Intake/DSM-5 Intro
Confidentiality
Confidentiality is a therapeutic, legal and an ethical issue
Confidentiality is the obligation not to disclose willingly any information obtained in confidence
What is culture?
systems of knowledge, concepts, rules, and practices that are learned and transmitted across generations
For the diagnosis of RAD and DSED, when do symptoms first become apparent?
Symptoms first become apparent between the ages of 9 months and 5 years of age
What is one symptom criteria of a Major Depressive Episode?
•Depressed mood (sad, hopeless, tearful) (In children, irritable mood can suffice)
•Anhedonia (diminished pleasure or interest in activities that were previously pleasurable
•Significant weight loss or weight gain or decreased or increased appetite
•Insomnia or hyperinsomnia
•Agitation or psychomotor retardation nearly every day during the 2-week period
•A feeling of being slowed down
•Fatigue or loss of energy
•Guilt or feelings of worthlessness
•Indecisiveness, difficulty concentrating,
•Thoughts of death, or suicidal ideation without a specific plan
•Disorganized thinking (formal thought disorder) is typically inferred from the ____________
individual’s speech.
What component is necessary to establish when first meeting a client?
Building rapport and a strong working relationship
Developing treatment goals should be a ___________ process between clinician and client (and caregiver, if applicable)
collaborative
What is the the difference between Acute Stress Disorder and PTSD regarding timelines?
•PTSD: Symptoms must be present for at least 1 month and cause distress or functional impairment
•Acute Stress Disorder: Symptoms persist for at least 3 days to a month
In 60% of cases a manic disorder it is followed immediately by a MDE that may last from 6-9 months- What disorder does this describe?
Bipolar 1
•Two negative symptoms are particularly prominent in schizophrenia:
diminished emotional expression and avolition.
What is a reflection?
Restating or rephrasing what the client has expressed- there are different levels
•Best predictor of treatment outcome
the therapeutic alliance
Dissociation is often part of the response to _____
trauma
Symptoms of __________ must be present for over a 2 year period (1 year for children/adolescents), during which the criteria of mania or MDE have not been met
cyclothymia
What is the least disabling of the schizophrenia spectrum disorders
delusional disorder
How long before the end of the session should you notify your client that your time will be ending soon?
10 minutes
What is the best choice for location of treatment?
Best choice: The least restrictive setting that provides optimal care for the person’s needs and the disorder
The inability to recall important personal information (e.g., names of friends/family members, place of employment, etc.), usually of traumatic or stressful nature, and often follows a traumatic or stressful event
Dissociative Amnesia
What are some treatments for MDD?
•Medication support services may be needed (particularly with psychosis)
•E.g. Prozac
•Psychotherapy
•Exercise Treatment
•Repetitive transcranial magnetic stimulation (rTMS)
•Electro-convulsive therapy (ECT)
•Cognitive Behavioral Therapy (CBT)
•Interpersonal Therapy (IPT)
What disorder does the following describe?
Falsification of physical or psychological signs of symptoms or induction of injury or disease, in another, associated with identified deception
Facticious Disorder Imposed on another (by proxy) (aka Munchausen syndrome)
In the DSM-5, what does Section III include?
“Conditions for Further Study” New disorders and features that require further study but are not sufficiently well established to be part of the official classification of mental disorders for routine clinical use
Prognosis will likely depend on two variables:
•Nature and severity of the disorder
•Clients motivation to make positive changes
________of counselors have lost a client to suicide
One quarter
Disruptive Mood Dysregulation Disorder is more common in ______ than ______and in school aged children than adolescents
males than females
In the treatment of schizophrenia, medication (antipsychotics) is often used. What is one side effect of antipsychotics?
•Sedation, tardive dyskinesia, gastrointestinal and cardiovascular disturbances and neuroleptic malignant syndrome