New NCMHCE exam with 100% correct answers already graded A+

Notes To Self Client confidentiality can be an issue when working with minors. Parents can technically know everything.. but its encouraged they don't to help kid feel comfortable with you. This is something to be made aware of ------ Recommend referral to an physician INDICATED The choice and dosage of medication can be made only by a qualified physician. OH SHIT. I SAID NAH BECAUSE SHE WAS IN GOOD HEALTH BUT MAKES SENSE. NEEDED PSYCH MEDS ------- What might be posttreatment recommendations? Create routines such as a bedtime routine RECOMMENDED A bedtime routine where a parent reads to the child is a great opportunity for bonding. Routines are important for children, and a routine that involves quality time with the client and a parent is essential for Kaleigh. SHE HAS REACTIVE ATTACHMENT. I DID NOT KNOW THIS WOULD COUNT AS BONDING THO. If you see mentions of sex, shopping, or pornography addiction, remember that there is no DSM-5 diagnosis for these issues. Think about Obsessive-Compulsive Disorder, a V-code/Z-code, or consider whether the behavior may be related to a manic episode. ----------------- Doug's mother's assessment of his abilities ASSESSED Doug's mother reports that he makes complex inventions with construction toys and successfully wins at handheld video games. She describes him as "friendly, but a boy of few words." GOOD TO KNOW. THE PARENTS ARE AROUND HIM ALL THE TIME. I WAS SKEPTICAL CAUSE SHE SEEMED FACITIOUS...BUT BUT BUT STILL GOOD TO KNOW BECAUSE THAT CAN INDICATE IF SHE IS MAKING SOMETHING UP ----------------- Open group NOT BENEFICIAL There are fewer barriers to entry for this type of group. People may move in and out of these groups. These groups may lack a cohesive core due to members leaving. This type of group has no termination date. DD For Denationalization / Derealization disorder + Why?? (6) ALWAYS PERRY SEEING SHIT OUTSIDE SELF -MDD: Feelings of numbness, deadness, apathy, and being in a dream can often be part of a major depressive episode. However, if the depersonalization/derealization either precedes the onset of a major depressive episode or continues after the major depressive episode is resolved, then the diagnosis of Depersonalization/Derealization Disorder is appropriate. -Panic Disorder: Depersonalization/derealization is one of the symptoms that may occur during a panic attack, particularly as the severity increases. As such, Depersonalization/Derealization Disorder should not be diagnosed when the symptoms are the result of a panic attack that meets the criteria for the diagnosis of Panic Disorder. -Social Anxiety Disorder: Depersonalization/derealization is one of the symptoms that may occur during a panic attack, particularly as the severity increases. As such, Depersonalization/Derealization Disorder should not be diagnosed when the symptoms only occur during panic attacks associated with the fear of social situations as in Social Anxiety Disorder. -Specific Phobia: Depersonalization/derealization is one of the symptoms that may occur during a panic attack, particularly as the severity increases. As such, Depersonalization/Derealization Disorder should not be diagnosed when the symptoms only occur during panic attacks associated with the fear of an object or situation as in Specific Phobia. -Other Specified Mental Disorder Due to Another Medical Condition: differentiating factor in this case is that the dissociative symptoms are due to the direct physiological effects of a general medical condition. -Substance Intoxication: Substance Intoxication may be characterized by dissociative symptoms along with the other symptoms of Substance Intoxication such as impaired motor coordination, euphoria, anxiety, and impaired judgement. Schizophrenia 1) After how long can a therapist add a specifier for the diagnosis of Schizophrenia? 2) What good therapeutic TX can help treat Schizophrenia and why? (3) 3) Is amensia founded in Schziophrenia Specifiers with Schizophrenia 1) 1 year 2) Group therapy BENEFICIAL This can be a place for Darwin to practice social skills, normalize his experience, and discuss the appropriate use of medication. 3) Nope Notes to Self Homogeneous group BENEFICIAL Homogeneous groups have members with similar diagnostic backgrounds (for example, they may all suffer from depression). --------- FOR THE 1ST QUESTION... DONT BE TOO AFRAID TO CLICK ON A BUNCH OF SHIT. YOU'RE GATHERING INFO. --------- Bipolar I Disorder and Unspecified Alcohol Use Disorder INDICATED Based on Cathy's depression, excessive spending, impulsivity, binge drinking, and severe rages, this is the BEST answer. Further, her excessive use of alcohol (binge drinking) points to an unspecified alcohol use disorder. .. so yea... i know that it seemed all depressive... but you knew from the jump that rage and maxed out credit cards to not seem to be depressive episodes.. And excessive spending leads to what..... Implusivity. For ADHD, inattention is usually phrased and described as issues with task accomplishment. --------- Psychoeducational group NOT BENEFICIAL. MAY NOT BE DIRECT ENOUGH FOR SOME SHIT --------- Explore the idea of Brian receiving services through a VA hospital; perhaps he's not comfortable sharing his experience in war with a civilian therapist CHOSEN It seems he's very proud of being a soldier, and he may be more comfortable being treated by someone who understands where he has come from. I DIDNT CLICK THAT BECAUSE I THOUGHT THEY WOULD BE LIKE YOU SHOULD ****ING KEEP HIM... BUT WHEN I REREAD IT.. IT JUST SAYS EXPLORE... IT DOES NOT SAY "REFER OUT". DONT BE AFRAID TO BRING THAT UP DUE TO FEAR HE'LL BE UPSET... JUST BECAUSE YOU ARE "EXPLORING".. DONT THINK TOO DEEP MY LOVE. AND PLAYOUT WHAT MIGHT HAPPEN... JUST BE BASIC, BUT ATTENTIVE Conduct Disorder 1) How many codes/specifiers for this disorder? 2) What are they? 3) Is Schizophrenia a DD for Conduct + Why? Conduct Disorder 1) 3 2) Childhood-onset type (before age 10), Adolescent-onset type (not before age 10)+ Unspecified onset 3) Nope. Hallucinations and Delusions are not present. Dissociative Amensia 1) What is Dissociative Amensia? 2) A DD? (2) 3) Good Interventions? (2) 1) People may be unaware of their memory problems 2) -Factitious Disorder -Substance Intoxication or Withdrawal (because they have dissociative symptoms sometimes) 3) -Dream Analysis -Free Association Things journaling could be good for (from what I've gathered) + why? (1) -Dependent Personality: This may be a helpful step in identifying stressors and cognitive distortions Anorexia Nervosa 1) What are the two types of Anorexia Nervosa? 2) Symptom Duration? 3) Medications? 4) Risk factor? Anorexia Nervosa 1) Restricting or binge-purging. 2) 3 months 3) Nope 4) Identical twins Borderline Personality Disorder 1) General definition of this disorder 2) How many symptoms in total / needed to diagnosis? 3) List Em: Borderline Personality Disorder 1) Pervasive pattern of instability in interpersonal relationships, self-image, and emotion, as well as marked impulsivity beginning by early adulthood and present in a variety of contexts 2) 9 / 5 3) 1) Frantic efforts to avoid real or imagined abandonment 2) A pattern of unstable and intense interpersonal relationships characterized by extremes between idealization and devaluation (also known as "splitting") 3) Identity disturbance: Markedly or persistently unstable self-image or sense of self 4) Impulsive behavior in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating) 5) Recurrent suicidal behavior, gestures, or threats, or self-harming behavior 6) Emotional instability in reaction to day-to-day events (e.g., intense episodic sadness, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) 7) Chronic feelings of emptiness 8)Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 9) Transient, stress-related paranoid ideation or severe dissociative symptoms Random Questions! 1) Positive Vs. Negative Schizophrenia Symptoms 2) What is the NIDAMED? 3) What does the Denver 4) What are group members experiencing in the working stage? 5) Is there resistance in the working stage of group? 1) Positive: delusions and hallucinations. negative: deficits of certain features like social withdrawal 2) screen clients for tobacco, alcohol, illicit drug, and nonmedical prescription drug use. 3) This is used to assess development in children. 4) During this stage, the group is experiencing cohesion and productivity 5) Nope Bipolar 1 1) How long are manic episodes? 2) Engaging high-risks behavior.. does that meet criteria for bipolar 1? 3) Main difference between Bipolar 1 and 2? 4) DD for Bipolar (3)? 5) Do people with bipolar receive confrontation well? 6) Good TXs for this disorder? 7) Suggestions for people with bipolar? 1) 7 days 2) Ya 3) The individual with Bipolar I Disorder has experienced a manic episode. The individual with Bipolar II Disorder has never experienced a manic episode (only hypo-manic episode) 4) Major Depressive Disorder, other bipolar disorders, and Attention-deficit/Hyperactivity Disorder 5) Nope.. I don't think 6) REBT 7) Avoid over-stimulating environments Narrative Therapy 1) What is it? 2) What can it help with? 1) Narrative therapy is a form of therapy that aims to separate the individual from the problem, allowing the individual to externalize his or her issues rather than internalize them 2) This technique is for individuals who have a desire to resolve issues with family or friends and have been unable to do so. Person-Centered Theory 1) What is the main goal in a person-centered approach? 2) Who came up with it? 3) Techniques (12) 4) This is good for what type of individuals? 5) Is personal reflection direct enough for certain people? 1) Provide a safe setting where one can explore their needs in TX 2) Roger 3) -Acceptance -Congruence -Empathy -Reflection of feeling -Encouragement -Genuineness -Support -Clarifcation -Goal setting -Open question -Modeling -Unconditional positive regard 4) High-functioning wanting personal growth or improvement on minor issues. 5) No Random Questions! 1) What is the The Frontal Assessment Battery? 2) NEEDs Assessment Age + Gist? 3) What is the Token Test for Children? 4) HEADSS Assessment Age + Gist? 5) Stress inoculation training ? (2) 1) Neuropsychological tool that detects specific executive cognitive function impairments. 2) Adult substance abuse evaluation 3) This test confirms that Doug's listening comprehension is average. 4) This is an interview instrument used for finding out about a variety of issues in adolescents' lives. Items in the instrument address such domains as Home, Education and employment, Activities, Drugs, Sexuality, and Suicide/Depression. 5) Relaxation skills and new thoughts for the behaviors Schizophreniform 1) Difference between this and Schizophrenia? 2) Same symptoms of Schizophrenia? 3) Note about functioning. 4) Is Dissociative Identity Disorder a DD? 1) Less duration period (1-6 months for this). 6+ months for Schizophrenia. 2) Yupp 3) THE DIAGNOSIS DOES NOT REQUIRE IMPAIRED OCCUPATIONAL OR SOCIAL FUNCTIONING. THEIR FUNCTIONING IS BETTER IN THIS ONE THAN SCHIZO. .. IF YOU CAN LOOK IT UP ONSET AGE. BASICALLY SAME THING AS SCHIZOPHRENIA.. ITS A PRECURSOR BUT IF IT PERSISTS... IT GOES TO SCHIZO 4) NO! Random Questions! 1) Is this ethical + explain? Which of the following considerations are ethical? Theresa asks you if she would be terminated as a client if she refused payment. The answer is "yes" if she is not paying the agreed-upon price. 2) What is the The Denial Rating Scale 3) What does the TAT reveal? (4) 4) Age Group for TAT? 5) Brice Symptom Inventory? 1) This is accurate, but every effort should be made to make sure the client is taken care of, even if it is through a proper referral. ALSO KEY WORD IS AGREED UPON 2) Test for alcoholics. Assess the level of denial of issue after a brief semi-structured interview. The diagnosis of alcoholism must be made first before the DRS is relevant. 3) Reveal information related to one's dominant drives, emotions, conflicts, and motives. 4) 4+ y/o 5) Is an instrument that evaluates psychological distress and psychiatric disorders in people. Random Questions! 2) Shame-Attacking is good to treat what? 3) What is Child and Adolescent Functional Assessment Scale + age group? 4) What is When Bad Things Happen Scale + age group? 5) What is Conners Rating Scales-Revised + age group? 2) Depressive symptoms 3) The Child and Adolescent Functional Assessment Scale (CAFAS) is designed to assess one's day-to-day functioning and to determine if functioning improves over time .. 5-19. 4) This is an instrument specifically designed for children. Think its trauma? 5) Designed to assess for attention-deficit/hyperactivity and other related problems in children. Adjustment Disorder Specifiers 1) How many specifiers for this disorder? 2) What are they? 3) Symptom duration minimum? 4) Symptom duration maximum? 5) What's NOT a DD for this? (2) 6) Good TXs? (3) Adjustment Disorder Specifiers 1) 6 2) -With depressed mood -With Anxiety -With mixed anxiety and depressed mood -With disturbance of conduct -With mixed disturbance of emotions and conduct: -Unspecified 3) 3 months 4) 6 months 5) -ODD..maybe conduct is -Parent-Child Relational Problem 6) -CBT -Narrative -Interpersonal Social Rhythm: help the client establish and maintain a more consistent structure in his or her life Behavioral Techniques (1) -Coloring therapy Illness Anxiety Disorder 1) Gist? 2) Durational symptom period? 3) What are the two specifiers and define? 1) Preoccupied with having or developing A serious illness. 2) 6 months Symptoms must be present for at least six months. 3) Specifiers: "care-seeking type" and "care-avoidant type." The "care-seeking type" specifier is applied with medical care, physician visits or tests and procedures are frequently used. The "care-avoidant type" specifier is applied when medical care is rarely used. Random Questions! 1) Who is the Emotional Problems Scales catered to (2)? 2) Coloring therapy is good to treat what type of disorder + why? 3) As a supervisor of a group, what are things you should be concerned for and explain further? (1) 4) Is Empty chair technique good with delusions? 5) What does Endogenous mean? 1) Individuals with mild mental retardation or borderline intelligence. 2) ASD: This is a useful relaxation technique that can be done with Tony and other family members, as well as possibly improving his motor-eye coordination. 3) Remaining cautious of role blending: Are you a teacher, a clinical supervisor, administrative supervisor, or program director? Will you be supervising interns while having to provide program services? Each of these positions has unique ethical and legal considerations. As a supervisor, it is important to be cautious of multiple roles that may conflict 4) Nope. 5) Internal cause of origin Conduct Disorder 1) What is the definition? 2) How many symptoms / need for diagnosis? 3) Symptom duration? 4) How many symptom categories are there and what are they? 5) DD for CD? (3) IAN OBVIOULSY AGGRESIVE Conduct Disorder 1) Repetitive and persistent pattern of behavior in which the basic rights of others or age appropriate societal norms/rules are violated. 2) 15 / 3 3) 6 months for 1 symptom. 1 year for 3. 4) -Physical Aggression to People and Animals -Destruction of property -Deceitfulness or Theft -Serious Violations of Rules 5) Intermittent Explosive Disorder, Oppositional Defiant Disorder, and Adjustment Disorder Jung Techniques + define if needed: (2) ------------- Long Term Goals for Chemical Dependence (6) -Transference analysis: Bringing that transference into the session as material to work with -Dream analysis: Jung believed that images are a reflection of something within the person and that the dream world could allow the individual access to the unconscious within the self, specific to the dreamer. ------------- -ACCEPT CHEMICAL DEPENDENCE AND BEGIN TO PARTICIPATE IN RECOVERY PROGRAM -ESTABLISH A SUSTAINED RECOVERY FREE FROM MOOD ALTERING SHIT -ESTABLISH AND MAINTAIN TOTAL ABSTINENCE WHILE INCREASING KNOWLEDGE OF DISORDER -ACQUIRE THE SKILLS TO MAINTAIN LONG TERM SOBER -IMPROVE QUALITY OF LIFE BY MAINTAINING ABSTINENCE -WITHDRAW FROM SUBSTANCE, STABILIZE PHYSICALLY AND EMOTIONALLY Antisocial Personality Disorder 1) What is the definition? 2) Main requirement for this disorder!!!? 3) Diagnosable age? 4) How many symptoms / how many to diagnosis? 5) List em. Antisocial Personality Disorder? 1) A pervasive pattern of disregard and violation of the rights of other 2) Need to be diagnosed with CD before the age of 15. 3) 18 years old 4) 7 / 3 5) 1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that get you arrested 2. Deceitfulness; lying, use of aliases, or conning others for personal profit or pleasure. 3. Impulsivity or failure to plan ahead. 4. Irritability and physical aggressiveness/assaulting behavior 5. Reckless disregard for safety of self or others. 6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. 7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt,