HLTH 2374 NOTES – CHAPTER 6 PEOPLE SHOULD SEEK HELP WHEN A MENTAL, EMOTIONAL, OR BEHAVIORAL...
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Transcript of HLTH 2374 NOTES – CHAPTER 6 PEOPLE SHOULD SEEK HELP WHEN A MENTAL, EMOTIONAL, OR BEHAVIORAL...
HLTH 2374 NOTES – CHAPTER 6
PEOPLE SHOULD SEEK HELP WHEN A MENTAL, EMOTIONAL, OR BEHAVIORAL PROBLEM SIGNIFICANTLY INTERFERES SOMEONE’S ABILITY TO FUNCTION PROPERLY.
NINE COMMON CATEGORIES:
DEPRESSION
ANXIETY
RIGIDITY – OBSESSIVE THOUGHTS OR ACTIONS; SELF DEFEATING BEHAVIOR
IMPULSIVITY – INTENSE FLIGHTINESS, ALSOHOL ABUSE, VIOLENT BEHAVIOR
IMPAIRED SOCIABILITY
COPING DIFFICULTY
UNREALITY – DELUSIONS, HALLLUCINATION, ETC.
REPEATED FAILURE
SUBSTANCE ABUSE
MENTAL HEALTH PRACTITIONERS
PSYCHIATRISTS – M.D. OR D.O.’S WITH AT LEAST 3 YEARS SPECIALIZED TRAINING
PSYCHOLOGISTS – PH. D. OR PSY.D. AND CLINICAL TRAINING, STATE EXAM
PSYCHOANALYSTS – PSYCHIATRISTS OR PSYCHOLOGISTS WITH SPECIAL TRAINING
SOCIAL WORKERS – PH.D. OR MASTERS WITH CLINICAL TRAINING, STATE EXAM
CLINICAL MENTAL HEALTH COUNSELOR – MASTERS DEGREE IN COUNSELING AN CLINICAL TRAINING, STATE EXAM
MENTAL HEALTH PRACTITIONERS CONTINUED:
SPECIALISTS IN PSYCHIATRIC NURSING – R.N. WITH MASTER DEGREE AND CLINICAL TRAINING, STATE EXAM
MARRIAGE AND FAMILY THERAPOSTS – MASTERS OR DOCTORAL LEVEL TRAINING PLUS 2 YEARS CLINICAL EXPERIENCE
SEXUAL THERAPISTS - MASTERS’S DEGREE, CLINICAL TRAINING, AASECT NOT STATE CERTIFICATION
SUBSTANCE ABUSE SOUNSELORS – ASSOCIATE, BACHLORS, OR MASTERS
FINDING A SUITABLE THERAPIST MAY BE DIFFICULT:
WIDE RANGE OF PRACTITIONERS
LACK STANDARDIZATION OF TRAINING AND CREDENTIALS
MANY DIFFERENT APPROACHES MAY BE USED BY PRACTITIONERS
PERSON SEEKING HELP MAY NOT KNOW WHICH TYPE OF TREATMENT IS MOST APPROPRIATE
COMPATIBILITY BETWEEN PATIENT AND THERAPIST IS VERY IMPORTANT
SOME PRACTITIONERS USE QUESTIONABLE PRACTICES
PSYCHOTHERAPY – CONVERSATIONAL APPROACH DESIGNED TO HELP PATIENTS
MANY TYPES: PSYCHODYNAMIC TREATMENT, SUPPORTIVE THERAPY
COGNITIVE THERAPY, BEHAVIORAL THERAPY, BIOFEEDBACK, GROUP THERAPY, MARRIAGE COUNSELING, HYPNOSIS
DRUG THERAPY - ONLY WRITTEN BY PHYSICIAN
ANTIANXIETY AGENTS – MINOR TRANQUILIZERS (VALIUM, PROZAC,ETC.)
ANTIPSYCHOTIC AGENTS – MAJOR TRANQUILIZERS – REVOLUTIONIZED THE FIELD OF PSYCHIATRY, USED MOSTLY IN INSTITUTIONS
ANTIDEPRESSENTS
ANTIMANIC AGENTS
ANTI-OBSESSIVE-COMPULSIVE AGENTS
RITALIN – USED TO TREAT ADHD CHILDREN, MAY BE OVERUSED
DRUG COMPLICATIONS ARE AN ISSUE
ELECTROCONVULSIVE THERAPY – NOT OFTEN USED, SOMETIMES USED FOR SEVERE DEPRESSION
PSYCHOSOMATIC DISORDERS
INPATIENT CARE: DANGEROUS TO SELF, TO OTHERS, SPECIALIZED TRT. IS NEEDED
DRUG ABUSE PROPRAMS
SELECTING A THERAPIST
WHAT TYPE OF HELP IS WANTED?
WHICH PRACTITIONERS CAN PROVIDE SUCH HELP?
ARE THEY AVAILABLE IN THE COMMUNICTY?
HOW MUCH CAN THE PATIENT AFFORD TO PAY?
MUST SEE A PHYSICIAN FOR DRUGS
COST IS FROM $75-$150/HR
MOST IMPORTANT FACTOR IS PATIENT-THERAPIST RELATIONSHIP
HOSPITAL CARE IS NEEDED WHEN:
THE PATIENT IS CONSIDERED DANGEROUS TO SELF
THE PATIENT IS CONSIDERED DANGEROUS TO OTHERS
COMMUNITY CARE IS NOT POSSIBLE
SPECIALIZED TREATMENT IS AVAILABLE ONLY IN HOSPITAL
QUESTIONABLE SELF-HELP PRODUCTS INCLUDE:
SUBLIMINAL TAPES – OF NO PROVEN VALUE
BIOFEEDBACK GADGETS
SELF-HELP INSTRUCTIIONAL PROGRAMS
BRAIN WAVE SYNCHRONIZERS
BACH REMEDIES - HOMOPATHIC REMEDEY TO CALM PEOPLE
DIETARY SUPPLEMENT, HERBS, AND HORMONES - LACK STANDARDIZATION, LACK PROPER RESEARCH FOR PROOF
KAVA – RELIEVE ANXIETY
ST. JOHN’S WART & SAMe – DEPRESSION
GINKGO BILOBA – IMPROVE MEMORY
MANY VITAMINS CONCOCTIONS ARE RECOMMENDED FOR HYPERACTIVITY, AUTISM, ETC.
QUESTIONABLE PRACTICES INCLUDE:
SENSITIVITY TRAINING/ENCOUNTER GROUPS
MEDITATION
MEGAVITAMIN THERAPY – ORTHOMOLECULAR PSYCHIATRY
THE FEINGOLD DIET – DIET FREE OF SALICYLATES, ARTIFICIAL COLORS, AND ARTIFICIAL FLAVORS – REDUCED HYPERACTIVITY IN CHILDREN
TREATMENTS FOR LEARNING DISABILITIES AND AUTISM-AUDITORY INTEGRATION TRAINING, CHLEATION THERAPY, DOMAN-DELACATO TREATMENT, EYE MOVEMENT DESENSITIZATION, FACILITATED COMMUNICATION, NERUAL ORGANIZATION TECHNIQUE, NEURO EMOTIONAL TECHNIQUE, OPTOMETRIC VISUAL TRAINING
NEUROLINGUISTIC PROGRAMMING – FOR INPROVED COMMUNICATION
ATTACHMENT THERAPY-FOR NEGLECTED OR ABUSED CHILDREN
PAST-LIFE THERAPY
STIMULATION OF FALSE MEMORIES – REMEMBERING CHILDHOOD MEMORIES THAT MAY OR MAY NOT HAVE HAPPENED
THOUGHT FIELD THERAPY – ATTEMPTS TO ELIMINATE NEGATIVE EMOTIONS
DIANETIC AND PURIFICATION – CHURCH OF SCIENTOLOGY (DEVELOPED BY L. RON HUBBARD)
ROUTINE PERSONALITY TESTING
PSYCHIC COUNSELING – 900 NUMBERS, ETC.
MISMANAGEMENT OF PSYCHOTHERAPY
NO SEXUAL RELATIONS WITH PATIENTS
BEING TOTALLY CONFIDENTIAL
NOT ALLOWING PATIENTS TO BECOME TOO DEPENDENT
ADHERENCE TO A RESEASONABLE SCHEDULE
BOUNDARY VIOLATIONS
• REPEATEDLY TOUCHING OR HUGGING THE PATIENT
• MUCH NONTHERAPEUTIC CONTACT OUTSIDE OFFICE
• HIRING THE PATIENT OR USE AS A VOLUNTEER
• TALKING ABOUT OTHER PATIENTS
• DISCLOSING PERSONAL PROBLEMS
• GIVING OR ACCEPTING VALUABLE GIFTS OR LOANS
• ADDRESSING THE PATIENT WITH A PET NAME
• DRESSING SEDUCTIVELY
• IGNORING UNPAID BILLS FOR RTREATMENT
• PERMITTING A PATIENT TO RUN ERRANDS
• PROMOTING THE THERAPIST’S RELIGIOUS BELIEFS
• OFFERING TO JOIN THE PATIENT IN A BUSINESS VENTURE
• ENGAGING IN CULTLIKE BEHAVIOR WITH THE THERAPIST