- while answering the primary thing is to read all the answers put them in order, read specifier the question asks and then choose the answer
- concerns with safety is primary issue for the worker. ethics is one of the reason which we look into for guidelines in saving clients and making clinical decisions. issues of child abuse, domestic violence, homicide threat, suicide threat. all are important issues where safety and reporting you must be sure of . remember even "neglect" can trigger child abuse report. once you see child abuse (physical, emotional, sexual, neglect) look out for medical evaluation, reporting as key answers. once u see domestic violence look for key words like safety plan. suicide reporting overlaps confidentiality so is homicide threat. the main attitude we need to carry here is "safety of client" being priority. also abuse and neglect of elderly- report to adult protection services, note down key words for self neglect, financial abuse, using restraints, social isolation and abandonment.
- also reporting issues varies with state...so look for choice "according to jurisdiction" procedure
- suicide and homicide...clarify threat. and if there's plan you have to notify victim and officials and confidentiality overrides here
- suicide...look for key words hopelessness, history of suicide attempts, if assessment hasn't been done, think of assessing the risk
- with respect to confidentiality be very careful. even acknowledging or getting to know someone is coming to treatment to you is a breach of confidentiality.
- study dsm in terms of how they differ in that class of disorders. childhood disorders differentials and other disorders
- browse through timeline differences for various disorders. try to note down timeline mentioned in question and answer accordingly also note down expression of symptoms by various kind of population..like how in children, how its manifested in elderly
- do not look too much in to medications, just brush through much frequent ones used when you are going through them before test
- note down if its positive or negative questioning style... like which is "NOT" ... you might lose this if you dont pay attention
- always rule out medical condition, substance use for clinical decision making
- someone died being mentioned in question.... think about grief
- persistent belief of having serious illness despite no evidence to prove - hypochondriasis
- psychological condition converted to physical manifestation symptom - conversion disorder
- sensate focus intervention -intervention in sexual intimacy issues without intercourse
- get to know the classification of disorders, you might be tested on this... eg; which of these is not paraphilias
- borderline PD- unstable relationship, social worker need to keep firm boundaries with clients..always discuss feelings in therapeutic relationship context with clients, calling in between appointments as key words
- schizoid PD- loner, like being alone
- avoidant PD- lonely, but want to be social
- developmental issues question, always look for misinterpretation of parents, culture issues, immigration issue, psycho education for parents as key words
- "life review " - intervention with elderly, get information about their life, how they lived, attained, in last stage of erickson's theory, you get to involve them much better in intervention.
- no secrets policy in couples issue to be ensured in couples intervention and treat the common issue they came for and not individual intervention unless domestic violence issue comes up
- DABDA - denial, anger, bargaining, depression, acceptance (kubler ross stages of grief)
- TAIIIIGI - trust vs mistrust (birth - 18 month), autonomy vs shame /doubt(18 months- 3 yr), initiative vs guilt (3-6), industry vs inferiority (school 6-12), identity vs role confusion (adolescent developing identity 12-20), intimacy vs isolation (early adulthood 20-40), generativity vs stagnation (creating next generation, parenting 40-65), ego integrity vs despair (meaning and accomplishment in life,late adult - 65)
- oedipus complex- castration anxiety, electra complex- penis envy
- Seperation anxiety begins 6-8 months, peaks in intensity 14-18 m, until about 2 and dimnishes
- ASS - Margret Mahlr's staes of development A - autistic (new born- 1 month) S - Symbiotic (fusion with mother, child think its one with mother and not a separate individual 4- 6 wees - 5 month) , S- Seperation individuation (Hatching, Practicing, Rapprochement (beginning, crisis, solution))
- SPCF - Jean Piaget's theory of cognitive development . S- sensorimotor (birth -2) object permanance , P- Pre operational (2-6) ego centrism , concrete operations stage (6-12) conservation , F- formal operations (12 and above) abstract thinking and concentration
- PSBSS - Maslow's heirarchy of needs P- physiological, S- safety, B- belonging, S- self esteem, S- self actualization
- PCP - Lawrence kholberg's theory of moral development. stages include Preconventional morality(2-4,obedience and punishment orientation, 4-7 self interest orientation) , Conventional morality(7-10 social conformity, 10-12 law and order orientation) and post conventional morality(teens- social contract orientation, adult- universal ethics orientation)
- AAIPIU- Authoritative parenting(displaying rational control, warmth and responsiveness, promoting independance-assertive, self confident, achievement oriented children), authoritarian parenting(high control and little warmth, hostile, rebellious withdrawn children with low self esteem and poor achievement), indulgent - permissive parenting(warm and caring but provide little control and make few demands, children are indulgent, frustrated, low in achievement), indulgent - uninvolved parenting(less time and effort in parenting, these children have low self esteem, delinquent, rebellious, impulsive, moody, aggressive) - Diana Baumrind parenting styles
- MSE - mental status exam - different domains- appearance, attitude (resistant, eager, over optimistic), behavior, mood and affect (flat, elevated, connected or disconnected presence), speech, thought process, content of thoughts, perceptions, cognition, insight, judgement
- in issue of terminating client, we can never abandon the client, common response to termination is feeling of being fearful to able to handle issues without therapist, crisis around termination doesn require termination, reactions are common.
- Medications important for social workers knowledge include lithium - associated with Bipolar Disorder , has adverse side effects.
- Typical antipsychotics (Psychotic Disorders) • Chlorpromazine (Thorazine) • Haloperidol (Haldol)
- Atypical antipsychotics (Psychotic Disorders) • Risperidone (Risperdal) • Olanzapine (Zyprexa) Quetiapine (Seroquel) • Ziprasidone (Geodon) • Aripiprazole (Abilify)
- SSRI’s (Depression/Anxiety) • Fluoxetine (Prozac) • Citalopram (Celexa) • Sertraline (Zoloft) Paroxetine (Paxil) • Escitalopram (Lexapro) Mood Stablizers (Bipolar) • Lithium • Divalproex Sodium (Depakote) • Carbamazepine (Tegretol) • Lamotragine (Lamictal) • Oxcarbazepine (Trileptal) Benzodiazepines (Extreme Anxiety/Panic) • Clonazepam (Klonopin) • Lorazepam (Ativan) • Alprazolam (Xanax)
- Stimulants (ADHD) • Methylphenidate (Ritalin, Metadate, Concerta, Daytrana) • Amphetamine (Adderall) • Dextroamphetamine (Dexedrine, Dextrostat
- get to know the theories. its not tuf. associate the theories with the concepts and developers. some key theories and key words include behaviorist theory - operant conditioning, classical conditioning , positive and negative reinforcement, punishment, CBT - thinking about people and problem, structural family therapy (salvador minuchin)- system approach - key concepts- boundries, heirarchy, subsystems, childrens problems are due to boundary between parents and between parents and children, mimesis, structural mapping, raise intensity so system change task centered therapy/ social work practice - 6-8 weeks short term problem solving, concrete plan to intervene, goal oriented. psychodynamic - freud's approach, unconscious, defense mechanisms - primitive (denial, regression, projection, reaction formation, ), mature(displacement,) and advanced defense mechanisms(sublimation - unacceptable feeling is made in a way acceptable, like sarcasm and kidding around, getting hard workout to deal with unwanted sexual impulse), insight and understanding into past is another key word for identifying with psychodynamic approach feminist the and social learning th- problem solving model
transmission process, emotional reactivity
- Experiential family therapy - carl whittaker, virginia satir- key concepts - honest emotion, supress emotion, mystification, blaming, placating, sculpting, conjoint family drawing, choreography, role playing
- never accept bartering, dual relationships, these always come in way of quality of treatment and therapeutic relationship
- alderian psychotherapy appropriate for issues of goal direction, existential psychotherapy for high functioning individuals,
- boundaries is another important issue. here comes transference (client rings up feelings regard to worker) and counter transference (worker affected by client) issues, dual relationship, overlap in relationship, be clear on value differences and never let it in therapy process, in terms of dilemma go for supervision
- go through ethics before the day of the exam. its very important which guides in your clinical diagnosis or decision making
- what's privilege ? term related to confidentiality in terms of legal context. where the social worker need not reply to the subpoenas other than from judge. however privilege is waived in number of other conditions like self exposed, suing social worker
- concepts about group, most important is stages of group formation. storming, forming , norming- irving yaloms theory, boston model - , group process,
- team work - as a part of multi disciplinary team whats the role for social worker in terms of coordinating services of client
- advocacy- empowering client on getting services they are entitled to access them themselves. start where the client is. anything about program development has to do with clients need , program evaluation and methods are another area where question is asked. methods of evaluation, best practices, terms associated
- cultural diversity is another important area. navajo community, asian clients,african american, hispanic is few areas included in test. issues of immigration, cultural shock, eye contact, aggressive talk, are certain areas we could be tested.
- Some sclaes/test commonly used: Standford binet intelligence scale, wechsler adult intelligence scale, toni- for multicultural clients, MMPI - minnesota multiphasic personality inventory, 16 personality factor questionnaire, Meyers brigs type indicator, edwards personal preference schedule, DAD, dyadic adjustment scale- for marital adjustment, FES family environment scales, the camberwell family interview, assessment tools for children: childhood autism rating scale, children's depression inventory, Draw a person test, kinetic family drawing, vineland adaptive behavior scales, AUI- alcohol use inventory,
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