NCMHCE - miscellaneous topics Flashcards
MSE domains
appearance/attitude/affect, thought process, though content, behavior/mood/speech, perception, cognition, insight and judgement.
DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure
screens for mood/suicidality, anxiety, psychosis, dissociation, OCD, and substance use
DMDD symptoms
severe temper outbursts inconsistent with developmental level 3+/wk and persistent irritable/angry mood. Present in 2+ settings and severe in at least 1 setting. Never had manic/hypomanic s/sx
DMDD age information
first s/sx before age 10
DMDD time frame
12+ months with no period of 3 consecutive months without all s/sx
CBT cognitive rehearsal
imagining an anxiety-provoking situation, while reciting positive coping statements or mentally rehearsing chosen behavior
Five stages of group development
orientation (forming), power struggle (storming), cooperation & integration (norming), synergy (performing), closure (adjourning)
major vs minor neurocognitive disorder
whether the person is experiencing impairment in independent functioning
long-term vs short-term goals
long-term addresses overall change, short-term addresses risk and alleviating symptoms
GROW acronym for treatment planning and goal setting
Goal, Reality (current situation), Options (for accomplishing goal), Way Forward (what you intend to do)
Acceptance & Commitment Therapy
acceptance not avoidance; mindfulness and self-acceptance techniques; awareness of how a given behavior affects us; commit to actions/behaviors that assist in long-term goals and consistent with values
Identifying Triggers, Behaviors, and Payoffs
Acceptance & Commitment Therapy
Focus on Your Breath
DBT
Dereflection (which approach and what it means)
Logotherapy: helping clients focus attention away from problems and complaints and
toward something positive
Paradoxical intention (which approach and what it means)
Logotherapy: Fear is removed when action/intention focuses on what is feared the most.
Drop Into the Pauses
DBT
Clarifying Your Values
ACT
Cost of Avoidance Worksheet
ACT
Goal Setting Worksheet
ACT
the ABCs: activating event, beliefs, and consequences.
REBT
“Dysfunctional Thought Record”
REBT
“Consequences Analysis”
REBT
“Problem Formulation”
REBT
REBT
“disputing” – challenging and
questioning our irrational and dysfunctional beliefs and replacing them with more sensible and
functional beliefs
Reality Therapy/Choice Therapy
taking personal control and responsibility over one’s behaviors in order to better have one’s
needs met in healthy ways; focuses on the here-and-now actions of the client and the ability to create and choose a better future.
identify wants and needs, then identify specific plans to satisfy those needs
Reality Therapy/Choice Therapy
Solutions-Focused Brief Therapy
goal-oriented, help clients think up practical solutions to problems; asks how their life will be different once their problem is solved
Coping Question
SFBT
Miracle Question
SFBT
Exception Question
SFBT
Ethics: Autonomy
independence and the ability to make one’s own decisions
Ethics: Justice
treating each person fairly, but not treating each person the same way
Ethics: Beneficience
doing good or what is in the best interests of the client
Ethics: Nonmaleficence
doing no harm to others
Ethics: Fidelity
loyalty, faithfulness, and honoring commitments
Intermittent Explosive Disorder: age range
6 or older
How are teen clients and their parents treated?
treat the teen and the parents as
equals in the contract for therapy. Everyone signs consents, has a right to copies etc.
what is the role of a consultant?
evaluate the effectiveness of school-based interventions
when to include the school nurse?
when medications are involved, but not for non-medicated needs like developmental disabilities
when is the principal included in school meetings?
Only for the big stuff
confidentiality rights for 18+ clients when parents pay for insurance
client owns full confidentiality rights
what is it called: clarify vague issues, focus on specific topics, reduce degrees of ambiguity, and channel their energies into more productive avenues of problem solution
concreteness
Yalom’s Group Stages (initial, second, third)
initial: orientation, hesitant participation, search for meaning, dependency
2nd: conflict, dominance, rebellion
3rd: develop cohesiveness
structured vs unstructured interview
structured has a list of pre-determined questions, unstructured allows for follow-up questions
Structured Clinical Interview for DSM‐5 (SCID‐5)
used for research-level diagnosing; standard for validating diagnostic measurements;
acronym for MSE
JAM BATT PICS
MSE: JAM BATT PICS
J = judgment
A = attitude
M = mood/affect
B = behavior
A = appearance
T = thought process
T = thought content
S = speech
P = perception
I = insight
C = cognition
DMDD rule-out disorders
depressive disorders
Difference between ODD, DMDD, CD, IED
ODD: angry, argues, vindictive
DMDD: grumpy and has tantrums
CD: breaks laws and violates rights
IED: outbursts and poor impulse control
compensation and over-compensation
Adlerian/individual therapy: make up for inferiority through interest and training; push to gain extra level of development
which approach has the keyword of “inferiority”
Adlerian/individual therapy
Emotionally focused therapy
short-term focusing on attachment and bonding in adult relationships
three stages of emotionally focused therapy
De-escalation, Restructuring, and Consolidation
Gottman’s Four Horsemen of the Apocalypse
Criticism, contempt, defensiveness, stonewalling
which approach involves locating emotions in the body
Gestalt
top-dog / under-dog
Gestalt - for working through two contrasting opinions
Matrix Model
for stimulant addiction; 12 weeks long; family participation encouraged
Interpersonal and Social Rhythm Therapy
circadian rhythm and daily routine; for mood disorders
four principles of MI
(1) express
empathy, (2) develop discrepancy, (3) roll with resistance, and (4) support self-efficacy.
gottman model
criticism, contempt, stonewalling, defensiveness
prolonged grief disorder - description
intense longing for the person who has died or preoccupation with thoughts of that person; clinically significant distress/impairment; bereavement lasts longer than cultural norm
wants and needs is which model
reality/choice therapy
prolonged grief disorder - time frame
death was 1 year ago for adults, 6 months for kids/teens
prolonged grief disorder - symptoms
3+ daily for a month: disbelief, avoidance, numbness, meaningless, loneliness, pain, identity confusion, disruption of daily life
what set of disorders is yoga and art therapy recommended for?
anxiety
when is assertiveness training recommended?
bulimia, specific phobia (not situational unless specified), dependent PD
enactment techniques - what are they, who are they used with
therapists direct clients to talk or interact with each other in order to observe and modify problematic transactions; used for families and couples
Does MSE screen for suicidality?
yes, under Thought Content
covert sensitization
imagining something unpleasant happening while you do something undesired (e.g. imagine getting an electric shock while you gamble)
overt sensitization
aversion therapy - having something unpleasant happen to you while you do something undesired (e.g. smell foul odor when masturbating)
covert desensitization
using relaxation techniques while imagining an anxiety-producing situation
systematic desensitization
working your way through a fear hierarchy
what is AUDIT used for
identify alcohol dependence and specific consequences of harmful drinking
what is PHQ-15 used for
somatic symptoms
PIE technique- what is it used for?
used to help formulate SMART goals
schizophreniform time frame (and impact on diagnosing)
1-6 months (diagnosed as “provisional” if you try to diagnose while sx are still active
kitchener’s five moral principles
autonomy, nonmaleficence, beneficence, justice, and fidelity
catharsis (which model, what does it mean)
Psychoanalytic — a powerful emotional release that, when successful, is accompanied by cognitive insight and positive change
DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure – how is it used
at intake and during therapy to monitor progress; used in research to enhance clinical decision-making; NOT used as sole means of diagnosis
Cultural Formulation Interview (CFI)
structured with some follow-up ability……. what’s the problem, what’s the cause, self-coping and support-seeking, cultural identity, barriers, preferences, ideal clinician,
persistent depressive disorder
dysthymia - depressed mood and 2+ dep sx for 2+ years, never without sx for more than 2 months, no hypomania/mania/psychosis
cyclothymia - symptoms
frequent emotional swings that don’t meet criteria for depressive or manic/hypomanic episodes
cyclothymia - time frame
2+ years with sx at least half the time, and no more than 2 months in a row without sx
All or Nothing thinking
good/bad, black/white, right/wrong
Overgeneralization
always/never, one incident is a pattern
Disqualifying the Positive
Positives don’t matter; Doesn’t accept positives; Finding excuses to turn positive into negative; acknowledges positive experiences but rejects them instead of embracing them
Negative Mental Filter
Seeing only the negative; Focus on the negative; Filters out positives
Labeling
Unkind names of self/others; Assigning judgment; Exaggerated opinions
Heaven’s Reward Fallacy
Expecting something then feeling resentful when you don’t get it
Emotional Reasoning
I feel it, therefore it’s true; Emotions accepted as fact; Incorrect assumptions based on feelings
Fallacy of Fairness
Life should be fair, just, and equal
Leads to anger, resentment, and bitterness
Mind Reading
Know what others are thinking; Judgments; Conclusion Without Evidence; Reading Others Thoughts, Making Assumptions
Fortune Telling
Make conclusions/predictions without evidence; What-if statements; Catastrophizing; Predicting with certainty
Control Fallacies - internal
When you believe you control everything, you are assuming responsibility for both the pain and happiness of everyone around you
Control Fallacies - external
Life is controlled by other factors, Feeling of having no control
Jumping to Conclusions
When People Decide Based on Insufficient Information
Parent Management Training
therapist works with parents on how to manage child and adolescent challenging behaviors
Social Learning Theory
learning from what we see others do
