NCMHCE - miscellaneous topics Flashcards

1
Q

MSE domains

A

appearance/attitude/affect, thought process, though content, behavior/mood/speech, perception, cognition, insight and judgement.

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2
Q

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure

A

screens for mood/suicidality, anxiety, psychosis, dissociation, OCD, and substance use

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3
Q

DMDD symptoms

A

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

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4
Q

DMDD age information

A

first s/sx before age 10

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5
Q

DMDD time frame

A

12+ months with no period of 3 consecutive months without all s/sx

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6
Q

CBT cognitive rehearsal

A

imagining an anxiety-provoking situation, while reciting positive coping statements or mentally rehearsing chosen behavior

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7
Q

Five stages of group development

A

orientation (forming), power struggle (storming), cooperation & integration (norming), synergy (performing), closure (adjourning)

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8
Q

major vs minor neurocognitive disorder

A

whether the person is experiencing impairment in independent functioning

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9
Q

long-term vs short-term goals

A

long-term addresses overall change, short-term addresses risk and alleviating symptoms

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10
Q

GROW acronym for treatment planning and goal setting

A

Goal, Reality (current situation), Options (for accomplishing goal), Way Forward (what you intend to do)

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11
Q

Acceptance & Commitment Therapy

A

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

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12
Q

Identifying Triggers, Behaviors, and Payoffs

A

Acceptance & Commitment Therapy

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13
Q

Focus on Your Breath

A

DBT

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14
Q

Dereflection (which approach and what it means)

A

Logotherapy: helping clients focus attention away from problems and complaints and
toward something positive

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15
Q

Paradoxical intention (which approach and what it means)

A

Logotherapy: Fear is removed when action/intention focuses on what is feared the most.

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16
Q

Drop Into the Pauses

A

DBT

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17
Q

Clarifying Your Values

A

ACT

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18
Q

Cost of Avoidance Worksheet

A

ACT

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19
Q

Goal Setting Worksheet

A

ACT

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20
Q

the ABCs: activating event, beliefs, and consequences.

A

REBT

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21
Q

“Dysfunctional Thought Record”

A

REBT

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22
Q

“Consequences Analysis”

A

REBT

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23
Q

“Problem Formulation”

A

REBT

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24
Q

REBT

A

“disputing” – challenging and
questioning our irrational and dysfunctional beliefs and replacing them with more sensible and
functional beliefs

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25
Q

Reality Therapy/Choice Therapy

A

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.

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26
Q

identify wants and needs, then identify specific plans to satisfy those needs

A

Reality Therapy/Choice Therapy

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27
Q

Solutions-Focused Brief Therapy

A

goal-oriented, help clients think up practical solutions to problems; asks how their life will be different once their problem is solved

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28
Q

Coping Question

A

SFBT

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29
Q

Miracle Question

A

SFBT

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30
Q

Exception Question

A

SFBT

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31
Q

Ethics: Autonomy

A

independence and the ability to make one’s own decisions

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32
Q

Ethics: Justice

A

treating each person fairly, but not treating each person the same way

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33
Q

Ethics: Beneficience

A

doing good or what is in the best interests of the client

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34
Q

Ethics: Nonmaleficence

A

doing no harm to others

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35
Q

Ethics: Fidelity

A

loyalty, faithfulness, and honoring commitments

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36
Q

Intermittent Explosive Disorder: age range

A

6 or older

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37
Q

How are teen clients and their parents treated?

A

treat the teen and the parents as
equals in the contract for therapy. Everyone signs consents, has a right to copies etc.

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38
Q

what is the role of a consultant?

A

evaluate the effectiveness of school-based interventions

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39
Q

when to include the school nurse?

A

when medications are involved, but not for non-medicated needs like developmental disabilities

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40
Q

when is the principal included in school meetings?

A

Only for the big stuff

41
Q

confidentiality rights for 18+ clients when parents pay for insurance

A

client owns full confidentiality rights

42
Q

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

A

concreteness

43
Q

Yalom’s Group Stages (initial, second, third)

A

initial: orientation, hesitant participation, search for meaning, dependency
2nd: conflict, dominance, rebellion
3rd: develop cohesiveness

44
Q

structured vs unstructured interview

A

structured has a list of pre-determined questions, unstructured allows for follow-up questions

45
Q

Structured Clinical Interview for DSM‐5 (SCID‐5)

A

used for research-level diagnosing; standard for validating diagnostic measurements;

46
Q

acronym for MSE

A

JAM BATT PICS

47
Q

MSE: JAM BATT PICS

A

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

48
Q

DMDD rule-out disorders

A

depressive disorders

49
Q

Difference between ODD, DMDD, CD, IED

A

ODD: angry, argues, vindictive
DMDD: grumpy and has tantrums
CD: breaks laws and violates rights
IED: outbursts and poor impulse control

50
Q

compensation and over-compensation

A

Adlerian/individual therapy: make up for inferiority through interest and training; push to gain extra level of development

51
Q

which approach has the keyword of “inferiority”

A

Adlerian/individual therapy

52
Q

Emotionally focused therapy

A

short-term focusing on attachment and bonding in adult relationships

53
Q

three stages of emotionally focused therapy

A

De-escalation, Restructuring, and Consolidation

54
Q

Gottman’s Four Horsemen of the Apocalypse

A

Criticism, contempt, defensiveness, stonewalling

55
Q

which approach involves locating emotions in the body

A

Gestalt

56
Q

top-dog / under-dog

A

Gestalt - for working through two contrasting opinions

57
Q

Matrix Model

A

for stimulant addiction; 12 weeks long; family participation encouraged

58
Q

Interpersonal and Social Rhythm Therapy

A

circadian rhythm and daily routine; for mood disorders

59
Q

four principles of MI

A

(1) express
empathy, (2) develop discrepancy, (3) roll with resistance, and (4) support self-efficacy.

60
Q

gottman model

A

criticism, contempt, stonewalling, defensiveness

61
Q

prolonged grief disorder - description

A

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

62
Q

wants and needs is which model

A

reality/choice therapy

63
Q

prolonged grief disorder - time frame

A

death was 1 year ago for adults, 6 months for kids/teens

64
Q

prolonged grief disorder - symptoms

A

3+ daily for a month: disbelief, avoidance, numbness, meaningless, loneliness, pain, identity confusion, disruption of daily life

65
Q

what set of disorders is yoga and art therapy recommended for?

A

anxiety

66
Q

when is assertiveness training recommended?

A

bulimia, specific phobia (not situational unless specified), dependent PD

67
Q

enactment techniques - what are they, who are they used with

A

therapists direct clients to talk or interact with each other in order to observe and modify problematic transactions; used for families and couples

68
Q

Does MSE screen for suicidality?

A

yes, under Thought Content

69
Q

covert sensitization

A

imagining something unpleasant happening while you do something undesired (e.g. imagine getting an electric shock while you gamble)

70
Q

overt sensitization

A

aversion therapy - having something unpleasant happen to you while you do something undesired (e.g. smell foul odor when masturbating)

71
Q

covert desensitization

A

using relaxation techniques while imagining an anxiety-producing situation

72
Q

systematic desensitization

A

working your way through a fear hierarchy

73
Q

what is AUDIT used for

A

identify alcohol dependence and specific consequences of harmful drinking

74
Q

what is PHQ-15 used for

A

somatic symptoms

75
Q

PIE technique- what is it used for?

A

used to help formulate SMART goals

76
Q

schizophreniform time frame (and impact on diagnosing)

A

1-6 months (diagnosed as “provisional” if you try to diagnose while sx are still active

77
Q

kitchener’s five moral principles

A

autonomy, nonmaleficence, beneficence, justice, and fidelity

78
Q

catharsis (which model, what does it mean)

A

Psychoanalytic — a powerful emotional release that, when successful, is accompanied by cognitive insight and positive change

79
Q

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure – how is it used

A

at intake and during therapy to monitor progress; used in research to enhance clinical decision-making; NOT used as sole means of diagnosis

80
Q

Cultural Formulation Interview (CFI)

A

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,

81
Q

persistent depressive disorder

A

dysthymia - depressed mood and 2+ dep sx for 2+ years, never without sx for more than 2 months, no hypomania/mania/psychosis

82
Q

cyclothymia - symptoms

A

frequent emotional swings that don’t meet criteria for depressive or manic/hypomanic episodes

83
Q

cyclothymia - time frame

A

2+ years with sx at least half the time, and no more than 2 months in a row without sx

84
Q

All or Nothing thinking

A

good/bad, black/white, right/wrong

85
Q

Overgeneralization

A

always/never, one incident is a pattern

86
Q

Disqualifying the Positive

A

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

87
Q

Negative Mental Filter

A

Seeing only the negative; Focus on the negative; Filters out positives

88
Q

Labeling

A

Unkind names of self/others; Assigning judgment; Exaggerated opinions

89
Q

Heaven’s Reward Fallacy

A

Expecting something then feeling resentful when you don’t get it

90
Q

Emotional Reasoning

A

I feel it, therefore it’s true; Emotions accepted as fact; Incorrect assumptions based on feelings

91
Q

Fallacy of Fairness

A

Life should be fair, just, and equal
Leads to anger, resentment, and bitterness

92
Q

Mind Reading

A

Know what others are thinking; Judgments; Conclusion Without Evidence; Reading Others Thoughts, Making Assumptions

93
Q

Fortune Telling

A

Make conclusions/predictions without evidence; What-if statements; Catastrophizing; Predicting with certainty

94
Q

Control Fallacies - internal

A

When you believe you control everything, you are assuming responsibility for both the pain and happiness of everyone around you

95
Q

Control Fallacies - external

A

Life is controlled by other factors, Feeling of having no control

96
Q

Jumping to Conclusions

A

When People Decide Based on Insufficient Information

97
Q

Parent Management Training

A

therapist works with parents on how to manage child and adolescent challenging behaviors

98
Q

Social Learning Theory

A

learning from what we see others do