Differential Diagnosis
Awareness of issues surrounding distressing ideas, images, or impulses, which are unrealistic and often have an accompanying ritual which interrupt "normal" living vs. little awareness of perfectionistic, controlling, rigid behaviors which may be annoying for others, but which "work" for the individual.
Obsessive-Compulsive Disorder vs. Obsessive-Compulsive Personality Disorder
The law surrounding our need to report information we receive concerning neglect and physical or sexual abuse of minors, elders, and disabled persons,
Mandated reporting
This practice focuses on how thoughts and feelings influence behaviors, which can sometimes lead to psychological problems.
Cognitive Behavioral Therapy
A situation where an individual experiences an overwhelming event that upsets one's psychological equilibrium or baseline level of functioning.
Crisis
Tadpole
Frog
Argumentative, defiant, disobedient, problems with authority vs. destruction of property, violation of rights of others
Oppositional defiant vs. Conduct disorder
The law surrounding our need to report potential harm to self or others.
Duty to warn
This practice seeks to help the individual recognize that they have the power to change their life story, and helps individuals realize that they are separate from their problems and can fix them when viewed from an outside perspective.
Narrative Therapy
Always assess level of this first (textbook answer, not necessarily real-life answer).
Suicidality/safety
Kit
Fox
Failure to thrive, withdrawn, unresponsive, no positive affect vs. no boundaries, overly comfortable, willingness to attach to all
reactive attachment disorder vs. Disinhibited social engagement disorder
What does HIPPA stand for?
Health Insurance Portability and Accountability Act
This short-term practice involves the clinician and client identifying a problem and creating a fix based on the individual’s strengths which might elicit a different outcome.
Solution Focused therapy
List three things to keep in mind when assessing level of danger to self during a crisis.
Males more likely to commit suicide than females
● Whites, American Indians, and Alaska Natives have highest suicide rates, whereas Hispanics, African Americans, Asians, and Pacific Islanders have the lowest rates.
● Older adults (White men over the age of 85 have the highest risk factor.)
● History of mental illness
● Substance abuse
● Prior suicide attempt
● Family history of mental illness or substance abuse
● Family history of suicide
● Family violence including physical or sexual abuse
● Firearms/lethal means available and easy to access
● Hopelessness
Mouse
Delusions, hallucinations, disorganized speech, or catatonia which last up to a month vs. 1-6 months vs. over 6 months
Brief psychotic disorder, schizophreniform, Schizophrenia
What is the YMCA's policy on receiving gifts from clients?
Gifts must be 25$ or less
This practice focuses on insight, motivation, unconscious conflict, infant-caregiver attachments, and unconscious intrapsychic object relations.
Psychodynamic Therapy
List at least three things that an action plan/safety plan should include
● Explore alternatives to violence.
● Identify and engage supports and/or significant others to decrease isolation, provide support, and remove lethal means to harm self/others.
● Implement coping mechanisms.
● Establish future linkage (events to look forward to).
● Provide clinical referrals for outpatient services and medication if appropriate and a 24-hour crisis number.
Cygnet
Swan
Pooping pants vs peeing pants
Encopresis vs Enuresis
Give an example of a "multiple/dual relationship" and why they are unethical.
Therapist assumes two roles with a client - such as therapist and buyer, or therapist and friend. It is harmful as it may compromise one's objectivity and professional judgement.
This practice seeks to elicit growth through adopting new outlooks through spontaneous and creative solutions which attempt to help clients gain self-awareness and self-responsibility.
Experiential Therapy.
If a specific suicidal plan and intention is in place and the client is unable to contract for his/her own safety then this should occur.
Hospitalization
Ephyna
Jelly Fish