nys casac test

NYS CASAC TESTNYS CASAC TEST

NCADD TRAINING REVIEWNCADD TRAINING REVIEW

2012-20132012-2013

110 ppt Flashcards110 ppt Flashcards

ANTHONY J. RICCI

Anthony J. Ricci Anthony J. Ricci

REVIEW FLASH-CARDSREVIEW FLASH-CARDSTo get the most out of this study tool, remember

to view it as a ppt slide show.I hope they are helpful, I tried to cover the most basic pertinent info that has

historically been known to being on the CASAC test.

By no means is this all the questions or all the answers.

My honest opinion is: if you where, in class and awake. You should have no problem.

NCADD presents a great 2 day CASAC TEST REVIEW CLASS

Will let you know when its scheduled.

Don’t stress, Don’t overthink, Review the basics.

Best !

AnthonyMay 11, 2013

P.S. Questions get answers, in your last few weeks with us, PLEASE approach Dennis, Jim, or myself with your questions, concerns, etc. We are here for YOU !


group therapygroup therapytype of therapy in which a group of clients type of therapy in which a group of clients

meet together with a therapist. meet together with a therapist. psychotherapy where multiple people meet psychotherapy where multiple people meet regularly to interact and help one another to regularly to interact and help one another to

achieve insight into their feelings and achieve insight into their feelings and behavior; allows the therapist to see how behavior; allows the therapist to see how the client interacts with others, offers a the client interacts with others, offers a

social support, and shows the client that social support, and shows the client that s/he is not the only person with that s/he is not the only person with that

problemproblem


AssessmentAssessment

an ongoing process through which the counselor an ongoing process through which the counselor collaborates with the client and others to gather and collaborates with the client and others to gather and

interpret information necessary for planning treatment interpret information necessary for planning treatment and evaluating client progress.and evaluating client progress.


Central Nervous SystemCentral Nervous System

One of the major divisions of the One of the major divisions of the nervous system, composed of the nervous system, composed of the

brain and spinal cord. brain and spinal cord.


arbitrary inferencearbitrary inference

distortion of thinking in which a distortion of thinking in which a person draws a conclusion that is person draws a conclusion that is

not based on any evidencenot based on any evidence


cognitive therapycognitive therapytherapy in which the focus is on therapy in which the focus is on

helping clients recognize helping clients recognize distortions in their thinking and distortions in their thinking and replace distorted, unrealistic replace distorted, unrealistic

beliefs with more realistic, helpful beliefs with more realistic, helpful thoughtsthoughts


Frontal Cortex Frontal Cortex

Cortical region essential for Cortical region essential for information processing information processing


fritz perlsfritz perls

1893-1970. developed and 1893-1970. developed and popularized gestalt therapypopularized gestalt therapy


LGBTQLGBTQ

An acronym forAn acronym for

LLesbian, esbian, GGay (male), ay (male), BBisexual, isexual, TTransgender and persons ransgender and persons QQuestioning uestioning

their sexual identitytheir sexual identity


therapytherapytreatment methods aimed at treatment methods aimed at

making people feel better and making people feel better and function more effectivelyfunction more effectively


antianxiety drugsantianxiety drugs

drugs used to treat and calm drugs used to treat and calm anxiety reactions, typically minor anxiety reactions, typically minor

tranquilizers.tranquilizers.


Blood Brain Barrier Blood Brain Barrier

Selective filtering between the Selective filtering between the cerebral blood vessels and the cerebral blood vessels and the

brainbrain


sigmund freudsigmund freud

1856-1939. founder of the 1856-1939. founder of the psychoanalytic school of thought psychoanalytic school of thought which focuses on the role of the which focuses on the role of the

unconscious on behaviorunconscious on behavior


family counselingfamily counseling

a form of group therapy in which a form of group therapy in which family members meet together family members meet together with a counselor or therapist to with a counselor or therapist to resolve problems that affect the resolve problems that affect the

entire familyentire family


Neurons Neurons

Specialized nerve cells that make Specialized nerve cells that make up the nervous system and up the nervous system and release neurotransmitters release neurotransmitters


Post Traumatic Stress Post Traumatic Stress Disorder (PTSD)Disorder (PTSD)

A psychiatric syndrome in which A psychiatric syndrome in which an individual who has been an individual who has been

exposed to a traumatic vent or exposed to a traumatic vent or situation experiences persistent situation experiences persistent

psychological re experiencing the psychological re experiencing the trauma, numbing of general trauma, numbing of general

responsiveness, and hyperarousalresponsiveness, and hyperarousal


Synapse Synapse

Site of communication between a Site of communication between a message sending neuron and its message sending neuron and its

message receiving target cell message receiving target cell


Mental SetMental Set

The collection of psychological The collection of psychological and environment factors that and environment factors that

influence and individuals response influence and individuals response to drugto drug


Beck's Cognitive TherapyBeck's Cognitive Therapy

cognitive technique; designed by Aaron Beck; cognitive technique; designed by Aaron Beck; designed to identify and change inappropriate designed to identify and change inappropriate negative and self-critical patterns of thought; negative and self-critical patterns of thought;

primarily used to treat depression, anxiety primarily used to treat depression, anxiety and substance abuse; therapy is not as and substance abuse; therapy is not as

challenging and confrontational as REBT; challenging and confrontational as REBT; aims to lead person to more realistic and aims to lead person to more realistic and

flexible ways of thinkingflexible ways of thinking


Culturally sensitive Culturally sensitive counselingcounseling

The first step is to be aware of The first step is to be aware of one's own lack of information one's own lack of information

about other's cultures and one's about other's cultures and one's own prejudices.own prejudices.


Rebound EffectRebound Effect

Form of withdrawal; paradoxical Form of withdrawal; paradoxical effect that occur when a drug has effect that occur when a drug has

been eliminated front the bodybeen eliminated front the body


THE 4 GOALS for clients THE 4 GOALS for clients of GROUP THERAPY of GROUP THERAPY

Change in ThinkingChange in Thinking

New ways to define their problems and figure out New ways to define their problems and figure out solutions. solutions.

Change in FeelingChange in Feeling

Identify and change the emotions they experience.Identify and change the emotions they experience.

Change in ActionsChange in Actions

Do something different to try and solve their Do something different to try and solve their problems.problems.

Change in RelatingChange in Relating

Ways to involve other people in personal problem Ways to involve other people in personal problem solving.solving.


Belief that drinking (misconceived Belief that drinking (misconceived as safe) represses inhibitions, as safe) represses inhibitions, strengthens extroversion, and strengthens extroversion, and leased to increased sociabilityleased to increased sociability

Social Lubricant


Behavioral ToleranceBehavioral Tolerance

Compensation for motor Compensation for motor impairments through behavioral impairments through behavioral pattern modification by chronic pattern modification by chronic

alcohol users.alcohol users.


Delirium Tremens (DTs)Delirium Tremens (DTs)

The most severe, even life The most severe, even life threatening form of alcohol threatening form of alcohol

withdrawal, involving withdrawal, involving hallucinations, delirium, and feverhallucinations, delirium, and fever


Blood Alcohol Blood Alcohol Concentration (BCA)Concentration (BCA)Concentration of alcohol found in Concentration of alcohol found in the blood, often expressed as a the blood, often expressed as a

percentage percentage


CodependencyCodependencyBehavior displayed by either Behavior displayed by either

addicted or no addicted family addicted or no addicted family member (codependents) who member (codependents) who

identify with the alcohol addict and identify with the alcohol addict and cover up the excessive drinking cover up the excessive drinking behavior, allowing it to continue behavior, allowing it to continue

and letting it affect the and letting it affect the codependents life codependents life


AutonomyAutonomy

Respect the client's independence Respect the client's independence and self-determinationand self-determination


cognitive behavioral cognitive behavioral therapy (cbt)therapy (cbt)

action therapy in which the goal is action therapy in which the goal is to help clients overcome problems to help clients overcome problems by learning to think more rationally by learning to think more rationally

and logicallyand logically


CAGECAGE

Four questions - yes to one indicates the possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-

opener?


Rational-Emotive Therapy Rational-Emotive Therapy (RET)(RET)

cognitive therapy founded by Albert Ellis; cognitive therapy founded by Albert Ellis; directive therapy; based on the idea that directive therapy; based on the idea that

psychological distress is caused by irrational psychological distress is caused by irrational and self-defeating beliefs; therapy is designed and self-defeating beliefs; therapy is designed

to challenge the dysfunctional thoughts to challenge the dysfunctional thoughts ("stinking thinking") and reinterpret the ("stinking thinking") and reinterpret the

thoughts in a more positive light; therapy is thoughts in a more positive light; therapy is challenging and confrontational; aims to lead challenging and confrontational; aims to lead person to more realistic and flexible ways of person to more realistic and flexible ways of

thinkinthinkingg


HIPAA ?HIPAA ?The Health Insurance Portability The Health Insurance Portability

and Accountability Actand Accountability Act

This federal regulation protects This federal regulation protects client rights by covering all client rights by covering all

personal health information that personal health information that can be used to identify an can be used to identify an

individual.individual.


42 CFR42 CFRThis federal law prohibits This federal law prohibits

counselors from divulging the fact counselors from divulging the fact that someone is in treatment or that someone is in treatment or

any details of their treatment any details of their treatment without the client's written without the client's written

consent, when the client is in a consent, when the client is in a clear state of mind. Applies to clear state of mind. Applies to

former and deceased clients also.former and deceased clients also.


Instances when Instances when confidentiality may be confidentiality may be

brokenbroken

Sharing among staff of a program, reporting Sharing among staff of a program, reporting child abuse or neglect, threatening to harm child abuse or neglect, threatening to harm

another person, threatening suicide, another person, threatening suicide, committing or threatening a crime on program committing or threatening a crime on program

property or against program staff, medical property or against program staff, medical

emergencies, elder abuse and court ordersemergencies, elder abuse and court orders..


free associationfree association

freudian technique in which a freudian technique in which a patient was encouraged to talk patient was encouraged to talk

about anything that came to mind about anything that came to mind without fear of negative without fear of negative

evaluationsevaluations


EthicsEthics

The rules of conduct recognized in The rules of conduct recognized in a particular profession, the shared a particular profession, the shared

standards of what is good standards of what is good practice.practice.


eclectic therapieseclectic therapies

therapy style that results from therapy style that results from combining elements of several combining elements of several

different therapy techniquesdifferent therapy techniques


RaceRaceA socio-political concept. Not A socio-political concept. Not

biological.biological.


carl rogerscarl rogers

1902-1987. humanist psychologist 1902-1987. humanist psychologist who focused on the role of the who focused on the role of the

self-concept and positive regard self-concept and positive regard on personality developmenton personality development


DetoxificationDetoxification

Detoxification is a process in which the body Detoxification is a process in which the body is allowed to free itself of a drug. is allowed to free itself of a drug.

This period, the symptoms of withdrawal are This period, the symptoms of withdrawal are treated.treated.

Detoxification is the primary step in any drug Detoxification is the primary step in any drug treatment program, and is used as the initial treatment program, and is used as the initial phase in treating alcohol, heroin, inhalant, phase in treating alcohol, heroin, inhalant,

sedative, and hypnotic addictionssedative, and hypnotic addictions..


Informed Consent and Informed Consent and Releases of InformationReleases of Information

Includes, but is not limited to, the Includes, but is not limited to, the purpose of the disclosure, the purpose of the disclosure, the

person to receive the disclosed person to receive the disclosed information, and the date or information, and the date or

condition under which the consent condition under which the consent will expire.will expire.


person-centered therapyperson-centered therapy

a nondirective insight therapy a nondirective insight therapy based on the work of carl rogers based on the work of carl rogers in which the client does all the in which the client does all the talking and the therapist listenstalking and the therapist listens


Duty to warnDuty to warn

This refers to a counselor's This refers to a counselor's responsibility to alert the responsibility to alert the

appropriate authorities of a threat . appropriate authorities of a threat .


Key concept about Key concept about diversitydiversity

Within-group differences are Within-group differences are always greater than between-always greater than between-

group differences.group differences.


MoodMood

A sustained emotion. Changes A sustained emotion. Changes less frequently than affect.less frequently than affect.


Professional DevelopmentProfessional Development

An ongoing responsibility An ongoing responsibility accomplished through engaging in accomplished through engaging in

continuing education, self-continuing education, self-evaluation, supervision and evaluation, supervision and

consultationconsultation


AdvocacyAdvocacy

Any activity designed to obtain a Any activity designed to obtain a service, practical help, support or service, practical help, support or

information for a client.information for a client.


three approaches to three approaches to counselingcounseling

DirectiveDirectiveNon-directiveNon-directiveCombined Combined


humanistic therapyhumanistic therapy

psychotherapy focused on psychotherapy focused on conscious, subjective experiences conscious, subjective experiences of emotion and people's sense of of emotion and people's sense of

selfself


SupervisionSupervision

The purpose of this is to promote the The purpose of this is to promote the counselor's growth, protect the welfare of counselor's growth, protect the welfare of clients, monitor counselor performance clients, monitor counselor performance

and empower the counselor to self-and empower the counselor to self-supervise and carry out responsibilities as supervise and carry out responsibilities as

an independent professional.an independent professional.


transferencetransference

in psychoanalysis, the tendency in psychoanalysis, the tendency for a patient or client to project for a patient or client to project positive or negative feelings for positive or negative feelings for important people from the past important people from the past

onto the therapistonto the therapist


Fetal Alcohol Syndrome Fetal Alcohol Syndrome (FAS)(FAS)

A condition affecting children born to A condition affecting children born to alcohol consuming mothers that is alcohol consuming mothers that is characterized by facial deformities, characterized by facial deformities,

growth deficiency, and mental growth deficiency, and mental retardationretardation


Evidence-Based Evidence-Based PracticesPractices

Interventions that show consistent Interventions that show consistent scientific evidence of being related scientific evidence of being related

to preferred client outcomes.to preferred client outcomes.Most definitions include three components:Most definitions include three components:

Clinical expertiseClinical expertise

Patient preferencesPatient preferences

Research-based informationResearch-based information


therapeutic alliancetherapeutic alliancethe relationship between therapist the relationship between therapist

and client that develops as a and client that develops as a warm, caring, accepting warm, caring, accepting

relationship characterized by relationship characterized by empathy, mutual respect and empathy, mutual respect and

understandingunderstanding


psychoanalysispsychoanalysis

an insight therapy based on the an insight therapy based on the theory of freud, emphasizing the theory of freud, emphasizing the

revealing of unconscious conflictsrevealing of unconscious conflicts


Wernicke-Korsakoff's Wernicke-Korsakoff's SyndromeSyndrome

Psychotic condition connected Psychotic condition connected with heavy alcohol use and with heavy alcohol use and

associated vitamin deficienciesassociated vitamin deficiencies

(wet-brain)(wet-brain)


contemplation stage contemplation stage

a stage of change in which the a stage of change in which the individual is aware that a problem individual is aware that a problem

exists and is thinking about exists and is thinking about overcoming it but has not yet overcoming it but has not yet made a commitment to take made a commitment to take

action. action.


gestalt therapygestalt therapyform of directive insight therapy in form of directive insight therapy in which the therapist helps the client which the therapist helps the client

to accept all parts of his or her to accept all parts of his or her feelings and subjective feelings and subjective

experiences, using leading experiences, using leading questions and planned questions and planned

experiences such as role-playingexperiences such as role-playing


Goal StatementGoal Statement

Component of a Treatment Plan that Component of a Treatment Plan that should be acceptable to the client and should be acceptable to the client and

answers the question, "What is answers the question, "What is necessary to remedy the problem?" necessary to remedy the problem?"

Should be stated positively - eg. "Client Should be stated positively - eg. "Client will maintain abstinence," rather than, will maintain abstinence," rather than,

"Client will not drink.""Client will not drink."


nondirective therapy nondirective therapy therapy in which the therapist therapy in which the therapist remains relatively neutral and remains relatively neutral and

does not interpret or take direct does not interpret or take direct actions with regard to the client, actions with regard to the client,

instead remaining a calm, instead remaining a calm, nonjudging listener while the client nonjudging listener while the client

talkstalks


Social factorsSocial factors

These include poverty, oppression, poorly developed social skills, and

family dysfunction that may contribute to a client's causes of

substance abuse and dependence.


self-help groups (support self-help groups (support groups)groups)

a group composed of people who a group composed of people who have similar problems and who have similar problems and who

meet together without a therapist meet together without a therapist or counselor for the purpose of or counselor for the purpose of

discussion, problem solving, and discussion, problem solving, and social and emotional supportsocial and emotional support


unconditional positive unconditional positive regardregard

referring to the warmth, respect, referring to the warmth, respect, and accepting atmosphere and accepting atmosphere

created by the therapist for the created by the therapist for the client-centered therapyclient-centered therapy


Four emphases of Four emphases of supervisionsupervision

Administrative, Administrative, Evaluative, Clinical Evaluative, Clinical

and Supportiveand Supportive


ReferralReferralCounselors need to be able to Counselors need to be able to

recognize symptoms in clients that recognize symptoms in clients that require assessment by other require assessment by other

professionals and be familiar with professionals and be familiar with services available.services available.


Axis VAxis VThis axis of the DSM IV -TR is the This axis of the DSM IV -TR is the Global Assessment of Functioning Global Assessment of Functioning

(GAF) scale, which assigns a (GAF) scale, which assigns a number from 1 to 100 to the number from 1 to 100 to the counselor's judgment of the counselor's judgment of the

client's overall level of client's overall level of psychological, social and psychological, social and occupational functioning.occupational functioning.


StrategiesStrategiesComponent of a Treatment Plan that Component of a Treatment Plan that states what the counselor will do to states what the counselor will do to

help meet the client's objectives. help meet the client's objectives. Includes the theoretical model to be Includes the theoretical model to be used, (eg. reality therapy) and the used, (eg. reality therapy) and the

specific techniques to be employed specific techniques to be employed (eg. assertiveness training or refusal (eg. assertiveness training or refusal skills training). These are sometimes skills training). These are sometimes

also called "Interventions".also called "Interventions".


preparation stage preparation stage

A stage of change in which the A stage of change in which the individual seriously considers individual seriously considers taking action to overcome a taking action to overcome a

problem in the next thirty days and problem in the next thirty days and has unsuccessfully taken action has unsuccessfully taken action over the past twelve months. over the past twelve months.


barriers to counseling barriers to counseling

1. personal bias1. personal bias2.race/age2.race/age

3. recovery experience3. recovery experience4.setting 4.setting


DelusionsDelusions

False beliefs that are maintained False beliefs that are maintained despite proof against their truth.despite proof against their truth.


Action stage Action stage

Action stage of change in which Action stage of change in which the individual actually modifies his the individual actually modifies his or her behavior and environment or her behavior and environment

in order to overcome a problem. n in order to overcome a problem. n stage stage


HomophobiaHomophobia

(Homophobic) The fear and (Homophobic) The fear and hatred of, or discomfort with, hatred of, or discomfort with,

people who love and are attracted people who love and are attracted to members of the same sexto members of the same sex


precontemplation stage precontemplation stage A stage of change in which the A stage of change in which the

individual may wish to change but individual may wish to change but either lacks the serious intention either lacks the serious intention

to undergo change in the to undergo change in the foreseeable future or is unaware foreseeable future or is unaware

of how significant his or her of how significant his or her problem has become. problem has become.


biopsychosocial model biopsychosocial model A perspective on drug-abuse A perspective on drug-abuse treatment that recognizes the treatment that recognizes the biological, psychological, and biological, psychological, and social factors underlying drug-social factors underlying drug-

taking behavior and encourages taking behavior and encourages an integrated approach, based an integrated approach, based

upon these factors, in designing upon these factors, in designing an individual's treatment program. an individual's treatment program.


Biological factorsBiological factors

These include brain chemistry problems, which may be genetic, making some people

particularly vulnerable to addiction to certain drugs once they try them.


maintenance stagemaintenance stage

A stage of change in which the A stage of change in which the individual has become drug free individual has become drug free for a minimum of six months and for a minimum of six months and

has developed new skills and has developed new skills and strategies that reduce the strategies that reduce the

probability of relapse. probability of relapse.


The Person-Centered The Person-Centered ApproachApproach

Assumes that clients can be trusted to select their own therapists, to choose the

frequency and length of their therapy, to talk or to be silent, to decide what needs to be

explored, to achieve their own insights, and to be the architects of their own lives.


DSM-IV-TRDSM-IV-TRDiagnostic and Statistical Manual Diagnostic and Statistical Manual

of Mental Disorders, Fourth of Mental Disorders, Fourth Edition, Text Revision (APA, Edition, Text Revision (APA,

2000).2000).


DSM-V-TR May 2013

Biopsychosocial Biopsychosocial perspectiveperspective

This recognizes that there are biological, psychological and social causes of substance abuse and dependence


Psychological factorsPsychological factors

These include cognitive styles, personality traits, and early

developmental experiences that may contribute to a client's

causes of substance abuse and dependence.


Motivational interviewingMotivational interviewingThis is a style of interacting with clients, used not

only for assessment, but for all phases of treatment, that is particularly helpful for reducing

defensiveness and encouraging therapeutic collaboration between the counselor and client.

Uses the interpersonal process to enhance clients' motivation to change, and encourages clients to

move on to the next stage of readiness for change.


MASTMAST

Michigan Alcoholism Screening Michigan Alcoholism Screening Test - yes or no to 25 questions.Test - yes or no to 25 questions.


Axis IAxis IContains 16 categories of clinical Contains 16 categories of clinical

disorders, one of which is disorders, one of which is Substance Related Disorders.Substance Related Disorders.


AUDIT (Alcohol Use Disorders AUDIT (Alcohol Use Disorders Identification Test)Identification Test)

The 10 items on this instrument developed by the World Health Organization ask about frequency of drinking, alcohol dependence, and problems caused by alcohol. Scores range from 0 to 40 with a score of 8 or higher indicating the likelihood of harmful alcohol consumption.


Cluster BCluster B

Axis II disorders that often co-occur with Axis II disorders that often co-occur with substance abuse and dependence, and are substance abuse and dependence, and are

characterized by dramatic, emotional, erratic, characterized by dramatic, emotional, erratic, or impulsive behavior, or a reduced capacity or impulsive behavior, or a reduced capacity

for empathy. They include Antisocial for empathy. They include Antisocial Personality Disorder, Borderline Personality Personality Disorder, Borderline Personality Disorder, Histrionic Personality Disorder and Disorder, Histrionic Personality Disorder and

Narcissistic Personality Disorder.Narcissistic Personality Disorder.


The Client’s Experience in TherapyThe Client’s Experience in Therapy

• 1. Experiencing responsibility.

• 2. Experiencing the therapist.

• 3. Experiencing the process of exploration.

• 4. Experiencing the self.

• 5. Experiencing change.


Substance Related Substance Related DisordersDisorders

This category of clinical disorders This category of clinical disorders in Axis I of the DSM IV-TR in Axis I of the DSM IV-TR

includes both Substance Use includes both Substance Use Disorders and Substance Induced Disorders and Substance Induced

Disorders.Disorders.


Substance Use DisordersSubstance Use Disorders

This sub-category of Substance This sub-category of Substance Related Disorders includes both Related Disorders includes both

Substance Abuse and Substance Substance Abuse and Substance Dependence.Dependence.


Substance Induced DisordersSubstance Induced DisordersThese Axis I disorders are a sub-These Axis I disorders are a sub-category of Substance Related category of Substance Related

Disorders and can include Substance Disorders and can include Substance Intoxication and Substance Intoxication and Substance

Withdrawal, Substance induced Withdrawal, Substance induced delirium, persisting dementia, delirium, persisting dementia,

persisting amnesic disorder, psychotic persisting amnesic disorder, psychotic disorder, mood disorder, anxiety disorder, mood disorder, anxiety

disorder, sexual dysfunction disorder, disorder, sexual dysfunction disorder, and sleep disorder.and sleep disorder.


Axis IIAxis II

This axis of the DSM IV- TR This axis of the DSM IV- TR includes the personality disorders includes the personality disorders

as well as mental retardation.as well as mental retardation.


Borderline Personality Borderline Personality DisorderDisorder

This personality disorder features a pervasive This personality disorder features a pervasive pattern of instability in interpersonal pattern of instability in interpersonal

relationships, self-image, affect, and control relationships, self-image, affect, and control over impulses. Features may include frantic over impulses. Features may include frantic

attempts to avoid real or imagined attempts to avoid real or imagined abandonment, impulsivity in at least two abandonment, impulsivity in at least two

areas that are self-damaging, chronic feelings areas that are self-damaging, chronic feelings of emptiness.of emptiness.


Cluster ACluster A

Axis II disorders that feature odd, Axis II disorders that feature odd, eccentric, isolative, or suspicious eccentric, isolative, or suspicious behavior. They include Paranoid, behavior. They include Paranoid,

Schizoid, and Schizotypal Schizoid, and Schizotypal personality disorders.personality disorders.


Substance DependenceSubstance Dependence

A maladaptive pattern of substance use, leading to A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested clinically significant impairment or distress, as manifested

by 3 or more of the following 7 criteria: tolerance, by 3 or more of the following 7 criteria: tolerance, withdrawal, increased dose or dosing for longer periods of withdrawal, increased dose or dosing for longer periods of

time, attempts to cut down unsuccessfully, time spent time, attempts to cut down unsuccessfully, time spent obtaining, using, recovering from use, important social, obtaining, using, recovering from use, important social,

occupational and recreational activities given up or occupational and recreational activities given up or reduced because of use, physical or psychological reduced because of use, physical or psychological problems caused or exacerbated by continued use.problems caused or exacerbated by continued use.


Person-Centered Goals in TherapyPerson-Centered Goals in Therapy

• Become more self-directed.

• Increase positive self-regard.

• The client chooses the goals.


Antisocial Personality Antisocial Personality DisorderDisorder

This personality disorder features This personality disorder features a pervasive pattern of disregard a pervasive pattern of disregard for and violation of the rights of for and violation of the rights of

others.others.


IllusionsIllusions

Misperceptions of actual sensory Misperceptions of actual sensory input.input.


Axis IVAxis IV

This axis of the DSM IV - TR contains nine This axis of the DSM IV - TR contains nine psychosocial and environmental problems psychosocial and environmental problems

that may affect the client's diagnosis, that may affect the client's diagnosis, treatment and prognosis, including treatment and prognosis, including

primary support group, social primary support group, social environment, educational, occupational, environment, educational, occupational, housing , economic, healthcare access, housing , economic, healthcare access,

legal system/criminal, and other.legal system/criminal, and other.


Physiological Physiological DependenceDependence

Indicated by whether tolerance Indicated by whether tolerance and withdrawal are presentand withdrawal are present


Substance AbuseSubstance Abuse

A maladaptive pattern of substance use leading to A maladaptive pattern of substance use leading to clinically significant impairment or distress, as clinically significant impairment or distress, as

manifested by at least one of the four following criteria manifested by at least one of the four following criteria occurring within a 12- month period: recurrent occurring within a 12- month period: recurrent

substance use resulting in a failure to fulfill major substance use resulting in a failure to fulfill major obligations at home, school or work, recurrent obligations at home, school or work, recurrent

substance use in situations in which it is physically substance use in situations in which it is physically hazardous, recurrent substance use legal problems, hazardous, recurrent substance use legal problems,

and continued substance use despite having persistent and continued substance use despite having persistent or recurring problems caused or exacerbated by the or recurring problems caused or exacerbated by the

effects of the substance.effects of the substance.


ToleranceTolerance

Defined by either a need for Defined by either a need for markedly increased amounts of markedly increased amounts of

the substance to achieve the substance to achieve intoxication or desired effect or intoxication or desired effect or markedly diminished effect with markedly diminished effect with

continued use of the same continued use of the same amount of the substance.amount of the substance.


WithdrawalWithdrawal

Defined by either the Defined by either the characteristic withdrawal characteristic withdrawal

syndrome for the substance or the syndrome for the substance or the same or a closely related same or a closely related

substance being taken to relieve substance being taken to relieve or avoid withdrawal symptoms.or avoid withdrawal symptoms.


Dually-DiagnosedDually-DiagnosedCO-OCCURINGCO-OCCURING

This client has one or more other This client has one or more other psychiatric disorders along with psychiatric disorders along with substance abuse or substance substance abuse or substance dependence. Also known as co-dependence. Also known as co-occurring disorders. All disorders occurring disorders. All disorders should be treated concurrently should be treated concurrently

and aggressivelyand aggressively


SpecifiesSpecifies

Used for Substance Dependence Used for Substance Dependence Diagnosis, these six categories Diagnosis, these six categories are: Early full remission, early are: Early full remission, early partial remission, sustained full partial remission, sustained full

remission, sustained partial remission, sustained partial remission, on agonist therapy, in a remission, on agonist therapy, in a

controlled environment.controlled environment.


Polysubstance Polysubstance DependenceDependence

The proper diagnosis for a client The proper diagnosis for a client who has repeatedly taken at least who has repeatedly taken at least three groups of substances, and three groups of substances, and

who meets criteria for who meets criteria for dependence for the substances as dependence for the substances as

a group, but not for the a group, but not for the substances individuallysubstances individually


HallucinationsHallucinations

Perceiving something in the Perceiving something in the absence of a sensory input. May absence of a sensory input. May

be auditory, visual, olfactory, be auditory, visual, olfactory, gustatory or tactilegustatory or tactile


Problem StatementProblem Statement

Component of a Treatment Plan Component of a Treatment Plan that should be stated in client's that should be stated in client's

words whenever possible. words whenever possible. Answers the question, "Why are Answers the question, "Why are you here?" Include statement of you here?" Include statement of

problem and evidence for it.problem and evidence for it.


TX ObjectivesTX Objectives

Component of a Treatment Plan Component of a Treatment Plan that states specific things the that states specific things the client will do to meet the goal. client will do to meet the goal.

Stated in behavioral terms, and Stated in behavioral terms, and are observable, realistic, time are observable, realistic, time

specific, appropriate to the level of specific, appropriate to the level of treatment and measurable.treatment and measurable.


AffectAffect

The external expression of an The external expression of an internal emotional state.internal emotional state.


FYI: Axis I, IV and VFYI: Axis I, IV and V

CASACs are responsible for these CASACs are responsible for these three axes on the Written three axes on the Written

Assessment Summary. Other Assessment Summary. Other axes can be written up as axes can be written up as

"deferred" or list symptoms eg. "deferred" or list symptoms eg. deferred, reports frequent deferred, reports frequent

headaches.headaches.


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