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Counseling Exam > Diagnostic Alerts > Flashcards

Diagnostic Alerts Flashcards

When you see the following word what should you be thinking? (81 cards)

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1
Q

OBSESSIVE

A

Medical examination
Delirium
Drug withdrawal

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2
Q

PREMARITAL

A

Expectations
Hidden agendas
Family history
Disengagement and enmeshment

Explore the couple’s expectations about marriage and beliefs. Probe for “hidden agendas” of which the clients may or may not be aware.
Family histories and levels of disengagement and enmeshment can be explored.

Communication skills can be assessed and improved.

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3
Q

SEPARATION INDIVIDUATION

A

Mahler Object Relations Theory

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4
Q

VIOLENCE

A

Police involvement
Legal involvement
Safety for victim
The counselor assesses the potential for violence, and notifies the authorities if threatened.

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5
Q

FLASHBACK
NIGHTMARE
HYPERVIGILANT
TRAUMA

A

PTSD

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6
Q

RAPID CHANGE IN SITUATION

A

Crisis Intervention

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7
Q

DISABLED

A

Support systems

Piaget

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8
Q

DUTY TO WARN

A

When your client poses a danger to another, the law enforcement should be contacted, as well as the person who is in danger.

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9
Q

TESTING

A

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.

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10
Q

SENIORS

A

Abuse (physical, emotional, criminal)
Support systems

Health

Finance
Probe in respect to abuse (physical, emotional, criminal).
Examine their support systems.

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11
Q

CRISIS INTERVENTIONS

A

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.

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12
Q

ALCOHOLISM

A

Medical referral

Therapy to increase responsible behavior

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13
Q

GRAVELY ILL OR DISABLED

A

Referral for physical/mental exam and perhaps hospitalization clients that are disabled or that are seriously ill.

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14
Q

DEALING WITH BELIEFS

A

Cognitive Theory

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15
Q

REFERRAL

A

Establish rapport with client
Written release from the client
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.

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16
Q

META MESSAGE

A

The meaning that comes through between the lines; determined by the relationship, context, the timing and the purpose.

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17
Q

SUBSTANCE ABUSE

A 
Symptoms of addition
Duration
Physical addition
Look for symptoms of addiction.
Ask for background information such as frequency of use.

Consider physiological dependence. Is hospitalization necessary?

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18
Q

ACTIVE LISTENING

A

Client-Centered Theory

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19
Q

INFORMED CONSENT

A

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.

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20
Q

ANOREXIA

A

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.

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21
Q

CHILD DEVELOPMENTAL ISSUES

A

Age appropriateness of behaviors is a consideration with children.
Behaviors are compared to developmental stages, Piaget and Kohlberg.

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22
Q

UNIVERSAL PRECAUTIONS

A

AIDS

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23
Q

GRIEF

A

Related to any loss, people, places or things.
Kubler-Ross grief stages include Denial, anger, bargaining, depression, and acceptance.

Always evaluate the client for any potential suicide.

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24
Q

ETHNIC

A

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.

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25
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? Reasons Abuse Relationships with parents
26
RELIGION
Spiritual beliefs determine behavior
27
WEIGHT
Self-concept Physical examination Danger to life
28
FIRST REFERRAL IS AN MD
Anxiety Disorders
29
DIVORCE
In a divorce, the needs of both the children and the parents should be considered. Consideration of parents AND children Grief Behavioral limits
30
FUNCTIONAL COMMUNITY
Contiguous services rendered in a community or health care services
31
LITHIUM
Bipolar
32
TIME LIMITED | RESOLUTION HAPPENS IN LESS THAN 6 WEEKS
Crisis Intervention
33
EMPHASIS ON CLIENT
Rogerian
34
DEPRESSION
Cognitive therapy Substance abuse Cognitive Behavioral therapy Suicide
35
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.
36
WORKING WITH GROUPS OR NEIGHBORS | ENABLING OR EMPOWERING
Community Organizer
37
DEVELOP
Piaget Kohlberg Psychosexual stages
38
SPECIFICITY SUCCESSIVE APPROXIMATIONS MODELING PERFORMANCE
Social Learning Theory
39
NATURE VS. NURTURE
Endogenous vs. environmental
40
SUICIDE
``` Plan Means Assess the suicidality of the client. Does the client have a plan and the means? Isolation ```
41
PRIMARY PROCESS
Freud
42
INTERMITTENT PUNISHMENT
Extinction
43
ADOLESCENT
Who is the legal parent School, family, and friends 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. Age appropriate behavior
44
SINGLE PARENT
Support group Coping skills Work, family, social responsibilities
45
MEDIATION
Collaboration | Contracting
46
PSYCHODRAMA SKILLFUL FRUSTRATION DREAM WORK EMPTY CHAIR
Gestalt Therapy
47
SUMMARY AND EVALUATION
Termination
48
SEXUALITY
Intimacy concerns Family history Explore intimacy issues. Cognitive-behavioral techniques including Masters and Johnson's sensate focus exercises.
49
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.
50
ALCOHOLISM
Calls for a medical referral. | Counseling goals
51
EMANCIPATION
A child becomes emancipated upon getting married (with parental consent) or joining the military. The emancipated child is in charge of his/her finances and legal affairs, and willingly lives apart from the parents.
52
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.
53
BORDERLINE
Supportive
54
SPEED EFFECTIVENESS TIME LIMITED AND REALITY FOCUSED
Short-Term Therapy
55
FAMILIES
Family therapy often focuses on communication, roles, and rules, as they relate to the family structure/family system. Therapy can be multigenerational.
56
ABUSE
Take steps to protect the client. Inform client of community resources. Potential for more abuse Protection of abused
57
``` HAZARDOUS EVENT VULNERABLE STATE PRECIPITATING FACTOR ACTIVE CRISIS STATE INDIVIDUAL REINTEGRATES AND REACHES EQUILIBRIUM ```
Crisis Intervention
58
LEGISLATION | POLICY STATUTES
Advocate
59
DEPRESSION
What is the possibility of substance abuse and/or suicidality. Is the client grieving?
60
RELIGION
The counselor should be aware that the client's religious beliefs may be determining behavior.
61
TOKEN ECONOMY
Behavior modification
62
GROUP THERAPY
Take all issues to the group for resolution
63
FATIGUE
Physical examination | Depression
64
SINGLE PARENTS
Consider support groups for single parents. | Evaluate and improve coping skills concerning family, work and social responsibilities.
65
SHORT-TERM TREATMENT
Brief Therapy
66
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.
67
ALLOCATING RESOURCES PLANNING PROCEDURES WRITING POLICY
Planner or Policy writer
68
DRIVES AND DEFENSES
Psychodynamic
69
AIMED AT CHANGING HOMOSEXUAL ORIENTATION TO HETEROSEXUAL
Reparative Therapy
70
HOMEOSTASIS
Family Therapy
71
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.
72
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.
73
INDIVIDUATE | DIFFERENTIATE
Object Relations Theory
74
BOUNDARIES BETWEEN SYSTEMS
Family Therapy/Family Systems
75
2 YEARS OLD
Separation Anxiety
76
ASSESSMENT
Cultural considerations | Ethics
77
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.
78
CHILDREN
Evaluate interacting with family | Play therapy
79
EATING DISORDER
Referral for medical exam and adjunct nutritional therapy is imperative with eating disorders.
80
IMMIGRANTS
Ecological Systems Perspective
81
MEDICAL CONDITION
Refer

Counseling Exam (3 decks)

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