Don't Get Defensive?
Projection
"I want to go, but I'm afraid everyone will make fun of me."
Avoidant Personality Disorder
Prozac
Lexapro
Zoloft
Depressive Disorders
A member of the "Alcoholic Family" who may quietly withdraw from the family system (often the 3rd child).
"A social worker in private practice begins an assessment with a 23 y/o, gay man. When the social worker asks about romantic relationships, the man reports that he was recently dumped by his boyfriend and says, "I'm feeling better now that I know how to get back at him". What should the social worker do NEXT?"
A. Clarify what the client means by "how to get back at him".
B. Validate the client's ability to process the loss.
C. Refer the client to a support group for gay men.
D. Explore the client's goals for treatment.
A. Clarify what the client means by "how to get back at him".
"Process by which content is separated from repressed affect".
Intellectualization
"I can't tell you. You'll use it against me".
Paranoid Personality Disorder
Valium
Xanex
Ativan
Anxiety Disorders
A chronic memory disorder caused by severe deficiency of thiamine (Vitamin B-1) from excessive alcohol use.
Wernicke-Korsakoff Syndrome
"A client with a history of suicide attempts comes to session and reports that she wants to end it all. The social worker learns that the client has a plan to take pills she has hidden at home. What should the social worker do NEXT?"
A. Initiate an involuntary hospitalization.
B. Have the client sign a "no harm" contract.
C. Refer the client to a psychiatrist.
D. Explore voluntary hospitalization.
D. Explore voluntary hospitalization.
"Refusing to let into awareness of unacceptable thoughts, feelings, and emotions".
Repression
"I can't make up my mind! You decide for me."
Dependent Personality Disorder
Dexedrine
Adderall
Attention-Deficit/Hyperactivity Disorder
Medications like Methadone, Naltrexone, and Buprenorphine are use to treat this form of substance use disorder.
Opioids
"A women is referred to the hospital social worker by her OB/GYN for anxiety and depression. The woman tearfully shares that her husband is extremely controlling. She is not allowed to work or have access to any money. When she stands up to him, he becomes enraged and emotionally abusive. What should the social worker do FIRST?"
A. Teach her assertive skills.
B. Refer her to a domestic violence shelter.
C. Explore her goals and ambitions.
D. Find out how she's been coping.
D. Find out how she's been coping.
"Process by which qualities of an external object are absorbed into one's personality. Can result from introjection/internalization over time".
"I don't care if I get hurt. I'm doing it."
Antisocial Personality Disorder
Lithium
Depakote
Lamictal
Mood Disorders
This is an intervention that aims to reduce the negative effects of alcohol and drug use. It acknowledges that, despite prevention and abstinence efforts, some client will continue to engaged in alcohol and drug use.
Harm Reduction
"A social worker is treating a client with bipolar disorder. The client was initially resistant to medication but had been stabilized on medication for 3 months. One day, the client comes to session looking like she hadn't slept in days and upset that she got fired from her job. The client begs the therapist to call her boss and help her get her job back. The social worker should FIRST:".
A. Obtain a release to speak to the boss.
B. Explore the reasons for her firing.
C. Assess for compliance with medication.
D. Refer her to a psychiatrist.
C. Assess for compliance with medication.
"Characterized by vigor and self-denial".
Asceticism
"I just feel empty. I don't even know who I am".
Borderline Personality Disorder
Haldol
Seroquel
Clozaril
Schizophrenia/Psychotic Disorders
The withdrawal of this substance includes; Dysphoric mood, fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor agitation.
Amphetamine/Cocaine
"The staff members in a community based non-profit agency are worried bout the financial health of the agency. The social work administrator agrees to meet with staff to discuss employee issues. The administrator should FIRST:"
A. Explain the fiscal environment of non-profit organization.
B. Acknowledge the legitimacy of employees' concerns.
C. Charge a committee with developing an alternative budget.
D. Elicit input about programs that should have priority.
B. Acknowledge the legitimacy of employees' concerns.