NCMHCE Test Study Guide, Questions and answers, 100% Accurate, rated A+

NCMHCE Test Study Guide, Questions and answers, 100% Accurate, rated A+ What are the specific tasks that should be devoted to an initial interview? In order of time that should be spent on them? - -History of Violence - 30% Personal, Social and Character Pathology - 25% Chief Complaints - 15% Medical History - 15% Mental Status - 10% Diagnosis and Treatment Discussion - 5% Predispositions have been found in family histories of the following disorders: - -Substance Use, Mood Disorders, Tics and Eating Disorders Some Diagnostic Assessment instruments for mood disorders include: - -MMPI-2, the Beck Depression Inventory (BDI) For personality disorders a good diagnostic tool is: - -the MCMI-III To monitor for client improvement in mood disorders use: - -the Beck Depression Inventory, Burns Anxiety Inventory or the SASSI A good treatment approach for panic disorder has been proven to be: - -CBT Two short acting anti-depressants that have had similar withdrawal symptoms as alcohol, narcotics, marijuana, anxiolytics and some muscle relaxants are: - -Paxil and Effexor Bipolar Disorder rapid cycling has been linked to ____________. - -Thyroid Abnormalities Two corticosteroids are: - -Prednisone and Cortisone Corticosteroids can can cause what symptoms/disorders? - -Can cause changes in mood and cognition, are generally dose related and can precipitate psychosis, hypomania, depression, cognitive and memory problems. Interferon (treatment for Hep C) has caused what disorder in 23% of patients? - -Depression Cold meds can cause atropine. What is atropine? - -confusion, disorientation, agitation, hallucinations, and memory problems. Acne medicine (Isotrentinoin) can cause severe.... - -depression and suicidal behavior. Cormorbid traits of Tourette's Syndrome. - -Relatives of clients with Tourette's have a higher incidence of tics, OCD and ADHD. Some disorders that have family predispositions are: - -Tourette's, Eating Disorders, Tics, Alcoholism, ADHD The top scales used in mental health are: - -MMPI-2, Wechsler Adult Intelligence Scale -R, Bender Gestalt, Sentence Completion. The top scales used with adolescents are: - -Wechsler Intelligence Scales, Rorschach Ink Blot Test, Bender Gestalt, Sentence Completion What is the NEPSY-II? - -Neuropsychology II assesses brain development in ages 3-16. Helps ID academic, social and behavioral difficulties, ADHD, PDD/autism spectrum disorder, language disorder, mathematics disorder and reading disorder. NOTE: prior to administering the NEPSY-II gather data on their lives, medical risk factors, demands placed on child at home What is the Bender Gestalt II? - -It measures visual motor behavior in ages 4-85. What is the MCMII-III? - -The Millon Clinical Multiaxial Inventory measures personality traits and psychopathology. Helps ID schizoid personality, avoidant personality, depressive personality, dependent personality, histrionic personality, narcissistic personality, antisocial personality, sadistic personality (aggressive), compulsive personality, negativistic personality (passive-aggressive), self-defeating personality (masochistic). AS WELL as schizotypal, borderline and paranoid. BDI-II - -Beck Depression Inventory can be used in diagnosing panic disorder, schizophrenia and mood disorders. What is the SCLR-90? - -Gives PRESUMPTIVE OR IMPRESSIONISTIC MARKERS about the characteristics of a disease or condition. It is used with people with eating disorders (bulimic), anxiety or depressive disorders, stress, suicidal behavior, somatization, interpersonal sensitivity, paranoid ideation, psychoticism, sleep disorders, AOD abuse, physical or sexual abuse and sexual dysfunction and sensitivity to drug vs. placebo. SASSI-3 - -Self report and screens for substance dependent disorder SCID-I and SCID-II - -A set of questions to be used in conjunction with the bipolar spectrum diagnostic scale. Measures mood episodes, psychotic symptoms and disorders, mood disorders, substance use disorders, anxiety, adjustment disorders. BSDS - -Bipolar Spectrum Diagnostic Scale - identifies presence or absence of bipolar disorder. MDQ - -Mood Disorder Questionnaire - easy SCREENING tool for detecting bipolar I or disorder. NOTE: It is NOT used for monitoring for improvement. DAST and SMAST - -Drug Abuse Screening Test (for drugs) and Short Michigan Alcoholism Test (for people with drinking problems) DES - -Dissociative Experiences Scale is used in tandem with the SCID-D (for dissociative disorders WISC-IV and WPPSI-III - -Wechsler Intelligence Scales for ages 6-16, the WPPSI is for age 2.5-7. CDI - -Children's Depression Inventory is FOR PARENTS about their children for ages 7-17. RCMAS-2 - -Revised Children's Manifest Anxiety Scale - most widely used questionnaire assesses type and level of anxiety in ages 6-19. Achenback system of Emprically Based Assessment (ASEBA) - -for ages 6-18 measures affective, anxiety, somatic, ADH, oppositional defiant and conduct problems. Behavior Assessment System for Children - -Used to evaluate behavior and self-perceptions of children - one for TEACHERS and one for PARENTS. Conners 3 - Parent, Teacher, Adolescent Forms - -For ages 6-18. Short and long forms for each. IDs ADHD and late disorders. Intellectual Disability (in children) - -I: Wechsler Intelligence Test and Stanford-Binet Scales DD: ADHD, Depressive & Bipolar Disorders, anxiety Tx: Behavior Modification for self injury, parent training and community based Tx and individual psychotherapy Autism Spectrum Disorder - -I: Childhood Autism Rating Scale, Disorders Screening Test II, the Social Communication Questionnaire, Taylor and Jaspers's Social Skills Inventory DD: Specific learning difficulties, coordination disorders, medical conditions Tx: Behavioral, floor technique, the Pervasive Development Pivotal Response Training ADHD - -I: Achenbach Child Behavior Checklist, Behavior Assessment System for Children, Conner's Rating Scale-R, Conner's Teacher Rating Scales. DD: OppDefi, Conduct Disorder Tx: Stimulant medications, parent training, counseling, behavioral targeted classroom intervention, social skills, intereferes with functioning in social, academic and occupational domains. Conduct Disorder (CD) - -I: Achenbach Child Behavior Checklist and Behavior Assessment System DD: Antisocial personality disorder, specific learning disorders Tx: Problem-Solving Skill dysregulation, imulsivity social skills, anger management, parent management Oppositional Defiant (OD) - -I: Achenbach Child Behavior Checklist, Behavioral Assessment System, Conner's Teacher Rating Scales-R DD: Conduct Disorder, ADHD, anxiety/depression Tx:Problem-Solving Skills Training (PSST), Cognitive, Behavioral, Individual Therapy. Separation Ansiety (SAD) in children - -I: Child's Depression Inventory, The Washington University Schedule for Affective Disorders and Schizophrenia, Young Mania Rating Scale DD: GAD, specific phobia Tx: Exposure Therapy (highly effective), Cognitive-Behavioral, Coping Cat Model Bipolar 1 (in children) - -I: Child's Depression Inventory, The Washington University Schedule, Young Mania Rating Scale DD: Anxiety disorders, panic disorder Tx: CBT, Interpersonal Therapy, Combination family focused and CBT, psychoeducational and maybe DBT PTSD (in Children) - -I: Trauma Symptom Checklist for Children, Beck Anxiety Inventory DD: Depressive, bipolar, anxiety, substance use Tx: CBT, Exposure Therapy, Emotion Focused Cognitive-Behavioral, Trauma Focused CBT Adjustment Disorder (6 types) - -I: The SCAD DD: Most mental health disorders Tx: Crisis-Intervention Model - Relieving acute symptoms, brief psychodynamic psychotherapy Major Depressive Disorder - -I: Beck Depression Inventory, Hamilton Rating Scale, SCID DD: Substance related disorders, panic disorder, OCD Tx: CBT, low level of social functioning perform best with interpersonal psychotherapy. New therapies are Behvioral Activation Therapy, CBT-1, Mindfulness, exercise, Vagus nerve therapy Persistent Depressive Disorder (dysthymic disorders) - -I: Beck Depression Inventory, Steen Happiness Index DD: Anxiety Disorder and substance use disorders Tx: CBT, Interpersonal Therapy, Social Skills, Assertiveness and decision making Bipolar Disorder - -I: SCID, The Treatment Attitudes Questionnaire, Bipolar 2 use the hypomania checklist 32 DD: Panic attack, social anxiety, ADHD, conduct disorder, impulse control, substance use, intermittent explosive, opp-defi Tx: Medication first line, family focused psycho-educational treatment, social rhythm therapy and CBT, group therapy during recovery Combination Tx: Family focused therapy, IPT with social rhythm therapy, and CBT. Also good are day treatment, group therapy, self-help groups, electroconvulsive therapy and Vagus Nerve stimulation. Cyclothymic Disorder - -I: Hypomanic Checklist DD: Substance related and sleep disorders Tx: IPF, FFT, regulating sleep, circadian rhhthms and social rhythm. career counseling, interpersonal skill development, group counseling. Immediate family often has bipolar or hx of being hypersensitive. ANXIETY DISORDERS - -I: Beck Anxiety Inventory, Anxiety Disorders Interview Schedule and Structured Clinical Ethnicity: African Americans tend to use gratitude and religiosity more than Europeans. Panic disorder co-exists with sleep paralysis more frequently in African Americans (60%) than Caucasians (8%). Hispanic patients may experience uncontrollable behaviors. Cambodian refugees have a high incidence of Panic disorder with physical discomfort. Tx: DBT, Exposure therapy, acceptance-based therapy, group therapy, cultural factors. Panic Disorder - -I: ADVIS - measures avoidance, severity of panic; Burns Anxiety Inventory DD: Anxiety disorders, agoraphobia, major deprsesion, bipolar disorder, alcohol use