Week 3 Flashcards
History taking
when history taking what is important to provide
structure
how do you provide structure when history taking?
have some set questions
in the first session what is important to consider?
time management
what questions can you ask yourself when trying to maintain good time management?
do I need this info? do I need this info now?
how can summaries help in sessions?
they can gently interrupt and refocus for time management purposes
what questions would you ask in clarifying presenting problem?
why now? (what brings you here today?) mood? symptoms? triggers? impact? managing/coping skills
what 4 things would you want to know when asking about symptoms?
frequency, intensity, how it starts/stops, continuity
what would you want to know when asking about developmental history?
childhood: birthplace, where grew up, serious illness as a child, developmental milestones achieved not achieved and age etc, sig events
what would you want to know when asking about family history?
parents still alive? together? good health? ages? work? brothers/sisters? type of relationship? supportive? history of mental health?
what would you want to know when asking about educational history?
where you went to school? finished? grades? enjoyed? friendships? further study?
what would you want to know when asking about occupational history?
what sort of work? where? how long you’ve been there? enjoyment? past jobs? length?
what would you want to know when asking about health, medical, treatment history?
problems? length? treatment undergone/going? review?
in a risk assessment what do you need to ask?
harming thoughts of self or others? past threats/acting aggressively towards others? access to weapons? hear voices telling to harm? (command hallucinations) history of abuse towards others?
what are 3 other things to you need to look out for in history taking?
- if they have been abused physically/sexually/financially in past 2. are they managing daily tasks? 3. if they have a cog or ID
first 3 things you do in closing the first session
- clarify next steps 2. confirm treatment plan (if known 3. discuss assessments if needed
next 3 things you might do in closing the first session
- est duration of treatments 5. encourage questions 6. make next appointment
when designing a treatment plan what questions help?
what would you like to get out of attending therapy? what do you think would assist you in your recovery?
what theoretical template helps in the formulation?
pan-theoretical
what are the 5 P’s in the pan-theoretical template?
Presenting. Predisposing. Precipitating. Perpetuating. Protective.
what is predisposing factors?
factors in patients history that make them susceptible/vulnerable I. e. genetic, brain-based (factors that made it more likely to happen) ,
what are precipitating factors?
immediate events or factors that trigger/activate symptoms/presenting problem now. biological (illness), psychological (trauma), social, cultural
what are perpetuating factors?
cause the patients symptoms to continue or worsen biological (substance abuse), psychological (low self-worth), social (work demands), cultural (language)
what are protective factors
conditions or attributes (skills, strengths, resources, supports, coping strategies) help person deal with stressful events
what is classical conditioning?
learning process that occurs when 2 stimuli are repeatedly paired: a response which is at first elicited by the 2nd stimulus is eventually elicited by the 1st stimulus alone. (I. e. bell and food)
what is operating conditioning?
desired behaviour or increasingly closer approximations to it are followed by a rewarding stimulus
what is neg reinforcement
a response or beh is strengthened by stopping, removing or avoiding a neg outcome or aversive stimulus
what is positive reinforcement?
the addition of something after a behaviour has been performed
define positive punishment
adding something to decrease a behaviour I.e. presenting an unfavourable outcome or event following an undesirable behaviour
define negative punishment?
taking away a certain desired item after the undesired behaviour happens in order to decrease future responses
