Law/Ethics & Boundaries
You run into a client in public. What is the most ethical action to take?
maintain confidentiality, keep the interaction brief, and avoid acknowledging the client unless they initiate
This disorder is characterized by excessive worry occurring more days than not for at least six months.
Generalized Anxiety Disorder
CBT stands for what?
Cognitive Behavioral Therapy
What should a clinician do first when a client expresses suicidal ideation?
assess for plan, intent, and means
What is the first and most important step in building a therapeutic alliance?
establishing trust and rapport
A dual relationship occurs when...
when a provider has more than one role with a client (e.g., therapist and friend, coworker, etc.)?
Recurrent unwanted thoughts and repetitive behaviors define this disorder.
Obsessive-Compulsive Disorder (OCD)
This therapeutic approach allows children to express their thoughts and emotions through use of toys instead of just words
Play Therapy
A parent calls reporting their child has become physically aggressive at home and is holding a knife making threats. What is your next step
Call 911
What are 2 nonverbal behaviors that communicate empathy and openness in a session?
eye contact, open posture, and nodding or mirroring client tone, etc.
True or False: It is always unethical to accept a small gift from a client.
False — it depends on the context, value, and cultural meaning of the gift
Name two symptoms of Major Depressive Disorder.
persistently low or depressed mood, anhedonia or decreased interest in pleasurable activities, feelings of guilt or worthlessness, lack of energy, poor concentration, appetite changes, psychomotor retardation or agitation, sleep disturbances, or suicidal thoughts.
Name 2 ways teachers can collaborate with mental health providers to support students.
sharing observations, co-developing interventions, or participating in multidisciplinary meetings, etc.
Name 3 examples of protective factors
social support, sense of purpose, or access to care, close to pet, religion, etc.
This tool allows you to explore family relationships throughout several generations
Genogram
What’s the difference between confidentiality and privilege?
confidentiality is an ethical duty; privilege is a legal protection against disclosure in court.
This disorder involves a chronic, low-grade depression lasting at least two years in adults (one year in children or teens).
Persistent Depressive Disorder (Dysthymia)
When a conflict escalates emotionally in a family therapy session, what is one de-escalation technique a therapist can use in the moment for the family?
grounding, deep breathing, or taking a short break.
What are the key steps of a safety plan?
identify warning signs, triggers, coping strategies, social contacts, professional help, and means restriction etc.
What does “meeting the client where they are” mean in engagement?
adapting your approach to the client’s current readiness, mood, or developmental level
What legal and ethical principle requires that clients understand the nature, purpose, risks, and benefits of treatment before agreeing to it?
informed consent
How can clinicians distinguish GAD from Adjustment Disorder with Anxiety?
GAD involves pervasive, chronic worry across domains for ≥6 months; Adjustment Disorder is situational and occurs in response to an identifiable stressor
The therapist asks a teen to rate anger from 1–10 before and after using deep breathing. This is an example of what technique?
self-monitoring or emotional tracking
Which note is required when your scheduled weekly session now requires you to assess and it was not planned for, and which note is required when you receive a call from a school that a client has disclosed SH and has a history of high risk bx so you assess
psychotherapy in crisis note, crisis note
Why is it important to have goals in SMART format, and for clients AND caregivers to be a part of goal setting
Goals need to be measurable in order to assess progress. Goals need to be specific to one bx/sx for accuracy. Both being a part of goal setting is important because it requires buy in from both parties as well as shows treatment is a collaborative process. (etc)