Hallucinations, Delusions, and Paranoia Oh My!
A client may have a pervasive patterns for grandiosity, lack of empathy, exaggerate achievements, and feel they are special and unique.
Narcissistic Personality Disorder
Aims to change behavioral, emotional, and thinking patterns associated with dysfunction.
Dialectical Behavioral Therapy
A long-term client with depression and a history of trauma has recently become unemployed and cannot afford to pay the full fee. The social worker believes that the client is in need of further therapy, especially under the current circumstances. What should the social worker do FIRST?
A. Continue to provide services without fees until the client is able to pay
B. Encourage the client to apply for a vacant position in the agency
C. Arrange for a reduced fee for the client based on income
D. Help the client accept a referral to an agency where fees are not required
Lorazepam
Ativan
The identification of coexistent diseases within an individual; most commonly associated with a problem with drugs or alcohol and another psychiatric disorder.
Dual Diagnosis or Dual Relationship?
A client may lack stability in relationships, fear abandonment, have an unstable mood, and have occasional feelings of emptiness.
Borderline Personality Disorder
Alleviates symptoms of trauma through eye movement desensitization and de-processing of trauma.
EMDR
After working with a client for five months, the social worker realizes that the client's husband works at the same company as the social worker's husband. What should the therapist do NEXT?
A. Review the importance of boundaries with the client
B. Share the information with the client and discuss the impact
C. Seek consultation for the counter transference related to information
D.Refer the client to another therapist
Lamotrigine
Lamictal
Having resources, information, and attitudes that lead to action to achieve a desired goal.
Empathy or Empowerment?
A client may have hallucinations, delusions, a flat affect, and bizarre/non-bizarre ideations.
Schizophrenia
Change through finding meaning in life.
Logotherapy
A social worker receives a subpoena from a local law firm regarding a lawsuit in which the social worker's client is a defendant. What is the FIRST step the social worker should take?
A. Assert privilege on behalf of the client
B. Call the law firm and discuss the case
C. Contact the client
D. Contact the court and request that the subpoena be revoked
Aripiprazole
Abilify
A set of conscious or unconscious emotional reactions to a client experienced by a therapist; These feelings usually originate in the therapist's own developmental conflicts or past.
Transference or Countertransference?
A client may have irrational suspicions, a distrust of others, and may feel preoccupied with thoughts of other's not liking them.
Paranoid Personality Disorder
Change through understanding multigenerational dynamics.
A social worker is running a therapy group for people going through divorce. The social worker suspects that one member of the group is abusing drugs and determines that his erratic participation is detrimental to the group process. The social worker should FIRST:
A. Confront the client in the group
B. Schedule an individual session with the client
C. Provide the client with a referral for substance abuse treatment
D. Process the group members feelings about the client's departure
Quetiapine
Seroquel
A client "holding back", disengaging, or subverting change efforts whether knowingly or not, without open discussion.
Resistance or Denial?
A client may show symptoms of both Schizophrenia and mood disorder.
Schizoaffective Disorder
Change through increased awareness of the here-and-now experience.
Gestalt Therapy
During a utilization review phone call, a social worker is asked by the managed care representative to provide specific details of the sexual abuse incidents the client experienced. The social worker should FIRST:
B. Refuse to give specific information to protect the client's privacy
C. Review the release of information with the client prior to providing information
D. Review the managed care contract with the supervisor prior to providing information
Fluoxetine
Prozac
Traits of personality, behavior, thought or orientation considered to be unacceptable, repugnant, or inconsistent, or inconsistent with the individual's perceptions -- conscious or unconscious -- of themselves.
Ego-Syntonic or Ego-Dystonic?