Differential Diagnosis
Provide symptoms of Major depressive disorder
This disorder is characterized by at least 2 weeks of depressed mood or loss of interest, plus changes in sleep, appetite, energy, concentration, or suicidality.
What is THE needed document to provide treatment?
Informed Consent
What is EMDR?
EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences eg. trauma.
What is non-maleficence?
Do no harm
Do you need to know the full code number to input a session?
No you can type in the duration, modality, code number or click and scroll.
What's the difference between Bipolar 1, 2 and 3?
1:Full blown Mania / Depression may not be present
2: Hypomania / Major Depressive Episodes
3: Symptoms of hypomania/depression
Name 3 assessments for intake
-PHQ-9
-GAD-7
-ACES/PCLC
-MoodDQ
-SCARED7?
-Vanderbilt
-Child/Adult Intake Screener
What are some interventions to utilize to build rapport with a client the presents as disengaged/unwilling to participate?
Silence
Games, art, worksheets, puzzles,
*Anything, the focus is to build rapport, get to know the client and provide structure of what therapy is
What is imposter syndrome?
a psychological pattern where individuals doubt their skills and accomplishments despite external evidence of their success
What's needed to contact a client's family, partner, work, ect?
ROI (Release of Information)
What's the minimum duration to meet criteria for Generalzied Anxiety Disorder?
6 months
During intake, assessing for suicidal ideation requires asking about these three aspects.
What are thoughts, plan, and intent?
What are some questions that would be beneficial to ask when building rapport with a client/questions for the first session?
What brings you here today?
Have you seen a therapist before?
What do you expect from therapy?
What are your goals (within) therapy?
A client says, "I think I hit someone when I was driving home... I heard a scream, but I was too scared to stop."
What do you do?
Break confidentiality, contact your supervisor/director and call the cops!
What is the lowest duration to bill an individual session?
16-37 mins
Name symptoms of BPD
Instability in relationships, self image, affect, marked impulsvity beginning adulthood
What's the difference between the Mental Status exam and a neuropscyh?
MSE is a current snapshot/presentation
and nueropsych is an evaluation of multiple clinical assessments
Name some safety/crisis hotlines
988
Trevor Project
SafeLink
Lahey, Elliot
Mobile Crisis
Local ER/hospital
What's the difference between medical necessity and clinical appropriateness?
CA: reflects best practice
What's required to discharge a client?
-Valid reasoning eg. Consecutive no shows
-Notify client
-Notify Supervisor and Director
-Optional dependent on client: notify prescriber
-Discharge letter sent
-Discharge summary on chart
4 C's of Legally defensible documentation
Clear
Concise
Complete
Contemporaneous
What are the different levels of care?
Therapeutic Mentoring
Outpatient Counseling
Intensive Outpatient Program
Partial Hospitalization
In Home Therapy
Intensive Care Coordination
Inpatient
Residential
A client comes in with red eyes, is dozing off, struggles to focus, muttering/stammers when attempting to talk, what do you do?
1. Acknowledge that the client may be under the influence eg. inebriated, intoxicated
2. Ask the client directly about their state
3. Provide inability to continue session due to state
4. Ask the client to contact other individual(s)/services to go home
5. Debrief before or during next session and provide inability to commit to services when under the influence
How can you look up a specific provider's client list without using a documentation completion report?
Valant:
1. Filter button to left of screen above +New/Dashboard
2. Select Providers / Click specific provider(s)
3. Click 'Open Chart' bar