Social Work Stack
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| Borderline Personality Disorder | Must have 5+: unstable relationships & self-image, frantic effort to avoid abandonment, impulsive behavior, SA, spending,recurrent SI & feeling of emptiness, inappropriate/intense anger, self mutilation, stress-related paranoia. see as all good or all bad
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| ADHD | Requires symptoms to occur in at lest two different settings or situations. Symptoms can increse under stressful situations or can decrease when controlled. failure to remain attentive.
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| Adjustment Disorder | Maladaptive reaction to an indefinable source of stress such as a death in family or divorce, onset of symptoms w. in 3 months of source of stress - duration maybe up to 6 months.
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| Substance Induced Mood/Aniexty disorder | panic attack, depression from use or with drawl of substance
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| Conduct Disorder vs. Antisocial Disorder | Conduct under 18 yo around 12-13 yo Antisocial in adult. Law and rule breaking, lacking emotions, not concern for consequences.
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| Examples of Reaction Disorders | PTSD, Acute stress discored, adujustment disorder, Berevement.
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| Examples of Chronic Disorders | All personality disorders- schizophreania, dysthymic, Gernralized anxiety, somatization
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| Classic Symptoms of Depression | changes in appetite, wt, sleep, fatigue, energy decrease, decrease in sexual desire and function
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| Factitious Disorder vs Malingering | Malingerer fakes or produces symptoms in order to obtain an external reward or achieve a goal. Factitious disorder the pt produces symptoms due to a psychological need to adopt the 'sick role'.
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| Schizotypal Personality Disorder | Magical thinking associated w/ this disorder
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| Hyperthyrodism vs Hypothyrodism | Hyper - can mimic symptoms of mania,Hypo- can mimic depression
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| Delirium vs Dementia | Delirium- change in level of consciousness, rapid onset, cause-med condition or SA- seen in med emergency. Dementia- disturbance in memory impairment & cognitive impairment associate w/ Alzheimer’s- over time worsens, medical condition result of strokes
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| Cluster A - "Odd and Eccentric" Personality Disorders | Paranoid, Schizotypal and Schizoid
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| Cluster B - Dramatic emotional, erratic personality disorders | Borderline, Antisocial, histrionic, narcissistic
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| Cluster C - Anxious and fearful personality disorders | Avoidant, dependent, obssessive-compulsive
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| Dissociation | Disturbance or change in the usual integrative functions of memory, identity, perceptions or consciousness. Seen in patients w/ trauma
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| Comorbid | Existing with or at the same time: EX having two illnesses at the same time
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| Contraindicated | Not recommended not safe
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| Endogenous Depression | Depression caused by a BIOchemical imbalance rather than psychosocial stressor or external factor
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| Exogenous Depression | Caused by an EXtrenal event or psychosoical stress
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| Folie a Deux | Shared Delusion. a person may develop a delusional system as a result of a close relationship with a person who already has an established delusional system
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| Hypomanic | elevated expanisve irraitbale mood, not full-blown manic.
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| Postmorbid | Subsequent to onset of illness
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| Premorbid | Prior to the onset of an illness
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| Promomal | a period of time before the onset of a serious illness during which there maybe subtle symptoms.
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| Schizophrenia | 2+ symptoms during a 6-mth period. delusions, hallucinations, disorganized speech or behavior, poverty of speech, inappropriate behavior, pacing, rocking, depersonalization, loss of interest-anhedonia, sleep/appetite disturbance
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| Major Depression | 5+ symptoms for a 2 wk period & change in functioning. Must have depressed mood. wt loss/gain, insomnia/hypersomnia, psychomotor agitation, feelings of worthlessness, lacks concentration, recurrent thoughts of death w/ or w/out plan.
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| NOS | Category Not otherwise specified. doesn’t meet all criteria but has symptoms in patterns Ex. psychotic Disorder - NOS or Dementia - NOS
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| PIE System | Person in Environment - a more comprehensive view of client. focus on axis 4 - psychosocial
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| Mental status exam | in assessment - includes appearance, memory, orientation, alertness, thought process, similar to medical exam
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| Dissociative Identity Disorder | formerly mult. personality disorder - has been renamed
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| Axis I | Mental disorders, clinical syndromes and V codes. Maybe more than one diagnosis, includes developmental delays.
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| Axis II | Only personality disorders & Mental retardation. personality traits or habitual use of a particular defense mech
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| Axis I and II | Specify serity of disorder- mild, moderate, server- in remission. Note specificers and subtypes-
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| Axis III | General Medical Conditions
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| Axis IV (4) | Psychosocial and Environmental problems - housing, job, relationships, finances...
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| Axis V | GAF rate - 1 lowest 100 highest. can be a scale if reflecting a time period.
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| What are Wernickes Encephalopathy and Korsakoffs syndrome? | Vit B deficiency associated w chronic abuse of alcohol. can lead to memory loss- treatment is to administer thiamine
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| What is a mascot the role of a child in a family with alcohol use/abuse/dependency | child remains funny and caring to alleviate pain of suffering members
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| Substance Abuse vs. Dependency Abuse | impairment of life- problems in relationships, job, legal. Dependency- must have tolerance or withdrawal symptoms - major impairment on life
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| What is antabuse | Medication produces highly unpleasant side effects flushing, nausea, vomiting, hypotension and anxiety if patient drinks. Form of aversion therapy.
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| What is Methadone | Synthetic narcotic taken instead of opiates can be legally prescribed. Patient uses it to detox from opiates or on a daily basis as a substitute for heroin
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| What two diagnosis always need meds? | Schizophrenia and Bi-polar
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| What age group has the highest suicide rate? | Age 65 plus - highest rate white men over 85 years old
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| Which gender has the higher suicide rate? | Men, 4 times more likely to be successful. Females are more likely to attempt.
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| How does sexual orientation effect suicide? | LGBT youth are 2 to 3 times more likely to commit suicide than other youths. 30 percent of attempted or completed suicides are related to sexual identity
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| What should be used to treat OCD | Tricyclic, antidepressants, MAOIs, SSRI's, fluvoxamine, luvox, zoloft
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| What should be used to treat general anxiety disorder | Benzodiazepines- safer than barbiturates - less addictive, ex, Valium, librium, ativan, tranxene,
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| What are the side effects of benzodiazepines | Impaired muscle coordination, psychomotor functions , impairment of short term memory
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| What is the strongest predictive factor of developing an alcohol problem | family history
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| 6 stages of referral process | clarify need or purpose, researching resources, discuss ad select options w/ client, Planning initial contact, initial contact between client and referral sources, follow-up
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| Stages of helping relationship | Beginning/middle/end. Contact, contract, action, termination
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| Problem solving process | engagement. gathering info. assessing and diagnosis. goal setting. intervention. evaluation. termination
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| Interventive Skills | Relationships, helping - problem solving, resource finding and linking, use of professional self, working with diff systems - individual, group, communities
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| Systems Theory | concept of interacting parts contained w/in boundaries.
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| Transactional term | client-worker unit of attention is explain to include life space or field of relevant systems. Humans viewed as active, purposeful, goal-seeking organisms,
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| Entropy | no energy from outside, using up its own energy and expiring closed system
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| Negative Entropy | counter acting entropy, successful use of available energy
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| Feedback | when output from systems is put back into system
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| 6 stages of referral process | clarify need or purpose, researching resources, discuss ad select options w/ client, Planning initial contact, initial contact between client and referral sources, follow-up
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| Stages of helping relationship | Beginning/middle/end. Contact, contract, action, termination
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| Problem solving process | engagement. gathering info. assessing and diagnosis. goal setting. intervention. evaluation. termination
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| Interventive Skills | Relationships, helping - problem solving, resource finding and linking, use of professional self, working with diff systems - individual, group, communities
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| Systems Theory | concept of interacting parts contained w/in boundaries.
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| Transactional term | client-worker unit of attention is explain to include life space or field of relevant systems. Humans viewed as active, purposeful, goal-seeking organisms,
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| Entropy | no energy from outside, using up its own energy and expiring closed system
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| Negative Entropy | counter acting entropy, successful use of available energy
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| Feedback | when output from systems is put back into system
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| Gestalt Therapy | use of dramatization, process oriented, focus on awareness, self regulation. Focus on present. responsibility for thoughts/feelings/actions. Not for pt w/ impulses or no self control. Uses group process/empty chair/role playing/directed awareness.
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| Transactional Analysis | life script- I’m ok- youre okay (4 versions) Game analysis, life positions, script treatment
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| Postmodern Model | Movement based on the premise that truth is not absolute. In reaction to modernism committed to using scientific inquiry in search of universal laws and truths that would explain natural phenomena
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| Narrative Therapy | Postmodern - no objective reality. People construct knowledge about themselves & social reaction. we create our own stories. goal to help clts deconstruct lives & stories. & change stories so they can discover new realities & truths for themselves.
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| Client centered therapy | Nondirective human beings are basically good. people have a force in life motivation. is a humanistic / existential model
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| Gestalt Therapy | use of dramatization, process oriented, focus on awareness, self regulation. Focus on present. responsibility for thoughts/feelings/actions. Not for pt w/ impulses or no self control. Uses group process/empty chair/role playing/directed awareness.
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| Transactional Analysis | life script- I’m ok- youre okay (4 versions) Game analysis, life positions, script treatment
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| Postmodern Model | Movement based on the premise that truth is not absolute. In reaction to modernism committed to using scientific inquiry in search of universal laws and truths that would explain natural phenomena
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| Narrative Therapy | Postmodern - no objective reality. People construct knowledge about themselves & social reaction. we create our own stories. goal to help clts deconstruct lives & stories. & change stories so they can discover new realities & truths for themselves.
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