NCMHCE 2024 WITH COMPLETE VERIFIED SOLUTIONS

To diagnose Adjustment Disorder, the client's symptoms must begin within _______ months of an identifiable stressor. Once the stressor or the consequences of the stressor are gone, symptoms cannot persist beyond _______ months. three, six Solution Focused Brief Therapy Focuses on solutions and not problems. Uses the miracle question, client is responsible for change, scaling, identifying exceptions, problem free talking, flagging the minefield. Used with other approaches and use for depression and anxiety, also acute symptoms as an adjustment disorder. Examples of SFBT coping questions What is the least that you would like to achieve? What would be different in your life when you have reached your goal? How would that change make a difference for you? How will you know that your goal has been reached? This question is intended to help clients recognize their own resiliency and identify some of the ways in which they already cope with their problems effectively. Substance abuse is a common comorbidity with what disorder? Adjustment Stress Inoculation Training involves teaching coping skills to manage stress and anxiety. This may include training in deep muscle relaxation, cognitive restructuring, breathing exercises, assertiveness skills, thought stopping, role playing, and guided self-dialogue. Reaction formation (defense mechanism) when people express the opposite of their true feelings, sometimes to an exaggerated extent. Stonewalling when someone completely shuts down in a conversation or is refusing to communicate with another person. Regression (defense mechanism) A person goes back to an earlier or less mature state or behavior Strongest linear correlation occurs when the slope is between 0.85 and 1 When asked to evaluate a client's level of mental functioning, you are assessing how the client functions in specific domains. You can use the acronym "ROSE" which stands for what relational, occupational, social, and educational. When using motivational interviewing, the therapist determines which stage of change the client is currently in. What are the 5 stages of change? Pre-contemplation: no intention of changing behavior Contemplation: aware problem exists but no commitment to action Preparation: intent on taking action to address the problem Action: active modification of behavior Maintenance: sustained change Partial remission for adhd : full criteria for the disorder has not been met for _______ months but functional impairment still exists six What is paresthesia? abnormal skin sensation characterized by tingling, burning, pricking, itching, or numbness. What is logotherapy? It is a part of existential therapy. Encourages the client to find meaning in an uncaring and meaningless world. Developed by Viktor Frankl while in the concentration camps. What is socratic dialogue? a CBT Technique that explores how the client came to have their dysfunctional thoughts and allows for the re-evaluation of the evidence regarding their thoughts. What is the sublimation defense mechanism? Redirecting negative impulses into positive behavior. example: someone with anger issues may channel their aggressive urges into sports What are the three main types of trauma? Acute trauma results from a single incident. Chronic trauma is repeated and prolonged such as domestic violence or abuse. Complex trauma is exposure to varied and multiple traumatic events, often of an invasive, interpersonal nature. What is the main idea of ACT (Acceptance & Commitment Therapy) client learns to accept life's challenges/pain, identify personal values, and commit to behavior aligned by these values What are 3 main concepts in alderian therapy? birth order, inferiority complex, and superiority complex What common techniques are used in alderian therapy? exploration of family constellation, encouragement, task setting, push-button technique ( What is the push button technique? (Alderian) Designed to show patients how they can create whatever feelings they what by thinking about them. It asks clients to remember a pleasant incident that they have experienced, become aware of feelings connected to it, and then switch to an unpleasant image and those feelings. Thus clients learn that they have the power to change their own feelings. What is the main idea of attachment based therapy? To help clients rebuild trust & security in their relationships. What is the main objective of behavioral therapy? To increase desirable behaviors or reduce objectionable behaviors. What is positive and negative reinforcement? (behavioral therapy) Positive: adding a stimulus that encourages behavior to continue. Negative: removing a stimulus that encourages behavior to continue. What is positive and negative punishment? (behavioral therapy) Positive: adding a stimulus that decreases a behavior. Negative: removing a stimulus that decreases a behavior. What are some common techniques in behavioral therapy? Role playing & rehearsal Systematic desensitization Assertiveness and social skills training Behavior modification (positive/negative reinforcement) What is the main concept of cognitive behavioral therapy? Our thoughts drive our feelings and behaviors, not external events or people 4 important concepts of DBT Mindfulness, distress tolerance, emotional regulation, interpersonal efectiveness What is the main concept of gestalt therapy? Looking at the person as a whole, the whole is greater than the parts, trying to get the patients back to natural state of self-regulation. Focusing on here and now. Common gestalt therapy techniques Empty chair: client sits across from an empty chair, representing a partner, relative, boss, or other person—or in some cases, a part of themselves—and, with the therapist's encouragement, improvises a dialog with it. Goal is to address unfinished business. Exaggeration: a therapist may ask the client to repeat and exaggerate a given movement to explore the emotions attached to it in the moment and to help them gain a greater general understanding of the connection between their emotions and their bodies. Dream work: re-enacting dreams Role play