TOP 5O TOPICS Flashcards
First thing to do in question about child physical abuse
Filing CPS report
What to look as signs of sexual abuse
Marked change in child’s behavior (e.g. bed wetting, sexualized behavior)
When an adult client shows dissociated state (zoning out), what does it indicate?
childhood sexual abuse
Choose “provide psychoeducation” answer when a child is showing ?
developmentally appropriate/matched behavior (e.g. 5 year old interested in masterbation)
5 types of elderly abuse
- Physical restraining/abuse
- Financial abuse
- Social isolation
- Neglect
- Abandonment
With a client who is in DV but is ambivalent about leaving the perpetrator, what do I do?
Help creating SAFETY PLAN
When do I take aggressive intervention (e.g.51/50) for client with suicidal comments?
When he/she has PLAN and MEANS
When a client makes VAGUE comments regarding dangers to others or self, what do I do?
Ask them to clarify what he/she meant
The goal of crisis intervention (brief intervention)
To restore client to previous functioning level
Autism Spectrum Disorder 2 distinctive characteristics
- Persistent deficit in social interaction
2. Stereotyped, repetitive behavior
When child is acting up at school and no diagnoses, ? is indicated to differentiate two DXs.
psychological testing
ADHD / Learning Disability
Separation Anxiety happens around separating from ?
primary caregivers
Adjustment Disorder is a shift in behavior due to a recent stressor. How long of period do you give the child to adjust before pathologizing it?
6 weeks
Persistent depressive disorder criteria duration
2 years for adults; 1 year for children
Schizophrenoform criteria duration
Over one month through 6 month
Brief Psychosis criteria duration
1 month or shorter
Schizophrenia criteria duration
Over 6 months
What is a typical side effect of long-term use of anit-psychotic meds?
Tardive Dyskinesia
What do I always need to rule out when dealing with mood disorders?
Suicidal ideation
Stages of Grief
Denial Anger Bargaining Depression Acceptance
When dealing with grief, what intervention is important?
Referring to a grief group
Dx for when a psychological stressor converts to health/physical related problem.
Conversion Disorder
When dealing with Eating Disorder, we always must involve?
medical professionals
When dealing with sexual dysfunction, always rule out?
medical conditions
What is “Sensate Focus” ?
To explore each other’s body without sex to facilitate open communication
Best practice for Borderline PD
DBT - mindfulness
Acute Stress Disorder - DX duration
4 weeks or less from trauma
PTSD DX duration
After 4 weeks from trauma
PTSD symptoms
Startle response
Disconnected / numbness
Nightmares
Guilt / shame
What mental health issues can Hypothyroidism look like
depression
What mental health issues can hyperthyroidism look like
anxiety, jittery
When a parent comes to counseling because she/he is upset with a normal teenage behavior, what do I do?
Provide psychosocial education
oppositional defiant disorder has problems with?
authority (teachers, coaches, etc)
Conduct Disorder violates?
laws, other people’s rights
When treating couples, what type of intervention needs be provided?
To treat relationship, not an individual.
In questions regarding treating family, what could enmeshed relationship / rigid relationship suggest?
enmeshed - sexual abuse/incest
rigid - substance use
In treating family, what do I need to deal first, and then secondly?
- risk factors (DV, abuse, substance use)
2. family as a whole, not individual
In elderly related questions, what do I need to look out for in answers?
self-determination (except when client is deemed incompetent)
What intervention is a key interventions for elderly?
Life Review - emotional closure is important
What is the difference between Delirium and Dementia
Delirium has rapid onset, induced by medical condition/medications
What kind of exam do I use to track elderly’s functioning level?
Mini mental exam
In questions asking which intervention to provide, what do I do first and then secondly?
- eliminate what I know is wrong
2. Put the rest in order and pick the first one to do
In initial phase interventions, where do I start first?
Start where client is (e.g. family wants daughter to break up with boyfriend, but daughter is ambivalent)
If client wants to achieve many goals, what do I do?
prioritize what they want
If client has a BIG goal, what do I do?
break down to steps
When client says “I’m sure you can help me” in the initial session, what do I do?
Find out client’s expectations of treatment
In middle phase of interventions, if therapist notices there is a change in dynamics between client and therapist, what does she do?
Bring it up during (e.g. I notice you are not doing homework)
3 reasons for terminating treatment
- client met goals
- client is symptoms free
- completed pre-determined number of sessions
If I noticed negative changes in client, but the question doesn’t say if she/he stopped taking meds, what do I do first?
- find out if he/she is compliant with medication
THEN, refer to psychiatrist
In structural family therapy, what do I look for?
hierarchy, family structure, family dynamics
What do I do in task centered therapy?
provide practical help; create task centered goals
Which therapy theory is defense mechanism based in?
psychodynamics therapy
Defense Mechanism - when you are angry with someone, you overcompensate and act very nice toward the person.
Reaction Formation
Defense Mechanism - channeling unacceptable feeling/wish to acceptable one (e.g. instead of punching someone, go to kickboxing class)
sublimation
Defense Mechanism - going back to a previous stage of development (e.g. bed wetting)
Regression
When I shouldn’t release information of minor client to their parents?
When sharing information would put the client into danger or is detrimental to therapeutic relationship.
When established client became unable to pay fee, what do I do?
lower the fee temporarily to get through crisis
If I lower client’s co-pay, whom do I need to inform?
Client’s insurance company
When I find out an existing client and I have dual relationship, what do I do?
Discuss the impact and let client decide if she wants to continue with therapy.
When I have a problematic countertransference, what do I do?
Seek consultation
When client is paid by insurance, what do I need to tell as a part of confidentiality?
the limitations of confidentiality
When court orders records to be released, what do I do?
I must release. if it’s detrimental to client, I have to advocate to limit the scope. Court still can say no.
When lawyer requests records to be released, what do I do?
Let client know and decide.
If a client is deceased/can’t be located, assert privilege on behalf of the client.
Group treatment stages: In Forming stage, how members behave?
At best behavior
Group treatment stages: In Storming stage, what’s happening in the group?
Conflicts arising among members
Group treatment stages: In Norming stage, what’s happening in the group?
Members are accepting / tolerating others more.
If I think there is a social injustice happening in the agency where I work, what do I do?
Collect data to support my gut feeling
As an administrator, what do I do if staff have low morale?
Recognize and value staff
In case management roles, SW’s job is all about?
coordinating services. don’t jump into referring.
The first thing to do if I want to do research?
Obtain informed consent from subjects
If a client says she doesn’t want to talk to you because you are white, what should you do?
Explore the reason why she doesn’t want to talk to you as a white therapist.
As a supervisor, if your supervisee is experiencing burn out or vicarious trauma, what should you do?
provide psychoeducation
