Irish Trivia
St. Patrick was actually born in this region before being brought to Ireland.
What is Britain (Roman Britain)?
A client reports feeling unmotivated and isolated since the long winter and says they skipped several social events, including a St. Patrick’s Day gathering with friends. The therapist helps the client schedule enjoyable and meaningful activities to improve mood.
What is Behavioral Activation?
A client tells you that during the week of a big St. Patrick’s Day celebration they only slept a few hours a night, felt unusually energetic, and took on several new projects for about 4 days. They also report a history of major depressive episodes but have never experienced a full manic episode.
What is Bipolar II Disorder?
During a St. Patrick’s Day session, a client says they plan to confront someone at the parade tonight and “make them pay.” Because there may be an imminent danger to another person, breaking confidentiality is based on this landmark legal case.
What is Tarasoff v. Regents of the University of California?
A client states they have no intention of changing their heavy drinking habits during St. Patrick’s Day celebrations and does not see it as a problem. In the Stages of Change model, this stage is called:
What is Precontemplation?
The shamrock became associated with St. Patrick because he reportedly used it to explain this concept.
What is the Holy Trinity?
A client says, “Part of me wants to stop drinking after St. Patrick’s Day parties, but another part of me feels like it’s the only way I relax with friends.” The therapist responds by acknowledging both sides of the client’s ambivalence in one statement.
What is a Double-Sided Reflection?
A child who recently joined a St. Patrick’s Day school event approaches multiple unfamiliar adults, hugs them, and attempts to leave with them without hesitation. The child also has a history of severe early neglect.
What is Disinhibited Social Engagement Disorder?
Before starting therapy with a new client who found your practice after a St. Patrick’s Day community event, you must review and obtain this document explaining risks, benefits, and limits of confidentiality.
What is Informed Consent?
A client presents with anxiety, irritability, and sleep disturbance that only occur after heavy alcohol use during holiday celebrations like St. Patrick’s Day. When symptoms are better explained by substance use, clinicians should consider this diagnostic category.
What is a Substance/Medication-Induced Disorder?
Ireland gained independence from Britain in this year.
What is 1922?
A therapist plans to begin trauma processing with a client but first spends time teaching grounding skills, safe place imagery, and emotional regulation strategies to ensure the client is prepared for reprocessing. In EMDR, this occurs during this phase.
What is Phase 2: Preparation?
A client reports hearing critical voices and experiencing paranoid thoughts during severe depressive episodes around stressful life events, like the anniversary of a loss near St. Patrick’s Day. However, these psychotic symptoms never occur outside of the mood episodes.
What is Major Depressive or Bipolar Disorder with Psychotic Features?
A therapist receives a subpoena for a client’s therapy records the morning after a St. Patrick’s Day crisis session, but the client has not authorized the release. Ethically and legally, the therapist’s first step is typically to do this.
What is assert privilege and consult with legal counsel?
A therapist begins trauma processing with a client who has limited coping skills and quickly notices the client becomes emotionally overwhelmed and engages in self-harm behaviors. This outcome may occur when clinicians skip this important treatment step.
What is symptom destabilization or increased self-harm?
The “Emerald Isle” nickname refers to Ireland’s lush landscape primarily caused by this climate pattern.
What is frequent rainfall / a temperate maritime climate?
A client with chronic self-harm urges reports feeling overwhelmed during the week of several social stressors, including a large St. Patrick’s Day event at school. In this treatment model, life-threatening behaviors must be addressed before other therapy targets.
What is the DBT Treatment Hierarchy?
A client says they haven’t felt truly happy since “before last year’s St. Patrick’s Day.” They describe low mood, fatigue, and poor self-esteem that have persisted for over two years without feeling symptom-free for more than a couple months.
What is Persistent Depressive Disorder?
A therapist travels to another state for a St. Patrick’s Day family visit and decides to conduct telehealth sessions from there with clients located in states where they are not licensed. This may be considered this legal violation.
What is practicing without authorization / practicing without a license?
An associate therapist brings a complex case to supervision after a challenging week of sessions. In clinical training, responsibility for the client’s care ultimately remains with this person.
Who is the licensed supervisor?
The phrase “Luck of the Irish” likely emerged during this 19th-century American event involving Irish immigrants.
What is the Gold Rush?
A client with OCD avoids touching shared surfaces at a crowded St. Patrick’s Day parade and secretly washes their hands immediately afterward. During treatment, the therapist works to remove these subtle avoidance behaviors so that this learning process can occur.
What is extinction learning (or inhibitory learning)?
A 15-year-old client presents with emotional instability, self-harm, intense reactions to perceived rejection, and rapidly changing friendships, often describing life as an “emotional roller coaster.” Before diagnosing Borderline Personality Disorder in an adolescent, clinicians must carefully evaluate this factor.
What is whether symptoms are developmentally normative or better explained by trauma?
After hearing several difficult client stories during a busy St. Patrick’s Day week, a therapist begins feeling unusually protective of one client and starts bending scheduling boundaries to “help them more.” This clinical dynamic may be influencing the therapist’s decisions.
What is Countertransference?
A client being treated for depression reports a sudden increase in energy, decreased need for sleep, and impulsive spending after starting an antidepressant shortly before St. Patrick’s Day. This change may suggest an underlying condition clinicians should assess for.
What is Bipolar Spectrum Disorder?