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