Psychology

Question 1

Cluster A

Answer 1

Odd/eccentric personality disorders:
* Paranoid
* Schizoid
* Schizotypal

Question 2

Cluster B

Answer 2

Dramatic/Emotional/Erratic Personality Disorders
* Antisocial
* Borderline
* Histrionic
* Narcissistic

Question 3

Cluster C

Answer 3

Anxious/Fearful Personality Disorders
* Avoidant
* Dependent
* Obsessive-Compulsive

Question 4

How do you incorporate generalist training in neuropsych?

Answer 4

• Interview: collecting information and building rapport
• Feedback: meeting them where they’re at, motivational interviewing if necessary (“uniquely positioned to provide brief intervention above and beyond what other types of clinicans can”)

Question 5

Do you want to prescribe?

Answer 5

• I recognize the benefit (reduce obstacles to care)
• I don’t think it’s necessary in AMCs since it’s such a closely collaborative setting; treatment can be discussed with the care team
• I would be willing to consider it should the need arise in a more rural setting but it’s not something I feel the need to pursue at this time though I am open to it if circumstances change in the future

Question 6

CPT

Answer 6

• Stuck points
  
  • Cognitive restructuring
  • Impact statement
  • Challenging maladaptive beliefs
  • Modifying Themes of Cognitive Distortions
    ○ Safety
    ○ Trust
    ○ Power/control
    ○ Esteem
    ○ Intimacy

Question 7

My theoretical orientation

Answer 7

• Cognitive Behavioral
  ○ Automatic thoughts, feelings, and maladaptive behaviors
  ○ GOAL: change maladaptive cognitive processes and therefore behaviors and therefore emotions
  ○ TECHNIQUES: Cognitive restructuring (What’s the evidence?)
  § Behavioral activation
• Humanistic
  ○ Client-centered and present-oriented
  ○ Holistic approach (+ Biopsychosocial model comes in here!)
  ○ Unconditional positive regard
  ○ Therapist is not expert - facilitator of growth
  ○ I am loose on the self-actualization piece because I don’t want to influence/push/create pt’s goals
  ** * Biopsychosocial framework**
  ○ Pt’s identity
  ○ Background
  ○ Culture
  ○ Functioning

GOALS:
* FLEXIBLE APPROACH
* Skill-building
* Goal-oriented behavior change
* Collaborative
* Warm, authentic, genuine
* Measurement based symptom monitoring (BDI, BAI, PHQ-9, ec.) to monitor effectiveness
Eliciting feedback often