Mental Health Adults Flashcards
Substance-Related and Addictive Disorders
Occupational therapy interventions
Psychosocial therapies, including coping, _____ management, and social skills training
Cognitive-based interventions geared toward increasing client’s _________ and control of life
stress
motivation
Schizophrenia Spectrum and Other Psychotic Disorders
Occupational therapy interventions
Illness management and recovery, including ______ and individual programs
Assertive community treatment to provide support and skills training in natural environments
Family psychoeducation
Supported employment
Integrated dual diagnosis treatment for co-occurring mental illness and substance abuse
group
Depressive Disorders (Depression) and Bipolar and Related Disorders
Occupational therapy interventions
________–________ therapy to uncover distorted beliefs and faulty thinking patterns
Interpersonal psychotherapy to improve interpersonal and psychosocial functioning
CBT
Depressive Disorders (Depression) and Bipolar and Related Disorders Pharmacological intervention
Depressive disorders
Selective ________ reuptake inhibitors: citalopram, escitalopram, fluoxetine, paroxetine, sertraline
Serotonin–norepinephrine reuptake inhibitors: duloxetine, venlafaxine
Antidepressants: bupropion, mirtazapine
Bipolar and related disorders
Mood stabilizers: lithium carbonate
Anticonvulsants: carbamazepine, divalproex sodium, gabapentin
Other interventions
Electroconvulsive therapy, a controversial treatment with cognitive side effects
serotonin
Anxiety Disorders OBSESSIVE-COMPULSIVE AND RELATED DISORDERS; AND TRAUMA AND STRESS-RELATED DISORDERS
Occupational therapy interventions
________–_________ training to enable clients to approach situations that cause anxiety, understand the fear cycle, and challenge distorted cognitions related to fear
Relaxation therapy, including breathing, meditation, visualization, and progressive muscle relaxation
Expressive writing to help the client understand and accept the occurrence of stressors
CBT
Anxiety Disorders OBSESSIVE-COMPULSIVE AND RELATED DISORDERS; AND TRAUMA AND STRESS-RELATED DISORDERS
Pharmacological treatment
Benzo______: alprazolam, lorazepam
Selective _________ reuptake inhibitors: fluoxetine, paroxetine, fluvoxamine, sertraline, citalopram
Tricyclic antidepressants
diazepines
serotonin
Feeding and Eating Disorders
Occupational therapy intervention
General principles: physical harm ________, cognitive reconstruction, psychosocial functional enablement
Specific interventions Menu planning and \_\_\_\_\_ preparation Lifestyle redesign and independent living skills training Communication and assertiveness training Stress management Projective artwork and use of crafts Relapse prevention Body image improvement
reduction
meal
Personality Disorders
Occupational therapy interventions
Development and maintenance of collaborative __________
Consistency during treatment
Validation of the client’s feelings
Development and maintenance of motivation for change
Mood stabilization and expression of appropriate emotions
Promotion of increased self-concept, self-esteem, insight, and judgment
Development of interpersonal relationships
relationships
Task-oriented groups focus on the process of _________ something (as a group), such as a picnic lunch or a clinic newsletter: “Task as it relate[s] to such groups is defined as any activity or process directed toward creating or producing an end product or demonstrable service for the group as a whole and/or for people outside of the group. . . . The intent of the task-oriented group is to provide a ______ working experience wherein the relationship between feeling, thinking, and behavior; group members’ impact on others and on task accomplishment; and group members’ productivity can be viewed and explored” (Fidler, 1969, pp. 43–48). In task-oriented groups, feedback is immediate because problems confronted in the group are addressed when they happen.
producing
sharing
Activity groups focus on function and “replicate living in the _________ or family”, with an emphasis on direct experience and the use of activity to develop skills.
community
If participants have low cognitive abilities, the occupational therapy practitioner’s leadership style should be more ________—that is, he or she provides more directions and structure and is more prescriptive in directing the way group activities unfold (Cole, 2012).
If the group demonstrates fair to good insight and motivation, the practitioner’s leadership style should be __________—that is, he or she allows participants to take responsibility for some group activities while maintaining control over goals and decision making.
If the group is mature (i.e., able to work together effectively in resolving conflicts) and has high verbal abilities, the practitioner’s leadership style is ______—that is, he or she works alongside the group participants in a coaching capacity. Advisory leadership enables group members to perform at their highest capacity (Cole, 2012).
directive
facilitative
advisory
Psychodynamic groups allow participants to explore the symbolic meaning of activities and group process. These groups can focus, for example, on _______ control or self-expression.
A leader of a psychodynamic group may select activities using projective media, such as clay, magazine collages, painting, and poetry.
impulse
Groups formulated using _______-–behavioral approaches focus on the following principles:
Shaping: Approximations of a desired behavior are reinforced or rewarded to facilitate the acquisition of the behavior.
Chaining: One step in a sequence is learned and sparks the next step until all of the steps are learned.
Reinforcement: Positive feedback about a desired behavior serves to increase that behavior.
Practice: Repetition of behaviors often is necessary to improve, for example, range of motion, strength, and endurance.
cognitive
__________ group approaches allow participants to engage in group activities structured to present the “just-right” challenge for their developmental level.
Developmental
A COTA® is leading a group for clients who have depression and are unable to initiate tasks or make choices about what to do. Which leadership style would be MOST effective with this group?
Directive
Facilitative
Advisory
Co-leadership
Directive
