Summary PCN 100 Exam Study Guide

PCN 100 Exam Study Guide Dependence - An addiction. This can be physical, psychological, or chemical. Withdrawal - group of symptoms that occur upon the abrupt discontinuation or decrease in intake of substances Neurotransmitters - a chemical substance that is released at the end of a nerve fiber by the arrival of a nerve impulse Brain systems with substance abuse - Person will do substance or behavior that produces pleasure and takes away pain. Several neurotransmitters (e.g., glutamate) and hormones (e.g., insulin) are core factors in this desire to produce pleasure and reduce painful affects Warning signs of relapse/relapse prevention - Negative emotions that stimulate drug seeking behavior. Example: entering back into areas where they used to use, hanging out with people they used to hag out with, letting emotions overtake them, feelings of stress or loneliness. Confidentiality - The regulations around when a professional can and cannot share information that has been told to them by a client. HIPPAA - Health Insurance Portability and Accountability Act of 1996) is United States legislation that provides data privacy and security provisions for protecting medical information. FERPA - The Family Educational Rights and Privacy Act (FERPA) is a Federal law that protects the privacy of student education records. CFR-42 - Regulations pertaining to confidentiality DSM & substance use disorders - Diagnostic Statistical Manual and how this manual determines the severity of substance use disorders. Difference of DSM IV & V - Binge eating, sleep apnoea, sexual addiction, hoarding, skin picking, caffeine and cannabis withdrawal. Others, look up. Process addictions - Addictions to activities or processes such as gambling, eating, tanning, video/gaming, spending or sex Clinical supervision and supervisee - Client-directed therapy - 7 steps to ethical decision-making (ACA) - NAADAC morals - NAADAC principles - Veracity, Justice, Beneficence, Fidelity and Non-maleficence NAADAC definitions - National Association for Alcoholism and Drug Abuse Counselors Veracity - Be true and honest Justice - Be fair Beneficence - Do good Fidelity - Be faithful and trustworthy Non-maleficence - Do not harm Motivational Interviewing and stages of change - Client centered, directive approach, heavily on the language of the therapist. Assessing and treating the client in the stage of change where they are Transtheoretical model and diagnostic review - Boundary violations - Ex: Harmful to the client, possible exploitation of the client. I.e.: Having sexual relations with a client Boundary crossings - Ex: deviations from standard therapeutic practice, but not harmful. I.e.: Asking a client out to coffee, and paying for it. Dual relationships - Ex: Relationships that extend pass client-professional relations. I.e.: Going on a date with a client, going out to the bar after sessions, knowing the client previously and still engaging in therapy with them. Biopsychosocial spiritual intake interview - medical, psycho-mental health, social-relationship, family environmental influences, and spiritually is the belief in the relationship greater than themselves. All of these aspects make up the individual, therefore it is important to take all into consideration when making treatment plans. Roles and Competencies of a Counselor - Rapport - Initial trust that is made between the client(s) and the counselor. Empathy - Active listening - OARS - Assessment tools - Tools that allow for the counselor to understand the clients strengths and challenges Interviewing strategies - Language of the therapist -