Treatment

Question 1

Attachment

Answer 1

• Secure: bond well, expect responsiveness
• Anxious avoidant: may struggle with self-esteem
• Anxious ambivalent attachment (resistant): struggle with intimate relationships
• Disorganized: inconsistent, may become flooded
• Style set by early experiences, but can change

Question 2

Effects of parenting styles

Answer 2

• Authoritarian - what I say goes - kids can end up exhibiting hostile or aggressive behaviors
• Authoritative - most positive outcomes - accept feedback from kids
• Permissive - no rules - only step in to help if needed - kids can have trouble regulating their emotions and struggle academically
• Uninvolved - parent not present - children with low self esteem and struggling in school

Question 3

Discernment counseling

Answer 3

• For couples in a relationship deciding whether to stay
• Short term process - 5 sessions
• 3 possible outcomes
  
  • Couples come together, but much work is individual
  • Self-differentiation and self-responsibility
  • No couple interventions

Question 4

Child Therapy: Key Concepts

Answer 4

• Scaffolding
• Zone of proximal development
• Focus on strengths

Question 5

Child Therapy: Methods

Answer 5

• Play
• Filial therapy (parents leading child centered play)
• Parent training
• Token economy - children are regularly given small rewards for specific desired behaviors
• Harnessing strengths and support networks (ex. Multisystemic Therapy)

Question 6

Adolescent therapy: Assumptions

Answer 6

• Respect child’s location in family hierarchy
• Adolescent identity grows and changes
• Adolescents do what works for them
• Treatment should be coordinated
• Avoid assigning blame

Question 7

Adolescent therapy: Key Concepts

Answer 7

• Subsystems

- Differentiation

Question 8

Adolescent therapy: Interventions

Answer 8

• Positive feedback
• Being a role model
• Monitoring
• Increasing adult involvement
• Advocacy
• Skill development (problem solving, communication)
• Address specific beliefs

Question 9

Motivational Interviewing (MI)
 -Stages of change:

Answer 9

• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance

Question 10

Types of Therapy Groups

Answer 10

• Psychoeducational groups
• Process groups
• Combined groups

Question 11

Psychoeducational groups

Answer 11

-Content focused, educational

Question 12

Process groups

Answer 12

• Focused on interactional process rather than content
• Elements that make process groups effective:
  
  • Instillation of hope
  • Universality
  • Altruism
  • Group cohesiveness
  • Existential factors

Question 13

Combined groups

Answer 13

-Combines elements of both: Some curriculum, but with time for group members to interact

Question 14

• Mental Health Services Act (MHSA)

- Principles of Mental Health Services Act

Answer 14

• Hope
• Person Driven
• Many Pathways
• Holistic
• Peer support
• Relational
• Culture
• Addresses Trauma
• Strengths and Responsibility
• Respect