LCSW Exam Flashcards
(123 cards)
Tarasoff Law
Duty to notify victim/police if someone has a plan of harm
Length of crisis state
2 days to 6 weeks
Maturational Crisis
Precipitated by normal stress during the course of life (marriage, birth, retirement)
Situational Crisis
Precipitated by a sudden traumatic event that is unexpected (death, job loss, illness)
Substance Use Disorder
- The person must have at least two of the following for a given substance within the same 12-month period:
o Taking the substance in larger amounts or for longer than you meant to
o Wanting to cut down or stop using the substance but not managing to
o Spending a lot of time getting, using, or recovering from the use of the substance
o Cravings and urges to use the substance
o Not managing to do what you should at work, home, or school because of substance use
o Continuing to use, even when it causes problems in relationships
o Giving up important social, occupational, or recreational activities because of substance use
o Using substances again and again, even when it puts you in danger
o Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance
o Needing more of the substance to get the effect you want (tolerance)
o Development of withdrawal symptoms which can be relieved by taking more of the substance
Signs of alcohol intoxication
inappropriate sexual or aggressive behaviors; impaired judgment; slurred speech; emotional lability; incoordination; unsteady gait; involuntary, rhythmic movement of the eyes; impaired attention or memory; stupor; coma
Signs of alcohol withdrawal
sweating; tachycardia; hand tremor; insomnia; nausea or vomiting; transient illusions or hallucinations; anxiety; psychomotor agitation; grand mal seizures; delirium tremens (DTs)
Wernicke-Korsakoff syndrome
a chronic memory disorder caused by severe defiency of thiamine (Vitamin B1). The individual may attempt to compensate for memory loss by fabricating memories. It can cause hallucinations and can also lead to personality changes. The prognosis is generally poor.
Wernicke Encephalopathy
an acute, life-threatening but reversible condition that requires emergency treatment. Results from severe acute deficiency of thiamine. May experience confusion, loss of muscle coordination (leg tremors) and vision changes (abnormal eye movements, double vision, eyelid drooping). Prognosis is good if treated accordingly.
Signs of amphetamines/cocaine intoxication
euphoria, anxiety, hyperactivity; grandiosity, confusion, anger, paranoia, auditory hallucinations, tachycardia, elevated or lowered blood pressure, dilated pupils, perspiration or chills, nausea or vomiting, weight loss, psychomotor agitation, muscular weakness, confusion, seizures
Signs of amphetamines/cocaine withdrawal
dysphoric mood, fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor agitation, or retardation
Signs of caffiene intoxication
restlessness, nervousness, excitement, insomnia, flushed face, diuresis, GI disturbance, muscle twitches, rambling flow of thought and speech, tachycardia or arrhythmia, periods of inexhaustibility, psychomotor agitation
Signs of caffiene withdrawal
headache (most common), changes in mood (such as depression and anxiety), difficulty concentrating, fatigue, increased appetite
Signs of cannabis intoxication
impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgment, social withdrawal, conjunctival injection (redness of the eyes), increased appetite, dry mouth, tachycardia
Signs of cannabis withdrawal
irritability, anger or aggression, nervousness or anxiety, sleep difficulty, decreased appetite or weight loss, restlessness, depressed mood, stomach pain, shakiness/tremors, sweating, fever, chills, and/or headache
Signs of hallucinogen intoxication
perceptual changes, anxiety, depression, ideas of reference, paranoid ideation, pupillary dilation, tachycardia, sweating, palpitations, blurred vision, tremors, incoordination
Signs of hallucinogen withdrawal
o Hallucinogen Persisting Perception Disorder (Flashbacks): following the cessation of use, the reexperiencing of one or more of the perceptual symptoms that were experienced while intoxicated with the hallucinogen; this reexperiencing causes significant distress or impairment in social, occupation, or other important areas of functioning.
Signs of opioids intoxication
initial euphoria followed by apathy or dysphoria, pupillary constriction, drowsiness or coma, slurred speech, impairment of attention and memory
Signs of opioids withdrawal
dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinorrhea (runny eyes and nose), pupillary dilation, diarrhea, yawning, fever, insomnia
Early Full Remission
none of the criteria for substance use disorder except cravings are met for at least 3 months but less than 12 months
Sustained Full Remission
none of the criteria for substance use disorder except cravings have been met for at least a 12 month period or longer
CAGE Questionnaire
o The CAGE questionnaire is a quick screening tool used to assess for alcohol problems specifically. This screener helps determine whether a person drinks in excess and may benefit from alcohol treatment.
Naltrexone
blocks the euphoric effects and feelings of intoxication (alcohol). Can be used for opioid use disorder as well (pill form for alcohol, injectable for opioids).
Disulfiram (Antabuse)
works by creating an unpleasant reaction to alcohol. Use of this requires medical supervision