Initial Phase Flashcards
(70 cards)
1
Q
What words would you use for the initial phase
A
Assess, explore, referrals, psychoeducation
2
Q
What words would you use for the middle phase
A
Engage, confront, teaching words
3
Q
In the case of bereavement which diagnosis is not typically used?
A
Adjustment disorder
4
Q
If there is a vignette as someone who has a eating disorder, and it stated that they are extremely thin, what is usually the first thing you need to do?
A
Medical stabilization
5
Q
For major depression disorder, what is a very common symptom that people would not believe is a symptom.
A
Irritability
6
Q
Does psychotropic medications work with anorexia?
A
No
7
Q
What is illness anxiety disorder?
A
This also used to be known as a hypochondriac.
8
Q
What is fictitious disorder?
A
This is somebody who makes up being sick because they enjoy the attention of being sick.
9
Q
What is fictitious disorder by proxy?
A
This is when a person reports that their child is sick, take them to the doctor but the child is never sick.
10
Q
As a therapist, if you determine that a parent has fictitious disorder by proxy, and is making their child sick, What should you do?
A
You would need to file a child to abuse report.
11
Q
Who are the leaders of sex therapy?
A
Sensate Focus.
They teach couples how to communicate and take sex off of the table.
12
Q
When is Desensitization therapy used?
A
This is when a client has been through trauma, traumatic reaction or a phobia.
13
Q
When is exposure therapy used?
A
This type of therapy is used for post-traumatic stress disorder or trauma disorders.
14
Q
When is dialectic behavioral therapy used?
A
When dealing with a client who has border personality disorders.
15
Q
How are personality disorders developed?
A
Pervasive over the lifetime of the individual. adjustment disorders as teenagers, can develop into a personality disorder.
16
Q
When confronting, what does this mean?
A
This is not an aggressive approach, this is just bringing up a topic that was apparent during therapy.
17
Q
People with personality disorders are:
Egocentonic or ego dystonic?
A
Egocentonic
18
Q
What is egocentonic?
A
A person who has a personality disorder is egocentronic because that is how they view the world that is who they are.
19
Q
What is ego dystonic?
A
This is someone who has an anxiety disorder, so you would question them and say when you get the anxiety how do you feel. They are aware of the situation, and this is not a part of the world and this is not who they are.
20
Q
If a vignette states that a person starts to breathe difficultly and hyperventilate and appear scared, what is one of the best things you can do?
A
Ground the client by focusing on what is happening in the here and now. You want to get their mind out of that state.
21
Q
What is acute stress disorder?
A
When something traumatic happen between 1 and 30 days, this would be considered a cute stress disorder. If the client is suffering after 30 days, this would be considered post-traumatic stress disorder.
22
Q
What is EMDR?
A
(Eye movement desensitization and reprocessing)
This is for clients who have suffered trauma
23
Q
What is desensitization?
A
Exposed to memories and thoughts and a more controlled way and their reactions to them can subside.
24
Q
What is trauma informed care?
A
This is an approach that collaboratively works with the client to not re-expose them to trauma. They change the trauma to strengths, and the reactions to the trauma is strength. Remind the client that they are a survivor and that their body copes a certain way with trauma because they are a survivor. have the client talk about their pros and cons of the symptoms.
25
In an initial session with a client, working with CBT, what is the first thing you want to do?
Explain how therapy works
26
Why would humanistic therapy and existential therapy be lumped together?
Client focused rather than the symptoms, understanding human experience.
for example, CBT they say let's focus on the thoughts, but with humanistic or existential therapy, they focus on the person.
27
What are the keywords that humanistic therapy focuses on?
Acceptance and growth, It's focused on that people are constantly growing trying to be happier and trying to be better growth-minded approach to human development.
For example, people have secrets about them that they feel that are not acceptable, and so they try to hide them, but the humanistic approach allows the person to bring out the secrets, and accept the person for who they are and grow from it. Acceptance for a part of them that they may not like about themselves.
28
What are the keywords for existential therapy?
Focus on responsibility and freedom, a person that is able to be responsible, some people go on about life without thinking about much what they're doing, to have more of a freedom about them. Existential therapy looks at the meaning people have in life. How they choose to think, how they choose to act that they have the free them to make choices about how they are going to react to situations and reflect on different things.
29
Client centered therapy was developed by who?
Carl Rogers
30
What are the keywords for client/person centered therapy?
The authentic connection between the client and the therapist and having this position of unconditional positive regard, a clearly non-judgmental approach. Always make space for the client and what they think. Addresses client shame that the client has in their past, establishing rapport identify people's judgment against themselves, and have more acceptance about things they feel bad about.
31
What is the Gestalt approach and therapy?
Focuses on the here and now, genuine encounter with the therapist and client, genuine means that the therapist is a unique individual and that with each client the therapist is going to fit differently with each person. Gestalt likes to focus on the entire body experience. For example if a client says they have anxiety, gestalt will say will tell me how you feel when you have anxiety, What do you feel in your body, where do you fill it in your body? Known for the empty chair technique, or some other type of technique like the empty chair.
32
What is postmodern therapy?
Focuses on deconstructing beliefs and examining those beliefs values of that individual's life, people construct a reality and a big part of that construction comes from cultural beliefs. For example what is success? There's a study that if people went to college, it was how much money they made to be successful. There are cultural shifts on what is successful. Postmodern therapy is exploring words that people use.
33
What is narrative therapy?
Look at the patient's thoughts and behaviors of the context of the culture. Make a link between what the culture is telling them how they got those ideas about how things should be, and how they should be, it will also look at the story that the client has about themselves. People with narrative there be are trained to understand anxiety and how anxiety impacts their life. Technique for narrative therapy is this idea from separating the person from the problem. The person is not their problem and how that problem impacts the person's life.
34
What is solution focused therapy? And what word is not used during this therapy?
This is a short-term approach that focuses on solutions to problems. That's instead of evaluating the root those problems. Solution focus will not use the word problem in their plan. They only want to work on solutions. Solution focus has the miracle question section.
35
What are some things to look for when the question states psychodynamic therapy?
Believes that people develop insight and that insight is usually connected in some way to the client's past experience. One of the main approaches that really is concerned about these early childhood experiences and early relationships. It's also a therapy approach for most of these where the into play between the therapist and the client is of particular importance. Concept of countertransference and transference that comes up in therapy. This type of therapy started with Freud, psychoanalytical thinking.
36
What is object relations therapy?
The concept of projective identification is one of the key concepts that will be on the test. The idea of this is projection is on to someone else but in reality they are the ones that are angry. Having their relationships in their life shaped and how they developed and they can have an idea of someone being a good object and a bad abstract. An object is a relationship, their initial object is their relationship with their mother or their primary care giver. And therapy, the therapist becomes the object.
37
What is the concept of self-psychology?
This is the emotional attunement that someone who lacked marrying as a young child who lacked appropriate attunement to their emotional process. Feeling dysregulated and figuring out ways to compensate for that loss. And therapy it is that empathetic attainment to the client that is considered to be the vehicle for healing.
38
What type of therapy does Adler fall under?
Psychodynamic theory
39
Describe Adler's theory?
Have you that people have a need to be socially responsible and that they have a view of wanting to get back to others. This is all part of positive psychology and what makes people happy. Incorporated the early family constellation, asking clients about their memories of different situations that happened to them as a child. Would take a detailed assessment of relationships between family members. He like to dig into the family history and this is why he falls under psychodynamic theory. He believed that people behaved out of inferiority.
40
Describe attachment theory and what theory does is fall under?
Psychodynamic theory
A developmental model, looks at the attachment as a child and as an adult.
41
What is a systems therapy approach?
Systems are a part of an entire system of the interaction of the different relationships in the system. An example is if you imagine a child who is sent to therapy for misbehaving at school and at home, an individualistic model would treat the child and say okay, we will do play therapy with a child to figure this out. A systems therapy would expand that and say okay, what's going on, how's this going on, and how is this child's behavior being supported by the relationships in the system. Addresses the whole point of view of the situation that's occurring.
42
What is Bowenian therapy?
More of a multi-generational type of therapy. people had different roles in their families and different levels of differentiation from their family units and that these different roles and views are passed down from generation to generation. Bowen is the one therapy approach that would actually have the clients in the initial phase of treatment draw out a family map, a family tree a few generations back to identify what people were like in previous generations, what the relationships were like and what the parents and stuff are like. Also into triangulations type of theory. Interrupts arguments and teachers "I" statements.
43
Describe strategic therapy?
Interested on focusing on a particular problem. They don't care about the multi-generational or anything like that they just want to deal with the problem at the moment. Very directive type of therapist. Strategic therapist prescribe the problem.
44
Describe structural family therapy and who was it created by?
Created by Mnuchin
The longer a course of treatment and wants to look at the whole system and the whole construction of the family and how the different ways people are relating with each other and if there's a hierarchy, who's in charge, is the 10-year-old running the show? Are the relationships emeshed with either? Our parents sharing information about the relationship to their kids? Thats an example of an emeshed unhealthy relationship. This therapist would join the family, take on the language of the family, take on the cultural vowel values of the family called menisis. He would do enactments with the family and see how the family interacts with each other and the parent would discipline the child and session, watching the parents follow up etc. Genogams, family map, etc.
45
For internet and teletherapy what is something that you definitely need before starting?
Informed consent for treatment, Doesn't need to be signed but it's best practice if it is signed. You are informing them of the potential risk due to possibly being a different cities and being able to help them as is possible. It's important for the therapist to know the location on one of the client is residing.
46
Is the teletherapy or internet therapy appropriate for this particular client? How will we know?
If the client has a history of borderline personality disorder or suicide of history, this would not be appropriate for internet therapy.
47
Is informed consent legal or ethical?
Both It is both legal and ethical to have in informed consent.
48
Does your informed consent need to be signed?
An adult does not need to sign the informed consent, but it is best practice to have the informed consent signed. If you do not have your informed consent signed, it's best to make notes that the client reviewed the informed consent, to have some type of documentation. Minors always need to have the informed consent signed, under the age of 18.
49
What age can a minor consent for their own treatment?
12 years old
50
Consent for treatment for minors. Do you need both parents signatures if they have never been married?
No
51
If someone has been appointed conservatorship by the court, who holds privilege?
The conservate hold privilege.
52
If a client confessed to me that he murdered someone or broke a crime, would I break confidentiality?
No
53
13 and under.... Magical number
Can have sexual activity with 13 and under.
54
Our fees for private practice legal or ethical?
They are both legal and ethical
55
Approving to be on an insurance panel is approving them to do what?
Approving the insurance panels to do a full review of your clients and the sessions.
56
What are the documents that should be kept in a client's record?
Intake form that includes an emergency contact of the client A diagnostic formulation, and a treatment plan so that would meet the standard of care, what is expected in the profession. Documentation of sessions of date and time of the session, any contact with the client outside of the session should be documented in the notes. Any referrals are collaborations with other providers, or consultations, should be noted in the records.
57
How long does a therapist have to comply with the request of reviewing the records?
Need to get a signed release to release the records.
5 days = The client can come in and inspect their records.
10 days = to provide a summary to the client and you can offer this to the client. The situation is relevant if the client is moving to another location and they want to show a summary to their new therapist.
15 days = to provide a copy of the records for the client. There are times that it may be detrimental to a client to receive their entire copy of their records.
58
Does the HIPAA notice of privacy practices need to be posted in your office?
Yes, legally the notice of privacy practices need to be posted in your office.
59
Who signs the release?
Example: release of authorization form
Everyone in the unit treatment needs to sign the release if they are 12 and older. The release is a half a start date and an end date.
60
When the therapist draws up the release paperwork, what font does the wording need to be in?
14 font
61
What if I needed a release and I didn't have a copy on me and I didn't have access to one?
The client would have to write out the release in their own handwriting.
62
Who holds privilege?
The client holds privilege
63
Who holds privilege of the client is three?
The client is too young, the parents need to decide who the guardian ad litem is.
64
If I received a subpoena by a lawyer, what do I do?
When a lawyer is involved, you do not need to turn over the records and you can assert privilege.
You don't have to respond to a subpoena right away, you have to respond in a timely manner but it doesn't need to be right away.
65
If I was a therapist and I received a court order by a judge what would I do?
The records are required and you have to provide the record.
66
Is advertising legal or ethical?
It is both legal and ethical.
67
If I was a new therapist and I wanted to make business cards or I wanted to advertise my business, what needs to be included on the advertisement?
full name, My license number, The initials of my degree, or you can spell out marriage account with therapist. You are able to advertise your skill set, but if you say you're an expert in something you better have the credentials to be able to justify that claim. Make sure to provide accurate information.
68
What is scope of practice?
This is a legal term, that we as mental health providers depending on our degree have a range of acceptable services that we can provide.
I therapist we work on relationships.
69
What is the scope of competence?
As a therapist we could treat children, adults, couples, families, scope of competence means do I have the background to be able to treat these units.
For example, can I work with autistic children? Do I have the scope of competence to help them, I have the scope of practice, but do I have the competence?
70
What is the standard of care?
The test wants to know that you are familiar with what is assumed to be the standard of treatment for people with all of these different issues going on. Sometimes there are set laws, and sometimes there is an acceptable norm.
