Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
60 Cards in this Set
- Front
- Back
Treatment planning with maltreated/traumatized children |
Protect child from further harm;create conditions that insure that abuse doesn't reoccur;be aware possibility of child's removal may be primary concern of parent and may lead to panic, dissembling, or flight; treatment goals -skills that change parental behavior and child responses. |
|
components of the disruptive, impulse-control and conduct disorders classification |
Oppositional defiant disorder; intermittent explosive disorder; conduct disorder; pyromania; kleptomania |
|
Oppositional defiant disorder |
Pattern of negative, hostile, and defiant behavior and vindictiveness with less serious violations. Behavior is motivated by interpersonal reactivity or resentful power struggle with adults. 6 months with at least 4 criteria met. Two most common co-occurring conditions are ADHD and conduct disorder. |
|
Physical indicators and behavioral indicators of child abuse |
physical - bruises or broken bones on an infant without adequate explanation or that occur in unusual places; lacerations; fractures; burns in odd patterns; head injuries; internal injuries; open sores; untreated wounds or illness Behavioral- overly compliant; passive, undemanding; overly aggressive, demanding, hostile; role reversal; extremely dependent behavior re; parental, emotional, physical needs; developmental delays
|
|
Summarize assessment process in Clinical practice |
Determine presenting problem Determine if there is a match between the problem and available services;ongoing data collection; make clinical diagnosis; sources of data other than family members; home visits; contacts with client's community. |
|
Define clinical diagnosis |
a product of the workers understanding of the clients problems based on data collected. Also categorizes the clients functioning, Also includes relevant medical illnesses or physical conditions and their influence on clients emotional life/functioning. |
|
Define partialization |
helping client to break down problems/goals into smaller, more manageable elements in order to decrease clients sense of overwhelm and increase clients empowerment. Discrete elements of problem/goal can then be prioritized as more manageable or more important. |
|
Define encopresis and enuresis |
Encopresis - involuntary fecal (p=poop) soiling in children who have already been toilet trained. Enuresis -repeated voiding (ur - urine) during the day or night in bedding or clothes. Encopresis and enuresis make up the two major categories of elimination disorders. |
|
Conduct disorder criteria |
Criteria A; persistent pattern of behavior in which significant age appropriate rules or societal norms are ignored, and others rights and property are violated (theft, decietfulness); aggression to people, animals and property destruction common Criteria B: behavior cause acad., social, and other impairments Criteria C: behaviors could not be better classified as antisocial personality disorder |
|
Conduct disorder criteria (con't) |
Childhood onset; at least one symptom prior to age 10 Adolescent - no symptoms prior to age 10 Conduct disorder does not include emotional dysregulation. |
|
Intermittent explosive disorder - |
age is at least 6 yrs. high rate of aggression limited to impulsive aggression and is NOT premeditated verbal aggression - twice weekly for at least 3 months. behavioral outburst 3 property damaging episodes within a 12 month period. have rapid onset; outbursts typically last less than 30 min. |
|
Paranoid Personality Disorder |
pervasive and inappropriate interpretation of others actions as threatening or demeaning. DOES NOT CAUSE PSYCHOTIC SYMPTOMS |
|
Schizoid Personality Disorder |
lack of concern for social relationships and restricted range of emotional experience and expression. Incapacity to form intimate social relationships/experience affection for others or lack of caring about others responses. prefer mechanical or abstract tasks; indifferent |
|
Schizotypal personality disorder |
deficits in interpersonal connectedness; peculiarities in various thought, perception, speech and behavior patterns (magical thinking, ideas of reference, recurrent illusions) excessive social anxiety |
|
Autism specturm disorder |
delays or abnormal functioning in social interaction/language for social communication AND restricted repetitive behavior interest and activities. |
|
Delirium |
disturbance in consciousness or attention; develops over a short period of time and fluctuates throughout day; changes in cognition; it is caused by medical condition or is substance related. |
|
Major Depressive Disorder |
5 or more symptoms during 2 consecutive weeks depressed mood or loss of ability to feel pleasure must be included to make diagnosis |
|
Schizophrenia Spectrum and other psychotic disorders spectrum d/o |
delusional disorder brief psychotic disorder schizophreniform disorder schizophrenia schizoaffective disorder substance/medi. induced psychotic disorder psychotic d/o due to GMC catatonia |
|
Delusions |
fixed beliefs-bizarre beliefs-inplausible types (persecutory, referential, somatic, religious, grandiose |
|
Hallucinations |
perception like experiences that occur without an external stimulus. auditory hallucinations are most common |
|
Negative symptoms |
account for a substantial portion of morbidity associated with schizophrenia but less prom. in other psychotic disorders. |
|
2 prominent neg. symptoms in schizophrenia |
diminished emotional expression in face, eye contact, intonation of speech and movements of hand and head Avolition - decrease in motivated self initiated purposeful activities. |
|
Alogia (neg. symp) |
diminished speech output |
|
Anhedonia (neg. symp) |
decrease ability to experience pleasure |
|
Asociality (neg symp) |
decrease social interactions |
|
Delusional Disorder |
at least one month of delusions but no other symptoms |
|
Brief psychotic disorder |
lasts more than one day remits by 1 month. |
|
Schizophreniform disorder |
duration less than 6 months and absence of requirement of decline in functioning |
|
Schizophrenia |
at least 6 months and includes at least 1 month of active phase symptoms. |
|
Schizoaffective disorder |
mood disorder and active phase of schizophrenia |
|
Treatment of schizophrenic and other psychotic disorders |
Antipsychotic meds Individual therapy - supportive, focuses on realistic goals to maintain highest level of functioning. Goal is to aid coping and self-acceptance. |
|
Treatment of schizophrenic and other psychotic disorders con't
|
Family therapy - Education and support for family members Group therapy - to help develop social skills, to begin or sustain relationships. Should be practical and supportive. Milieu Therapy - Hospital/institutional treatment entailing therapeutic combination of staff, program, social structure, respite, and expectations of reasonable behavior. |
|
Treatment of schizophrenic and other psychotic disorders Con't
|
Social network Intervention/Case management - help with housing, income, social support, educational/vocational opportunities, and medical care Self help Groups - support and education for client and family members. |
|
bipolar 1 disorder |
Must have a manic episode. manic episode is usually followed by an episode of major depression or hypomania. reoccurring mood episodes consisting of one or more major depressive episodes (must last at least 2 weeks) and at least one hypomanic episode must last at least 4 days. |
|
manic episode |
must last at least one week if hospitalized maybe be for any duration. |
|
Cyclothymic Disorder |
2 yrs in adults 1 yrs in children chronic, fluctuating mood disturbances |
|
Selective mutism |
characterized by a consistent failure to speak in social situations in which there is an expectation to speak. |
|
Phobia |
fearful or anxious about or avoidant of circumscribed objects or situations. |
|
Social Anxiety |
fearful or anxious about social interactions and situations. Cognitive ideation is of being negatively evaluated by others. |
|
Panic disorders |
experience recurrent unexpected panic attacks and is persistently concerned or worried about having more panic attacks |
|
Agoraphobia |
fearful and anxious about two or more situations: public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, being outside of the home alone. |
|
Separation anxiety disorder |
excessive fear or anxiety concerning separation form home or attachment figures. anxiety exceeds developmental level. 4 weeks in children/adolescents 6+ months in adults. |
|
Generalized Anxiety Disorder |
excessive anxiety and worry about a number of events or activities that interfere significantly with psychosocial functioning; more pervasive, pronounced, and distressing; have longer duration; and frequently occur without precipitating factors. |
|
Obsessive-compulsive disorders (OCD) |
OCD; body dysmorphic disorder; hoarding disorder, trichotillomania, excoriation; substance/medication induced obsessions/compulsions. |
|
Truama and Stressor related disorders |
reactive attachment disorder, disinhibited social engagement diosrder, PTSD, acute stress disorder and adjustment disorders. |
|
Reactive Attachment Disorder. |
child rarely or minimally turns preferentially to an attachment figure for comfort, support, protection, or nurturance. children show diminished or absent expression of positive emotion during routine interactions with caregivers. Negative emotions of fear, sadness or irritability that are not explained. Develops before age 5 yrs and not before 9 months. |
|
Disinhibited Social Engagement D/O |
a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers; violate social boundaries.Developmental age of at least 9 months for this d/o |
|
PTSD |
must be older than 6 yrs. exposure to actual or threatened death,serious injury, or sexual violence; persistent intrusion symptoms; avoidance of stimuli associated with event; neg altercations in cognitions and mood; marked reactivity |
|
Acute stress disorder |
same symptoms as PTSD except last from 3 days to 1 month |
|
Adjustment disorders |
presence of emotional or behavioral symptoms in response to an identifiable stressor. Adjustment disorders are associated with an increased risk of suicide attempts and completions. begins within 3 months and lasts no longer than 6 months after stressor has ceased. |
|
Dissociative Disorders |
characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. |
|
Depersonalization/derealization disorder |
characterized by clinically significant persistent experiences of unreality or detachment form one's mind, self, or body |
|
Dissociative amnesia |
characterized by an inability to recall autobiographical information that is inconsistent with normal forgetting. Individuals can be unaware of loss of time. |
|
Dissociative identity disorder |
characterized by the presence of two or more distinct personality states or an experience of possession and recurrent episodes of amnesia. |
|
Somatic Symptom and Related disorders |
somatic symptom disorder illness anxiety disorder conversion disorder Factitious disorder |
|
Somatic symptom disorder |
multiple, current, somatic symptoms that are distressing or result in significant disruption of daily life, most commonly pain is present. formally hypochondria |
|
Illness anxiety disorder |
preoccupation wit h having or acquiring a serious un-diagnosed illness for at least 6 months. high anxiety levels |
|
Factitious Disorder |
formally malingering - falsifies medical or psychological signs and symptoms. by proxy- makes someone else or themselves sick |
|
Feeding and Eating Disorders |
Pica Rumination disorder Avoidant/restrictive food intake disorder Anorexia Nervosa Bulimia Nervosa Binge Eating disorder |
|
Gender Dysphoria |
incongruence between the gender they have been assigned and their expressed gender |