Volume 4 Flashcards
What type of patients may genuinely not be able to readily identify any positive aspect of his or her life?
substance-abusing, substance-dependent, depressed or demoralized patient
A patient who has poor insight might not see their destructive behavior as a weakness but rather _____.
rather he or she is a victim of environmental circumstances
As a minimum how many strengths and weaknesses should you have?
3 for each
What are the 5 basic levels of Maslow’s hierarchy of needs?
physiological needs security needs affiliation self-esteem and love self-actalization
What does security for most adults mean?
mainly focus on establishing stability and consistency in a chaotic world.
What need is the most difficult for patients suffering from substance abuse/dependence diagnoses or sever mental disorders?
affiliation, as they are often either isolated or involved with parasitic social groups.
What do short and long term goals provide?
Short term goals provide acute relief or feelings of accomplishment.
Long term goals suggest the patient is invested over a period of time.
What is the mnemonic to help remember environmental determinants of relapse?
HALT (Hungry, Angry, Lonely, or Tired)
What are the determinate of relapse?
environmental
behavioral
cognitive
relational
What is the leading cause of relapse?
boredom
The degree of difficulty it will require for a patient to create a plan is often based on what factors?
- The severity and length of the patient’s substance use.
- The patient’s perception of the problem
- The patient’ motivation to remedy or change
- The patient’ current support system
- The extent the substance has affected each aspect of the patient’s life.
What are treatment plans?
The treatment plan is the overall management strategy for treating people. Treatment plans are considered the written contract between the patient and counselor providing a road map for progress.
What are the 5 dimensions of health according to the World Health Organization (WHO)
physical social mental spiritual intellectual
What is the difference between rehabilitation and habilitation?
Rehabilitation emphasizes the return to a way of life previously known and forgotten or rejected.
Habilitation is the patient’s initial socialization into a productive and responsible way of life.
What is the purpose of assessment during the treatment process?
- to determine how effective the treatment has been up to the assessment point
- what kind of progress the patient is making
- the appropriateness of the present treatment
- what the next level of treatment should be
What are the 4 specific areas that should be addressed in the therapeutic relationship?
- behavior
- personal barriers (poor self image, self-defeating attitudes)
- ability to cope with adversity, both personal and environmental
- clear and informed decision-making knowledge and skill.
What is the purpose of defining behavior?
The purpose of defining behavior clarifies which behavior is determinate aberrant, counterproductive and inconsequential.
What are the stages in counseling?
initial disclosure
in-depth exploration
commitment to action
What are the 3 basic approaches you will use in psychotherapy?
cognitive
behavioral
dynamic or psychodynamic
What is cognitive therapy?
focuses on psychological disturbances that frequently originate from habitual errors of thinking
What are the 3 core irrational beliefs of RET/REBT?
- I must be liked/loved by everyone I consider significant in my life.
- I must not make mistakes
- Life must be fair
What makes reality therapy different than most other therapies?
This therapy forces the therapist to take a stand and often disclose his or her feelings regarding morality, responsibility, and accountability.
What is the basic assumption in Gestalt therapy?
the patient has the capacity to “self-regulate” in his or her current environment, and adjust his or her behavior and reaction to what is happening around him or her.
One facilitator can effectively manage a group of how many?
8-10
