Family Systems & Psych Interview

Question 1

The family is a dynamic, _____ unit that is continually _______

Answer 1

dynanmic, interactive unit, continually evolving

Question 2

What are the 4 main functions of a family unit?

Answer 2

support
regulation
nurturance
socialization

Question 3

When one person in a family system changes, what happens to the system? This is a main reason for what therapy modalities? (2)

Answer 3

the whole system shifts

Couples and family therapy

Question 4

The primary function of family therapy is to ______ and help healthy functioning

Answer 4

conflict resolution

Question 5

Which treatment modality?

Heavy reliance on therapist and client

therapist/client relationship mirrors client’s life.

Therapist reflects how they experience them, helps client see what works and what doesnt

Answer 5

Interpersonal therapy

Question 6

Which treatment modality is the most common?

Answer 6

CBT

Question 7

Which treatment modality?

become aware of cognitive distortions

change thoughts, beliefs attitudes

changing thoughts can change actions

Answer 7

CBT

Question 8

CBT is commonly used to treat which two conditions?

Answer 8

depression and anxiety

Question 9

DBT was initially developed to treat what condition?

Answer 9

borderline personality disorder

Question 10

Which treatment modality?

helps w. mood d/o, substance abuse, self-harm, suicidal ideation.

works on emotional regulation, distress tolerance, interpersonal effectiveness, mindfulness

Answer 10

Dialectical behavioral training

Question 11

1/___ females and 1/____ males have been sexually abused…

Answer 11

1/3 females

1/5 males

Question 12

Which type of trauma?

single major incident trauma (wars, accidents, homicide, etc)

Answer 12

big T Trauma

Question 13

Which type of trauma?

stressful incidents over long period.

emotional abuse, anxiety, depression, stress

Answer 13

little t trauma

Question 14

Three treatment modalities for trauma…

Answer 14

EMDR
Somatic experiencing
Psychotherapy

Question 15

Which trauma modality?

• addresses trauma and negative beliefs
• uses eye movement or bilateral stimulation while processing traumatic experiences

Answer 15

EMDR

Question 16

Which trauma modality?

focuses on body’s ability to heal itself

uses clients perceived sensations, allows client to release trauma

Answer 16

somatic experiencing

Question 17

6 important questions a PCP can ask to screen for mental health?

Answer 17

how do you take care of stresses?

how well are you sleeping

hx of trauma/abuse

quality of relationships?

had suicidal thoughts?

experiencing anxiety, depression?

Question 18

5 components of psych interview…

Answer 18

CC/HPI

Past Psych Hx

Medication Hx

FHx

Social Hx

Question 19

3 components to past psych hx…

Answer 19

past providers
hospitalizations
suicide attempts

Question 20

4 components to medication hx

Answer 20

dose, duration, effectiveness, S/E

Question 21

4 components to social hx

Answer 21

SES
relationships
legal hx
developmental hx

Question 22

This assessment is used to describe the patient’s current state of mind by assessing 12 domains.

Answer 22

mental status exam

Question 23

The below three components of the MSE can be observed during…

observation
focused questions
specific psych tests

Answer 23

psych interview

Question 24

What can help a provider distringuish between mania, depression, psychosis, dementia, neuro or other conditions?

Answer 24

MSE

Question 25

The below represent which part of MSE? grooming/clothing skin lesions/modifications habitus

Answer 25

appearance domain

Question 26

Disorientation when presented in psych patients usually means what emergency is occurring?

Answer 26

delirium

Question 27

When considering speech, what is assessed (3)?

Answer 27

speech production: rate, volume, type

Question 28

The below are assessed in what part of the MSE? ``` hyperactive hypoactive rigid akathisia/restless combative tics eye contact/gait ```

Answer 28

motor behavior

Question 29

This is a patient's subjective description of his/her emotional state

Answer 29

mood

Question 30

this is an observable feeling or tone expressed via voice, facial expression, demeanor described by the clinician.

Answer 30

affect

Question 31

What type of memory? distant past/childhood

Answer 31

remote

Question 32

What type of memory? weeks to months current events w/in last few mo

Answer 32

recent remote

Question 33

What type of memory? hours/days. what the pt. had for breakfast

Answer 33

recent memory

Question 34

What type of memory? 6 digit test word list recall

Answer 34

immediate retention and recall

Question 35

This is the sensory awareness of objets in the environment and their interrelationships. This can also refer to internal stimuli

Answer 35

pereptions

Question 36

These are false sensory perceptions not associated with real stimuli

Answer 36

hallucination

Question 37

These are misinterpretations of real external stimuli

Answer 37

illusions

Question 38

This is a person's subjective sense of being unreal, strange or unfamiliar

Answer 38

depersonalization

Question 39

this is a subjective sense that the environment is strange or unreal

Answer 39

derealization

Question 40

this is the feeling of bugs crawling on or under the skin

Answer 40

formication

Question 41

this is a patients awareness that sxs or behavior is normal/abnormal. It is a patient's understanding of his/her own illness

Answer 41

insight

Question 42

This is the process of comparing and evaluating alternatives when deciding on course of action.

Answer 42

judgment

Question 43

This is what the patient thinks about and the focus of their concerns. the extent to which they believe their thoughts

Answer 43

thought content

Question 44

fixed, false personal beliefs that are not shared by other members of the person's culture. They cannot be corrected by reasoning...

Answer 44

delusions

Question 45

Recurrent, uncontrollable thoughts, images or impulses.

Answer 45

obsessions

Question 46

repetitive behaviors or mental acts that a person feels driven to perform

Answer 46

compulsions

Question 47

quality, tempo and coherence of thought.

Answer 47

thought process

Question 48

This test is a brief neuropsych test to screen for dementia...

Answer 48

mini mental state exam