Week 7 And 8

Question 1

What are the 6 stages of change?

Answer 1

1) precontemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse

Question 2

What are the indicators and clinical tasks for the precontemplative stage?

Answer 2

• no perception of having a problem or need to change
• increase clients understanding of potential risks and problems with current behaviour, self exploration, choice is theirs, validate lack of readiness

Question 3

What are the indicators and clinical tasks for the contemplative stage of change?

Answer 3

• recognition of need to change (in next 6 months)

- weigh risks of changing/not changing, tip the balance toward change, self exploration, choice is theirs

Question 4

What are the indicators and clinical tasks in the preparation stage of change?

Answer 4

• planning change, testing the waters

- reinforce reasons for change, identify best actions for change (small steps) minimize barriers, plan supports

Question 5

What are the indicators and clinical tasks for the action stage of change?

Answer 5

• taking steps to change, getting going

- help implement strategy (practical supports, referrals, etc.) bolster self-efficacy and discuss feelings of loss

Question 6

What are the indicators and clinical tasks for the maintenance stage of change?

Answer 6

• actively working on change

- identify triggers, relapse prevention, assess strategies, reinforce benefits of change, plan follow up support

Question 7

What are the indicators and clinical tasks during the relapse stage of change?

Answer 7

• slipped from change strategy or resumed old behaviour

- reframe slips as opportunities for learning, re-engage, identify triggers and barriers, plan new coping strategies

Question 8

What are the main tenets of motivational interviewing and how can they be used with the stages of change model?

Answer 8

1) express empathy through reflective listening
2) develop discrepancy between clients goals and their behaviour
3) avoid argument and direct confrontation
4) adjust to client resistance rather than opposing it directly
5) support self efficacy and optimism

Question 9

Describe the behavioural addiction of hoarding.

Answer 9

-DSM 5 diagnosis
2-5% of population affected
-persistent difficulty with discarding possessions when not to do so is problematic
-other disorders like dementia and brain injury must be ruled out
-family therapy and CBT interventions recommended

Question 10

Describe the behavioural disorder of Compulsive Buying Disorder

Answer 10

Not in DSM 5

• just under 6% of US pop. affected
• lack of control over buying things, often resulting in bankruptcy
• lack of extensive research on it
• anti depressant and serotonin enhancers with cognitive approaches have been helpful
• debtors anonymous also an option