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26 Cards in this Set

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  • Back
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Axial system

1. Clinical


2. Personality


3. General Medical Conditions


4. Psychosocial & Environmental Factors


5. Global Assessment of Functioning (GAF)

5 axes (CPGPG)

Pillars of clinical judgement

1. Existing records/current data


2. Interview


3. Behavioral measures


4. Self rated measures

Diagnostic Profile

Symptom profile


Duration


Severity


Level of distress


Contextual stressors

Most common features of depression

Depressed mood


Anhedonia (lethargy, apathy)

Manic vs hypomanic episode

Hypomanic episodes are shorter & less severe


Same features

Features of manic episode

Hyperactivity


elevated mood


Distractibility

Mixed episode

Both depressive and manic symptoms in one episode

Limitations of the DSM (3)

Diagnosis depletes vital information that captures the lived experience of the client



- Stringent thresholds


- Mandatory dichotomization


- Combining distinct behavior / 'diluting'

Psychosocial Problem Theory

States that every psychological problem:


1- varies in severity from zero to extreme


2- can stand alone or be sub/super-ordinate to other problems


3- is measured flexibly


4- is defined only by behaviors it includes (no exclusion criteria)

Severity, subordinate, flexible, exclusion

Main Symptom Hypothesis

. Anxiety & fear


. Phobic behavior


. Troubling thoughts


. Compulsive behavior

4 categories of Psychosocial problems

Gold standard for treatment of anxiety and panic attacks

Relaxation techniques


CBT

3 primary components of addiction (Miller 1995)

- preoccupation


- compulsion


- relapse

P C R

Biopsychosocial perspective of addiction

Cognitive behavior


Family history


Neurological


Personality


Sociocultural issues

CFNPS

Addiction treatment : Pharmacotherapy

GOAL: identify molecules that opposes the action of these substances



Reduce cravings


Reduce reinforcing effects


Make taking drugs aversive


Treat Co-occurring mental disorders

Molecules oppose actions



Reduce, reduce, make, treat

Addiction treatment : Psychosocial Intervention

GOAL: support person and provide therapeutic release



- groups like AA


- 12 step programs


- Motivational enhancement therapy


- Cognitive Behavior Therapy

Support, release



Group, 12, MET, CBT

Trauma disorders have been previously diagnosed as _____

Anxiety

All trauma and stress disorders pair onset with _____

An external event

Common reactions to trauma and stress are ____, _____, _____, and ______

Insomnia, irritability, reactivity to reminders, avoidance

In, Irr, Re, Av

Types of Psychosocial interventions for trauma and stress

- exposure based treatments


- cognitive treatments


- combined treatment


- skills based treatments

e c c s

5 categories of trauma disorders

PTSD... ASD... Adjustment disorder... Other specified trauma... Unspecified trauma

Trauma and stress Prevention and Treatment

Prevention » treats client before psychopathology experiences occur



Treatment » treat client once symptoms develop

2 categories of childhood trauma disorders

Reactive Attachment Disorder


Disinhibited Social Engagement

Reactive attachment disorder

Disturbed or inappropriate social interaction

Disinhibited social engagement disorder

The child's interacts and approaches unfamiliar adults without hesitancy



(No concept of stranger danger)

Four clusters of PTSD symptoms

Intrusions,


increased arousal,


avoidance,


negative changes in cognitions

Key criteria for Acute Stress Disorder

Minimum duration of 3 days to 1 month