Know This Stuff

Question 1

What is case conceptualization?

Answer 1

A method for understanding and explaining a clients concern for guiding the treatment process

Question 2

What are the 4 components of case conceptualization?

Answer 2

Diagnostic formulation
Clinical formulation
Cultural formulation
Treatment formulation

Question 3

What are the interrelated functions when case conceptualization is understood as a clinical strategy?

Answer 3

1.Obtaining and organizing ( Formulating a hypothesis and searching for patterns in behaviour) Obtain and organize information about the client’s presentation and dynamics
2. Explaining - Develop a diagnostic, clinical, and cultural formulation to explain the client’s maladaptive patterns
3. Guiding and focusing treatment. Based on this explanation, a treatment for-
mulation emerges, and strategies for specifying treatment targets and for
focusing and implementing treatment are developed.
4. Anticipate obstacles and challenges throughout therapy stages
5. Prepare for termination, particularly for clients with dependency issues, rejection sensitivity, and abandonment histories.

Question 4

What are the core conditions necessary for forming a healing relationship?

Answer 4

Warmth, empathy, unconditional positive regard and genuineness

Question 5

What is relationship contracting?

Answer 5

Negotiating the intended purpose of the counselling relationship, including agreeing on expected roles of both counsellor and client.

Question 6

What is sessional contracting?

Answer 6

An agreement between the counsellor and client regarding the topic and expected outcome of an interview or session.

Question 7

What is anticipatory contracting?

Answer 7

An agreement between counsellors and clients that plans for predictable events. Provides guidance for counsellors and answers the question “ what should I do if” (e.g a relapse occurs)

Question 8

What is immediacy?

Answer 8

A tool for exploring, evaluating, and deepening counselling relationships

Question 9

What are directives?

Answer 9

Short statements that provide direction to clients on topics, information and pace ( “tell me more”)

Question 10

What are simple encouragers

Answer 10

Short phrases and gestures such as “go on, uh, huh” and head nods that encourage clients to continue speaking

Question 11

What are the 4 phases of counselling?

Answer 11

1. Preliminary (Planning, interview planning, file review, preparing interview setting)
2. Beginning ( establishing a relationship, evaluating,
3. Action ( goal setting, action planning, teaching, providing info, depending the relationship)
4. Ending ( referral, evaluating goal achievement, support by providing resources etc.)

Question 12

What is Catharsis

Answer 12

The emotional release or purging of negative or repressed emotions

Question 13

What is countering?

Answer 13

A CBT technique/ method used to decrease the internal critical voices that depress performance or create negative emotions

Question 14

Internal critic

Answer 14

The voice in your head that reproaches and finds fault

Question 15

The REPLAN system is a treatment planning model that focuses on six common therapeutic factors. What are they?

Answer 15

R- maintaining a strong helper/client relationship
E- Enhancing efficacy and self-esteem
P- practicing new behaviours
L-lowering and raising emotional arousal
A- Activating client expectation, hope, and motivation
N-providing new learning experiences

Question 16

What is the formula for reflecting feeling?

Answer 16

You felt ______ (emotion) when ______ (event or thought)

Example: You felt frustrated when you couldn’t seem to make him understand

Example: You felt disgusted when you thought about how much time you wasted on him

Question 17

What is the formula for reflecting meaning?

Answer 17

You felt ______ (emotion) because ________(meaning)

Example: You felt angry with yourself because this was the way you were going to prove to your parents that you were a success

Question 18

In the stages of change model there are 5 stages, what are they?

Answer 18

Pre contemplation - not thinking about taking action
Contemplation-planning to change within 6 months
Preparation - taken some steps toward change
Action - they have started making specific changes
Maintenance - characterizes individuals who already changed their lives and behaviours