find internal motivation

Question 69

Working with young male, referred by gp for alcohol, he’s not convinced drinking is a problem, after 3 sessions he is ready to work with setting some therapeutic goals. Most important next step?
1. Ask the client to keep behavioural record of drinking to reduce resistance
2. Send client back to gp to treat any other health issues
3. Increase clients self efficacy to work on a plan for change
4. Instruct client on different self efficacy methods
5. Teach client a number of different strategies to reduce drinking.

Answer 69

3. Increase clients self efficacy to work on a plan for change

Buzz words are always self efficacy, agency, collaboration, intrinsic motivation, internal motivation, rolling with resistance, acknowledge difficulties with change, compassion, acceptance.
For this type of questions, look for buzz words.

Question 70

Woman wants to stop smoking. What is key aspect of MI?
1. Help identify and act on motivation
2. Provide client advice on pro and con of change
3. Challenging clients view of being incapable of change
4. Provide strategies to move from pre cont. to cont.
5. Challenging clients dissonance between motivation and action.

Answer 70

1. Help identify and act on motivation

This client is getting ready for action, she’s ready to change. She’s not in pre contemplation.

Question 71

Working with an athlete that has performance anxiety. 14 yrs. Been approached by aust inst sport to work in elite sports program. She’s excited about it, working towards this, has noticed since that she’s been making mistakes, avoiding practice sessions, thoughts of not measuring up and being an imposter. Best strategie to address performance anxiety?
1. Cog restructuring and imagine exposure
2. Mi and goal setting
3. Goal setting and prob solving
4. Relax training and skill rehearsal
5. Supportive counselling and assertiveness training.

Answer 71

1. Cog restructuring and imagine exposure

With anxiety you think CBT. With CBT you need 2 components. Cog and behavioural.

Question 72

Treating 65 yr with social anxiety. Asking them to identify their thoughts in social situations. Tells you they can’t identify, mind goes blank. Best option with proceeding?
1. Refer to gp for memory problems
2. Engage client in motivation interviewing process to help him get over avoidance of thoughts
3. Review case formulation to get more info
4. Provide reference event of specific even to help explore thoughts
5. Stop doing cog restruck as client can’t access thoughts.

Answer 72

4. Provide reference event of specific even to help explore thoughts

Question 73

psychodynamic therapy has 7 key features. What are they?

Answer 73

focus on affect and expression of emotion
exploration of attempts to avoid distressing thoughts and feelings
identification of recurring themes/ patterns
discussion of past experience
focus on interpersonal relations
focus on therapy relationship
exploration of fantasy life

Question 74

What is stress inoculation training?

Answer 74

a form of cognitive restructuring.

aim is to change the emotional responses and behaviour before the person becomes very anxious / depressed as a result of stress.

Question 75

what are the 3 stages of stress inoculation training

Answer 75

conceptualisation: identify stressors
skill acquisition and rehearsal: practice positive coping statments
application and follow through: person begins to apply the skills in vivo

Question 76

what are buzz words for motivational interviewing

Answer 76

intrinsic motivation, rolling with resistance, self-efficacy, exploring resistance, collaboration

the board will usually state the approach you are using and you need to find the buzz words in the answer

Question 77

what are solution focused therapy buzz words

Answer 77

: future oriented, preferred future, miracle questions, future goal, goal oriented, past successes; exceptions (ie when the problem was not there)

Question 78

what is the goal of solution focused therapy

Answer 78

It’s about what a person wants different in their life. What can they do and what strengths do they have to help this.
Doesn’t explore reasons for problem (like in the past) – it goes into the past to look for exceptions (like when the problem wasn’t there). What was happening when this was not a problem . u

Question 79

Q. Client tells you they are very stressed and wife has been asking him to change things for a few years and is now leaving, he is surprised and distressed and doesn’t want her to leave. Using SFT what is next step?:
1. Start treatment to change behaviour
2. Give psycho-ed re relationships
3. Discuss his preferred future with his wife
4. Ask him to bring wife in for couples therapy
5. Try to elicit intrinsic motivation to change

Answer 79

3. Discuss his preferred future with his wife

Question 80

We ask a person the miracle questions. The miracle question is:
1. See how well the client is coping
2. Scale the problem and motivation for change
3. Understand causes of what’s been going wrong
4. Allows client therapist to agree on the future client would prefer
5. Allows you to determine exceptions to the problem

Answer 80

4. Allows client therapist to agree on the future client would prefer

The miracle questions is like the start of the conversation. You can then use the answer to ask and explore further.

Question 81

Seeing a guy, lost job, feeling low, doesn’t know what he wants to do in the future. Nervous about career options. Decide to use problem solving approach. What would it involve
1. Picture preferred career outcome
2. Do vocational assessment
3. Brain storm alternative solutions to improve confidence
4. Do some cognitive restructuring to improve motivation
5. Systematically generate a number of options and analyse possible career paths.

Answer 81

5. Systematically generate a number of options and analyse possible career paths.

3 is a mix of possible and stupid (read the Q and answers carefully)
2 options that are possible. If you flag this and come back to it how do you choose. Look for anything that could be spoiling the answer – improve confidence? How?
5 is the best option

This is an example of naughty, tricky question. Option 3 – how is it going to improve confidence. Watch out for question where first half of the answer is it ‘could be’ and then they spoil it. Brain storming options will not improve confidence.
Need to read questions and think about which one makes sense.
When looking at options of questions, like if there are 2 possible answers, look for things in the answer that are going to SPOIL the answer. Like improve confidence.

Question 82

What is family therapy and what does it focus on

Answer 82

targets interpersonal issues based on relationships family’s have inside the system. IT’S NOT INDIVIDUAL.

it’s psychopathology as an interpersonal issue.
no psychoeducation
no individual therapy in front of an audience
not doing behavioural management

Question 83

what are the buzz words to look out for in family therapy

Answer 83

boundaries / roles of members in family / function of behaviour / patterns of relationships / Interventions usually focus on boundaries,
function of behaviour in the system,
structure of the family, patterns of
relationships and communication patterns.

Question 84

Family therapist, seeing father with 3 teenage girls, they argue, yell all the time, always fighting. Decide to use family systems approach. Would would be main focus:
1. Patterns of behaviour within system
2. Motivation of each member to improve relationships
3. Psychopathology with any members in the family
4. Who has power in the family
5. Which member can be allie to improve relationships

Answer 84

1. Patterns of behaviour within system

4 seems to be an individual type of intervention. Once you know who has power in relationship where would you then go with that? It would be focusing on that individual. Not family therapy.

Question 85

Talking to family, you’re a systems family therapist, 20 years experience, have problem with 12 yr old son. Getting in trouble because he’s been shoplifting, he had older brother who passed away in car accident 1 yr ago. Main focus of intervention:
1. Parenting strategies to help parents set limits with son
2. Try to understand the function of the boys shoplifting behaviour within family system
3. Psychoeducation regarding responses after loss
4. Support family to process grief and loss
5. Work with boy with thoughts and feelings regarding loss of borther .

Answer 85

2. Try to understand the function of the boys shoplifting behaviour within family system

The family is not there to process on grief and loss. They are there because of child stealing. The answer is in the question! Ie if you go to gp because knee hurts and the gp treats shoulder.
Family therapy is not grief therapy.

Question 86

You are a family therapist. Seeing a family with a 14yo who has an eating disorder. She is not eating enough. GP referral. GP describes family as “enmeshed”. GP describes mother and daughter are very overly close and enmeshed relationship. GP says mother confides with daughter and speaks for the daughter too much. As a family therapist, how do you address the emotional enmeshment in therapy? 1. Address family cohesion by strengthening alliances within the family 2. Address the teen eating behaviour with psychoeducation 3. Encourage the teen individuation by defining boundaries in the family 4. Encourage adolescent individuation and developing insight into system by facilitating self understanding in the adolescent 5. Promote adolescent individuation by expressing rebelliousness

Answer 86

3. Encourage the teen individuation by defining boundaries in the family

We want individual outcomes for daughter, but intervention we use is not individual – it’s family interventions.
No. 4 would be an individual intervention with an audience.
Can’t be intrapersonal (within self / mind)

Question 87

what does psychodynamic theory focus on

Answer 87

how past experiences impact current relationships and experiences

the past lives in the present

Question 88

You’re seeing a woman, long term difficulties with depression and relationships. Client asks what psychodynamic therapy will do?

1. Gradually face fear situations
2. Stop problematic behaviours
3. Help to explore thoughts connected to depression and challenge them
4. Explain PT will explore current relational themes and relate them to past experiences
5. Involve questions and pleasant event scheduling.

Answer 88

4. Explain PT will explore current relational themes and relate them to past experiences

Question 89

what is transference

Answer 89

client’s emotional reaction to therapist. Feel certain things towards you that they couldn’t feel towards others. Based on earlier relationships. It’s not a crush.

Question 90

what is countertransference

Answer 90

Countertransference is the way therapist feels abou the client, based on past relationships.

Question 91

Social anxiety, homework task of dysfunctional thought record, you give guidance on how they can use do more effectively. Then doesn’t do any more worksheets.
1. Negatively reinforced for not completing homework
2. Displaying transference and therefore not completing tasks.
3. Client is passive-aggressive and is triggered by comments about thought record
4. Client has personality disorder and displaying resistance to CBT
5. Client is avoiding homework tasks because he is afraid negative evaluation.

Answer 91

5. Client is avoiding homework tasks because he is afraid negative evaluation.

Question 92

is questions talk about medication ssri’s - what is the most likely diagnosis?

Answer 92

depression

Question 93

what medications would the board be talking about with bipolar

Answer 93

lithiam
any drug ending with ‘ate’
mood stabiliser

Question 94

what classification is the medication Lovan

Answer 94

SSRI

Question 95

what classification is the medication zoloft

Answer 95

SSRI

Question 96

what classification is the medication lexapro

Answer 96

SSRI

Question 97

what is olanzapine used for

Answer 97

psychosis

Question 98

what is clozapine used for

Answer 98

psychosis

Question 99

what is risperidone used for

Answer 99

psychosis

Question 100

what is ritalin used for

Answer 100

ADHD

Question 101

what’s another name for methylphenidate

Answer 101

ritalin

Question 102

what class drug is valium

Answer 102

benzodiazepine

Question 103

what class druge is xanax

Answer 103

benxo

Question 104

what are beno’s used for

Answer 104

panic, anxiety

Question 105

Client. Tells you that they have been taking more and more Valium. Increasing the dose to cope with stress at home and work. Been doing so for 1m. What do you do? 1. Refer to Benzo withdrawal and detox 2. Tell them to stop taking the drug 3. Refer to drug and alcohol TX facility 4. Tell them to talk to GP 5. Start psychological TX for substance addiction

Answer 105

4. Tell them to talk to GP

Question 106

Asked to evaluate outcome of interventions about bullying in high school. Which is the most appropriate way to measure the effectiveness of program
1. Change of scores in the Connors 4 for teachers over time
2. Number of bullying incidents pre and post intervention
3. Change of scores beck youth inventory
4. CBCL youth scores pre and post
5. SDQ pre and post

Answer 106

2. Number of bullying incidents pre and post intervention

The other options don’t look at bullying. Measuring target problem which is bullying.

Question 107

Evaluate effectiveness of 10 week stress management program for a group. Want to track for each client individually. Ask client to track each week from 1 – 100. What method would you use analyse for each client
1. Linear regression
2. Factor analysis
3. Quadratic function of each score
4. Frequency of each rating
5. Plots of progress over time

Answer 107

5. Plots of progress over time

Research type of questions: if it doesn’t make sense then it’s probably not the answer. You are trying to look at how well stress management program is going.
Keep it simple! It will be about things you will use in your practice.

Question 108

Working for big company. Doing observation on group activity to select people for specific role. They are doing problem solving exercise. You need to evaluate participant performance against a set of behavioural criteria. How should you rate performance?
1. Observe candidates solving problem
2. Observe how they interact with each other
3. Observe how they show team building skills
4. Observe how they display target behaviours
5. Observe how they respond to questions by team leaders

Answer 108

4. Observe how they display target behaviours

Question 109

Seeing 12 yr old, trouble attending school and social activities. Diagnose with social anxiety and start intervention focusing on cognition and avoidance (CBT) with graded exposure. What is best method to assess progress in treatment?
1. Ask teacher to report childs progress after each session
2. Use relevant client self report each session
3. Ask family to fill out measure of client satisfaction end of each
4. Observe client at school after treatment
5. Ask parent to verbally tell you at end of treatment

Answer 109

2. Use relevant client self report each session

If words ‘progress in treatment’ are used need to think about measuring progress.
If you see word progress in exam, look for something that measures change over time!!!!
It’s improvement over seasons, not at the end

Question 110

You are doing a literature review for your workplace. You find a number of meta analyses for a particular intervention. What is the strength of findings derived from meta analysis? 1. They allow for making a synthesis of independent studies 2. They are powerful studies based on a large number of participants 3. They provide a valid benchmark for efficacy 4. They present more valid methods than single case study 5. They allow you to make choices based on calculating attainment of goals

Answer 110

3. They provide a valid benchmark for efficacy

Meta analysis will give you an effect size. You can compare with other interventions.
You can compare efficacy of interventions.

Question 111

Seeing client, has complex prevention and you use combination of treatments and make up your own home brew. You design treatment plan and use single-subject design to evaluate. What is the most important application of single subject design.
1. Valid and reliable assessment effects of treatment
2. Allows for evaluation of interventions without matched sample
3. Similar to case study and involve same type of analysis
4. Relevant to CBT
5. Not as scientifically rigorous as group methods.

Answer 111

2. Allows for evaluation of interventions without matched sample

You would use single subject design when you don’t have control group. When you only have one person.

Question 112

ABA design with client. Depression. Outcomes of TX. Client is also taking medication. You are using ABA design and by the end of TX the client has made improvement in scores for depression. What can you conclude if using ABA single subject design? 1. The TX supplemented the meds for good outcomes 2. The medications supplemented the TX for good outcomes 3. Cant conclude anything 4. Both the TX and medication have possibly contributed to good outcomes 5. Bahamas

Answer 112

4. Both the TX and medication have possibly contributed to good outcomes

ABA is single subject design

With answers 1 and 2, if they are equally good, then they are equally bad!

Question 113

Treating depression, use CBT and use depressed mood as target of treatment. Measure progress of target during treatment. Best way to measure progress ?
1. Measure at stochastic intervals
2. Measure at times of minimum compliance
3. Measure by progressive indices
4. Measure behaviour at frequent intervals
5. Measure at random intermittent intervals.

Answer 113

4. Measure behaviour at frequent intervals

If you have no idea what something means, it’s not the answer!

Question 114

What’s most important thing to consider when choosing intervention program
1. Budget
2. Willingness of families to come to program
3. Room that you have
4. Research on efficacy of program
5. Norms by age and gender

Answer 114

4. Research on efficacy of program
   ALWAYS LOOK AT EFFICACY FIRST
   Choose efficacy by effect size.

Question 115

If you have 2 interventions with similar effect sizes, one .4 and one .6 for BPD. One with lower effect size has more studies. Which would you use ?
1. Effect size 2. Participant size 3. Effect size and preference of client 4. Effect size and preference of therapist and client 5. Bahamas take into account all three. Choose the intervention client likes.

Answer 115

4. Effect size and preference of therapist and client

If you have to choose between effect size and no. of studies you would choose effect size.

Question 116

See 16yr old, comes with mum. Gp says she is stressed about studies, difficulty sleeping, comes to appt and wants mum in. mum says girl didn’t want to come. Doesn’t know how it’s going to help. Doesn’t make eye contact at first. What’s priority?
1. Give girl questionnaires for forumulatin and diagnosis
2. Ask what is something she thinks she could get ou t of this
3. Psychoed on anxiety and sleep
4. Talk to mum and get developmental history first (girl wait in waiting room)
5. Tell her she’ll feel better with progressive muscle relaxation

Answer 116

2. Ask what is something she thinks she could get ou t of this

Question 117

16yr old, comes with mum, mum says she is getting more withdrawin, avoiding social situations, academic performance has declined. Daughter tells you avoiding social without alcohol. Anxious. You have formulation and diagnosis. Can’t go out unless she drinks.
1. Start treatment mum and daughter on anxiety
2. Harm minimisation strategies
3. Give daughter psychoeducation on role of avoidance social anxiety
4. Contact school for academic performance
5. Refer drug alcohol service for treatment

Answer 117

3. Give daughter psychoeducation on role of avoidance social anxiety

Question 118

You work in a PTSD response / trauma response in businesses. Providing staff support. Staff were present, working in a bank during armed robbery 2 days ago. You interview staff individually. Some of the staff report traumatic stress symptoms. What is the best approach for supporting staff? 1. Refer staff with symptoms for specialist PTSD TX 2. Book the staff with you and provide an evidence based PTSD TX 3. Follow up all staff for 1m for ongoing traumatic stress symptoms 4. Bring all staff together and provide psychological debriefing for critical incidents 5. Prolonged exposure therapy CBT for all staff with symptoms

Answer 118

3. Follow up all staff for 1m for ongoing traumatic stress symptoms

Question 119

35yr old. Referred by gp for mdd. Married. 3 kids. First interview most issues connect to stress due to relationship with husband around different parenting styles. She agrees. Next step/
1. Refer client to parenting group program
2. Refer client to couples therapy
3. Start doing couples therapy
4. Give psychoeducation about parenting styles and how they can cause conflict
5. Contact clients husband.

Answer 119

4. Give psychoeducation about parenting styles and how they can cause conflict

How would you choose between 1,2,3? She also came to see you alone. Next stage in therapy sequence is psychoeducation.

Question 120

WAIS: which subtests are the ones where all the items must be administered?

Answer 120

Symbol search, coding, cancellation

Question 121

WAIS: What tests are not administered for individuals over the age of 70?

Answer 121

Letter–Number Sequencing, Figure Weights, and Cancellation
o Motor co-ordination, memory
o Normal deterioartion

Question 122

WAIS: What subtests can you substitute with Comprehension?

Answer 122

Similarities, vocabulary, information

Question 123

WAIS: What subtests can you substitute with Letter Number Sequencing?

Answer 123

digit span, arithmetic

Question 124

WAIS: Which subtests can you use if one of the PRI index subtests is spoiled?

Answer 124

figure weights, picture completion

Question 125

WAIS: What subtest should you use to substitute for Symbol Search and Coding?

Answer 125

cancellation