Term
Three important rules(guidelines) to filling out agency forms. |
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Definition
1.Never use a pencil to fill out a form
2. Don't use correction fluid
3. sighn and date |
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Term
You can't accept a case or fill and intake form based on word of another person. What are the 4 exceptions to this rule |
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Definition
1.The client is incapable of calling due to a mental health emergency in which case other froms are used for this situation
2. The client is a child
3. the client is frail or old
4. the client needs an interpreter to communicate |
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Term
What is meant by cheif complaint |
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Definition
Why the person called TODAY |
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Term
3 Guidelines for capturing the highlights of the "chiefe complain" |
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Definition
1. Keep the reason from being to complicated
2. Be very specific
3. keep it brief |
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Term
Keep Previous Treatment long or brief? |
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Definition
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Term
What should be placed at the end of the intake form so that the reader knows who took it and when |
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Definition
Printed Name
Date of Intake |
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Term
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Definition
the name of the person to whom you refer the new client and the date of the intake appointment |
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Term
Two peices of info that must be included under "Verification sent" |
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Definition
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Term
Questions to ask your supervisor before your first interview with an adult: name a couple |
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Definition
1. Any questions raised by your reading of the clients cases record
2. whom to inlcude in the first interview
3. How long the session should last
4. How often you should see the client
5. How to introduce yourself
6. When and how to record the contents of the first interview |
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Term
Your first goals in a first interview are always the same, what are they? |
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Definition
First allow the client to tell you his/her own story in his/her words
Then let the clint know that you understand what he/she believe, even if its his/her beliefe that he/she does not need to be there |
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Term
The overriding purpose (2 parts) of any first interview is to |
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Definition
Listen
and let the client know you are trying to understand |
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Term
What is the Miracle Question |
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Definition
If you could wake up tomorrow and your problem was solved, what would your life be like |
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Term
In the first interview witha family there are several questoins that you shold remember to ask every family member |
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Definition
What he or she sees as the problem the family is having
What effect the problem is having on his or her life at the moment? |
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Term
Always remember to ________ the problem so no one is to blame and each person can see how it is affecting his or her life |
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Definition
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Term
Why is it important when working with families to understand the family life cycle |
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Definition
Helps you determine what the kind of support system and resources they have |
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Term
Things to do before your first interview with a child |
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Definition
Arrange a suitable space and have a paper and pencils available
Ask your supervisor who should be in the interview and when they should be there
Ask you supervisor what yo say to the parents and to the child about confidentiality |
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Term
What should you ask yourself when interviewing a child? |
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Definition
Does the child look and sound and act his/her age |
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Term
Things to do during your first interview with a child |
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Definition
Remember it is not your place to entertain the child
Let the child establish the distance between you
Ask the child to draw a person and a house, or a tree, or her family
Ask the child: If you could have three wishes, what would they be? explore the answer
Ask the Child: if you were going on a rocket ship to the moon and there was one seat for you and one seat for someone else, whom would you take with you? explore the answere |
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Term
Purpose of a developmental history |
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Definition
Listening for the parent's feelings of attachment and expectations about the child and clues to the child's innate temperament and developmental progress |
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Term
When working with a couple never assume.... |
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Definition
that they want to stay together |
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Term
Thinks to ask yourself when interviewing with a couple |
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Definition
What life stage the partners in?
What life stage the relationsship iin |
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Term
Ask both partners of a relationship? |
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Definition
How they met?
What attracted them to the other?
Whether wish to work on improving the relationship |
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Term
The purpose of the first interview is to establish the following basic information about the client... |
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Definition
A sense of who the client is
Potential problems
Current problems that caused the client to seek help now
Weaknesses
Strengths |
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Term
You have 3 tasks to accomplish in the first interview |
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Definition
Listen and convey an accurate understanding of the client's perceptions about themselves and their problems
To formulate a professional understanding of what it is the client is experiences and what he/she will need from your agency
Establish repport with client |
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Term
Name one of the first things you should do to prepare for the first interview |
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Definition
Read any records that are available |
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Term
Why is it best not to have personal photos in your office |
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Definition
Because it can offend or make your client feel bad or trigor saldy emotions |
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Term
The most important peice of information is to understand why the client is ... |
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Definition
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Term
The reason the client has come to the agency now is referred to as the |
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Definition
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Term
Explain the "door-knob syndrome"
What to do and not to do |
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Definition
when the client begins to tell you something of great signficance just as he/she is leaving.
Nicely let the client you appreciate what ever there saying and to keep it for the next session
Do no allow clients to leave your office if you believe they are a danger to themselves or others
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Term
Task to complete toward the end of the interview |
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Definition
Ask client if they have any questions and answere them thoughtfully
Working with clients to define their problem in language they can understand...
there are more but fukit |
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Term
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Definition
Small
specific
seek presence rather than absence
have beginnings rather than endings
realistic
goals are percieved by the client as hard work |
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Term
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Definition
those occasions in the client's life where the client's problem could have occured but did not |
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Term
Solution focused questioning focuses on |
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Definition
who, what, when, and where of Exceptions not who what when and where of problems |
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Term
scaling question
and example |
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Definition
Clever way to make complex features of a clients life more concrete and accesbile for both client and worker
Rank something between 0 and 10 let say 0 was where you were at with this problem when you first made the call to come see me and 10 means your problem is solved |
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Term
Coping Question are good for?
and example |
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Definition
productively developing goals and identifying exceptions
example: you must really have to be strong and find ways to syay positive around your children. How do you do it? |
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Term
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Definition
progress... whats better? |
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Term
Underlying assumption of the "strenghts perspective" |
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Definition
all people and environments have strengths |
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Term
There are two types of degreed persons who make final diagnoses using the DSM who are their interms of of their degree |
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Definition
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Term
Psychiatry became more medial with the DSM III and each manual since has become more refined. Name 3 changes in the 3rd edition |
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Definition
Attempted to use clear english and not mental health jargon
Disorders were labled
Multitaxial system was adopted to help the physcian rule out similar disorders |
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Term
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Definition
Diagnostic and Statisitcal Manua of Mental Disorders |
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Term
The patient receives a diagnosis along 5 separate diminsions, referred to as... |
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Definition
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Term
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Definition
Disorders usually first diagnosed in infancy, childhood, or adolsence (except mental retardation, which is coded in Axis II) Schizophrenia, mood disorders, anxiety disorders, eating and sleeping disorders |
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Term
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Definition
used to code personality disorders and mental retardation, and significant maladaptive personality traits, and habitual mechanisms
Paranoid, Antisocial, obsessive compulsive |
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Term
When ther is no diagnosis on Axis I, |
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Definition
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Term
If there is no diagnosis on Axis I, the clinician writes ____ |
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Definition
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Term
There are ___ categories of personality disorders |
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Definition
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Term
Borderline intellectual functioning is recorded on Axis ?? |
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Definition
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Term
The diferred code(when a clinicain is not yet sure there is a diagnosis for Axis II is |
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Definition
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Term
Any general medical condition that is relevant should be coded on Axis __ |
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Definition
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Term
AXIS___ list any psychosocial stressor or environmental problems that appear to have an impact on conditions notes on AXES I,II,III |
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Definition
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Term
Axis __ is for the GAF what does GAF stand for |
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Definition
5
GAF-Global Assesment of Functioning |
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Term
The number given on Axis 5 is a number from zero to __
zero indicates what? |
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Definition
100
zero indicates that there was not enough time to adequately assess the functioning |
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Term
The GAF scale is divided into ___ point increments |
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Definition
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Term
The lowest increment of function is ___ to ___
The highest increment of function is ___ to ___
Most individuals requring impatient hospitilization have a GAF scorer of __ or less |
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Definition
1 to 10
90- 100
50 or less |
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Term
what is the number for an "unspecified mental disorder"? |
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Definition
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Term
The mental status exam is based on our ______ of the client |
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Definition
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Term
The first part of a mental status exam is describing the clients |
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Definition
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Term
Name one question about a clients speech that you would ask yourself when describing what you observed in ternm of how they speak |
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Definition
speach clarity
looking for abnormalities |
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Term
To back up your observations, use both descriptions of the individuals behavior during the interview and _____ _______ |
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Definition
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Term
Mental Status Examination is a word picture that tells what the person looks like |
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Definition
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Term
In the general description of appearance you ALWAYS indicate |
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Definition
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Term
Name three things that you are to ALWAYS indicate regarding a client's attitude with you |
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Definition
Hostility, uncooperative, inappropriate boundaries |
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Term
Four types of affect you are ALWAYS to note |
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Definition
Blunt, emotionaly withdrawn, excitement, and any inappropriate affect |
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Term
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Definition
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Term
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Definition
Middle of the night awakening |
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Term
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Definition
How the person feels most of the time |
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Term
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Definition
Appearance while the clients with you "underlying flow of moods" |
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Term
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Definition
How does the client think |
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Term
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Definition
What a person thinks about |
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Term
When referring to labile in terms of a client's emotions, you are reffering to: |
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Definition
rapid shifts from laughing to cryiing, rage to calm amusement |
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Term
Flight of ideas is often accompanied by... |
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Definition
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Term
_____ refers to if the person understands that she is sufering from an illness or has emotional or personal problem |
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Definition
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Term
______refers to if the the person can critically evaluate his/her situation and make good decisions about a course of action |
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Definition
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Term
When there aer problems with memor they usually have to do with three areas |
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Definition
regestration(understanding), retention(maintaining) and retrieval(bring it back) |
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Term
example of how to test for "immediate recall" |
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Definition
tell them something and have them repeat it back |
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Term
unusual sensory perceptions include 5 sences... |
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Definition
olfactory, gustatory, tactile, auditory and visual |
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Term
Oriented X3 what are the 3 areas we are checking
with examples |
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Definition
Person- can you tell me a little about yourself
Place- where do you live
Time- when did these problems begin
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Term
When the client insist he is someone else like George bush or sumshit its called |
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Definition
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Term
The beliefe that thoughts are being take and broadcast so that others know what one is thinking |
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Definition
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Term
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Definition
what the client believs to be true, convinced that rare powers are real and extremely important |
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Term
an obsessions is always a _______ while compulsion is always a ________ |
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Definition
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Term
people with ________ delusions believe they are being singled out for harassment or are being controlled by forces outside of themselves |
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Definition
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Term
confused shuold be reserved for and means |
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Definition
not oriented/ disoriented |
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Term
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Definition
the person goes over and over the same point or idea |
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Term
The final part of the MSE is to documen the clients______ |
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Definition
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