215 terms

LCSW Exam Prep


Terms in this set (...)

Termination Process
Is most associated with evaluating goals and accomplishments
Community Organizer
Developing and working with groups from a community to improve relationships among the residents
Most helpful with assessment interpretation
Borderline Intellectual Functioning
IQ 71-84
Borderline Intellectual Functioning
Code on Axis II
Mild MR
55-70, considered educable, minimal assistance, may need some supervision and guidance, live in community or in supervised settings
Moderate MR
35-55, considered trainable, able to preform at 2nd grade level, moderate supervision, can attend to their own personal care, can perform unskilled or semi-skilled work, can live in the community
Severe MR
20-35, considered trainable, generally institutionalize, have little or no communicative speech, possible group home.
Profound MR
IQ below 20, generally total care
Mental Retardation
Deficits in adaptive and social functioning, an IQ of 70 or less, onset prior to age 18.
Pervasive Mental Disorders
Involves multiple functions and behaviors are not considered normal at any age. Impairment in reciprocal interaction, verbal and nonverbal skills, imaginative activity, and intellectual skills
Autistic Disorder
Age of onset requirement is age 3, self-stimulating, self injuring behaviors often present, such as, rocking, spinning, head banging.
Rett's Disorder
Only in females, deceleration of head growth, start out normal and 5 to 24 months problems develop, loss of previously acquired hand skills, loss of social engagement, appearance of stereotyped movements, impaired language functioning generally associated with severe or profound mental retardation
Childhood Disintegrative Disorder
Normal development for two years then a drastic decline followed by a loss of previously acquired skills, and development of autistic like symptoms
Asperger's Disorder
Autistic like symptoms without language impairment, severely impaired social interaction, these children often have normal to above normal intelligence
symptoms must persist for atleast 6 months, predominately inattentive, hyperactivity-impulsivity, combined. Generally before age 7.
Conduct Disorder
Pattern of behavior that violates rights of others, aggression to people and animale, deceitfulness or theft, destruction of property, serious violations of rules
Tourette's Disorder
vocal and motor tics, onset before age 18, symptoms must last for a at least a year.
Elimination or urine during day or night, must be age 5 before it can be diagnosed
Elimination of feces or soiling in inappropriate places; occurs one time a month for 3 months, must be at least 4 years of age to diagnose
Seperation Anxiety Disorder
Excessive anxiety over separation from home or whom attached, must last 4 weeks and begin before age 18.
Stranger Anxiety
A normal reaction experienced by an infant when startled or feeling threatened.
Separation Anxiety
Feelings of anxiety and fear that result after being separated from a significant other, such as, parent or partner.
Selective Mutism
At least 1 month in duration, an inability to speak or understand spoken language
Clouded sensorium, brief duration, can happen in young and old
No clouded sensorium, long duration, must have disturbance in occupational and social functioning, characterized by multiple cognitive deficits.
Substance Abuse
Continue use knowing it is causing harm
Substance Dependence
Needs to take larger amounts with unsuccessful attempts to quit
Substance Intoxication
Recent ingestion of psychoactive substance
Substance Withdrawal
Maladaptive cognitive and behavioral declines due to reduction of a substance
Substance abuse is considered to be in remission
12 months
Schizophrenic, Disorganized Type
Marked incoherence, lack of systematized delusions, silly affect
Schizophrenic, Catatonic Type
Stupor, rigidity, bizarre posturing, waxy flexibility and excessive motor activity
Schizophrenic, Paranoid Type
One or more systemized delusions, or auditory hallucinations with a similar theme
Schizophrenic, Undifferentiated Type
"Garbage can" bits of other types
Schizophrenic, Resifual Type
Not currently displaying symptoms displayed in the past
The general feeling (e.g. depressed)
How you show it (e.g. flat or blunted)
Brief Psychotic Disorder
AKA 3 day schizophrenia, symptoms have existed no longer than a month with a sudden onset linked to a psychosocial stressor
Schizophreniform Disorder
Episode is less than six months
Schizoaffective Disorder
Having a mixture of symptoms suggestive of both an affective (mood) disorder and schizophrenia
Shared Psychotic Disorder
Folie a Deux, two people share and create a delusional system
Positive symptoms
refers to hallucinations and/or delusions
Strong beliefs held against strong contrary evidence
Inaccurate perceptions where inaccurate auditory stimuli is the most common
Negative symptoms
Refers to lack of movement (avolition) or speech (alogia)
Old or Typical Antipsychotic Medications
Chlorpromazine/Thorazine, Thioridazine/Mellaril, Trifluoperazine/Stelazine, Phenazine/Prolixin, Haloperidol/Haldol
General side effects with Antipsychotic medications
Drowsiness or Sleepiness
Acute contractions of the tongue (stiff or thick tongue)
Most common form of EPS
Anti-Parkinsonian Medications used to decrease EPS side effects
Cogentin/benzotrpine, Artane/trihexxyphenidyl, Benadryl/diphenhydramine
Tardive Dyskinesia
Permanent neurological condition that can result from using the older antipsychotic medications and not taking anything to help control the EPS side effects
New or Ayypical Anti-psychotic Medications
Clozapine/Clozaril, Risperdone/Risperdal, Olanzapine/Zyprexa
Manic Episode
Presenting mood is persistently elevated. Must have at least 3 of these symptoms: increased psychomotor agitation, flight of ideas, decreased need for sleep, grandiosity, sexual preoccupation, positive symptoms, episodes last approximately 1 week
Hypomanic Episode
Symptoms not severe enough to interfere with functioning, expansive, irritable and elevated mood that lasts at least 4 days
Major Depressive Episode
Depressed mood lasting approximately 2 weeks; changes in sleeping or eating (increase or decrease) appetite disturbance, gatigue, reduced ability to concentrate, delusions are possible
Mixed Episode
Alternating moods lasting approximately 1 week, must meet criteria for both manic and depressive
Bipolar I Disorder
One or more manic episodes, usually with a history of depressive episodes, can have psychotic aspects
Bipolar II Disorder
One or more depressive with at least one hypomanic episodes, no psychosis
Cyclothymic Disorder
Persistant mood disturbance lasting at least two years, must not be without for two months
Two year history of depressed mood, must not be without for two months
Used to treat Bipolar disorder, Need routine lithuim levels
Side effects of Lithium
Drowsiness, weakness, nausea and vomiting, fatigue and hand tremor
Medications for Schizoaffective disorders or agitated depression of a cyclic nature (Mood Stabilizers)
Depakote (Valproic acid), Depakene, Clonzapepam
Medications for Depression
Tricyclics: Tofranil generic name Imipramine (grandfather of depressants), Elavil/Amitriptyline
MAO Inhibitors
Eldepryl (Selegiline)
SSRI's (Second generation anti-depressants)
Prozac/Fluoxetine, Paxil, Paroxetine hydrochloride, Zoloft
Side effects of SSRI's
Sexual disinterest and orgasmic delay
Panic Disorder with or without Agoraphobia
Attacks involving intense fear and apprehension lasting several minutes
Agoraphobia with History of Panic Disorder
Fear of being in places where escape may be difficult
Social Phobia
Persistent fear of one of more social situations in which person may come in contact with
Specific Phobia
Fear to a object or stimulus not generally fear, easiest to treat
Obsessive Compulsive Disorder
Reoccurring obsessions (thoughts) and compulsions (behaviors) severe enough to affect social/occupational functioning. Defense mechanism often exhibited is reaction formation. Will likely display; Singiness, Indecision, and Perfectionism
Post-Traumatic Stress Disorder
Symptoms must last at least 1 month, must be outside of range of usual experience, often relive situation
Generalized Anxiety Disorder
Undue persistent worry for at least six months about at least two or more life circumstances
Acute Stress Disorder
Reaction to extreme stress, occurs within four weeks of the stressor and last from two days to 4 weeks.
Anti-Anxiety Medications
Buspar, Alprazolam/Xanax, Diazepam/Valium--Potentially addictive
Somatization Disorder
Recurrent and multiple somatic complaints (at least 13) begins in teens, onset before age 30
Conversion Disorder
A change or loss in physical functioning and not related to a physical condition, individual does not have voluntary control of symptoms
Unrealistic interpretation of physical symptoms as an abnormal, preoccupation with the fear of being seriously ill. They can acknowledge that there are no grounds for fear.
Body Dysmorphic Disorder
Preoccupation with an imagined body flaw
Factitous Disorder
Person creating physical symptoms for attention
Depersonalization Disorder
Causing significant distress for the individual, during episodes reality testing remains intact
strong sexual fantasy or urges involving use of non-living objects
strong sexual fantasy or urges involving cross dressing
strong sexual fantasy or urges involving interest in prepubertal children, to be considered a perpetrator you must be five years older than the victim, and the perpetrator must be at least 16 years of age
strong sexual fantasy or urges involving exposing genitals
strong sexual fantasy or urges involving observing others engaging in sex
Sexual Masochism
strong sexual fantasy or urges involving sexual excitement through pain infliction
strong sexual fantasy or urges involving touching/rubbing against a nonconsenting person
Male Erectile Disorder
Failure to obtain/maintain erection
Premature Ejaculation
Does so with minimal simulation after insertion into vagina
Genital pain in male/female during/after sex
Recurrent or persistent involuntary spasm of muscalature that interferes with sex
Anorexia Nervosa
Intense fear of gaining weight, usually underweight
Bulimia Nervosa
Episodes of binge eating, self induced vomiting
Schizoid Personality Disorder
Very detached with a pattern of indifference, lack of desire for intimacy
Schizotypal Personality Disorder
More typical of shizophrenia, numerous social and interpersonal problems--Ideas of Reference found here
Ideas of Reference
Incorrect interpretation of a causal incident as having a particular or unusual meaning to a person
Borderline Personality Disorder
Instability of self, Needs clear boundaries, Defuse crisis formulation in treatment, DBT
Grandiose sense of self-importance, lack of empathy is a criteria
Histrionic Personality Disorder
Overly dramatic behavior
Assessing Danger to Self
A "Do no harm agreement" or a "No suicide agreement" is used to document and plan for avoidance of the potential harm to self or others
Intelligence Assessment for adults
Functional Theory
A problem solving focus with free will, importance is agency function in the helping process, clients are active and are capable of individual choice
Psychosexual Theory
Freud, little to no free will
Stage 1-Oral
Age 0-12 months, Source of Satisfaction-Mouth, Primary conflict weaning
Stage 2-Anal
Age 1-3 years, Source of Satisfaction- Anal Region,
Stage 3-Phallic
Age 3-6 years, Source of Satisfication-Genitals, Primary conflict Oedipus/Electra Complex, identification with same sex parent and helps develop the super-ego
Stage 4- Latency
Age 6-12 years, Socialization stage, child adapts to his/her environment
Stage 5-Genital
Age 12+,Interpersonal relations, freedom to love/work
Ego Psychology (Psychodynamic Theory)
Ana Freud, focus on the healthy individual-not the sick one, utilizes effects of the conscious and unconscious
Scientific Determinism
Individuals are products of the past, understanding the past explains the present
Defense Mechanisms
Used to control anxiety
Individual receives gratification either vicariously or from the response of others
Emphasizing the amusing or ironic aspects of the conflict or stressor
Channeling potentially maladaptive feelings or impulses into socially acceptable behavior
Intentionally avoiding thinking about disturbing problems, wishes, feelings, or experiences
Transferring a feeling about, or a response to, one object onto another
A breakdown in the usually integrated functions of consciousness, memory, perception of self or the environment, or sensory/motor behavior
Minimizing disturbing feelings
Isolation of affect
Losing touch with the feelings associated with a given idea
Reaction Formation
Subsituting behavior, thoughts, or feelings that are diametrically opposed to his or her own unacceptable thoughts or feelings
Expelling disturbing wishes, thoughts, or experiences from conscious awareness
Exaggerated negative qualities to self or others
Exaggerated positive qualities to others
Feeling or acting as if he or she possesses special powers or abilities and is superior to others
Painful aspect of external reality or subjective experience that would be apparent to others
Falsely attributing to another his or her own unacceptable feelings, impulses or thoughts
Concealing true motivations for his or her own thoughts, actions, or feelings through the elaboration of reassuring or self-serving but incorrect explanations
Gestalt Therapy
Focus on the here and now with immediate awareness of personal experiences. Guilt is viewed as "unfinished business", Use of I language
Object Relations Theory
Human growth and development theory, the child often uses transitional objects such as a "teddy bear" to separate from the mother.
Client Centered Theory
Human relations theory, therapist is seen as an acitve listener and reinterprets statements made by the client
Systems Theory
Ensures that people have access to resources and opportunities, goal oriented planned change-problems are viewed as in the system
Ecological Systems Perspective
Must include the community in every part of the assessment, adaptation and the goodness of fit with the environment must be established
Family Therapy/Family Systems
Treatment is focused toward a family-goal is homeostasis, never uses DSM as a diagnostic tool
emotional reactions assigned to current relationships that come from earlier relationships
The social worker is the one who attributes feelings to the client
Rational Emotive Behavioral Therapy
ABCDE model, Cognitive behavioral form of treatment, dysfunctional behaviors are the result of irrational thoughts and beliefs
Problem Solving Model
Focuses on the here and now, the 4 P's, used as a foundation for the development of brief therapy and crisis intervention
Task Centered
Client defined problems and goals, intervention based on specific goal resolution, structured sessions, ends with problem solving in the session
Solution Focused
Change talk or change strategy is the focus of all interventive efforts
Brief Planned Treatment
Main criteria is speed, effectiveness, time limited and reality focused. Eclecticism or Pluralism is generally the model used
Crisis Intervention
Time limited, deals with the crisis period and restoring equilibrium for the client, here and now orientation, therapist is active and directive
Sculpting Excercise
Increases family awareness of communtication styles/patterns
When people know they are being watched they may act differently
Projection Identification
Unconsciously attributing and perceiving the behavior of another as a reflection of self
A proposition that is stated in a testable form
Null Hypothesis
No difference
Random Sample
Each subject in the population has an equal chance of being selected, increases your generalizability
Taking what you know about a small group or sample of a population and apply it to explain the general population, uses maximum controls
Nonparametric test
chi square test
Mutually exclusive (e.g. yes or no, true or false)
Rank order
Clear differences
Weight, age, etc.
Positive Association
As one goes up the other goes up and as one goes down the other goes down
Negative Association
As one goes up the other goes down and as one goes down the other goes up
Control group
Does not recieve the intended treatment
Z score or a T score
A standardized score so that raw scores can be compared on the same bell shaped curve
Standard Deviation
The square root of the variance and will always be smaller
In a normal bell shaped distribution
The mean, median and the mode are in the middle of the distribution
Inside environmental factors
Outside environmental factors
Trust vs Mistrust
Oral/Sensory, 0-12 to 18 mo, Outcome: trust and optimism
Autonomy Vs Shame and Doubt
Muscular Anal, 18 mo- 3 yrs, Outcome: self assertion, self control, and feelings of adequacy
Initiative Vs Guilt
Locomotor-genital 3 - 6 yrs, Outcome: sense of initiative, purpose and direction
Industry Vs Inferiority
Latency 6 - 12 yrs, Outcome: productivity and competence in physical, intellectual and social skills
Ego Identity Vs Role Confusion
Adolescence 12-18 yrs., Outcome: integrated image of oneself as a unique person
Intimacy Vs. Isolation
Early Adulthood 19-40 yrs, Outcome: ability to form close personal relationships and make career commitments
Generativity Vs. Stagnation
Middle Adulthood 40-65, Outcome: concern for future generations
Integrity Vs. Despair
Maturity 64-Death, Outcome: sense life satisfaction and to face death without despair
Finding and establishing the "goodness of fit"
Incorporating one's environment into the existing environment
An individual might modify what he/she believes to make it easier to deal with another individual, group or society
State of balance
Object Permanence
Objects continue to exist even when they cannot be seen
Things can not be reversed or are permanent, children learn this between the ages of 2-7 yrs. old.
Concrete Operational
Individuals understand abstract symbols, child is realistic in his/her thinking, Ages 7-11 yrs. old
Formal Operations
Individual develops egocentrism and is able to self-admire and self-criticize, logical deduction ability is reached
Using or including
Family has an identity of its own
Move towards disorder and disorganization
Same result comes from different causes
One cause can produce different results
Behavioral Family Therapy
Behavioral modification is maintained by consequences
Group of organizations working together to provide services for a certain population
Case Record
Is most useful when consideration and analysis of the data have preceded the recording
Client System
The basic sanction for social work practice
Estrangement or separation between personality and significant aspects of a persons experience
Reducing an overwhelming large problem to a smaller component
Group think
To join forces and feel superiours to others as well as insulated from outside criticisms
Path goal theory
Effective leaders should carve the way for his/her employees
The symptom most characterized with Autistic Disorder is
Abnormal social play
When trying to distinguish between delirium and dementia, which characteristic is most helpful..
clouded consciousness or sensorium
Dissociative Fugue
Characterized by sudden, unexpected travel with the assumption of a new identity and an inability to remember one's own previous identity
measures associations through viewing inkblots
measures perception through telling stories about pictures
measures mental status
measures intelligence
Primarily used to treat psychosis
When addressing an Hispanic couple the SW should be most concerned about
the husband may not relate well nor feel comfortable talking with a female therapist
Concrete Operational
children begin to understand the concept of death
The smaller the sample size
the more likely the researcher will be to obtain information related to that sample only
evaluating on an on-going basis
Close ended questions
limit the response time and explanation
Path Goal Theory
Effective leaders should carve the way for his/her employees
Goal of Validity
Accurately measuring what we attempted to measure
Goal of Reliability
Getting similar results on repeated trials
Does not encourage a client to be an active participant
Ecological, Systems, and Family Systems
focuses on reciprocal exchanges between individual and environment
According to Frued, an unresolved psychosexual conflict results here
Ego is related to
Adult mediation principle
Operant Conditioning
Controlling reinforcement patterns of behavior
Mutually negotiated
Process of goals and objectives