Next Level Diagnoses.
What are the main differences between IED, DMDD, and ODD?
The main difference is the pattern of the behavior and primary issue. IED is impulsive aggression or sudden aggressive outbursts, DMDD is chronic irritability and outbursts, and ODD is an ongoing defiance and conflict.
True or false. Relapse is common in schizophrenia due to noncompliance with medications.
True! People with schizophrenia or any other psychotic related disorder typically stop their medications when they start to feel better and believe they are cured or can be convinced that the medications are really a poison or a form of mind control during a psychotic episode.
When are therapists legally required to report suspected abuse or neglect of vulnerable adults?
Therapists are legally required to report suspected abuse or neglect of vulnerable adults when they have reasonable suspicion that abuse, neglect, or exploitation has occurred. Additionally, therapists are mandated reporters of suspected abuse of elders (age 65 or older) and dependent adults (ages 18–64 who meet the legal definition).
True or false. Clients have the fundamental right to choose for themselves what kinds of mental health treatment they will participate in unless clients present an imminent danger to themselves or others.
TRUE. Clients have the right to autonomy and making decisions regardless of age.
What is the primary goal of Cognitive Behavioral Therapy (CBT)?
Name 3 different types of medications that are used to treat ADHD.
Adderall, Concerta, Daytrana, Dexedrine, Dextrostat, Focalin, Intuniv, Jornay, Metadate, Methylin, Mydaysis, Quillivant, Ritalin, Strattera, Tenex, Vyvanse, or Wellbutrin.
Who is the holder if privilege for a minor client according to the law?
The client! Clients generally hold their own privilege, which means only the client can waive their own right to privileged communications. However, if client is a minor they may not be able to waive privilege on their own.
Privileged communication refers to information that can be excluded from court proceedings to protect people in positions of trust (e.g., therapists and doctors) and others from being forced to testify against the people who trust them!
True or false. The licensing board encourages therapists to accept any kind of gift from a client.
False. A therapist should consider the cost, nature, and meaning of the gift as well as cultural norms, and the potential impact on treatment when determining whether or not to accept a gift from a client.
Glimmers are generally used in what type of therapy?
Polyvagal Theory! Polyvagal-informed approaches emphasize cues of safety, awareness of bodily states, and strategies intended to support regulation. Glimmers are small moments that help you feel safe, calm, connected, or at ease.
Racing thoughts, pressured speech, grandiosity, distractibility, insomnia, decreased need for sleep, flight of ideas, increase in goal-directed activity, and increase in risk-taking behaviors and low energy, excessive sleeping, and increased appetite are all possible symptoms of what disorder?
Bipolar Disorder
Which type of anxiety and insomnia related medications typically influence tolerance and dependence (i.e., are "addictive")?
A LCSW is working with a client who is also a licensed therapist. The client tells the therapist that they have been engaging in a sexual relationship with their own client, and while the relationship is going so well so far, they are worried about the potential professional consequences if the relationship were to be discovered by the licensing board. Per the licensing board, the LCSW should do what next?
Maintain the clients confidentiality.
True or false. Helping clients process their experiences and develop skills related to mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness are generally used when applying Psychodynamic Theory.
False! Dialectical Behavior Therapy (DBT) generally helps clients manage intense emotions, build healthier relationships, and change harmful behaviors while learning to accept themselves.
For example, if a client feels rejected and wants to lash out at a friend, a DBT therapist might validate the hurt, help the client pause and observe the emotion, practice distress-tolerance skills, and then use interpersonal-effectiveness skills to communicate their needs.
People with __________ Disorder often struggle with persistent and recurring feelings of being estranged from oneself, of being a spectator of one's own life, and of being detached from one's mental processes or body that is accompanied by intact reality testing.
Depersonalization/ Derealization Disorder!
Depersonalization: experiences of unreality, detachment, or being an outside observer with respect to one's thoughts, feelings, sensations, body, or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotional and/or physical numbing)
Derealization: experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted)
True or false. Lithium and Depakote are typically used to treat Bipolar Disorder.
TRUE!
What is the difference between a SSRI and SNRI?
SSRIs (Selective Serotonin Reuptake Inhibitors) increase serotonin levels in the brain and are commonly used to treat depression and anxiety.
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) increase both serotonin and norepinephrine levels and are used to treat depression, anxiety, and certain chronic pain conditions.
Main difference: SSRIs affect serotonin, while SNRIs affect both serotonin and norepinephrine. Both can improve mood and anxiety, but their side effects and effectiveness vary by person.