NCMHCE exam with 100% correct answers already graded A+

TIP 1. Follow words or symptoms presented in scenario 2. Write out the symptoms 3. Spend the max time figuring out the most important info (symptoms) to establish a provisional diagnosis TIP 1. Obtain pertinent info (client education, family background, mental/physical health, social involvements, work history, age, gender 2. MUST address clt's reason for seeking help, which includes primary symptoms, predisposing factors, possible self-destructive or destructive behaviors (substance use, SI) Intellectual Disability (ID) 1. Co and differential: ADHD, depressive and bipolar disorders, anxiety, austism, impulse control 2. Instrumentation: Wechsler Intelligence test and Stanford- Binet Intelligence scales TX: 1. Behavior modification, parent training and community based tx and individual counseling 2. CBT and Behavior-analytic Austism Spectrum Disorder (ASD) 1. Co: specific learning difficulties, developmentalc oordination disorders, epilepsy, sleep problems 2. Differential: Rett syndrome, selective mutism, language disorders and oscial communication disorder, ID, movement disorders, ADHD, schizophrenia Instrumentation: Childhood Austism Rating scale, Pervasive developmental disorders screening test, autism diagnostic instrumentation TX: CBT, intensive behavior treatment, snug vest, behavioral tx, floor, PRI ADHD Co: ODD, Conduct disorder, disruptive mood dysregulation, learning disorder, anxiety disorders, MDD, IED Differential: ODD, IED, ASD, anxiety, depressive Instrumentation: Achenbach child behavior checklist, behavior assessment, conners rating scale, weschler and binet TX: Behavioral intervention and family therapy, medication, SDBT, education, training Techniques: social skills training and self regulation, improving communication skills, recognition of non verbal messages, time management, anger management, modeling, rehearsing, in vivo Tic disorder Assessment: FBAT Co: medical and psychiatric ocnditions, ADHD, OCD Differential: OCD Instrumentation: YGTSS, Schizophrenia spectrum TX: comprehensive behavioral intervention for tics CBIT Brief Psychotic disorder Assessment: one or more delusions, hallucinations, and disorganized speech of 4 symptoms, episode more than 1 day and less than 1 month Co: Schizophreniform Differential: medical conditions, substance induced, depression bipolar disorders Instrumentation: BAC, PANSS, SIPS TX: medication, behavioral activation system, family education, psychoeducation, CBT, group, family Techniques: sleep dysregulation, medication, sleep chart, psychoeducation, problem solving skills, social skils learning Schizophrenia Co: substance related disorders, anxiety, panic Differential: MDD, BD, schizo affective, OCD, etc Instrumentation: BCA, ILSS, MASC, PANSS, SIPS TX: cogntive behavioral and social skills training, family, individual Schizoaffective The clients disorder meets both the criteria for schizophrenia and one of the affective disorders ( depression, mania, or a mixed disorder) Info gathering: SPLAT Symptom ID Problem recognition Level of functioning Assessment tools Treatment progress Decision making: TOASTED Treatment techniques Objectives and goals Adjunct services Services during treatment Termination and referrals Ethics Diagnosis Note taking during simulations Diagnostic criteria (DSM V disorders criteria) AND Impaired functioning (in social, occupational, relational) Note taking during simulations Impaired functioning- give its own column -severity and duration could be located here - treatment goals and evaluate outcomes of therapy Plausible, Differential, rule out diagnoses Plausible= POSSIBLE Differential= those disorders that share similar symptoms Rule outs= this clt definitely does not have this Difference b/w ODD and conduct A key difference between ODD and conduct disorder lies in the role of control. Kids who are oppositional or defiant will fight against being controlled. Kids who have begun to move—or have already moved—into conduct disorder will fight not only against being controlled, but will attempt to control others as well. Agoraphobia duration: 6 months symptoms: anxiety about being in situations that you can't escape or it would be difficult if you have a panic attack. Situations are avoided or endured with distress TX: CBT and Rx boderline personality disorder impulsive actions, often with the potential for self-harm as well as mood instability and chaotic relationships TX: CBT, DBT, supportive therapy Conversion Disorder (Functional Neurological Symptom Disorder) - follows conflict or stressor -unexplained deficits in sensory and motor functions - symptoms are not explained by medical or are factitous TX:behavioral, biofeedback,hypnosis, physical therapy, speech therapy, supportive therapy cyclothymic disorder Chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes. TX: cbt and psychoeducation Delusion Disorder duration: 1 month Psychotic disorder featuring a persistent belief contrary to reality (delusion) but no other symptoms of schizophrenia. -functionally is not markedly impaired TX: cognitive therapy, psychotherapy Disruptive Mood Dysregulation Disorder duration: 12 months prior to age 10 a childhood disorder marked by severe recurrent temper outbursts along with a persistent irritable or angry mood factitious disorder a condition in which an individual acts as if he or she has a physical or mental illness when he or she is not really sick. external incentives are absent TX:CBT,psychodynamic, reality hypomanic episode A period during which a person experiences manic symptoms but without significant interference in daily functioning and does not need hospitalization - at least 4 days Intellectual Disability (ID) A disorder marked by intellectual functioning and adaptive behavior that are well below average. Previously called mental retardation. Affects socail, conceptual, practical Intermittent Explosive Disorder A person with intermittent explosive disorder has frequent impulsive, aggressive, angry outbursts. These can be verbal or physical aggression toward property, animals or other people. The aggressive outbursts: are out of proportion to the event or incident that triggered them are impulsive cause much distress for the person cause problems at work or home. twice weekly for 3 months Major Depressive Disorder (MDD) Psychological disorder involving a significant depressive episode and depressed characteristics, such as lethargy and hopelessness, for at least two weeks. Neurocognitive disorder due to frontallobal degenration worse and faster than alzheimers: language or behavioral OCD vs OCPD OCD is defined by the presence of true obsessions and/or compulsions. Conversely, with OCPD, the behaviors are not directed by thoughts you are unable to control or irrational behaviors you repeat over and over again, often with no apparent aim. Persons with OCD are typically distressed by the nature of their behaviors or thoughts, however much they are unable to control them, while people with OCPD fully believe that their actions have an aim and purpose. Persons with OCD will often seek professional help to overcome the irrational nature of their behavior and the persistent state of anxiety they live under. Persons with OCPD will usually not seek help because they don't see that anything they are doing is particularly abnormal or irrational. The symptoms of OCD tend to fluctuate in association with the underlying anxiety. Because OCPD is defined by inflexibility, the behaviors tend to be persistent and unchanging over the long term.