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54 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the 4 categories of symptoms in PTSD |
A) intrusive B) avoidant C) arousal D) cognitive changes |
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In PTSD what are intrusive phenomena |
Unwanted thoughts Memories Dreams/ nightmares Flashbacks |
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What are 3 types of assessment |
Brief assessment Comprehensive assessment Screening |
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What is cluster 'A' personality disorder - odd |
Schizoid Schizo affective Paranoid |
Odd |
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What is cluster 'B' personality disorder - dramatic |
Histrionic Antisocial Narcissistic Borderline |
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What is cluster 'C' personality disorder - anxious |
Avoidant Dependent Obsessive compulsive |
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What is the criteria for ASPD - FAiRDICLor A-G |
A) failure to conform to social norms B) irritable and aggitated C) reckless disregard for others D) decietfulness E) impulsive F) consistent irresponsibility G) lack of remorse |
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What proportion of people diagnosed with ASPD are woman? |
25% |
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What % of people with anxiety disorder have SUD? |
30% |
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What % of people with schizophrenia have SUD? |
50% |
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What is antisocial personality disorder |
A pattern of disregard for and violation of the rights of others |
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What are the 4 categories of criteria for substance use disorder |
1-4 impaired control 5-7 social impairment 8-9 risky use 10-11 pharmacological criteria |
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What % of people with ASPD have SUD |
80% |
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What is schizoaffective disorder |
Mood disturbance plus criterion A for schizophrenia |
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What is depression |
* Changes to low mood or inability to feel pleasure * Change in energy - agitation or slowing * Negative preoccupation - death, guilt, low self worth * Consistent over a period of time (2 weeks) |
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How does stimulant use affect depression |
Feel better with intoxication Worse with withdrawal |
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How does cannabis affect depression |
Little if any effect |
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What is borderline personality disorder |
A pervasive pattern of instability of interpersonal relationships, self- image and affects and marked by impulsivity, beginning by early adulthood and present in a variety of contexts |
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What are some opioids |
Morphine, heroin, codeine, tramadol, fentanyl, oxycodone, buprenorphine |
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What are some benzodiazepines |
Diazepam, lorazepam, clonazepam, nitrazepam, triazolam, metazepam |
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What are some stimulant drugs |
Methamphetamine, methylphenidate, duramine, amphetamine |
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Describe the continuum of use |
- no use - social use - hazardous use - problem use - dependance (dsm-iv-tr) |
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What is MI |
A counseling approach based on person centered counseling, but focusing on ambivalence and evoking change talk, because research (Miller & rollnick) shows that people who talk about change more, tend to change more |
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What are the changes in MI |
Engage Evoke Focus Plan |
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What does evoke in MI mean? What is being evoked |
Change talk is being evoked - talking about change |
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In MI, what is the opposite of change talk |
Sustain talk - talk which supports the old behavior |
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Describe the principles of MI |
Develop discrepancy Express empathy Amplify ambivalence Roll with assistance Support self efficacy |
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What are the core skills in MI |
Open ended questions Affirmation Reflective listening Summary |
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What is an SSRI |
Selective serotonin reuptake inhibitor, a type of antidepressant |
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How does an SSRI work |
- in certain parts of the brain serotonin associated with mood is the neurotransmitter - after release it is taken back into the fiber that released it- this is called reuptake - the SSRI inhibits reuptake leaving more serotonin available in the synapse |
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How is change talk identified in MI - DARN talk about it |
Desire Ability to change Reason to change Need for change |
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What is a personality disorder as defined by DSM-IV |
A personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment |
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What is wrong with the concept of personality disorder |
- instability, over 2 years 20% of people diagnosed with BPD will not meet criteria - categories change with research, eg; DSM-5 emerging chapter: 10 reduced to 6 - categories are not specific enough: 2 people diagnosed with ASPD or BPD and only share one symptom - categories overlap, a person can be diagnosed with several personality disorders, especially with cluster A, B or C |
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If a person has satisfied the criteria for depression for a 30 year period beginning at age 9, how do you diagnose that |
Persistent depressive disorder (dysthymia) or PTSD |
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What are the 4 commonly identified patterns in childhood |
- secure - avoidant - ambivalent - disorganized |
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What does disorganized attachment look like |
A pattern of chaotic behavior, thinking and feeling |
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What are attachment patterns called in adulthood |
- autonomous - dismissing - preoccupied - unresolved |
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Why do we use diagnostic systems |
- to plan treatment - to establish a language so that clinicians can talk to each other - to provide categories for research |
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Which version of the ICD is current |
ICD-11 |
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Why is the ICD free but you have to pay for the DSM |
- ICD is published by the WHO, publicly funded -DSM is published by the APA, which is a private non- profit organization |
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What are the key components of effective programs |
- integration of service - staged interventions - models of engagement - assertiveness - motivational interventions - multiple psychotherapeutic modalities - a long term perspective - comprehensiveness - reduction of negative consequences - cultural sensitivity and competence - te ari ari pg 12-13 |
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What are the elements of determination theory |
- amotivation - extrinsic motivation - intrinsic motivation |
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How is psychological safety established |
Te ari ari of 59 - invitation to talk openly - consistent empathy, non- judgemental and accurate - reflection - making sure client is in control especially when anxious - an affirming approach |
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What is the third legged stool |
- staying clean and sober - taking medications - partaking in a programme Te ari ari pg 78 |
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What are the components of a comprehensive assessment |
- data - opinion - management - prognosis - feedback |
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What are the 10 areas recommended for management goals |
1- setting 2- further information 3- treatment of medical conditions 4- psychopharmacology 5- psychological interventions 6- whanau or family and social interventions 7- spiritual interventions 8- education/ work/ occupation 9- education of client and significant others 10- self- help groups |
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What are 4 models of case management |
- brokerage - clinical case management - assertive community treatment - intensive care management |
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Why is culture important in working with addiction and CEP |
- culture affects definitions of wellbeing - rates of mental illness and addiction vary between cultures - distress is expressed differently in different cultures - culture can mean access or barriers to services - attitudes to mental illness and suicide differ between culture Te ari ari pg 23 |
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What is suboxone and what is it used for |
- buprenorphine (opiod) + naloxone (opioid antagonist) - it is used as an OST - opioid substitution treatment |
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How does suboxone work |
By providing a substitute for opioid drugs while partially blocking receptors from other opioids |
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What does te ari ari suggest we do about learning to work with culture |
- develop an awareness of our own culture - develop sensitivity to difference - learn specifics about other cultures |
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What approaches are appropriate for early treatment |
- assessment - engagement - safety - consider involving family - motivational interviewing |
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What approaches are appropriate for middle treatment |
- activity treat substance use - monitor medication - motivation - identity pathways and barriers to wellbeing - address issues with family |
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What approaches are appropriate for late treatment |
- relapse prevention - increase emphasis on wellbeing - occupational and social skills - self- managment - supports in the community |
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