LESSON 1 - Learning theory

- Positive reinforcement
INTRODUCTION
- Individuals w/ clinical disorders
- therapist
- learning more structured ways of behaving
- Denver test COMMUNITY MENTAL HEALTH

- Primary, secondary, & tertiary prevention

- Interdisciplinary approach
MEDICAL & PSYCHOANALYTICAL
- Primary prevention
- Uncovering of childhood trauma & repressed feelings
- memories and thoughts that do not enter awareness
- uncover unconscious memories CRISIS INTERVENTION

- normative
- marriage
INFANCY & EARLY & LATE CHILDHOOD
- crisis intervention
- infancy
- eric erikson
- autonomy vs shame & doubt GROUP THERAPY

- individually focus on each group turn

- 7 – 10 individuals interacting together w/ a shared
ADOLESCENCE, YOUNG ADULTHOOD, ADULTHOOD & OLD-AGE
purpose
- intimacy vs isolation - participants
- 25 – 65 yrs old & giving back is important
- Young adulthood
FAMILY THERAPY

- the family
HIERARCHY OF NEEDS
- scapegoat
- Basic psychological needs (bottom) - undefined roles
- Self-actualization
- Abraham Maslow
MILLIEU & ADJUNCTIVE THERAPIES

- dance & art therapy

BEHAVIORIST
- environmental therapy
 - client’s inner world WORKING PHASE – COMMUNICATION TOOLS

- using specific, targeted questions

- deflecting statements back to the client
MENTAL ILLNESS & MENTAL HEALTH
- asking why questions
- successfully mask the problems & crises
- different
- respond to them appropriately WORKING PHASE – BLOCKS TO COMMUNICATION

- false reassurance
- belittling
SUBLIMATION, ISOLATION, REACTION FORMATION, ETC.
- agreeing & can block communication
- sport activities
- projection
- reaction formation (contradict inner feeling) TERMINATION PHASE

- evaluation phase
- acceptance
SUPPRESSION, REPRESSION, DENIAL, ETC.
- orientation phase
- denial (ignoring)
- fixation (being stuck)
- denial (no prob. drinking) LESSON 2

OVERVIEW

CHARACTERISTICS - tension in response to a perceived physical or

psychological threat resulting in feelings of helplessness
- truth
and uncertainty
- All encompassing
- nervous system
- social
- anorexia

PREINTERACTION & ORIENTATION LEVELS

- assessment - monitor client closely

- assessment of nurse - moderate
- preinteraction & orientation - difficulty concentrating
PANIC - exaggerated preoccupation with physical health, not
based on real organic disorders
- sudden onset of intense apprehension, fear or terror
- going on and on
- fear that is out of proportion to external events
- redirect the client on other activities
- immobily
STRESS RELATED DISORDERS

- psychosocial factors
PHOBIC
- Hypotension
- agoraphobia - Set limits on rumination
- lifestyle changes
- gradual desensitization
DISSOCIATIVE DISORDERS

- splitting off an idea or emotion from one's consciousness

OBSESSIVE-COMPULSIVE
- rule out organic pathology
- recurring, irresistible impulse to perform an act - Schizophrenia
- anxiety reduction
- anxiety
ANTIANXIETY AGENTS

- oxazepam
POST TRAUMATIC STRESS
- seizures
- redirect away from manifestations - signs of drug dependence
- Significant, recognizable stressor or trauma outside the
usual range of experience
- distraction LESSON 3

SCHIZOPHRENIA

HYSTERIA - illusion (scarf snake)

- hallucination (covered with ants)
- physical manifestations and complaints without organic
- delusion (I am God)
impairment
- neurotic disorder
- decrease the time spent
TYPES

- provide a safe & restrictive environment

HYPOCHONDRIASIS - confront the client
 - paranoid

PARANOID PERSONALITY

- serve food in open containers

- withdrawal
- binging

AUTISM & ADHD

- lack of interest in human contact

- attempt regression therapy
- children

MEDICATIONS

- antipsychotics
- increasing dopamine at the receptor site
- disorganization

EXTRAPYRAMIDAL EFFECTS

- hand tremors
- inability to sit still
- overly sedative

ANTICHOLINERGIC EFFECTS

- frequent urination
- increased likelihood of sunburn
- treat for hypotension