alerts Flashcards
(91 cards)
1
Q
Universal Precautions
A
AIDS
2
Q
Primary Process
A
Freud
3
Q
Medical Condition
A
Refer
4
Q
Lithium
A
Bipolar
5
Q
Legislation, policy statutes
A
Advocate
6
Q
Emphasis on client
A
Rogerian
7
Q
Intermittent Punishment
A
Extinction
8
Q
Borderline
A
Supportive
9
Q
Summary and Evaluation
A
Termination
10
Q
short-term treatment
A
Brief Therapy
11
Q
Homeostasis
A
Family Therapy
12
Q
Drives and Defenses
A
Psycho-dynamic
13
Q
psychodrama, skillful frustration, dream work empty chair
A
Gestalt Therapy
14
Q
Dealing with beliefs
A
Cognitive Theory
15
Q
first referral is an MD
A
Anxiety Disorders
16
Q
Speed, effectiveness, time limited, and reality focused
A
Short-Term Therapy
17
Q
2 Years old
A
Separation Anxiety
18
Q
hazardous event, vulnerable state, precipitating factor, active crisis state, individual reintegrates and reaches equilibrium
A
Crisis Intervention
19
Q
Reparative Therapy
A
aimed at changing homosexual orientation to heterosexual
20
Q
working with groups or neighbors,enabling or empowering
A
Community Organizer
21
Q
Time limited, resolution happens in less than 6 weeks
A
Crisis Intervention
22
Q
Rapid change in situation
A
Crisis Intervention
23
Q
Token economy
A
Behavior modification
24
Q
Active Listening
A
Client-Centered Theory
25
Specificity, Successive Approximations, Modeling, Performance
Social Learning Theory
26
individuate, differentiate
Object Relations Theory
27
Paradoxical
Prescribing the Symptom
28
Planner or Policy writer
Allocating resources, planning procedures, writing policy
29
Disabled
Support systems - Piaget
30
nature vs. nurture
endogenous vs. environmental
31
Depression
Cognitive Behavioral therapy
32
Boundaries between systems
Family Therapy/Family Systems
33
flashback, nightmare, hypervigilant, trauma
Post-Traumatic Stress Disorder
34
Immigrants
Ecological Systems Perspective
35
Separation Individuation
Mahler Object Relations Theory
36
Assessment
Cultural considerations - ethics
37
Suicide
Plan - means - isolation - report
38
Religion
Spiritual beliefs determine behavior
39
Develop
Piaget - Kohlberg - Psycho-sexual
40
Group Therapy
Take all issues to the group for
| resolution
41
Runaway
Reasons - abuse - relationships with
| parents
42
Fatigue
Physical examination - Depression Dysthymia
43
Abuse
Protential for more abuse- Protection of abused
44
Children
Evaluate interacting with family- play therapy
45
Obsessive
Medical examination - Delirium - drug
| withdrawal
46
Sexuality
Intimacy concerns - family history -
| expectations
47
Weight
Self concept - physical examination danger to life
48
Violence
Police involvement - legal involvement-safety for victim
49
Alcoholism
Medical referral - Therapy to increase
| responsible behavior
50
Substance Abuse
Symptoms of addition - duration physical addition - support
51
Refferal
Establish rapport with client - Written release from the client
52
Divorce
Consideration of parents AND children grief - behavioral limits
53
Grief
People, places or things. Kubler-Ross
| stages - potential for suicide
54
Single Parent
Support group - coping skills - work,
| family, social responsibilities
55
Depression
Cognitive therapy - Substance abuse Suicide - Grieving- behavioral goals
56
Seniors
Abuse (physical, emotional, criminal) -
| Support systems - health - finance
57
Adolescent
Who is the legal parent - school,
family, friends - age appropriate
behavior
58
Premarital Expectations
hidden agendas - family history - disengagement and enmeshment
59
Divorce
In a divorce, the needs of both the children and the parents should be considered.
60
Eatting Disorder
Referral for medical exam and adjunct
nutritional therapy is imperative with
eating disorders.
61
Violence
The counselor assesses the potential for violence, and notifies the authorities if threatened.
62
RELIGION
The counselor should be aware that the client's religious beliefs may be determining behavior.
63
GRAVELY ILL OR DISABLED
Referral for physical/mental exam and perhaps hospitalization clients that are disabled or that are seriously ill.
64
DUTY TO WARN
When your client poses a danger to another, the law enforcement should be contacted, as well as the person who is
in danger
65
SINGLE PARENTS
Consider support groups for single
parents. Evaluate and improve coping
skills concerning family, work and
social responsibilities.
66
CHILD DEVELOPMENTAL ISSUES
Age appropriateness of behaviors is a
consideration with children. Behaviors
are compared to developmental stages,
Piaget and Kohlberg.
67
SENIORS
Probe in respect to abuse (physical,
emotional, criminal). Examine their
support systems. How is their current
health affecting their quality of life?
68
CO-DEPENDENT
```
Co-dependents are frequently angry
about the behaviors of significant
others. This anger might be openly
expressed or masked by depression or
care taking behaviors.
```
69
Gay Issues
```
Gay clients might need to deal with
family secrets, family and/or social
support, adjustment, and identity.
Suicidality has a higher rate among
gays than the general population.
```
70
Children
```
Should be evaluated interacting with
their families. Family sculpting is an
effective technique. Play therapy can
involve role play and objects such as
doll families and sand trays.
```
71
Grief
```
Related to any loss, people, places or
things. Kubler-Ross grief stages
include Denial, anger, bargaining,
depression, acceptance. Always evaluate
the client for any potential suicide.
```
72
REFERRALS
It is best to establish rapport and the client's trust before making a referral. A written release from the client that you can refer the client is necessary before your contact another professional.
73
TESTING
The counselor uses appropriate and valid assessment instruments for which there has been adequate training. Ethics (adequate instruction, cultural sensitivity, etc.) testing is taken into consideration.
74
ADJUSTMENT DISORDER
When a case includes social or work impairment, an adjustment disorder should be considered. Also, when a client is reacting to a stressor in a maladaptive manner, this could be due to an adjustment disorder.
75
EMANCIPATION
A child becomes emancipated upon getting married (with parental consent) or joining the military. The emancipated child is incharge of his/her finances and legal affairs, and willingly lives apart from the parents.
76
FAMILIES
```
Family therapy often focuses on
communication, roles, and rules, as
they relate to the family
structure/family system. Therapy can be
multigenerational. Change can be
effected through insight or more
directive interventions.
```
77
OBS
```
What appears to be a personality
disorder could be OBS. Organic Brain
Syndrome may involve unusual affect,
amnesia, dementia, delusions,
hallucinations, and delirium. Also
consider withdrawal from substances may
be related to OBS.
```
78
PARENTING
```
Parenting issues frequently revolved
around communication skills and methods
of child discipline. Exploration of
each spouses childhood clarifies
parental interjections and reason for
current beliefs and expectations
regarding parenting.
```
79
ALCOHOLISM
```
Calls for a medical referral.
Counseling goals -increase of
responsible behaviors. Family and peer
coalitions that maintain maladaptive
behaviors should be explored and
resolved. Multigenerational histories
can be examined in relation to alcohol
issues.
```
80
CRISIS INTERVENTIONS
```
The facilitation of catharsis often
begins in crisis interventions. The
counselor helps the client in crisis to
focus on the problem. The goal of
crisis intervention is usually to help
the person reach the level of
functioning they had before the crisis.
```
81
DEPRESSION
```
What is the possibility of substance
abuse and/or suicidality. Is the client
grieving? Behavioral goals are set,
including scheduling the client's time.
Cognitive work is done, including plans
to improve the quality of life that
will increase hopefulness.
```
82
SEXUALITY
```
Explore intimacy issues.
Cognitive-behavioral techniques
including Masters and Johnson's sensate
focus exercises. Examine the effects of
family histories and personal
experiences upon sexual development and
expectations. Refer for medical exam
when appropriate.
```
83
PREMARITAL
```
Before engaging a counselor, clients
should understand (via verbal and/or
written communication) their rights
regarding confidentiality, risks,
counseling procedures, and treatment
goals. The client should know their
rights concerning termination and
leaving therapy.
```
84
ETHNIC
```
Be aware of ethnic stereotypes and
culture-specific values. The more the
counselor knows about the client's
culture, the easier it will be to
perceive the world from the client's
perspective. Sometimes it is advisable
to refer the client to another
counselor with a more similar culture.
```
85
ADOLESCENTS
```
Adolescent clients warrant the
evaluation of school records, peer
groups, and age appropriateness of
behaviors. Their family interactions
are significant, especially their
experiences of being parented. The
counselor should know who is legally
responsible for the adolescent (parent
or guardian).
```
86
PRIVILEGE
```
Generally, adults hold privilege
regarding counseling information,
except in the case of possible danger
to self or others. Children do not have
a legal right to privilege, but
counselors should work out some type of
agreement as to the kinds of
information will be divulged to parents
or school.
```
87
ANOREXIA
```
A medical referral and medical adjunct
care is essential with anorexia. A
personal and family history should be
taken. Clients with anorexia usually
have a problem with, and need to,
increase their sense of self-worth.
They also need to improve their
communication skills and emotional
expression.
```
88
SUICIDE
```
Assess the suicidality of the client.
Does the client have a plan and the
means? Is the client isolated?
Privilege is violated if the counselor
believes the client is a danger to
self. Arrange a no-suicide plan that
involves the client, counselor, friends
and family. Plans for the future are
emphasized.
```
89
RUNAWAY
```
With a runaway, the counselor explores
the reasons for running away. What kind
of relationship does the child have
with the parents/guardian? Has there
been abuse? The child should be seen
alone as well as with the parents.
Consider the advisability of referral
for foster placement or a protective
agency.
```
90
SUBSTANCE ABUSE
```
Take steps to protect the client.
Inform client of of community
resources. Suspected child abuse and
elder abuse reported to the authorities
within 24 hours. An oral report should
be followed by a written report.
Abusive parents should be informed of
their legal rights, but the child must
be removed from their care.
```
91
COUPLES
```
Premarital counseling explores the
stated and previously unstated reasons
for marrying. Note the couple's
communication patterns and any
associated dysfunctions. Issues related
to families of origin include the
levels of differentiation each person
demonstrates. Beliefs and expectations
concerning marriage are probed.
```
