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OCCTH519

Enabling Occupation: Mental Health

QuestionAnswer
What is Cognitive Behavioral Therapy? The use of conceptualization and techniques to facilitate conceptual restructuring of behavior and emotions
In cognitive behavior therapy what is meant by cognitive? Thoughts, beliefs, assumptions
In cognitive behavior theapy what is meant by behavioral? Greeting challenge calmly, taking positive actions
What are the two congnitive processes CBT opperates on, which is the principle target? Short term appraisals and expectations and Longterm persistent beliefs***principle target
What can negative appraisals of the self cause? Feelings of Pesimism, helplessness and a vicious negative cycle
How do client's congnitive processes effect client psychopathology? It effects their deep schematat-who they are, and the meaning of their life, Cognitive distortions-how they frame the world and intentions of others
What are some features of CBT? It is individual, dynamic, brief, present and forward looking, requires homework
What does CBT focus on identifying within the client Schemata, Assumptions, Automatic thoughts, Core beliefs,
What are assumptions? Rules and Values predisposing to negative emotions
What are automatic thoughts and cognitive distorions? Concious spontaneous negative thoughts
What is mind reading? The belief you know what others are thinking
What is fortune telling? Predicting the future
What is catastrophizing? Belief that negative outcomes will be unbearalbe.
What is labeling? Assigning negativity to a person or self globally
What is discounting? Trivializing positives
What is a Negative filter? focus on the negatives of situations
What is overgeneralizing? when something is always, globally, ineviable
What is Dichotomous thinking? All or non, good/bad simplism
What are shoulds? Focus on how things "should" be not how they are
What is personalizing? Taking all the blame for group errors
What is blaming? You blame others for your errors and negative feelings
What are unfair compairisons? Always comparing yourself to "your betters"
Inability to disconfirm? Reject information that's counter to the negative
What are the four target areas of change? The enviroment Thoughts and attitudes Knowledge Skills
How is CBT done by OTs? List OP problems, listen for language about thinking, use individual motivation and stratagies, set homework or plan or concern, reflect and compare to past statements/performance
What personality features are common to all great OTs? Self doubt, humility and a self questioning attitude that constantly looks for improvement, anticipating the needs of others and providing appropriate boundaries.
How is CBT performed by an occupational therapist different than a psychologist? An occupational therapist focuses not on psychotherapy, but on occupation. How it's effected, and satisfaction.
When reporting and documenting how does OT differ from other professions? It should focus specifically on implications on occupation, what the clients specific occupations are and OT goals
What is the occupational process? Build rapport Assess the client Evaluate the outcome Recommend and Collaborate Intervention Follow-up
How is good documentation a safeguard? If there is a reporting oversight, you can say there is no reason to believe this time differed
What are the 6 major occupational therapy modes? Advocacy, Collaborating, Empathizing, Encouraging, Instructing, Problem-solving
What are the five axis of the dsm associated with? Axis 1- Major psychiatric disorders Axis 2- Personality disorders, mental retardation Axis 3- Medical/physical disorders Axis 4- Contribuiting enviromental factors Axis 5- 100 Scale of global function.
What are some common features of borderline personality disorder Impulsivity, Unstable relationships Para suicide attempts Frantic effort to avoid abandonment Paranoia and suspicion with stress Feelings of emptyness Lack of skills Frequent admissions
What are some features of Dialectic Behavioral Therapy? Mindfullness, Interpersonal effectiveness, Distress tolerance, Emotional regulation Weekly individual sessions, 24/7 consultation
What is the DBT therapy process? Contract Rules Diary Target behaviors Work on quality of life Work skills Improve self respect
What are the 4 basic skills DBT works on? Interpersonal effectiveness Emotional regulation Distress Tolerance Mindfulness
What are examples of DBT rules? Call ahead if you can't attend Missing a day you are dropped Must attend therapy No drugs, alcohol or discussion of suicide No talking outside of group, confidentiality Must accept help if they ask
What is the key sign a client is ready for change? If they are already thinking of excuses or buts not to. Desire, Ability, Reasons, Need, Commitment, Taking steps
Created by: swcherry on 2011-09-13



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