Resources (referrals, supplemental support etc..) Flashcards
PSYCHOTIC DISORDERS …
Refer to MD or Psych Eval
MUST be on medication if psychotic disorder
No therapy if psychotic = Cant do effective TX if someone is actively psychotic
PSYCHOTIC DISORDERS …
If Psychotic ct is stabilized on medication
= obtain a release to speak to psychiatrist
PSYCHOTIC DISORDERS …
If ct goes into psychotic state
= cant consent to TX or sign release (get ROI at onset)
Psychotic CT initial intervention…
= get ROI to speak to psych
PSYCHOTIC DISORDERS …
If no current psych
= > refer to psych
ANXIETY DISORDER TREATMENT STEPS
Anxiety around a specific issue in life (getting into college) > figure out the source of the anxiety & deal w/most pressing first
If ct leads w/a presenting issue > start with that
1) help to stabilize the sx of anxiety that interfere with their functioning = Focus on alleviating those sx first
2) develop coping skills + increase awareness of triggers + the physical manifestation of anxiety
distinguish between:
Anxiety disorder Unspecified
vs. GAD
vs. Adjustment D/O
Anxiety disorder Unspecified = Sx present less than 6 months
GAD = Sx present for at least 6 mo
Adjustment D/O =
ANXIETY DISORDER INTERVENTIONS
Help cts to identify the feelings & sx of anxiety
+ get better at catching them earlier
+ experience them without judgment
Help develop alternate coping + deep breathing + positive self-talk + general self care
Bereavement VS. Grief
Bereavement = can diagnose if someone died recently (*use when someone dies)
Grief = can be triggered by the loss of relationship or loss by changes / life events
Bereavement VS. Grief
INTERVENTIONS
Support group for grief or bereavement = refer to support group (*important resource/intervention)
Look for answers that have you = *processing grief
*normalize grief reaction + normalize differences in reactions
Bereavement VS. Grief
Expression across lifespan and cultural difference
Children can act out + be clingy = ask if kid dealt w/loss recently > bereavement
If ct of specific culture speaks about grief / bereavment > look for answers that = ask about cultural context (whats a normal grief process)
Disorder Related to Health
Eating D/O …Somatic
Importance of MD referral / involvement
> must refer to MD
#1 involve MD for medical stabilization Refer to= Nutritionist (part of TX)
CBT effective TX= identify thoughts related to feelings + behaviors
SEXUAL DISORDERS
In assessment > *important intervention
= assess couples sexuality (sexual health, level of desire/satisfaction)
SEXUAL D/O common TX & Interventions
If sexual issue = REFER TO SEX THERAPIST (important intervention)
Couples intervention = SENSATE FOCUS (*important intervention)
PERSONALITY DISORDERS …best treatment =
long-term Psychodynamic work (focus on relationship btwn TH + Ct > develop insight
