Mental Health Final

Question 1

Veteran Tx

Answer 1

• ACT (acceptance & commitment)

Question 2

True or false do veterans experience a latency period?

Answer 2

True- there may be a latency pd where ind do not want to talk to anyone

Question 3

Warrior Transition Units

Answer 3

For wounded army vets who need to go back to service or become civilian
- 6 months+ of medical care needed and located close to medical tx facility

Question 4

Insanity Acquitees

Answer 4

• Have MI + comorbidity

Question 5

Alarm Stage

Answer 5

Fight or flight stage
- affects bp & blood sugar
for certain bodies if they have spike of adrenaline for certain period of time hypertension, weight gain, CVA, heart attack, cardio issue

Question 6

Resistance Stage

Answer 6

Body shifts into homeostasis (can begin to think about potential problems)

Question 7

Exhaustive Stage

Answer 7

Body depleted of energy used in earlier stages and is most hazardous stage
- thinking & memory can be impaired

Question 8

Problem focused coping

Answer 8

Focus on changing a situation or its accompanying demands, used best when you have some control over situation

Question 9

Emotional focused coping

Answer 9

Dealing with the emotions caused by situation, used best when you have little to no control over situation

Question 10

Level 1 Psychotic defenses

Answer 10

Denial

Question 11

Level 2 Immature defenses

Answer 11

• Projection
• Regression
• Dissociation

Question 12

Level 3 Neurotic

Answer 12

• Repression
• Reactive formation
• Rationalization

Question 13

An example of behavioral therapy

Answer 13

Ie: behavioral feedback game

Question 14

Interoceptive Exposure

Answer 14

Inducing trigger that can start panic attack & utilizing coping mechanisms

Question 15

Exposure & Response

Answer 15

Exposed to triggers, must respond not in usual way
- good for OCD and ED
- IE: compulsion to flicker lights but might turn off power

Question 16

Progressive Muscle Relaxation

Answer 16

Tensing then relaxing
Contraindications: Arthritis, fracture, cancer, chronic regional pain

Question 17

Autogenic Training

Answer 17

Vasodilation via relaxing muscles
Contraindications: SMI

Question 18

True or False Most children have comorbidities of conditions instead of singular dx?

Answer 18

True

Question 19

Pediatric MDD, PDD, DMDD

Answer 19

IPT
IPT & Rhythm Therapy - good for bipolar d/o

Question 20

ODD Peds

Answer 20

Behavioral contract

Question 21

Conduct d/o

Answer 21

• More severe than ODD, lack empathy
  can use behavioral contract - token economy may not be the best

Question 22

Continuous reinforcement

Answer 22

For new behaviors

Question 23

Intermitten reinforcement

Answer 23

for established skills

Question 24

Antecendent control approaches

Answer 24

Help decrease aggression & agitation and reduce need for physical restraints

Question 25

Antecedent control strategy example

Answer 25

Start the group with “everyone who is in their seat when the group starts can pick their favorite sensory tool to use this morning”

Question 26

3 Pillars of Positive Psychology

Answer 26

1. Traits: joy, optimism
2. Emotions: Love, curosity
3. Institutions: ie. family

Question 27

PBIS (Positive Bx Ix & Supports)

Answer 27

1. Base: Primary Ix
   - universal approach
2. Secondary: Targeted, selective
3. Tertiary: Specialized, individualized, intensive

Question 28

Role of OT in community

Answer 28

• Life skills
• Social skills
• Social participation
• Interpersonal skills

Question 29

OT ROLE IN SCHOOL

Answer 29

Improve academic participation

Question 30

Cluster A

Answer 30

~ Paranoid, schizoid, schizotypal
- Compliance training
- Emotional expression encouragement
-Support to reduce isolation
- Social skills training

Question 31

Cluster B

Answer 31

~BPD, Antisocial, Histrionic, Narcissistic
- Emotional regulation, social skills, psychoeducation, mindfulness, DBT,
- Medication: antipsychotic + mood stabilizer

Question 32

Cluster C

Answer 32

~Avoidant, Dependant, OCPD
-Increasing self concept and self worth, Encourage more risks and emotional expressions, Time-limited dynamic therapies are active and confrontational
-Medication: SSRI’s and other antidepressants, in addition to short term Benzodiazepines

Question 33

DBT overview

Answer 33

• Both independent and group therapy
• Focus: emotional regulation, impulse control, reducing self harm and suicidal behaviors
• Targets acceptance & change

Question 34

DBT: Mindfulness

Answer 34

Allowing experiences rather than suppressing or avoiding them
- Direct person’s attention to 1 thing in the moment

Question 35

DBT: Interpersonal Effectiveness Skills

Answer 35

Focus on effective ways to achieve social relationships & maintain self esteem while interacting with others
- Teaches application of specific problem solving, social & assertiveness skills to enable participants to modify aversive environments and obtain personal goals in interpersonal encounters

Question 36

DBT: Emotional Modulation

Answer 36

• Ways of changing emotional states includes techniques for putting up with the states if they can’t be changed
• ID & label emotion, recognize obstacles to change emotions, reducing vulnerability to being overly influenced by emotions

Question 37

DBT: Distress Tolerance Skills

Answer 37

Ability to accept oneself and current situation/environment in a nonjudgement and tolerant manner
- Ability to experience an emotional state without attempting to change it and observing one’s thoughts and actions without attempting to stop or control them
- Crisis survival skills include distacting, self soothing, improvising the moment and thinking of pros and cons