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1. Explain the difference The Holistic approach is truly the pillar of all recovery care models. This
between the Biomed- approach ensures that the patient is treated through healing. In contrast,
ical model and the in a holistic model, symptoms are seen as a form of communication
Holistic Model and are useful for understanding the meaning of the dysregulation and
disharmony that are occurring for this person at a given time.
Holistic therapy respects the complexity of each unique individual, appre-
ciating the relationship between the client's mind, body, and spirit and
recognizing the interdependence of all parts of the human system.
Biomedical's goal is to cure with symptom relief treatment. Medications
but it does not give way to view the patient as an individual with different
causations of their symptoms. They just decide to treat the symptoms.
Symptoms are often thought to be the cause of the patient's problem
2. What are the main Some of the goals of psychotherapy include the reduction of symptoms,
goals of psychothera- improvement of functioning, relapse prevention, increased empower-
py? ment, and achievement of the specific collaborative goals set with the
patient.
3. _________ refers to the Resilience
ability of an individ-
ual, family, or com-
munity to cope with
adversity and trauma,
and adapt to chal-
lenges through indi-
vidual physical, emo-
tional, and spiritual at-
tributes and access to
cultural and social re-
sources (adapted from
SAMHSA, 2014).
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4. Explain the resilient The optimal physiological state for the work of therapy and reflects the
zone. Name some person's natural rhythm and flow of energy and vitality. Although the
strategies that may person may feel sad, happy, angry, and other emotions when in their RZ,
aid your patient cope the person is able to both feel and think at the same time. The RZ zone
when feeling resistant is the patient's best physiological state for thinking clear and functioning
especially during psy- well.
chotherapy.
If the person becomes too anxious and hyperaroused, resistances or
defenses may increase, and the work of therapy will be thwarted, perhaps
not consciously, but nevertheless, the person's brain will not be able to
integrate memories or gain insight.
Some ways to combat is by decreasing arousal levels such as deep breath-
ing exercises or imagery, focusing on sensations in the body, mindfulness
exercises, and self-regulation strategies, presence of supportive relation-
ships and attachments as well as the avoidance of frequent and prolonged
stress.
5. Lets talk about Maslow states that before higher level needs can be established,, lower
Maslow Hiearchy of level needs have to achieved. For Example:
needs:
Physiological needs- air, food, water, shelter, clothing, sleep
Safety- security of body, employment, morality of family, health, property
Love/Belonging- friendship, family, intimacy, connection with others
Esteem- self esteem, respect, achievement, confidence
Self-actualization- morality, creativity, spontaneity, lack of prejudice, ac-
ceptance of facts
6. According to Maslow,
what does self-actual-
ization look like?
7.
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What are stabilization Stabilization strategies assist the person to be better able to make state
strategies? changes, that is, to change one's present physiology in order to function
more effectively in the moment. So pretty much stabilization is the way a
PMHNP can assess a patients life currently before they are able to par-
ticipate effectively in their psychotherapy. If a patient lacks stabilization via
housing, it is up the PMHNP to secure such. If the patient lacks stabilization
in relationships, they need to be provided with strategies to combat and
then they are able to process accordingly. Stabilization widens their RZ
zone.
Through therapeutic relationship
•Bibliotherapy/role play
•Case management
•Cognitive behavioral therapy
•Community resiliency model skills
•Dialectical behavioral therapy
•Education about RZ
•Managing physiological arousal
•imagery
•Container
•Calm place
•Mindfulness/meditation
•Medication
•Stress management/education
•Provide safety
•Yoga/exercise
8. Lets discuss the The H.B.M l is used to explain and predict health behaviors. According
Health Belief Model to the Health Belief Model, a person's belief about a perceived threat
of illness combined with belief in the effectiveness of the recommended
action predict the person's willingness to change. The model includes sev-
eral constructs: perceived seriousness, perceived susceptibility, perceived
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benefits of treatment, perceived barriers to treatment, cues to action, and
self-efficacy, as seen below.
9. The construct that Perceived susceptibility.
clients must believe Sonia REALIZES that she has anxiety stemming from COVID.
they are susceptible
to a disease or disor-
der is ______. Lets use
Sonia for an example
who has been strug-
gling with her anxiety
as a 24- year old grad
student.
10. ___________ is the con- Perceived severity
struct that clients Sonia has noted that her anxiety is significantly impacting her schoolwork.
must believe the dis-
ease has serious con-
sequences if left unat-
tended.
11. What is the construct Perceived benefits
that clients believe Sonia believes that seeking care will help her to stay in school.
that taking action re-
duces their suscepti-
bility.
12. _____ is the construct Perceived barriers
that the benefits of
acting are greater
than the barriers per-
ceived.
Sonia doesn't have a