CHYS 2P35 - Diagnosis and Treatment Overview
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Questions and Answers

What stage is Sally likely at if she is completing a daily record of her thoughts and attempting to reframe them?

  • Reframing thoughts (correct)
  • Individual therapy
  • Assessment of values
  • Deep breathing exercises
  • What is one characteristic of individual psychotherapy?

  • It is a one-to-one treatment. (correct)
  • It involves multiple family members.
  • It focuses on community dynamics.
  • It is conducted in groups.
  • Which modality of treatment focuses on improving family dynamics?

  • Cognitive behavioral therapy
  • Individual therapy
  • Reframing therapy
  • Family therapy (correct)
  • In group therapy, which of the following is a key element?

    <p>Facilitating discussion among clients with common experiences (D)</p> Signup and view all the answers

    What is the significance of explicitly writing out academic goals in therapy?

    <p>It provides concrete criteria for evaluation. (B)</p> Signup and view all the answers

    Which of the following is a crucial determinant of therapy success?

    <p>Quality of the relationship between the client and clinician (B)</p> Signup and view all the answers

    What is the primary focus of individual psychotherapy compared to family therapy?

    <p>To work on depressive symptoms in a one-on-one format (C)</p> Signup and view all the answers

    In the context of psychotherapy, what is meant by 'remission'?

    <p>Symptoms no longer interfere with behavior and fall below DSM diagnostic criteria (C)</p> Signup and view all the answers

    Which statement best describes the client's role in psychotherapy?

    <p>The client plays an active role in the therapy process (A)</p> Signup and view all the answers

    What is essential for a clinician to cultivate in treatment?

    <p>A collaborative process that respects clients' choices (D)</p> Signup and view all the answers

    What is meant by the term 'comorbid' in a psychological context?

    <p>The coexistence of psychological disorders within the same individual (B)</p> Signup and view all the answers

    In the case formulation process, what are clinicians primarily analyzing?

    <p>Protective and risk factors affecting the client (C)</p> Signup and view all the answers

    What does the cultural formulation assess regarding the client?

    <p>The client's degree of identification with their culture of origin (D)</p> Signup and view all the answers

    What is a primary focus during the immediate goals of treatment planning?

    <p>Crisis management and client safety (A)</p> Signup and view all the answers

    Which of the following is considered a short-term goal in therapy?

    <p>Teaching coping strategies (D)</p> Signup and view all the answers

    What should be included in a treatment plan to prevent relapse?

    <p>Strategies for managing fears and anxiety ahead of time (C)</p> Signup and view all the answers

    Which of the following is not a potential treatment site for clients?

    <p>Personal therapy sessions conducted at home (B)</p> Signup and view all the answers

    In Sally’s case, what outcome is associated with successfully equipping her with coping strategies?

    <p>Improved management of depressive symptoms (A)</p> Signup and view all the answers

    Which category of disorders primarily involves abnormal development and maturation during early life?

    <p>Neurodevelopmental disorders (D)</p> Signup and view all the answers

    What is the principal diagnosis in a psychological evaluation?

    <p>The disorder considered primary for seeking help (B)</p> Signup and view all the answers

    Which disorder is an example of a neurodevelopmental disorder?

    <p>Attention-deficit hyperactivity disorder (C)</p> Signup and view all the answers

    What is one characteristic feature of anxiety disorders?

    <p>Intense anxiety, worry, or fear (C)</p> Signup and view all the answers

    In which category do bipolar disorders fall?

    <p>Bipolar and related disorders (C)</p> Signup and view all the answers

    What is the process of ruling out alternative diagnoses called?

    <p>Differential diagnosis (A)</p> Signup and view all the answers

    Which of the following is NOT associated with the category of depressive disorders?

    <p>Compulsions (C)</p> Signup and view all the answers

    Which disorder involves symptoms related to trauma experiences?

    <p>Adjustment disorder (A)</p> Signup and view all the answers

    What distinguishes dissociative disorders from other categories?

    <p>Disrupted integration of consciousness (B)</p> Signup and view all the answers

    Anorexia nervosa and bulimia nervosa are examples of which type of disorder?

    <p>Feeding and eating disorders (A)</p> Signup and view all the answers

    Which of the following describes schizophrenia spectrum and other psychotic disorders?

    <p>Characterized by a distortion in reality perception (C)</p> Signup and view all the answers

    What type of disorder includes significant disturbances in eating behaviors?

    <p>Feeding and eating disorders (D)</p> Signup and view all the answers

    Which of these disorders is an example of a somatic symptom disorder?

    <p>Illness anxiety disorder (D)</p> Signup and view all the answers

    Which aspect is associated with obsessive-compulsive and related disorders?

    <p>Compulsions and obsessions (A)</p> Signup and view all the answers

    What is the primary role of a clinical psychologist?

    <p>Provide direct mental health services and diagnoses. (A)</p> Signup and view all the answers

    Why is it important to use language that the client is most comfortable with when discussing their condition?

    <p>It promotes a more positive and collaborative therapeutic relationship. (A)</p> Signup and view all the answers

    What is the main purpose of a diagnostic manual in psychology?

    <p>To provide a standardized approach to diagnosing mental health disorders. (A)</p> Signup and view all the answers

    What does reliability refer to in the context of psychological diagnoses?

    <p>The consistency of diagnoses made by different clinicians for the same client. (C)</p> Signup and view all the answers

    What is the primary focus of indirect assessment in the diagnostic process?

    <p>Conducting in-depth interviews with the client to gather their perspective. (C)</p> Signup and view all the answers

    Why is it important to determine if a label is needed for a client's psychological condition?

    <p>Labels can be empowering for some individuals who identify with their condition. (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a client-centered approach to therapy?

    <p>Emphasis on the clinician's expertise and knowledge. (C)</p> Signup and view all the answers

    What does validity refer to in the context of psychological diagnoses?

    <p>The accuracy of a diagnosis in capturing the true nature of a client's condition. (D)</p> Signup and view all the answers

    Study Notes

    CHYS 2P35 - Diagnosis and Treatment (Lecture 2 Notes)

    • Patient: A person who receives treatment.
    • Client: A person seeking psychological services; this language suggests collaboration rather than a passive recipient. Child voice is also important.
    • Clinician: The person providing treatment.
    • Psychologist: A mental health professional offering psychological services. They have advanced training in diagnosing and treating psychological disorders.
    • Psychiatrist: A medical doctor (MD) who specializes in diagnosing and treating people with psychological disorders.
    • Clinical Psychologist: A mental health professional trained in behavioural science, who provides direct services to clients. Their scope of practice includes diagnosis.
    • Other professions: Child and Youth Care Practitioners, Registered Psychotherapists, Social Workers, etc. also provide services.

    Importance of Language

    • Avoid using labels that focus on the disorder (e.g., "the mentally ill," "psycho").
    • Use person-first language (e.g., "a person with autism" instead of "autistic person").
    • Use language the client finds most comfortable.

    The Diagnostic Process

    • Definition: A systematic approach to classifying disorders in clients.
    • Diagnostic Manual (DSM-5): Provides consistent diagnoses based on symptom presence or absence. Critical for a consistent and accurate diagnosis.
    • Reliability: The consistency of diagnoses across different clinicians and individuals with similar symptoms.
    • Validity: The accuracy of a test, diagnosis, or rating in characterizing a person's psychological status. It is essential to use the right tool for the job.

    DSM-5 (Diagnostic and Statistical Manual of Mental Disorders)

    • A book from the American Psychiatric Association that defines psychological disorders with standard terms and definitions.
    • Divided into chapters with related disorders—a useful tool.

    Diagnostic Steps

    • Principle Diagnosis: The primary reason a person seeks professional help.
    • Differential Diagnosis: Ruling out alternative conditions.
    • Comorbidity: Multiple diagnoses occurring within a single person

    Case Formulation

    • Clinicians analyze factors influencing a client's current psychological status—important for understanding the factors influencing the client.
    • Includes protective and risk factors.
    • Integrates a psychosocial model.

    Cultural Formulation

    • Clinician's assessment of the client's cultural identification.
    • How culture affects how the client perceives and experiences distress (beliefs, interpretations, coping).

    Planning the Treatment

    • Immediate Goals: Crisis management, ensuring safety, building rapport.
    • Short-term Goals: Reducing symptoms, addressing interfering behaviours.
    • Long-term Goals: Deeper changes in the client's overall psychological health. Identifying risk factors, appropriate interventions, and safety are important.

    Modality of Treatment

    • Individual Psychotherapy: One-on-one treatment. Important factor for the client's recovery.
    • Other modalities: Family therapy, group therapy, etc.

    Outcome of Treatment

    • Remission: Individual symptom reduction so that it does not interfere with behaviour to a level that requires a diagnosis.
    • Important to monitor and track progress
    • Prevention strategies are important.

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    Description

    Explore the key concepts from Lecture 2 of CHYS 2P35, focusing on the terminology and roles associated with diagnosis and treatment in psychological services. This includes understanding the differences between patients, clients, and various mental health professionals. Gain insights into the importance of language in professional practice.

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