Update) Diagnosis & Management in
Psychiatric-Mental Health across the Lifespan
Practicum | Study Guide with 100% Correct
solutions – Chamberlain.
Question:
Role of the Psychotherapist in CBT?
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Answer:
-using a structured, collaborative approach to help clients recognize and
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reevaluate cognitive distortions i,- i,-
-help clients: i,-
i,- • better understand the behaviors of others
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• develop improved coping skills
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-Psychoeducation
-Homework
• to help clients reinforce & build on what was learned during the therapy
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session
Question:
motivational interviewing (MI)? i,- i,-
,Answer:
-helps individuals prepare for change
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-person-centered, evidence-based approach to behavior changei,- i,- i,- i,- i,-
-using a collaborative, goal-oriented communication style
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-empowers clients to draw on their meanings & capacities to facilitate
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change
• addressing issues with ambivalence and resistance
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-grew out of William R. Miller's clinical practice working with clients with
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substance use disorders in the 1980s
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• collaborated with Stephen Rollnick to write book: Motivational
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interviewing
Question:
Indications for MI? i,- i,-
Answer:
-reduction of substance use and health promotion
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-improving medication adherence in clients with schizophrenia
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Question:
MI Guiding Principles?
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Answer:
-acceptance
,-empathy
-compassion
-respect of client autonomy
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-acknowledgment of the client's strengths & efforts i,- i,- i,- i,- i,- i,-
-Spirit of MIi,- i,-
• Partnership, compassion, acceptance, evocation
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Question:
MI Role of the Psychotherapist?
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Answer:
represented by the mnemonic RULE: i,- i,- i,- i,-
Resist the righting reflex
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Understand the patient's motivation i,- i,- i,-
Listen to the patient
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Empower the patient i,- i,-
Question:
OARS?
Answer:
Communication skills for MI: i,- i,- i,-
, -Open questions
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• cannot be answered with a yes or no, require elaboration
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-Affirming
• provide encouragement, are (+) comments on a client's strengths or
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efforts
-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the client
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• convey empathy, demonstrate listening, highlight emotions & beliefs, •
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provide opportunities for the client to elaborate on their concerns
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• empower clients to take control of the conversation
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• recommended to use at least two reflections for every question
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-Summarizing
• links together what has been stated to help the client organize their
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experiences
Question:
MI Phases of the Change Process?
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Answer:
-engagement