Section 3 Flashcards
What are the 6 stages of counseling? (244)
- information gathering
- evaluation
- feedback
- counseling agreement
- change behavior
- termination
What are the stages of group development? (308)
- initial stage: acceptance, identify power, intimacy
- transition stage: dominance, control, power
- working stage: honesty, acceptance, self-disclosure,
- Final stage
What are the functions of a group leader? (315)
emotional stimulation (challenge, support, praise) meaning attribution (concepts, explanation) execution function (limit setting, interceding)
Explain these problematic client types: silent client boring client monopolizing client self-righteous client hostile client
silent client - silence is a behavior, scared
boring client - frequently a frightened, inhibited individual who realty takes risk and feels badly about themselves
monopolizing client - does not notice other members negative reatcions or belittle’s other, “talker”
self-righteous client - to be right at any costs
hostile client - anger to cover up fear
What are the 3 types of client defense mechanisms? (322)
Type 1: the client doesn’t believe he/she can relate to the other members
Type 2: the quick thinker is valued in society but if he/she refuses to move from thoughts to feelings, he/she will not grow
Type 3: the client enjoys irritating others.
Type 4: the client brings confusion to the group
Type 5: at times a client will arrive at an alcoholic and drug group intoxicated
What are the different roles in an alcoholic family? (328)
the enabler, the hero (oldest), the scapegoat (2nd), the lost child (youngest), the mascot (3rd or middle)
According to Freud’s psycho dynamic theory what are the 3 parts of the mind? (376)
Id - the collection of instincts and basic urges
Ego - the rational, reasoning part of the mind
Super Ego - the conscience, ideals, rules (learned from parents and other adults)
What is reaction formation? (377)
exchanging an unacceptable urge or feeling for a more acceptable one - often expressed in excess
What is the goal of client-centered therapy? (379)
self healing through self-discovery and self acceptance
What is the goal of gestalt therapy? (381)
integration of experiences into a whole personality
What is the goal of rational-emotive therapy? (383)
teaching a client to analyze his/her belief system and correct the irrational distortions.
What is the goal of reality therapy? (384)
helping the individual get back in touch with objectives and moral reality by making responsible choices.
What are the 4 types of operant conditioning? (388)
positive reinforcement
negative reinforcement
punishment
extinction
What are some common issues affecting the counselor-client relationship? (420)
boundaries and authority issues
respect and dignity
attitudes towards help from counselors
In reference to the Level of Care Quadrants, what kind of patient is in quadrant 1? (449)
low severity substance abuse and low severity mental disorders.
In reference to the Level of Care Quadrants, what kind of patient is in quadrant 2? (449)
high severity mental disorders and low severity substance use disorders
In reference to the Level of Care Quadrants, what kind of patient is in quadrant 3? (449)
severe substance use disorders and low or moderate severity mental disorders
In reference to the Level of Care Quadrants, what kind of patient is in quadrant 4? (449)
is divided into 2 subgroups
- serious or persistent mental illness and also have sever and unstable substance use disorders
- severe and unstable substance use disorders and severe and unstable behavioral health problems.
What disorders are the most common seen by the addiction counselor? (450)
personality disorders
What does MICA stand for?
mentally ill chemical abuser
What are the ASAM 10 levels of care? (456)
0.5 Early Intervention 1 Outpatient services 2.1 Intensive outpatient services 2.5 Partial hospitalization 3.1-3.5 Clinically managed 3.7 Medically monitored 4 Medically managed Intensive Inpatient Services
What are the 3 different perspectives that make up ethical considerations? (541)
- moral/professional judgements
- legal or regulatory consideration
- ethical implications
What is the difference between confidentiality and privilege? (546)
Confidentiality - no information divulged by patients in the course of treatment may be revealed to an outside source without the written consent of the patient when he/she is rational and drug free.
Privilege - a legal term that refers to an individual’s right not to have confidential information revealed in court or other legal proceedings.
What are some meeting types of AA? (585)
discussion meetings speaker and speaker/discussion meetings step meetings book meetings chip or birthday meetings
What are some other community resources besides AA? (593)
Rational Recovery - a guide for self-recovery using Addictive Voice Recognition Technique.
Women for Sobriety
Secular Organization for Sobriety (SOS or Save ourselves)
Moderation Management
SMART Recovery
What is SMART Recovery’s 4 point program? (597)
- enhancing and maintaining motivation to abstain
- coping with cravings
- solving old problems by rationally managing thoughts, feelings, and behaviors
- developing and maintaining lifestyle balance
What are the assumptions that motivational interviewing is based on? (599)
Ambivalence about substance use (and change) is normal
Ambivalence can be resolved by working with your client’s intrinsic motivations and values.
The alliance between you and your client is collaborative partnership.
An empathic, supportive, yet directive, counseling style provides condition under which change can occur.
What are the 5 stages of change? (601)
per-contemplation contemplation preparation action maintenance
What are the 5 general principles of motivational interviewing? (601)
- express empathy through reflective listening
- develop discrepancy between client’s goals or values and their current behavior
- avoid argument and direct confrontation
- adjust to client resistance rather than opposing it direct
- support self efficacy and optimism.
What are the 5 strategies for early sessions of motivational interviewing? (614)
- ask open ended questions
- listen reflectively
- summarize
- affirm
- elicit self-motivational statements
What are some ways to evoke self-motivational statements from clients? (620)
problem recognition
concern
intention to change
optimism
During the per-contemplation stage a counselors main focus is to … ? (625)
- establish rapport
- raise doubts or concerns in the client about substance using patterns
- express concern and keep the door open
Involving family members and/or significant others can damage the substance-using persons in their recovery. T/F (626)
False
During the contemplation stage a counselors main focus is to … ? (628)
- normalize ambivalence
- help the client “tip the decision balance scales” towards change
- elicit self-motivational statements of intent and commitment
- elicit ideas regarding the client’s perceived self-efficacy and expectations regarding treatment
- summarize self- motivational statements
During the preparation stage a counselors main focus is to … ? (629)
- clarify the client’s own goals and strategies for change
- Negotiate a change or treatment plan an behavior contract
- consider and lower barriers to change
During the action stage a counselors main focus is to … ? (631)
- engage clients in treatment and reinforce the importance of remaining in recovery
- support a realistic view of change through small steps
- help the client identify high-risk situations
- assist the client in finding new reinforces of positive change
During the maintenance stage a counselors main focus is to … ? (638)
- help client identify and sample drug free sources of pleasure
- affirm the client’s resolve and self-efficacy
- help client practice and use new coping strategies
- develop a “fire escape” plan
During the recurrence stage a counselors main focus is to … ? (629)
- help client reenter the change cycle and commend any willingness to reconsider positive change
- maintain supportive contact
Define Axis 1 - V (645)
Axis 1 - clinical disorders
Axis II - personality disorders
Axis III- general medical conditions
Axis IV - psycho-social and environmental stressors
Axis V - Global Assessment of Functioning
How many criteria need to be meet for a substance use disorder mild? (653)
2-3
How many criteria need to be meet for a substance use disorder moderate? (653)
4-5
How many criteria need to be meet for a substance use disorder severe? (653)
6+
What are the 3 classifications of a use disorder? (652)
use
intoxication
withdrawal
Which group has the highest prevalence of alcohol related disorders? (664)
Native Americans
Alaska Natives
Signs and symptoms of alcohol intoxication are (668)
slurred speech, lack of coordination, memory impairment, impaired functioning
Signs and symptoms of amphetamine intoxication are (668)
rapid heartbeat, dilated pupils, weight loss, high energy and paranoid psychotic behavior
Signs and symptoms of cannabis intoxication are (668)
red eyes, dilated pupils, increase appetite, dry mouth, sluggish and slow to react
Signs and symptoms of opioid intoxication are (668)
slurred speech, drowsiness, impair memory and constricted pupils
