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Coaching session with Dr.Lopes Flashcards | StudBud
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Coaching session with Dr.Lopes
Coaching session with Dr.Lopes
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1
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Postpartum MDD is caused by hormonal changes during and can't be treated.
Postpartum MDD is a temporary mood swing that usually resolves on its own
Postpartum MDD is a serious mental health condition that can affect women
Postpartum depression is very common condition affecting many women.
2
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30-yr, male, W bipolar disorder, DCed meds with overdose thoughts.
22-yr W a history of multiple suicide attempts and a diagnosis of BPD
45-year-old with a history of MDD and recent loss of a close family member
55-yr with chronic pain and recently diagnosed with depression.
3
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The Vanderbilt ADHD Diagnostic Parent and Teacher Rating Scales,
The Beck Depression Inventory-II (BDI-II).
The Modified Checklist for Autism in Toddlers, Revised with Follow-Up MCHAT
The Hamilton Rating Scale for Anxiety (HAM-A).
4
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Conduct a thorough assessment of suicide risk, including exploring the SI
Initiate hospitalization, as any mention of suicidal thoughts warrants i
Reassure the pt that passive thoughts of death are common
Encourage the pt to seek support from friends but avoid discussing SI
5
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Discuss the pt's concerns about group therapy and help address their fears
Recommend group therapy sessions to help the patient overcome their fears.
Tell the pt group therapy is the only way to address their social anxiety
Group therapy is recommended for its numerous benefits to your treatment.
6
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Shift the conversation to a different topic to avoid confrontation.
Confront the patient's resistance directly to break through their defenses.
Offer the patient a reward or incentive for changing their behavior.
Use reflective listening and empathy to explore the patient's feelings.
7
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Naloxone alone.
Methadone.
Naltrexone.
Buprenorphine/Suboxone
8
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CAGE Questionnaire
Alcohol Use Disorders Identification Test (AUDIT)
Drug Abuse Screening Test (DAST-10)
Michigan Alcohol Screening Test (MAST)
9
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Provide clear and specific recommendations for gradual exposure exercises.
Emphasize long-term benefits to help patients face their fears.
Reassure the pt exposure therapy is the most effective treatment option
Recommend that the pt complete exposure therapy regardless of their fears.
10
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Naltrexone.
Ativan (lorazepam).
Naloxone alone.
Valium (diazepam)
11
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Conduct a detailed assessment of the client's social support system.
Assess the client's past history of depression and treatment response.
Ask the client to describe the frequency and intensity of suicidal thoughts
Review the client's family history of mental health disorders.
12
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Resilience is not solely determined by genetics and can be developed.
Resilience is an innate trait, and individuals can not change it.
In the recovery process, pt should rely primarily on medical professionals
Recovery involves empowering pt to define their own goals and make choices.
13
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Are you ready to set a quit date for opioid use?
How often do you encounter triggers for opioid use?
Can you share your reasons for wanting to quit using opioids?
What specific steps have you taken to stop using opioids?
14
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Conducting genetic testing for predisposition to BPD
Initiating long-term inpatient hospitalization
Prescribing mood-stabilizing medications
Dialectical Behavior Therapy (DBT) skills training
15
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Offer empathy and validate the pt's concerns about weight gain and sedation
Explain how the medication's benefits outweigh possible side effects.
Tell the pt that their concerns about medication side effects are unfounded
Emphasize the importance of medication adherence regardless of side effects
16
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Have you tried relaxation techniques for anxiety?
Do you feel anxious often?
Can you tell me more about what triggers your anxiety?
Is there anything specific that makes you worry?
17
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What strategies have you used to reduce your alcohol consumption?
Have you considered if alcohol is affecting your life negatively?
How confident are you in your ability to quit drinking right now?
Have you experienced any negative consequences from your alcohol use?
18
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Why do you think cocaine has become a problem for you?
Are you confident you can quit cocaine on your own without any support?
Can you describe the steps you've taken to reduce your cocaine use?
Have you considered attending a cocaine addiction treatment program?
19
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Implement exposure therapy to desensitize Emily to traumatic memories.
Prescribing meds to manage Emily's anxiety and distress during therapy
Encouraging Emily to confront her trauma head-on to facilitate catharsis
Do trauma-informed care principles to create a safe and supportive therapy
20
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What specific steps have you taken to quit or reduce your opioid use?
Why do you believe quitting opioids might be beneficial for you?
On a scale of 1 to 10, how ready are you to quit using opioids right now?
How frequently do you use opioids, and have you ever tried quitting before?
21
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Hamilton Anxiety Rating Scale (HAM-A).
Vanderbilt ADHD Diagnostic Parent and Teacher Rating Scales.
Beck Depression Inventory (BDI-II).
Modified Checklist for Autism in Toddlers (M-CHAT).
22
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Referring Emily to a support group for individuals with BPD.
Prescribing meds to directly address impulsivity and emotional instability.
Implementing (DBT) to teach emotion regulation and distress toler
Recommend long-term inpatient hospitalization for intensive stabilization
23
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Scheduling more frequent therapy sessions.
Recommending inpatient hospitalization for intensive treatment.
Increasing the dosage of her current medication regimen.
Implementing mindfulness-based stress reduction techniques.
24
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Initiate psychiatric hold and arrange inpatient hospitalization for safety.
Conduct a risk assessment to determine the severity of self-harm
Refer Sarah to a therapist for further assessment and risk evaluation.
Reassure Sarah that her thoughts are likely temporary and not concerning.
25
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Advise the patient to distance themselves from drinking companions promptly
Explore the pt's values and priorities related to friendships and health.
Provide the pt with a list of support groups for individuals in recovery.
Advise the patient to cut ties with their current social circle.
26
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Provide the patient education on prescribed medication benefits
Stress the role of taking meds as prescribed and the risks of not doing so
Switch the patient to alternative medications.
Explore the patient's beliefs and concerns about their medications.
27
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ECT is a first-line depression treatment that should be offered initially.
Informed consent from the patient or legal guardian is required for ECT.
ECT is contraindicated in patients with a history of SUDs
Consider ECT if other treatments fail; weigh risks and benefits.
28
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How often do you drink alcohol, and what quantity do you usually consume?
Have you considered joining a support group like Alcoholics Anonymous?
Why do you think it's important to quit drinking alcohol?
What are your long-term goals, and where does alcohol fit in them?
29
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Avoid all stressors and triggers to maintain a symptom-free life.
Taking medication indefinitely is the only way to ensure long-term recovery
Recovery means never experiencing any symptoms of mental illness again.
Building a support network and coping skills helps manage challenges.
30
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The Geriatric Depression Scale (GDS).
The Modified Checklist for Autism in Toddlers, Revised with Follow-Up MCHAT
Mini International Neuropsychiatric Interview for Children and Adolescents
The Conners' Rating Scales-Revised (CRS-R).
31
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Suggest the patient try therapy for a few sessions to see if it helps.
Discuss the pt's concerns about cost and time, and understand their values
Recommend group therapy as a more cost-effective alternative.
Provide financial assistance or offer to cover the therapy costs.
32
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Assessing trauma impact through focused evaluation
Administering a standardized PTSD symptom severity questionnaire
Start exposure therapy to reduce the patient's sensitivity to PTSD memories
Prescribing an anxiolytic medication to alleviate acute anxiety symptoms
33
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Have you experienced any adverse effects from your alcohol use?
Have you ever thought about attending an Alcoholics Anonymous meeting?
What do you think would happen if you stopped drinking alcohol today?
How often do you drink alcohol in a typical week?
34
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Direct questioning and structured assessment tools
Exploring the patient's family history of mental health issues
Providing immediate psychoeducation on depression
Empathic listening and validation of the patient's emotions
35
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Discuss the pt's health concerns and their views on alcohol consumption.
Confront the patient about their continued alcohol use and its consequences
Advise the patient to quit drinking immediately due to the health risks.
Suggest medication-assisted treatment without further discussion.
36
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How have you managed any potential relapse triggers during this past year?
Why do you think cocaine has become a problem for you?
What led you to seek help and quit opioids initially?
Would you consider reducing your opioid use instead of quitting entirely?
37
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Persuade the patient to take their medications by highlighting the benefits
Provide the pt with statistical data on antidepressant medications.
Emphasize the consequences of non-adherence to medication.
Acknowledge the pt's concerns and explore experiences with previous meds
38
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Interpret this score as moderate impairment and discuss further cognitive a
Initiate immediate pharmacological treatment for cognitive enhancement.
Consider this score within the normal range and reassure the patient
Refer the patient to a primary care provider.
39
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Implement a medication adjustment to address her current symptoms.
Refer Emily to a support group for individuals with GAD.
Conduct a psychosocial assessment to identify stressors and triggers.
Explore mindfulness-based stress reduction as part of her treatment plan.
40
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The Abnormal Involuntary Movement Scale (AIMS).
The Hamilton Depression Rating Scale (HAM-D).
The Mini-Mental State Examination (MMSE).
The Positive and Negative Syndrome Scale (PANSS).
