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