The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Reviews major concepts for crisis identification and management for counselors
The document provides an overview of ethics training for psychologists. It includes the following:
- Learning objectives focused on ethical principles, decision-making models, and analyzing ethical vignettes.
- A description of online ethics resources like blogs that can aid in self-education and connecting with others.
- A review of APA's ethics code including its enforceable standards and aspirational principles.
- Discussion of key ethical concepts like autonomy, beneficence, nonmaleficence, fidelity, and justice.
- The Acculturation Model which examines how psychologists integrate professional and personal ethics.
- Approaches to ethical decision-making including risk management versus positive ethics.
Disruptive, Impulse Control & Conduct Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
Reviews addiction theory, the Jellenik curve, reasons for use and risk and protective factors related to substance abuse. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
This document provides an agenda and materials for an ethics training presentation. The presentation aims to help participants differentiate between clinical, legal, and risk management issues, define common risk management strategies, and explain how competing ethical principles can create dilemmas. It includes slides on key ethical principles, codes, risk management strategies, documentation, informed consent, and working with clinical dilemmas. Case examples will also be discussed and analyzed from an ethical perspective. The goal is for participants to learn how to make ethical clinical decisions that balance patient welfare, competence, and legal/risk management concerns.
It is inevitable that a family therapist's values regarding issues like divorce, extramarital affairs, and sex roles will influence how they conduct therapy and affect their clients' lives. Therapists are recommended to take time to become aware of their own values, understand how those values shape their practice, and inform clients of implicit values. Properly addressing personal biases is important for ethically serving clients.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction Counselor Certification Training Series. Theories of addiction including moral, medical
Cognitive Behavioural Therapy and Gamblingactsconz
CBT uses problem-solving techniques and cognitive restructuring to change dysfunctional thoughts and behaviors. The therapist helps clients identify problems and set specific goals. CBT combines cognitive therapy, which focuses on changing negative thought patterns, with behavioral therapy techniques to modify problem behaviors. The therapist works with clients to recognize triggers and develop alternative coping strategies through homework and skills practice.
This document provides an overview of key concepts in mental health and nursing, including:
1) Qualities of mental health and the DSM-IV diagnostic system with five axes.
2) Professional standards in nursing including ethics, patient's bill of rights, and legal considerations like involuntary commitment.
3) Therapeutic approaches, the stages of the therapeutic relationship, and techniques for communication and assessing anxiety levels.
4) Guidelines for dealing with upset patients, conflict management, and appropriate interventions for different anxiety levels including restraint and seclusion.
The document provides an overview of ethics training for psychologists. It includes the following:
- Learning objectives focused on ethical principles, decision-making models, and analyzing ethical vignettes.
- A description of online ethics resources like blogs that can aid in self-education and connecting with others.
- A review of APA's ethics code including its enforceable standards and aspirational principles.
- Discussion of key ethical concepts like autonomy, beneficence, nonmaleficence, fidelity, and justice.
- The Acculturation Model which examines how psychologists integrate professional and personal ethics.
- Approaches to ethical decision-making including risk management versus positive ethics.
Disruptive, Impulse Control & Conduct Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
Reviews addiction theory, the Jellenik curve, reasons for use and risk and protective factors related to substance abuse. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
This document provides an agenda and materials for an ethics training presentation. The presentation aims to help participants differentiate between clinical, legal, and risk management issues, define common risk management strategies, and explain how competing ethical principles can create dilemmas. It includes slides on key ethical principles, codes, risk management strategies, documentation, informed consent, and working with clinical dilemmas. Case examples will also be discussed and analyzed from an ethical perspective. The goal is for participants to learn how to make ethical clinical decisions that balance patient welfare, competence, and legal/risk management concerns.
It is inevitable that a family therapist's values regarding issues like divorce, extramarital affairs, and sex roles will influence how they conduct therapy and affect their clients' lives. Therapists are recommended to take time to become aware of their own values, understand how those values shape their practice, and inform clients of implicit values. Properly addressing personal biases is important for ethically serving clients.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction Counselor Certification Training Series. Theories of addiction including moral, medical
Cognitive Behavioural Therapy and Gamblingactsconz
CBT uses problem-solving techniques and cognitive restructuring to change dysfunctional thoughts and behaviors. The therapist helps clients identify problems and set specific goals. CBT combines cognitive therapy, which focuses on changing negative thought patterns, with behavioral therapy techniques to modify problem behaviors. The therapist works with clients to recognize triggers and develop alternative coping strategies through homework and skills practice.
This document provides an overview of key concepts in mental health and nursing, including:
1) Qualities of mental health and the DSM-IV diagnostic system with five axes.
2) Professional standards in nursing including ethics, patient's bill of rights, and legal considerations like involuntary commitment.
3) Therapeutic approaches, the stages of the therapeutic relationship, and techniques for communication and assessing anxiety levels.
4) Guidelines for dealing with upset patients, conflict management, and appropriate interventions for different anxiety levels including restraint and seclusion.
Addiction is a chronic brain disease that involves pathological pursuit of reward and relief through substance use and other behaviors, despite their negative consequences. The brain's reward center is activated by natural rewards like food and sex but becomes dysfunctional in addiction. Genetics and life experiences influence this. For addicts, nothing else stimulates the reward center normally. Continued substance use or behaviors cause biological, psychological, social, and spiritual problems. Prevention focuses on healthy activities with family and friends while treatment requires confronting the issue with care but also firmness when needed.
Dr. Arnold, a former member of the Ohio Board of Psychology, reviews Ohio's rules for psychologists, counselors, and social workers about multiple roles. The recent updates to the Ohio psychology rules are covered.
This document discusses how psychology and family dynamics can impact diabetes management and outcomes. It summarizes that children with diabetes are at risk for adjustment problems, and that the whole family is affected by the diagnosis. Poor parental coping and parenting styles can negatively influence children's diabetes control and adherence. Shared parent-child responsibility is linked to better outcomes compared to child or parent responsibility alone. Peer relationships and coping skills training can also impact diabetes management and outcomes.
The document provides information on eating disorders such as anorexia nervosa, bulimia nervosa, and binge eating disorder. It discusses the typical age of onset, gender differences in prevalence, and biological, psychosocial, and behavioral risk factors for developing an eating disorder. Examples are given of celebrities who suffered from eating disorders, including Princess Diana, Brazilian model Ana Carolina Reston, and tennis player Monica Seles. Their experiences illustrate several risk factors such as pressures from family or society to be thin, trauma, and internalizing the thin ideal promoted by the media.
This document provides information on crisis intervention and suicide risk assessment. It defines crisis and outlines general principles of crisis management, including identifying methods for screening for crisis in therapy sessions and the community. The document discusses the steps in crisis management and identifies common risk factors for suicide. It provides guidance on assessing suicide risk, developing a safety plan and treatment strategies, including medication and psychotherapy options. It emphasizes the importance of coordination among a multidisciplinary treatment team.
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
The document discusses substance abuse and addiction. It defines terms like substance, substance abuse, intoxication, withdrawal, tolerance, dependence, and polysubstance abuse. It describes signs and symptoms of use and withdrawal from various substances like alcohol, opioids, cocaine, amphetamines, hallucinogens, marijuana, and nicotine. It discusses treatment approaches including managing overdose, withdrawal symptoms, and long term programs. Nursing considerations are outlined like ensuring a safe environment, supporting the client, and managing risks.
DBT is a therapy model that uses skills training and a strong therapeutic relationship to help clients manage emotions and behaviors. It was originally developed for borderline personality disorder but is now used for various conditions. DBT combines individual therapy, skills training groups, therapist consultation meetings, and self-monitoring. Research shows DBT reduces self-harm, psychiatric hospitalization, and improves functioning compared to treatment as usual. DBT has been adapted for different populations and settings. It requires commitment from both clients and therapists to achieve positive outcomes.
Slides for "Problem Gambling: Hidden Addiction" class on 11/17/10 - Julie Hynes. University of Oregon Substance Abuse Prevention Program course on Addictive Behaviors with George Baskerville.
It contains cognitive conceptualization, cognitive models, and types of negative appraisals in OCD. Also mentions the updated exposure and other techniques of OCD management based on the recent proposed inhibitory model of learning.
Here are the 10 models categorized into Agent, Host, and Environment categories:
Agent Host Environment
Temperance Moral Conditioning
American Disease Social Learning
Educational General Systems
Characterological Sociocultural
Biological
Public Health Model Public Health Model Public Health Model
NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.
This document provides an introduction to group and family psychotherapy. It describes group psychotherapy as involving several people meeting under a therapist's guidance to help one another. Group therapy can focus on issues like anger management or addiction. Family therapy views psychological health in terms of family relationships and interactions. It aims to nurture change by pointing out patterns and suggesting new responses. Both group and family therapy can help with issues like relationships, mental health, parenting, trauma, and substance abuse. Approaches include supportive, cognitive-behavioral, psychodynamic, and systemic family therapy. Studies show group therapy can be effective, sometimes more so than individual therapy.
Milen xx philippines mental health promotion and practice strategiesMilen Ramos
PROMOTION OF MENTAL HEALTH AMONG WOMEN IN PHILIPPINES
CELEBRATION OF INTERNATIONAL WOMEN S DAY
STAGING MENTAL HEALTH PROMOTION AND SERVICES
INDIVIDUAL, COMMUNITY AND NATIONAL INTERVENTION
The document discusses the declining mental health of youth due to the pandemic. It states that while it may seem like young people were spared effects of the pandemic, their mental health has actually declined significantly. The pandemic accelerated this decline as lockdowns separated youth from family and friends, making it difficult for some to cope. Globally, depression and anxiety are leading causes of illness and disability among adolescents. Emotional disorders profoundly impact areas like schoolwork and attendance, while social withdrawal can increase isolation and loneliness. Depression in extreme cases can even lead to suicide.
The document provides an overview of cognitive-behavioral therapy (CBT). It discusses the founders and key principles of CBT, including the idea that thoughts lead to feelings and behaviors. Some common issues treated with CBT are listed. The overall goals of CBT are to help clients become aware of connections between thoughts, feelings, and behaviors; develop new coping strategies; and ultimately overcome problems independently. Strategies used in CBT include identifying and challenging dysfunctional thoughts, practicing new cognitions, and applying CBT principles within family therapy settings.
DBT is a treatment for borderline personality disorder that combines cognitive behavioral therapy with mindfulness practices. It aims to help patients regulate their emotions and improve their interpersonal relationships through weekly skills training groups, individual therapy sessions, phone coaching, and therapist consultation meetings. Key aspects of DBT include balancing acceptance of patients with strategies to induce change, validating patients' experiences, and teaching skills for mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation.
The document summarizes changes to substance use disorders in the DSM-V. It describes substance use disorders as patterns of problematic substance use that continue despite harm. The DSM-V replaced substance abuse and dependence with a single category of substance use disorder. It includes 10 classes of substances and diagnostic criteria involving impaired control, social/role functioning, risky use, and pharmacological symptoms. Disorders are classified as mild, moderate, or severe based on the number of criteria met.
The COVID-19 pandemic has negatively impacted mental health worldwide. Social isolation and stress about the virus, health, jobs and financial security have increased anxiety, depression, and exacerbated existing mental illness. Accessing mental health services has also become more difficult due to social distancing. Coping strategies include exercising, connecting with others virtually, getting enough sleep, and avoiding drugs/alcohol. However, the Philippines lacks sufficient mental healthcare resources as there is less than one provider per 100,000 people.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Working with persons in the criminal justice system often poses unique challenges. Compare and Contrast thinking patterns among people involved in the criminal justice system, and those with addictions. Identify the motivations for such behaviors and thinking patterns. Develop ways to teach alternate behaviors cognitive patterns and increase motivation to use those new skills.
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Linkedin: dawnelisesnipes (https://www.linkedin.com/in/dawnelisesnipes)
Pinterest: drsnipes
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.youtube.com/watch?v=krvEgvr7l_0
Instagram: AllCEUs
Pinterest: drsnipes
Learn about ways to help patients protect themselves to being susceptible to relapse.
Addiction is a chronic brain disease that involves pathological pursuit of reward and relief through substance use and other behaviors, despite their negative consequences. The brain's reward center is activated by natural rewards like food and sex but becomes dysfunctional in addiction. Genetics and life experiences influence this. For addicts, nothing else stimulates the reward center normally. Continued substance use or behaviors cause biological, psychological, social, and spiritual problems. Prevention focuses on healthy activities with family and friends while treatment requires confronting the issue with care but also firmness when needed.
Dr. Arnold, a former member of the Ohio Board of Psychology, reviews Ohio's rules for psychologists, counselors, and social workers about multiple roles. The recent updates to the Ohio psychology rules are covered.
This document discusses how psychology and family dynamics can impact diabetes management and outcomes. It summarizes that children with diabetes are at risk for adjustment problems, and that the whole family is affected by the diagnosis. Poor parental coping and parenting styles can negatively influence children's diabetes control and adherence. Shared parent-child responsibility is linked to better outcomes compared to child or parent responsibility alone. Peer relationships and coping skills training can also impact diabetes management and outcomes.
The document provides information on eating disorders such as anorexia nervosa, bulimia nervosa, and binge eating disorder. It discusses the typical age of onset, gender differences in prevalence, and biological, psychosocial, and behavioral risk factors for developing an eating disorder. Examples are given of celebrities who suffered from eating disorders, including Princess Diana, Brazilian model Ana Carolina Reston, and tennis player Monica Seles. Their experiences illustrate several risk factors such as pressures from family or society to be thin, trauma, and internalizing the thin ideal promoted by the media.
This document provides information on crisis intervention and suicide risk assessment. It defines crisis and outlines general principles of crisis management, including identifying methods for screening for crisis in therapy sessions and the community. The document discusses the steps in crisis management and identifies common risk factors for suicide. It provides guidance on assessing suicide risk, developing a safety plan and treatment strategies, including medication and psychotherapy options. It emphasizes the importance of coordination among a multidisciplinary treatment team.
This presentation about mental health, Factor Affecting the Health, Mental illness, Psychological and physiological symptoms of mental disorders,Common mental disorders (depression, anxiety disorders, schizophrenia, eating disorders, addictive behaviors and Alzheimer’s disease), prevention and promotion program, Types of behavioral therapy, Factors contribute to the achievement of mental health.
The document discusses substance abuse and addiction. It defines terms like substance, substance abuse, intoxication, withdrawal, tolerance, dependence, and polysubstance abuse. It describes signs and symptoms of use and withdrawal from various substances like alcohol, opioids, cocaine, amphetamines, hallucinogens, marijuana, and nicotine. It discusses treatment approaches including managing overdose, withdrawal symptoms, and long term programs. Nursing considerations are outlined like ensuring a safe environment, supporting the client, and managing risks.
DBT is a therapy model that uses skills training and a strong therapeutic relationship to help clients manage emotions and behaviors. It was originally developed for borderline personality disorder but is now used for various conditions. DBT combines individual therapy, skills training groups, therapist consultation meetings, and self-monitoring. Research shows DBT reduces self-harm, psychiatric hospitalization, and improves functioning compared to treatment as usual. DBT has been adapted for different populations and settings. It requires commitment from both clients and therapists to achieve positive outcomes.
Slides for "Problem Gambling: Hidden Addiction" class on 11/17/10 - Julie Hynes. University of Oregon Substance Abuse Prevention Program course on Addictive Behaviors with George Baskerville.
It contains cognitive conceptualization, cognitive models, and types of negative appraisals in OCD. Also mentions the updated exposure and other techniques of OCD management based on the recent proposed inhibitory model of learning.
Here are the 10 models categorized into Agent, Host, and Environment categories:
Agent Host Environment
Temperance Moral Conditioning
American Disease Social Learning
Educational General Systems
Characterological Sociocultural
Biological
Public Health Model Public Health Model Public Health Model
NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.
This document provides an introduction to group and family psychotherapy. It describes group psychotherapy as involving several people meeting under a therapist's guidance to help one another. Group therapy can focus on issues like anger management or addiction. Family therapy views psychological health in terms of family relationships and interactions. It aims to nurture change by pointing out patterns and suggesting new responses. Both group and family therapy can help with issues like relationships, mental health, parenting, trauma, and substance abuse. Approaches include supportive, cognitive-behavioral, psychodynamic, and systemic family therapy. Studies show group therapy can be effective, sometimes more so than individual therapy.
Milen xx philippines mental health promotion and practice strategiesMilen Ramos
PROMOTION OF MENTAL HEALTH AMONG WOMEN IN PHILIPPINES
CELEBRATION OF INTERNATIONAL WOMEN S DAY
STAGING MENTAL HEALTH PROMOTION AND SERVICES
INDIVIDUAL, COMMUNITY AND NATIONAL INTERVENTION
The document discusses the declining mental health of youth due to the pandemic. It states that while it may seem like young people were spared effects of the pandemic, their mental health has actually declined significantly. The pandemic accelerated this decline as lockdowns separated youth from family and friends, making it difficult for some to cope. Globally, depression and anxiety are leading causes of illness and disability among adolescents. Emotional disorders profoundly impact areas like schoolwork and attendance, while social withdrawal can increase isolation and loneliness. Depression in extreme cases can even lead to suicide.
The document provides an overview of cognitive-behavioral therapy (CBT). It discusses the founders and key principles of CBT, including the idea that thoughts lead to feelings and behaviors. Some common issues treated with CBT are listed. The overall goals of CBT are to help clients become aware of connections between thoughts, feelings, and behaviors; develop new coping strategies; and ultimately overcome problems independently. Strategies used in CBT include identifying and challenging dysfunctional thoughts, practicing new cognitions, and applying CBT principles within family therapy settings.
DBT is a treatment for borderline personality disorder that combines cognitive behavioral therapy with mindfulness practices. It aims to help patients regulate their emotions and improve their interpersonal relationships through weekly skills training groups, individual therapy sessions, phone coaching, and therapist consultation meetings. Key aspects of DBT include balancing acceptance of patients with strategies to induce change, validating patients' experiences, and teaching skills for mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation.
The document summarizes changes to substance use disorders in the DSM-V. It describes substance use disorders as patterns of problematic substance use that continue despite harm. The DSM-V replaced substance abuse and dependence with a single category of substance use disorder. It includes 10 classes of substances and diagnostic criteria involving impaired control, social/role functioning, risky use, and pharmacological symptoms. Disorders are classified as mild, moderate, or severe based on the number of criteria met.
The COVID-19 pandemic has negatively impacted mental health worldwide. Social isolation and stress about the virus, health, jobs and financial security have increased anxiety, depression, and exacerbated existing mental illness. Accessing mental health services has also become more difficult due to social distancing. Coping strategies include exercising, connecting with others virtually, getting enough sleep, and avoiding drugs/alcohol. However, the Philippines lacks sufficient mental healthcare resources as there is less than one provider per 100,000 people.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Working with persons in the criminal justice system often poses unique challenges. Compare and Contrast thinking patterns among people involved in the criminal justice system, and those with addictions. Identify the motivations for such behaviors and thinking patterns. Develop ways to teach alternate behaviors cognitive patterns and increase motivation to use those new skills.
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Linkedin: dawnelisesnipes (https://www.linkedin.com/in/dawnelisesnipes)
Pinterest: drsnipes
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
CEs can be earned for this presentation at https://www.youtube.com/watch?v=krvEgvr7l_0
Instagram: AllCEUs
Pinterest: drsnipes
Learn about ways to help patients protect themselves to being susceptible to relapse.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
This document provides an overview of several theories of child development, including psychoanalytic theory, behaviorism, social learning theory, cognitive development theory, attachment theory, and ecological systems theory. It discusses key aspects of each approach, such as Freud's concepts of the id, ego and superego; Pavlov's classical conditioning; Bandura's social learning theory; Piaget's stages of cognitive development; Bowlby's attachment theory; and Bronfenbrenner's ecological systems theory. The document emphasizes that no single theory can fully explain child development and that an integrated understanding of the influences of nature, nurture and environment are needed.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. Part of the screening process involves not only identifying a possible problem, but helping the patient to identify it as a problem that they are willing to work on. Part of this process of motivational enhancement includes helping patients see there is an issue, that it is controllable or able to be dealt with and how it will help them achieve their goals. This powerpoint links to protocols for helping train clinicians in Motivational Enhancement Therapy. Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Working with persons in the criminal justice system often poses unique challenges. Compare and Contrast thinking patterns among people involved in the criminal justice system, and those with addictions. Identify the motivations for such behaviors and thinking patterns. Develop ways to teach alternate behaviors cognitive patterns and increase motivation to use those new skills.
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Linkedin: dawnelisesnipes (https://www.linkedin.com/in/dawnelisesnipes)
Pinterest: drsnipes
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Linkedin: dawnelisesnipes (https://www.linkedin.com/in/dawnelisesnipes)
Pinterest: drsnipes
The document discusses components of a Motivational Interviewing assessment including examining MI styles and traps, defining the MI assessment "sandwich", developing MI micro-skills like OARS, and discussing skills for handling client resistance. It also addresses examining appropriate interventions for each stage of change, using a client-centered approach, and defining change talk using DARN-C.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Learn more about some of the newer designer drugs that are appearing in schools, jails, treatment centers and on the street
The document discusses several key topics relating to medical errors in integrated care systems including pain management. It identifies common types of medical errors and their effects on patients. It also discusses the importance of documentation, communication between multidisciplinary teams, and identifying causes of errors through root cause analysis. The document emphasizes the need for comprehensive risk management plans and staff training to prevent medical errors and protect patient safety.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Review the most common theories of child development: Psychoanalytic, behavioral, social learning, cognitive, attachment, ecological
Apply theoretical concepts to child development
Hypothesize how failure to accomplish tasks in one area of development can negatively impact other areas
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
AllCEUs provides counseling education and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5): https://www.allceus.com/live-interactive-webinars/
Unlimited on-demand CEUs ($59): https://allceus.com
Specialty Certificate Tracks ($89): https://www.allceus.com/certificate-tracks/
Addiction Counselor Certification Training ($149): https://www.allceus.com/certificate-tracks/addictions-counselor-certification-training/
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
Sex and Pornography can become addictive. Learn the warning signs and some tools to start developing alternate ways to cope with stress and feel "normal"
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
Explore and examine the survival function of triggers in mental health and addiction recovery.
This session will cover research on risk and protective factors for substance use across multiple levels: individual, peer, family, school, and community. It will explore how social, political, economic and cultural systems impact drug use, and the history of licit and illicit drug use. Attendees will learn about statistical data on substance use disorders and major risk and protective factors from sources like NIDA, SAMHSA, CDC, and Mayo Clinic. A decisional balance table will be used to understand why different factors influence substance use.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Instagram: AllCEUs
Pinterest: drsnipes
Learn about co-dependency and interventions to help the person with co-dependency issues.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
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Review cognitive distortions and irrational thoughts; the function and impact of these thought patterns, ways to address these thought patterns and how it impacts recovery
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA The complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
Self-harm, especially repetitive self-harm, is strongly associated with suicide and should not be considered merely "attention seeking". A rapid initial assessment should be performed to establish urgency, mental capacity, distress levels, and presence of mental illness. Risk of further self-harm is greatest for those with repeated previous episodes, drug or alcohol dependence, a history of criminal behavior or psychiatric issues. All self-harm patients, especially children, should be offered psychosocial assessment and consideration for admission to address underlying issues and safeguard their well-being.
Self-harm, especially repetitive self-harm, is strongly associated with suicide and should always be taken seriously. A thorough assessment should be performed to evaluate physical injuries, mental state, risk factors for further self-harm or suicide, and safeguarding needs. Psychosocial assessment by an appropriately trained individual and follow-up with mental health services is recommended. Challenges include ensuring assessment and care when a patient wants to leave or has diminished capacity, but their safety must be the top priority.
Psychological and Behavioral Implications in Older Adults with CancerSpectrum Health System
Through Case Presentation and Dydactics, participants will gain an understanding of the psychological and behavioral impact cancer has on older adults.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/394/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member/cart/index/product/id/399/c/
THESE SLIDES ARE PREPAREED TO UNDERSTAND about HEALTH ASSESSMENT- HISTORY TAKING IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM,#historytaking,#communicablediseases,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICE,#HEALTHPROBLEMS
tHESE SLIDES ARE PREPAREED TO UNDERSTAND about HEALTH ASSESSMENT IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #PEM, #ASHA,#DIPHTHERIA,#ICDS,#nurses,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICE
Genetic counseling involves assessing individuals and families affected by genetic disorders to help them understand medical and psychological implications. Counselors educate about inheritance, testing, management and prevention, and support informed decision making. Counseling sessions involve providing unbiased information, discussing disease and testing options, and offering support. The goal is to increase understanding and allow for non-directive decision making. Counselors help clients cope with emotional impacts and connect them to additional resources and support services.
This document discusses addressing the unique mental health needs of college students. It notes that over 1/3 of college students report feeling depressed in the last year, with 21% feeling overwhelming anxiety. Mental health issues often emerge during this transition period and are linked to poorer academic performance and higher substance abuse. The document recommends that colleges provide education and treatment for mental health issues, screen students, improve campus culture and accessibility of services, and promote resilience among students. A quality campus mental health program addresses issues at the individual, organizational and community levels.
The health belief model is a psychological model that aims to explain health behaviors. It proposes that a person's likelihood of engaging in a health-related behavior depends on their perceptions of four key areas: susceptibility to an illness, severity of an illness, benefits of preventive action, and barriers to preventive action. The model was later updated to include additional factors like cues to action and self-efficacy. It is used to understand behaviors related to disease prevention and early detection.
The document discusses suicidal behavior and risk factors. It notes that suicidal behavior can include drug and alcohol abuse, sexual promiscuity, and socially deviant acts. Risk factors include depression, substance abuse, schizophrenia, anxiety disorders, impulsivity, hopelessness, loss, lack of social support, and physical illnesses. It is important for nurses to assess each patient's suicidal risk and the best predictor is a previous suicide attempt. The priority is maintaining the patient's safety.
Psychiatry history taking and mental state examination [autosaved]Ravi Paul
The document discusses the importance of obtaining a thorough psychiatric history from patients. It outlines the key components of a psychiatric history, including identifying data, chief complaint, history of present illness, past psychiatric history, medical history, family history, developmental history, and mental status examination. The psychiatric history allows psychiatrists to understand who the patient is, where they have come from, and where they are likely to go in the future by gathering details about their life experiences, current issues, and mental state.
ETHICAL ISSUE IN PALLIATIVE CARE GMCH.pptxanjalatchi
The document discusses several key ethical issues in palliative care:
- Communication with patients and families is important to guide treatment based on benefits, risks, and patient values and wishes.
- Pain management with opioids does not shorten lives when used for symptom control.
- As death approaches, all care must be reviewed to avoid futile interventions and ensure patient comfort.
- Advance care planning is important so patient values and preferences can guide care if they lose decision-making capacity.
- Ethical principles of beneficence, non-maleficence, autonomy, and justice must be considered in clinical decision making.
What is Trauma and Why Must We Address It? (Part I: Implications for Clinical...MFLNFamilyDevelopmnt
This 2 hour webinar will highlight various types of trauma and its impact on individuals and families. The presenters will provide an introduction to trauma-informed care and highlight benefits in utilizing this treatment approach for prevention and intervention work with both military and civilian families. The video to this presentation can be found here: https://learn.extension.org/events/1734#.VIemvr7yPKA
Trauma-informed care aims to acknowledge and address the impact of trauma by creating safe environments and empowering survivors. Childhood trauma can have profound long-term effects on development, coping mechanisms, and mental health. However, current systems and services often fail to recognize the role of trauma, instead viewing problems as individual pathologies. A truly trauma-informed approach considers the social and historical context of behaviors and prioritizes rebuilding safety, trust, and control for survivors.
Health behaviour and health education for family medicine postgraduatesChai-Eng Tan
This document discusses several health behavior theories that can be used to understand health behaviors and design interventions to promote behavior change. It provides an overview of the Health Belief Model, Transtheoretical Model of Change, Theory of Reasoned Action, and Theory of Planned Behavior. For each theory, it describes the key constructs and provides examples of how the theories can be applied to design health education programs around behaviors like condom use and STI screening. It also notes some limitations of each theory.
Similar to Screening and Intervening in Crisis: Part of the Addiction Counselor Training Curriculum (20)
This document discusses dementia case management. It begins by outlining the objectives of reviewing dementia symptoms, differentiating dementia from normal aging, examining types of dementia, identifying causes and preventative factors, and exploring needs of people with dementia and their caregivers. It then provides extensive details on dementia symptoms, types, causes, progression, prevention strategies, and the roles of a multidisciplinary care team.
This document discusses different types of anger such as irritation, resentment, envy, and guilt. It explores the function of anger as a response to threats and identifies common threat themes. Different activities are provided to help identify triggers of anger and the threats underlying resentment, envy, guilt, and regret in order to address them in a way that promotes well-being. Forgiveness is presented as a means of letting go of anger and reclaiming one's power.
This document discusses anxiety, its causes, symptoms, and interventions. It begins by reviewing the objectives of exploring anxiety symptoms, impacts, and prevention/intervention strategies. It then discusses how anxiety can be debilitating and a trigger for addiction relapse, depression, and other issues. The document outlines biological, psychological, and social factors that can contribute to anxiety. It provides details on symptoms of generalized anxiety in adults and children. Finally, it discusses various biological, psychological, and social intervention strategies to reduce anxiety, including improving sleep, nutrition, cognitive restructuring, relaxation techniques, and developing supportive relationships.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
This document provides an overview of kink and discusses topics relevant for therapists working with clients involved in kink. It defines kink, explores various kink activities and dynamics, discusses prevalence and models of treatment. The PLISSIT model and Johari window are presented as frameworks for therapists. Guidelines are provided for assessing clients in a kink-aware and non-judgmental manner. Countertransference, disclosure processes, and community resources are also reviewed.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
This document discusses 20 ways to nurture children's mental health. It covers physical, environmental, interpersonal, emotional, and cognitive strategies. Specifically, it recommends ensuring children get enough sleep, exercise, nutrition, and relaxation. It also stresses the importance of structure, safety, communication skills, problem solving, and identifying cognitive distortions. The overall goal is to help children feel safe, competent, and confident.
This document outlines 13 brief interventions that can be used in counseling sessions to help clients. It begins by discussing the benefits of brief interventions such as reducing no-shows, increasing treatment engagement and compliance. It then describes goals and target symptoms for brief interventions before detailing each of the 13 interventions. The interventions include techniques like backward chaining, cognitive restructuring, mindfulness, guided imagery and distress tolerance. In under 3 sentences, the document provides an overview of research-based brief therapy techniques counselors can use to efficiently help clients meet treatment goals.
This document discusses elements of motivational interventions and principles of motivational interviewing. It defines motivation as a dynamic state influenced by emotional, cognitive, social and environmental factors. The document outlines six characteristics of motivation and identifies the three critical elements of motivation as willingness, ability and readiness. It reviews five principles of motivational interviewing and five elements of motivational approaches, including the FRAMES model. Various activities and techniques for enhancing client motivation are provided, such as decisional balance exercises, developing discrepancies between goals and behavior, and maintaining personal contact.
The document examines the biopsychosocial impact of addiction and mental health disorders. It discusses how these issues affect individuals biologically through imbalances in neurotransmitters leading to issues like disrupted sleep and fatigue, psychologically through feelings of hopelessness and guilt, and socially through isolation and loss of relationships. A holistic approach is needed to address the biological, psychological, and social aspects, as it is difficult to address one area when others are impacted.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Sally, a 49-year-old woman, has experienced increasing anxiety, sleep difficulties, and panic attacks over the past 6 months. She was prescribed Xanax by her doctor but stopped taking it due to rebound anxiety. Her sleep, nutrition, pain levels, libido, and cognitive patterns were assessed using the PACER method. She reports stress, worry, and difficulty concentrating associated with family, health, and financial concerns. Recommendations included improving sleep hygiene, managing stress and anxiety, and following up with her primary care doctor.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
More from Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training (20)
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Milan J. Anadkat, MD, and Dale V. Reisner discuss generalized pustular psoriasis in this CME activity titled "Supporting Patient-Centered Care in Generalized Pustular Psoriasis: Communications Strategies to Improve Shared Decision-Making." For the full presentation, please visit us at www.peervoice.com/HUM870.
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Receptor Discordance in Breast Carcinoma During the Course of Life
Definition:
Receptor discordance refers to changes in the status of hormone receptors (estrogen receptor ERα, progesterone receptor PgR, and HER2) in breast cancer tumors over time or between primary and metastatic sites.
Causes:
Tumor Evolution:
Genetic and epigenetic changes during tumor progression can lead to alterations in receptor status.
Treatment Effects:
Therapies, especially endocrine and targeted therapies, can selectively pressure tumor cells, causing shifts in receptor expression.
Heterogeneity:
Inherent heterogeneity within the tumor can result in subpopulations of cells with different receptor statuses.
Impact on Treatment:
Therapeutic Resistance:
Loss of ERα or PgR can lead to resistance to endocrine therapies.
HER2 discordance affects the efficacy of HER2-targeted treatments.
Treatment Adjustment:
Regular reassessment of receptor status may be necessary to adjust treatment strategies appropriately.
Clinical Implications:
Prognosis:
Receptor discordance is often associated with a poorer prognosis.
Biopsies:
Obtaining biopsies from metastatic sites is crucial for accurate receptor status assessment and effective treatment planning.
Monitoring:
Continuous monitoring of receptor status throughout the disease course can guide personalized therapy adjustments.
Understanding and managing receptor discordance is essential for optimizing treatment outcomes and improving the prognosis for breast cancer patients.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
Applications of NMR in Protein Structure Prediction.pptxAnagha R Anil
This presentation explores the pivotal role of Nuclear Magnetic Resonance (NMR) spectroscopy in predicting protein structures. It delves into the methodologies, advancements, and applications of NMR in determining the three-dimensional configurations of proteins, which is crucial for understanding their function and interactions.
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxFFragrant
There are many traditional Chinese medicine therapies to treat blocked fallopian tubes. And herbal medicine Fuyan Pill is one of the more effective choices.
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
2. Define crisis
Explore general principles of crisis management
Identify methods for effectively screening for
crisis
◦ In therapy sessions
◦ In the community
Identify the steps in crisis management
Identify risk factors for suicide
AllCEUs.com Unlimited CEUs $99/year
3. All clients perceive events uniquely
All clients participate in care that is respectful and non-
judgmental
Reflection and empathy is most effective
Ego strength is variable among individuals and is influenced
by past experiences and social support
All clients and families are actively involved in collaboration
and decision-making
AllCEUs.com Unlimited CEUs $99/year
4. Stress is a normal part of existence and can foster self-
development and growth
All clients are capable of assuming personal responsibility
All clients grow and change in an environment of acceptance,
trust and empathic understanding
Sustained change occurs when clients feel ready & supported
People have a need for self-mastery and control
Crises can be construed as danger or opportunity for growth
AllCEUs.com Unlimited CEUs $99/year
6. Crisis intervention is an active process that focuses on the
immediate problem
Crisis intervention is time-limited
Client advocacy is essential
The focus is always on increasing the client’s level of social,
emotional, cognitive and behavioral functioning
AllCEUs.com Unlimited CEUs $99/year
7. A precipitating event
Perception of the event
◦ Emotional reactions
Anger
Fear/Helplessness
Hopelessness
◦ Cognitive conceptualization (what does this event
mean/represent)
The client’s usual coping methods
AllCEUs.com Unlimited CEUs $99/year
8. Think about the following common precipitating
events your clients experience
◦ Relationship ending
◦ Job loss
◦ Legal issues
◦ Financial problems/Bankruptcy
◦ Death of a friend
◦ Relapse
Why do some clients become suicidal and others do
not? (Hint: Refer to previous slide)
AllCEUs.com Unlimited CEUs $99/year
9. Prevention is always best
Levels
◦ Primary—Prevent the problem (suicidality)
◦ Secondary – Detect and treat pre-suicidal changes
(depression, hysteria)
◦ Tertiary– Reduce the impact of the problem
AllCEUs.com Unlimited CEUs $99/year
10. What types of primary, secondary and tertiary interventions
could be implemented?
◦ Relationship ending
◦ Job loss
◦ Legal issues
◦ Financial problems/Bankruptcy
◦ Death of a friend
◦ Relapse
AllCEUs.com Unlimited CEUs $99/year
11. Develop rapport & maintain contact
Identify the problem
Assess risk to life
Explore coping, strengths and supports
Negotiate an action plan
Implement the plan
Follow up on the plan
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13. Sources
◦ The patient
◦ Family members
◦ Friends and others in the patient's support network
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14. Four necessary components identified for the
development of rapport
1. An appropriate knowledge base
2. A range of behaviors essential to effective performance
3. A positive attitude and valuing of communication
4. Availability of opportunities to communicate
How do you develop rapport with an unknown person
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15. Build trust
Establish mutual respect
Note that the patient's relationships indicate the patient's
potential to form a strong therapeutic relationship.
Empathy and understanding help the patient feel emotionally
supported, and increases the patient's sense of possible
choices other than suicide.
Empower the patient while still addressing safety
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16. Guard against the role of constant savior
Suicidal patients may wish to be taken care of unconditionally
or, alternatively, to assign others the responsibility for keeping
them alive.
By producing false or unrealistic hopes, you may ultimately
disappoint the patient.
Taking responsibility for a patient's care is not the same as
taking responsibility for a patient's life.
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17. Suicidal patients can also activate a clinician's own latent emotions
about death and suicide.
Remain aware of
Feelings of hate and anger at suicidal patients
Avoidance of patients who bring up anxieties surrounding suicide
Overestimating the patient's capabilities creates unrealistic and
overwhelming expectations for the patient.
Be aware of becoming enveloped by the patient's sense of
hopelessness and despair then responding by becoming discouraged.
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18. Address the patient's immediate safety
Develop a comprehensive differential diagnosis to further
guide planning of treatment.
◦ Biological, Safety, Relationship, Self-Esteem
◦ Remember that suicide assessment scales lack the predictive
validity necessary for use in routine clinical practice.
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19. Order observation of the patient on a one-to-one basis
or by continuous closed-circuit television monitoring
Remove potentially hazardous items from the patient's
room and secure the patient's belongings
Ask the patient what he or she needs while awaiting
the treatment team/emergency services etc.
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20. If the patient is (or is likely to become) dangerous to him-
or herself or to others and the patient will not consent to
interventions that aim to reduce those risks, then the
psychiatrist is justified in attenuating confidentiality to the
extent needed to address the safety of the patient and
others.
In an emergency situation, necessary information about
the patient can be communicated with police and with
emergency personnel, including medical staff and
emergency medical technicians.
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21. Patient's current presentation
History
◦ Mental Health
◦ Substance Abuse
◦ SI/HI Ideation and attempts including information about
frequency, timing, intent, method, consequences
◦ History of prior treatment
Individual strengths and weaknesses
Psychosocial situation (current stressors)
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22. Opportunity to fortify the patient's social support
network
◦ Note: If necessary to protect patient safety, it is often permissible
to share such information without the patient's consent
Cultural/religious beliefs, particularly as they relate to
death/suicide
If ideation is present, request more detail about plans
◦ Simply asking about suicidal ideation does not ensure that
accurate or complete information will be received
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23. Elicit the presence or absence of a suicide plan.
◦ If the patient does not report a plan, ask whether there are certain
conditions under which the patient would consider suicide.
◦ If the patient has access to a firearm, discuss the importance of
restricting access to, securing or removing this and other weapons.
◦ Document in the medical record, being sure to include, any instructions
that have been given to the patient and significant others about
firearms or other weapons.
Assess the degree of suicidality, including suicidal intent and
lethality of plan.
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24. Behavior suggesting suicidal ideation, plans or intentions
◦ Future Plans
◦ Tying up Loose Ends
◦ Plan
◦ Means
Identify specific modifiable factors and features
◦ Increase risk (exacerbating)
◦ Decrease risk (mitigating)
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25. Identify specific psychiatric signs and symptoms
Assess past suicidal behavior and self-injurious acts
Review past treatment history and treatment relationships
Identify family history of suicide, mental illness, and dysfunction
Identify current psychosocial situation and nature of crisis
Appreciate psychological strengths and vulnerabilities of the
individual patient
Identify any potential social supports
Develop a biopsychosocial action plan
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27. Consideration may be given to:
The presence of psychiatric illness
Specific psychiatric symptoms such as hopelessness, anxiety,
agitation, or intense suicidal ideation
Unique circumstances such as psychosocial stressors and
availability of methods
Other relevant clinical factors such as genetics and medical,
psychological or psychodynamic issues
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28. Once factors are identified, determine if they are
modifiable
Past history, family history, and demographic characteristics
are examples of non-modifiable factors.
Financial difficulties or unemployment can also be difficult to
modify, at least in the short-term.
List risk factors and identify modifiable and unmodifiable
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29. Serves as the framework by which the patient and
psychiatrist will collaborate
Includes
Establishing and maintaining a therapeutic alliance
Attending to the patient's safety
Determining the patient's psychiatric status, level of
functioning and clinical needs
Arriving at a plan and setting for treatment
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30. Depends on:
◦ The estimate of patient's current risk to self/others
◦ Medical and psychiatric co-morbidity
◦ Strength and availability of psychosocial support network
◦ Ability to provide adequate self-care, give reliable feedback
and cooperate with treatment
Benefits of intensive interventions must be weighed
against their possible negative effects.
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31. Be aware of emotions and reactions that may interfere
with the patient's care.
Consultation or supervision from a colleague:
◦ Affirming the appropriateness of the treatment plan
◦ Suggesting alternative therapeutic approaches
◦ Monitoring and dealing with countertransference issues
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32. Patients with suicidal thoughts, plans, or behaviors will
benefit most from a combination of medication and
therapy.
Goals:
Pharmacologic treatment = acute symptom relief
Psychosocial interventions:
interpersonal relationships
coping skills
psychosocial functioning
management of affects
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33. Antidepressants
Evidence for a lowering of suicide rates is inconclusive.
Efficacy of antidepressants in treating severe mood disorders
Select an antidepressant with a low risk of lethality on acute
overdose, such as SSRI
For patients with prominent insomnia, a sedating antidepressant or
an adjunctive hypnotic agent can be considered.
Antidepressant effects may not be observed for days to weeks.
Patients should be monitored closely early in treatment and
educated about this probable delay in symptom relief.
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34. Benzodiazepines
To treat insomnia, agitation, panic attacks, or anxiety
Long-acting agents often being preferred over short-acting agents
The benefits of benzodiazepine treatment should be weighed against:
Their occasional tendency to produce disinhibition
Their potential for interactions with other sedatives
Their potential for abuse
Benzodiazepines being discontinued after prolonged use should be
reduced gradually and the patient monitored for increasing symptoms of
anxiety, agitation, depression, or suicidality.
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35. Clozapine
Associated with significant decreases in rates of suicide attempts for
individuals with schizophrenia and schizoaffective disorder.
Should be given serious consideration for psychotic patients with
frequent suicidal ideation, attempts, or both
Benefits of clozapine treatment need to be weighed against the risk of
Agranulocytosis and Myocarditis
Other second-generation antipsychotics (e.g., risperidone, olanzapine,
quetiapine, ziprasidone, aripiprazole) are preferred over the first-
generation antipsychotic agents
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36. Efficacious in the treatment of non-psychotic major
depressive disorder and borderline personality disorder
Interpersonal psychotherapy and cognitive behavior
therapy have been found to be effective
Cognitive behavior therapy may be used to decrease
hopelessness and suicide attempts
Psychodynamic therapy and dialectical behavior therapy
are associated with decreased self-injurious behaviors
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37. AKA "no-harm contract"
Is not a substitute for a careful clinical assessment
Patient's willingness (or reluctance) to enter into a suicide prevention contract
should not be viewed as an absolute indicator of suitability for discharge
Not recommended for use with patients who are agitated, psychotic, impulsive
or under the influence of an intoxicating substance
Are dependent on an established physician-patient relationship
Not recommended for use in emergency settings or with newly admitted or
unknown inpatients
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38. Contract should include
◦ Social supports
◦ Phone numbers for suicide prevention hotline; 911
◦ Specific plans to get the person through the next
24 hours
◦ Specific follow-up plan
◦ Warning signs of danger and interventions
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39. The patient's willingness (or reluctance) to enter into a suicide
prevention contract should not be viewed as an absolute
indicator of suitability for discharge (or hospitalization).
It is overvalued as a clinical or risk management technique.
It is not a legal document and cannot be used as exculpatory
evidence in the event of litigation.
It cannot and should not take the place of a thorough suicide risk
assessment.
Although suicide prevention contracts are commonly used, no
studies have shown their effectiveness in reducing suicide.
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40. Providing optimal treatment involves a
multidisciplinary treatment team.
Useful strategies for coordination in any treatment
setting include:
◦ Clear role definitions
◦ Regular communication among team members
◦ Advance planning for management of crises
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41. Facilitating adherence begins with initially establishing the
physician-patient relationship and the collaborative
development of a plan of care.
Side effects and requirements of treatment are common
causes of non-adherence.
◦ Financial constraints
◦ Scheduling or transportation difficulties
◦ Perceived differences of opinion with the clinician
◦ Misunderstandings about the recommended plan of treatment
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42. While symptomatic, patients may:
◦ Be poorly motivated
◦ Be less able to care for themselves
◦ Be unduly pessimistic about their chances of recovery
◦ Suffer from memory deficits or psychosis
◦ Have reductions in insight about having an illness or needing
treatment
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43. Community members are in a prime position to screen and provide
early intervention
Topics
Psychiatric disorders are real and effective treatments are both necessary and
available.
The role of stressors and other disruptions in precipitating or exacerbating
suicidality or symptoms of psychiatric disorders.
Risk factors for suicide
How to identify symptoms that may indicate decompensation
Methods for involving the police for involuntary evaluation.
How to react to suicidal behaviors
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45. Between age 10 and 24 years, suicide rates are approximately 13 per 100,000.
After age 70, rates again rise to almost 20 per 100,000.
Thoughts of death are more common in older adults but as people age they
are less likely to endorse suicide.
Self-destructive acts by older people are more lethal due to.
◦ Reduced physical resilience
◦ Greater social isolation
◦ Greater determination to die
Suicidal elders give fewer warnings.
A suicide attempt in an older person indicates a greater risk of suicide later
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46. Death by suicide is more 4x as frequent in men than in women.
Men who are depressed are more likely to have co-morbid alcohol
and/or substance abuse problems.
Men are less likely to seek and accept help or treatment.
Women have several protective factors:
◦ Lower rates of alcohol and substance abuse
◦ Less impulsivity
◦ More socially embedded
◦ More willing to seek help
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47. Among African American women, rates of suicide are remarkably low
due to religion and social support.
Women have higher rates of depression and respond to
unemployment with greater and longer-lasting increases in suicide
rates than men.
Women who are pregnant or have young children are less likely to kill
themselves.
With a history of depression/suicide, postpartum women’s attempts
are at greater risk for poor outcomes.
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48. Other Risk Factors
◦ Women of lower socioeconomic status
◦ Women hospitalized with postpartum psychiatric disorders
Rates of suicidal ideation and attempts are also increased in
individuals with
◦ Borderline personality disorder
◦ Those with a history of domestic violence or abuse.
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49. Suicide in whites and in Native Americans are approximately 2x those
observed in Hispanics, African Americans and Asian-Pacific Islanders.
For immigrants, in general, suicide rates mirror the rates in the country of
origin and converge toward the rate in the host country over time.
Racial and ethnic differences in culture, religious beliefs and societal
position may influence the rates and values about suicide.
◦ Suicide can be considered a traditionally accepted way of dealing with shame,
distress and/or physical illness.
◦ Knowledge of and sensitivity to common contributors to suicide in different
racial and ethnic groups as well as cultural differences in beliefs about death
and views of suicide.
50. Single people commit suicide twice as often as married ones
Divorced, separated or widowed individuals have rates four to
five times higher than married individuals.
The presence of another person in the house protect by:
◦ Decreasing social isolation
◦ Engendering a sense of responsibility toward others
Young married couples may have increased risk and the
presence of a high-conflict or violent marriage can be a
precipitant rather than a protective factor for suicide.
51. Gay, lesbian and bisexual youths have a higher risk of suicide
attempts than matched heterosexual comparison groups.
The female-to-male ratio for reported suicide attempts in the
general population is reversed in lesbian and gay youths, with
more males than females attempting suicide.
Risk factors/stressors unique to being gay, lesbian or bisexual:
◦ Disclosure of sexual orientation to friends and family
◦ Experience of homophobia, harassment and gender nonconformity
52. Dentists and physicians have been consistently found
to be at higher risk for suicide
Also increased among nurses, social workers, artists,
mathematicians, and scientists
Farmers may be at somewhat higher risk
Rates of identified suicide among police officers are in
line with or slightly higher than the norm
53. More than 90% of persons who die from suicide meet
criteria for a psychiatric disorder. (Screen at every visit)
Patients who died by suicide were more likely to have:
Panic attacks
Severe psychic anxiety
Diminished concentration
Global insomnia
Moderate alcohol abuse
Severe loss of pleasure or interest in activities
54. Suicidal ideation and a history of suicide attempts increase risk
Suicide in patients with schizophrenia is about 8.5-fold higher.
In schizophrenia or schizoaffective disorder
◦ Psychotic symptoms are often present during a suicide attempt.
◦ Command hallucinations account for a relatively small percentage of suicides.
◦ Patients with schizoaffective disorder appear to be at greater risk for suicide than
those with schizophrenia.
Suicide risk is increased in those who
◦ Recognize a loss of previous abilities (Helpless, Loss)
◦ Are pessimistic about treatment (Hopeless)
55. Anxiety disorders are associated with a 6- to 10-fold
increase in suicide risk.
◦ Phobias
◦ GAD
◦ PTSD
56. Abuse of substances including alcohol may be the second
most frequent psychiatric precursor to suicide.
Alcohol abuse or dependence is present in 25%–50% of
those who died by suicide.
Impending interpersonal losses and co-morbid psychiatric
disorders have been specifically linked to suicide in
alcoholic individuals.
Full-time employment appears to be a protective factor in
alcoholics.
57. Individuals with personality disorders have an
estimated 7x increased risk for suicide.
Especially borderline, antisocial personality disorders,
avoidant and schizoid personality disorders
Personality disorders exist in approximately 30-40% of
those who attempt or die by suicide.
58. Employment
Religious beliefs
Psychosocial support
Reasons for living, including children in the home
Individual psychological strengths and vulnerabilities
59. Anxiety
Hopelessness
Command hallucinations
Impulsiveness and aggression
Alcohol intoxication
Past suicide attempts
History of childhood physical and/or sexual abuse
60. History of domestic partner violence
Treatment history: Greater treatment intensity is
associated with greater rates of eventual suicide
Temporal: Risk increases after changes in tx setting or
intensity
Physical illness
Family history
61. Suicide’s multiple motivations:
Anger turned inward
A wish of death toward others that is redirected toward the self
Revenge
Reunion
Rebirth
Relief
A sadistic internal object so tormenting that the only
possible outcome is to destroy to the tormentor through
suicide
62. Suicidal behavior has been associated with:
poor object relations
the inability to maintain a stable, accurate, and emotionally
balanced memory of the people in one's life
Other important psychodynamic concepts are
Shame
Worthlessness
Impaired self-esteem
63.
64. Patients may be in the midst of an acute suicidal crisis or display the
symptoms and disorders that typically lead to increased suicide risk.
There do not appear to be specific risk factors that are unique to the
inpatient setting.
Fewer than half of the patients who die by suicide in the hospital were
admitted with suicidal ideation.
Extreme agitation or anxiety or a rapidly fluctuating course is common
before suicide.
Each suicidal crisis must be treated as new and assessed accordingly.
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65. Initial evaluation should be comprehensive and include a suicide
assessment including strengths, vulnerabilities, and stressors.
Be aware that suicidality may wax and wane in the course of treatment.
Sudden changes in clinical status (positive or negative), require that
suicidality be reconsidered.
Risk may also be increased by:
Lack of a reliable therapeutic alliance
Patient's unwillingness to engage in treatment
Inadequate family or social supports
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66. Suicide assessment is an integral part of the psychiatric evaluation in an
emergency setting.
Most patients in emergency psychiatric settings have diagnoses
associated with an increased risk of suicide.
Over time be alert for symptoms of physical trauma or toxicity.
Monitoring of vital signs is important to detect adverse events or signs
of substance withdrawal.
Assessment cannot be completed until patients are sober.
Collateral information is important in emergency settings.
How the patient arrived can provide information about insight into the
need for treatment.
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67. Indirect self-destructive acts are found among both men
and women and are a common manifestation of suicide in
institutional settings.
Factors Associated with Increased Suicide Risk
◦ Physical illness
◦ Functional impairment
◦ Pain
◦ Hopelessness
◦ Personality styles that impede adaptation to a dependent role
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68. Suicide is a leading cause of death in correctional settings.
Persons who die by suicide in jails tend to be young, white,
single, intoxicated.
Suicide in correctional facilities generally occurs by hanging.
Isolation may increase suicide in correctional facilities.
Suicidal behaviors increase:
Immediately on entry into the facility
After new legal complications (e.g., Denial of parole)
After inmates receive bad news about loved ones
After sexual assault or other trauma
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69. Crisis intervention is client centered and comprehensive.
Crisis intervention uses patients’ strengths and resources.
Empathy and genuineness are key factors.
Treatment modalities and settings are based on the client’s level of
functioning, dangerousness to self and availability of supports and resources.
Documentation is essential throughout the process, not just at assessment.
Pharmacological interventions are used to provide acute symptom relief and
enable the patient to focus on psychosocial interventions.
All clients have the ability to help themselves.
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