*New* NCMHCE Notes Study Guide

*New* NCMHCE Notes Study Guide 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. - Answer️️ -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. ----------------- ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 2 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 - Answer️️ --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, ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 3 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 - Answer️️ -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. ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 4 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. - Answer️️ -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 ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 5 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? - Answer️️ -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) - Answer️️ -1) People may be unaware of their memory problems ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 6 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) - Answer️️ -- 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? - Answer️️ -Anorexia Nervosa 1) Restricting or binge-purging. 2) 3 months 3) Nope 4) Identical twins Borderline Personality Disorder ©SOPHIABENNETT EXAM SOLUTIONS Saturday, September 7, 2024 6:58 PM Page | 7 1) General definition of this disorder 2) How many symptoms in total / needed to diagnosis? 3) List Em: - Answer️️ -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