Final

Question 1

Your female 30 y.o. client reports that her ex-husband used to physically assault her and their children before their divorce (3 years ago).

Answer 1

Yes because it involves physical assault to children

Question 2

Your male 40 y.o. adult client reports that he was sexually assaulted by another male adult last week.

Answer 2

Yes because it was recent

Question 3

Your female 18 y.o. client reports experiencing suicidal ideation but does not have a plan or intent.

Answer 3

Don’t report

Question 4

Your male 50 y.o. client reports experiencing suicidal ideation and intent, but no specific plan

Answer 4

Report

Question 5

List some considerations therapists need to consider when working with female clients.

Answer 5

• they have been subjected to similar marginalization, discrimination, and prejudice as minority groups.
• Most positions of power and influence have been controlled by men.

Question 6

List some considerations therapists need to consider when working with male clients.

Answer 6

• coming cuz they’re in crisis state, someone pushed them to come -
• be sensitive to the particular issues men face in their social experiences
• they avoid any feminine feelings
• counseling requires the self-disclosure of vulnerable feelings, the admission of needing help from others, and openness to forming an intimate relationship with a counselor.

Question 7

List some considerations therapists need to consider when working with ethnic minority clients..

Answer 7

• more severe disturbances and pathological conditions than white persons
• Minority clients tend to use mental health services only in cases of emergency or severe psychopathology
-Minority clients more often drop out of treatment prematurely, usually within the first few sessions.
• evidence does indicate that African American clients are treated differently than whites, more often receiving stronger medication, seclusion, restraints, and other punitive “therapies”—and less often receiving recreational or occupational therapy

Question 8

List the 5 stages of change in addiction recovery.

Answer 8

Pre-contemplation
Contemplation
Preparation
Action
Maintenance

Question 9

Pre contemplation

Answer 9

Individuals in this stage do not recognize themselves as having a problem and only come for counseling because they are pressured by a spouse or employer or mandated by a judge.

Question 10

Contemplation

Answer 10

In this stage, substance abusers recognize they have a problem and are beginning to weigh the pros and cons of their addictive behaviors. They are not ready to change but are giving the idea serious consideration.

Question 11

Preparation

Answer 11

Individuals in this stage intend to take action and change their behaviors but still haven’t committed to taking the major steps necessary.

Question 12

Action

Answer 12

The “action” stage reflects overt behavioral changes, with successful alteration of their addictive behaviors. They feel like they are actually doing something about their problem.

Question 13

Maintenance

Answer 13

In this stage, substance abusers have been abstinent for more than six months and are trying to avoid relapsing, which for some will be a lifelong process.

Question 14

What does SSRI stand for? What 2 disorders are SSRIs most commonly used to treat?

Answer 14

selective serotonin reuptake inhibitors. Depression and anxiety

Question 15

Describe the difference between a chemical addiction and a process addiction.

Answer 15

Chemical addiction is when someone is addicted to something such as drugs, tobacco, alcohol
Process addiction is the addiction to the behavior of doing something, internet/media, marijuana, etc

Question 16

Describe the role of the genogram in family therapy, and draw a sample of a family with a mother, father, and 3 children (2 boys, 1 girl – the girl is the youngest).

Answer 16

The genogram is another useful tool for gathering information about family relationships and structures. It consists of a comprehensive map of all the members of a family over several generations, including their coalitions, conflicts, and connections.
It thus provides a blueprint for the counselor in understanding the cross-generational themes that repeat themselves over time, as well as the current interpersonal conflicts that are evident in the structural map

Question 17

List Gottman’s, “4 Horsemen of the Apocalypse.”

Answer 17

criticism, defensiveness, contempt, and stonewalling

Question 18

List the 4 exceptions to confidentiality in therapy

Answer 18

1) when the client is a danger to himself or
herself or others
2) when the counselor is so ordered by the
court
3) when it is in the best interests of a child,
elder, or dependent (i.e., unable to care for
herself or himself) who is a victim of abuse
4) when case consultation or supervision is
needed.