QnA Flashcards
Personality disorder cluster
A: (mad) schiz, paranoid
B: (bad) antisocial, borderline, historic, narcissistic
C: (sad): avoidant, dependent, obsessive compulsive
Hospital health screener
PHQ
Ancillary index of WISC-V
NVI
GAI
CPI
NSI - complementary index
PTSD diagnosis
More than ONE month
National law
The health practitioner regulation law
Attachment
Anxious ambivalent: co-regulation, difficulties w self-regulation
Anxious avoidant: self-regulation, difficulties w co-regulation
Disorganised: difficulties w both co and self regulation
Secure: well with both
CBT model
Automatic thoughts
Intermediate beliefs (rules, attitudes, assumptions)
Core beliefs
When PIM is over 75T
Can interpret only if the person made OVERT attempts in response style
Antipsychotic
Haloperidol
Risperidol
Aripiprazole
Chlorpromazine
Benzodiazepines: ANTICHOLINERGIC
Communication skills training
Improve speaking and listening skills
Speaking skills
- I statement
- expressive positives
- requests for change
Listening skills:
- attending
- rephrasing
- validating
- inquiring
- empathising
Working alliance
Ruptures: disruption of alliance due to misunderstood or conflicts
Reenactments: unwanted, maladaptive coping reaction clients do with others is being reenacted with therapist
Resistance: contradictory feelings and ambivalence about treatment progress eg being validated and heard is reassuring but can also evoke fears of being controlled and manipulated
Motivational interviewing
Engaging
Focusing
Evoking
Planning
APS ethical guideline
Financial dealings and fair trading
Internet and telecommunications
Older adults
Hypnosis
Aboriginal
Sex and gender diverse
Etc.
NO general guidelines for working w cultural and linguistic diverse clients
Presession change
Make and attend first session
Cognition distortion
Personalising: blaming self
All or nothing
Overgeneralisation: no one ever listened to me
Mental filter: only focus on what self wants
Fortune telling: i will fail this assignment
SSRI
Selective serotonin reuptake inhibitor
SDS
Psych: social, investigative, artisitc/ enterprising
Dental assistant: conventional, realistic, social
Nurse: social, investigative, realistic/conventional
Technical writer: investigative, artistic, conventional
Sales: social, enterprising, conventional
Treatment goals for GAD - CBT
Enhance acceptance
Modify need for certainty
Reduce physical symptoms
Reduce time spent worrying
Stages of problem solving
Rationale
Problem orientation
Problem definition and formulation
Generation of alternative solutions
Decision making
Solution implementation and verification
Most reported complaint
Poor communication
Then confidentiality breaching
Requirements to be registered
Appropriate qualifications
Being a suitable person
Not being disqualified
Supervised practice
NOT include graduating high school
PAI missing items
Do NOT interpret if 18+ item missing
Do NOT interpret individual scale if 20% items missing
Odds of receiving a complaint
1 in 5 chance
2:100 serious complaint
B propriety
Conflict of demands
Helper influencing response (6)
- Questions
- Interpretation
- Information giving
- Immediacy
- Self disclosure
- Confrontation
Working w aboriginal
Manner and pace
Cultural differences in response styles
First language
Fear of test results being used
NOT attitude toward clinician
Use of antidepressants
Side effects: agitation, reduced libido
Increase anxiety
Subside in first week to 10 days
Associated w increased risk in suicidal in adolescents (rare)
K10 42 next step
Screening for symptoms of psych disorder
Borderline
Mood disturbance
Impulsivity
Interpersonal relationships
Reckless behaviour
Feeling empty
Conduct disorder
Defiant
Impulsive
Skipping school
Running away from home
Physical alteration
BECK depression BDI
NOT for diagnosis
MSE
Observation + Risk
Behaviour activation
Pleasure and mastery
Treating depression
Adults:
Level 1:
- cbd
- interpersonal
- psychodynamic
Level 2:
- ACT
- DBT
- solution focused
Children
- CBT
- interpersonal
Treating anxiety - adult (after CBT)
Gad: act, psychodynamic
OCD: act
Panic: act, psychodynamic
Social: act, psychodynamic
Treating borderline
DBT
Schema therapy
Psychodynamic
Justice
Don’t unfairly discriminate people on their age, gender, culture, etc
Treating PTSD
CBT
EMDR
DBT
Ethical considerations for first session
Consent
Confidentiality
Service providing and cost
Test for general well being
Dass
16PF
Problematic: below or above 5%
MMPI-2
Assisting diagnosing and selecting appropriate treatment
Test selection
Random selection - internal validity
Random assignment- external validity
Making photocopy of test
NEVER allowed
Chain analysis
- Vulnerability factors
- Activating events
- Thoughts, Feelings, Behaviours
- Responses
Timeline
Boundaries
Crossing: departures from commonly accepted practice that some may see as appropriate
Vs
Violation
Depression diagnosis
NOT include chronic feeling of emptiness
Mania - bipolar I
Include psychotic features
Borderline vs Bipolar
Borderline: rapid shift in emotion state
Bipolar: shift is periodic rather than rapid
