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Flashcards in Final Deck (18)
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1
Q

Your female 30 y.o. client reports that her ex-husband used to physically assault her and their children before their divorce (3 years ago).

A

Yes because it involves physical assault to children

2
Q

Your male 40 y.o. adult client reports that he was sexually assaulted by another male adult last week.

A

Yes because it was recent

3
Q

Your female 18 y.o. client reports experiencing suicidal ideation but does not have a plan or intent.

A

Don’t report

4
Q

Your male 50 y.o. client reports experiencing suicidal ideation and intent, but no specific plan

A

Report

5
Q

List some considerations therapists need to consider when working with female clients.

A
  • they have been subjected to similar marginalization, discrimination, and prejudice as minority groups.
  • Most positions of power and influence have been controlled by men.
6
Q

List some considerations therapists need to consider when working with male clients.

A
  • coming cuz they’re in crisis state, someone pushed them to come -
  • be sensitive to the particular issues men face in their social experiences
  • they avoid any feminine feelings
  • counseling requires the self-disclosure of vulnerable feelings, the admission of needing help from others, and openness to forming an intimate relationship with a counselor.
7
Q

List some considerations therapists need to consider when working with ethnic minority clients..

A
  • more severe disturbances and pathological conditions than white persons
  • Minority clients tend to use mental health services only in cases of emergency or severe psychopathology
-Minority clients more often drop out of treatment prematurely, usually within the first few sessions.
  • evidence does indicate that African American clients are treated differently than whites, more often receiving stronger medication, seclusion, restraints, and other punitive “therapies”—and less often receiving recreational or occupational therapy
8
Q

List the 5 stages of change in addiction recovery.

A
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
9
Q

Pre contemplation

A

Individuals in this stage do not recognize themselves as having a problem and only come for counseling because they are pressured by a spouse or employer or mandated by a judge.

10
Q

Contemplation

A

In this stage, substance abusers recognize they have a problem and are beginning to weigh the pros and cons of their addictive behaviors. They are not ready to change but are giving the idea serious consideration.

11
Q

Preparation

A

Individuals in this stage intend to take action and change their behaviors but still haven’t committed to taking the major steps necessary.

12
Q

Action

A

The “action” stage reflects overt behavioral changes, with successful alteration of their addictive behaviors. They feel like they are actually doing something about their problem.

13
Q

Maintenance

A

In this stage, substance abusers have been abstinent for more than six months and are trying to avoid relapsing, which for some will be a lifelong process.

14
Q

What does SSRI stand for? What 2 disorders are SSRIs most commonly used to treat?

A

selective serotonin reuptake inhibitors. Depression and anxiety

15
Q

Describe the difference between a chemical addiction and a process addiction.

A

Chemical addiction is when someone is addicted to something such as drugs, tobacco, alcohol
Process addiction is the addiction to the behavior of doing something, internet/media, marijuana, etc

16
Q

Describe the role of the genogram in family therapy, and draw a sample of a family with a mother, father, and 3 children (2 boys, 1 girl – the girl is the youngest).

A

The genogram is another useful tool for gathering information about family relationships and structures. It consists of a comprehensive map of all the members of a family over several generations, including their coalitions, conflicts, and connections.
It thus provides a blueprint for the counselor in understanding the cross-generational themes that repeat themselves over time, as well as the current interpersonal conflicts that are evident in the structural map

17
Q

List Gottman’s, “4 Horsemen of the Apocalypse.”

A

criticism, defensiveness, contempt, and stonewalling

18
Q

List the 4 exceptions to confidentiality in therapy

A

1) when the client is a danger to himself or
herself or others
2) when the counselor is so ordered by the
court
3) when it is in the best interests of a child,
elder, or dependent (i.e., unable to care for
herself or himself) who is a victim of abuse
4) when case consultation or supervision is
needed.