Assessment
2:Assessment
2:Assessment
What is a mental status examination?
Examination of appearance, behavior, attitude toward interviewer, and manner of speech
Give an example of a bizarre delusion.
A stranger removed my internal organs and replaced them with someone else's organs without leaving any wounds or scars.
Name two symptoms of major depression.
Lack of interest, insomnia
What are the basic parts of a typical treatment plan?
the type, amount, focus, goals, and timing of each treatment
When should involuntary hospitalization be used?
As the last resort
What is involved in testing a client's orientation?
Time, place, person, situation
What are the essential features of schizophrenia?
Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms
What are two symptoms of mania?
inflated self-esteem, decreased need for sleep
What are the stages of change?
Precontemplation, contemplation, preparation, action, maintenance, relapse
(PCPAMR)
What is informed consent and how is it obtained?
Informed consent includes an explanation of the nature and purpose of the assessment, fees, involvement of third parties, and limits of confidentiality and it must be obtained by the patient before any treatment is initiated
Names two types of thought content that suggest the presence of mental disorder.
Suicidal thoughts, phobias
Name three types of delusion.
Somatic, grandiose, jealousy
Disruptive mood dysregulation disorder is most common in what age group?
Beginning before age 10
What is cognitive therapy?
Individual psychotherapy that works well for depression, anxiety, panic attacks, and phobias
What is the duty to warn and/or protect?
Tarasoff Duty (warning a potential victim of one's patient of threats made by the patient against the individual, or taking steps to prevent such threats from being carried out)
What is "ideas of reference"?
Overvalued ideas that one's thoughts or behaviors are being controlled by someone or something else
Name two of the main symptoms of schizophrenia.
Delusions and hallucinations
Persistent depressive disorder (also known as dysthymic disorder) should be diagnosed when the depression lasts how long?
At least 2 years
Is psychotherapy usually effective?
2/3 of people improve in the short term from psychotherapy
How has managed care affected the practice of psychotherapy?
1. More people have access to mental health care but clinicians have less control over treatment.
2. Diagnoses must qualify for insurance payment.
3. Clinicians may be tempted to adjust diagnoses so they are reimbursable, but this is unethical.
4. Patients should be told that a diagnosis can become a part of their medical record and possibly impact future insurance costs, etc.
What is the difference between an illusion and a hallucination?
Hallucination: creating something out of nothing.
Illusions: misinterpreting formation in the environment; sensory errors
How is schizophreniform disorder different from schizophrenia?
An episode lasts at least one month but less than six months rather than schizophrenia's disturbances needing to last at least six months.
What is psychomotor retardation?
Slowed physical movement (eating, walking, talking, etc)
Name the three aspects of evidence-based treatment
Scientific findings, patient preference, and clinical experience
Multiple relationships are always unethical
True