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Psy402 > Week 3 > Flashcards

Week 3 Flashcards

History taking

1
Q

when history taking what is important to provide

A

structure

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2
Q

how do you provide structure when history taking?

A

have some set questions

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3
Q

in the first session what is important to consider?

A

time management

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4
Q

what questions can you ask yourself when trying to maintain good time management?

A

do I need this info? do I need this info now?

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5
Q

how can summaries help in sessions?

A

they can gently interrupt and refocus for time management purposes

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6
Q

what questions would you ask in clarifying presenting problem?

A

why now? (what brings you here today?) mood? symptoms? triggers? impact? managing/coping skills

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7
Q

what 4 things would you want to know when asking about symptoms?

A

frequency, intensity, how it starts/stops, continuity

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8
Q

what would you want to know when asking about developmental history?

A

childhood: birthplace, where grew up, serious illness as a child, developmental milestones achieved not achieved and age etc, sig events

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9
Q

what would you want to know when asking about family history?

A

parents still alive? together? good health? ages? work? brothers/sisters? type of relationship? supportive? history of mental health?

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10
Q

what would you want to know when asking about educational history?

A

where you went to school? finished? grades? enjoyed? friendships? further study?

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11
Q

what would you want to know when asking about occupational history?

A

what sort of work? where? how long you’ve been there? enjoyment? past jobs? length?

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12
Q

what would you want to know when asking about health, medical, treatment history?

A

problems? length? treatment undergone/going? review?

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13
Q

in a risk assessment what do you need to ask?

A

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?

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14
Q

what are 3 other things to you need to look out for in history taking?

A
  1. if they have been abused physically/sexually/financially in past 2. are they managing daily tasks? 3. if they have a cog or ID
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15
Q

first 3 things you do in closing the first session

A
  1. clarify next steps 2. confirm treatment plan (if known 3. discuss assessments if needed
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16
Q

next 3 things you might do in closing the first session

A
  1. est duration of treatments 5. encourage questions 6. make next appointment
17
Q

when designing a treatment plan what questions help?

A

what would you like to get out of attending therapy? what do you think would assist you in your recovery?

18
Q

what theoretical template helps in the formulation?

A

pan-theoretical

19
Q

what are the 5 P’s in the pan-theoretical template?

A

Presenting. Predisposing. Precipitating. Perpetuating. Protective.

20
Q

what is predisposing factors?

A

factors in patients history that make them susceptible/vulnerable I. e. genetic, brain-based (factors that made it more likely to happen) ,

21
Q

what are precipitating factors?

A

immediate events or factors that trigger/activate symptoms/presenting problem now. biological (illness), psychological (trauma), social, cultural

22
Q

what are perpetuating factors?

A

cause the patients symptoms to continue or worsen biological (substance abuse), psychological (low self-worth), social (work demands), cultural (language)

23
Q

what are protective factors

A

conditions or attributes (skills, strengths, resources, supports, coping strategies) help person deal with stressful events

24
Q

what is classical conditioning?

A

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)

25
Q

what is operating conditioning?

A

desired behaviour or increasingly closer approximations to it are followed by a rewarding stimulus

26
Q

what is neg reinforcement

A

a response or beh is strengthened by stopping, removing or avoiding a neg outcome or aversive stimulus

27
Q

what is positive reinforcement?

A

the addition of something after a behaviour has been performed

28
Q

define positive punishment

A

adding something to decrease a behaviour I.e. presenting an unfavourable outcome or event following an undesirable behaviour

29
Q

define negative punishment?

A

taking away a certain desired item after the undesired behaviour happens in order to decrease future responses

Psy402 (12 decks)

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