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NYS CASAC TESTNYS CASAC TEST
NCADD TRAINING REVIEWNCADD TRAINING REVIEW
2012-20132012-2013
110 ppt Flashcards110 ppt Flashcards
ANTHONY J. RICCI
Anthony J. Ricci Anthony J. Ricci
REVIEW FLASH-CARDSREVIEW FLASH-CARDSTo get the most out of this study tool, remember
to view it as a ppt slide show.I hope they are helpful, I tried to cover the most basic pertinent info that has
historically been known to being on the CASAC test.
By no means is this all the questions or all the answers.
My honest opinion is: if you where, in class and awake. You should have no problem.
NCADD presents a great 2 day CASAC TEST REVIEW CLASS
Will let you know when its scheduled.
Don’t stress, Don’t overthink, Review the basics.
Best !
AnthonyMay 11, 2013
P.S. Questions get answers, in your last few weeks with us, PLEASE approach Dennis, Jim, or myself with your questions, concerns, etc. We are here for YOU !
Anthony J. Ricci Anthony J. Ricci
group therapygroup therapytype of therapy in which a group of clients type of therapy in which a group of clients
meet together with a therapist. meet together with a therapist. psychotherapy where multiple people meet psychotherapy where multiple people meet regularly to interact and help one another to regularly to interact and help one another to
achieve insight into their feelings and achieve insight into their feelings and behavior; allows the therapist to see how behavior; allows the therapist to see how the client interacts with others, offers a the client interacts with others, offers a
social support, and shows the client that social support, and shows the client that s/he is not the only person with that s/he is not the only person with that
problemproblem
Anthony J. Ricci Anthony J. Ricci
AssessmentAssessment
an ongoing process through which the counselor an ongoing process through which the counselor collaborates with the client and others to gather and collaborates with the client and others to gather and
interpret information necessary for planning treatment interpret information necessary for planning treatment and evaluating client progress.and evaluating client progress.
Anthony J. Ricci Anthony J. Ricci
Central Nervous SystemCentral Nervous System
One of the major divisions of the One of the major divisions of the nervous system, composed of the nervous system, composed of the
brain and spinal cord. brain and spinal cord.
Anthony J. Ricci Anthony J. Ricci
arbitrary inferencearbitrary inference
distortion of thinking in which a distortion of thinking in which a person draws a conclusion that is person draws a conclusion that is
not based on any evidencenot based on any evidence
Anthony J. Ricci Anthony J. Ricci
cognitive therapycognitive therapytherapy in which the focus is on therapy in which the focus is on
helping clients recognize helping clients recognize distortions in their thinking and distortions in their thinking and replace distorted, unrealistic replace distorted, unrealistic
beliefs with more realistic, helpful beliefs with more realistic, helpful thoughtsthoughts
Anthony J. Ricci Anthony J. Ricci
Frontal Cortex Frontal Cortex
Cortical region essential for Cortical region essential for information processing information processing
Anthony J. Ricci Anthony J. Ricci
fritz perlsfritz perls
1893-1970. developed and 1893-1970. developed and popularized gestalt therapypopularized gestalt therapy
Anthony J. Ricci Anthony J. Ricci
LGBTQLGBTQ
An acronym forAn acronym for
LLesbian, esbian, GGay (male), ay (male), BBisexual, isexual, TTransgender and persons ransgender and persons QQuestioning uestioning
their sexual identitytheir sexual identity
Anthony J. Ricci Anthony J. Ricci
therapytherapytreatment methods aimed at treatment methods aimed at
making people feel better and making people feel better and function more effectivelyfunction more effectively
Anthony J. Ricci Anthony J. Ricci
antianxiety drugsantianxiety drugs
drugs used to treat and calm drugs used to treat and calm anxiety reactions, typically minor anxiety reactions, typically minor
tranquilizers.tranquilizers.
Anthony J. Ricci Anthony J. Ricci
Blood Brain Barrier Blood Brain Barrier
Selective filtering between the Selective filtering between the cerebral blood vessels and the cerebral blood vessels and the
brainbrain
Anthony J. Ricci Anthony J. Ricci
sigmund freudsigmund freud
1856-1939. founder of the 1856-1939. founder of the psychoanalytic school of thought psychoanalytic school of thought which focuses on the role of the which focuses on the role of the
unconscious on behaviorunconscious on behavior
Anthony J. Ricci Anthony J. Ricci
family counselingfamily counseling
a form of group therapy in which a form of group therapy in which family members meet together family members meet together with a counselor or therapist to with a counselor or therapist to resolve problems that affect the resolve problems that affect the
entire familyentire family
Anthony J. Ricci Anthony J. Ricci
Neurons Neurons
Specialized nerve cells that make Specialized nerve cells that make up the nervous system and up the nervous system and release neurotransmitters release neurotransmitters
Anthony J. Ricci Anthony J. Ricci
Post Traumatic Stress Post Traumatic Stress Disorder (PTSD)Disorder (PTSD)
A psychiatric syndrome in which A psychiatric syndrome in which an individual who has been an individual who has been
exposed to a traumatic vent or exposed to a traumatic vent or situation experiences persistent situation experiences persistent
psychological re experiencing the psychological re experiencing the trauma, numbing of general trauma, numbing of general
responsiveness, and hyperarousalresponsiveness, and hyperarousal
Anthony J. Ricci Anthony J. Ricci
Synapse Synapse
Site of communication between a Site of communication between a message sending neuron and its message sending neuron and its
message receiving target cell message receiving target cell
Anthony J. Ricci Anthony J. Ricci
Mental SetMental Set
The collection of psychological The collection of psychological and environment factors that and environment factors that
influence and individuals response influence and individuals response to drugto drug
Anthony J. Ricci Anthony J. Ricci
Beck's Cognitive TherapyBeck's Cognitive Therapy
cognitive technique; designed by Aaron Beck; cognitive technique; designed by Aaron Beck; designed to identify and change inappropriate designed to identify and change inappropriate negative and self-critical patterns of thought; negative and self-critical patterns of thought;
primarily used to treat depression, anxiety primarily used to treat depression, anxiety and substance abuse; therapy is not as and substance abuse; therapy is not as
challenging and confrontational as REBT; challenging and confrontational as REBT; aims to lead person to more realistic and aims to lead person to more realistic and
flexible ways of thinkingflexible ways of thinking
Anthony J. Ricci Anthony J. Ricci
Culturally sensitive Culturally sensitive counselingcounseling
The first step is to be aware of The first step is to be aware of one's own lack of information one's own lack of information
about other's cultures and one's about other's cultures and one's own prejudices.own prejudices.
Anthony J. Ricci Anthony J. Ricci
Rebound EffectRebound Effect
Form of withdrawal; paradoxical Form of withdrawal; paradoxical effect that occur when a drug has effect that occur when a drug has
been eliminated front the bodybeen eliminated front the body
Anthony J. Ricci Anthony J. Ricci
THE 4 GOALS for clients THE 4 GOALS for clients of GROUP THERAPY of GROUP THERAPY
Change in ThinkingChange in Thinking
New ways to define their problems and figure out New ways to define their problems and figure out solutions. solutions.
Change in FeelingChange in Feeling
Identify and change the emotions they experience.Identify and change the emotions they experience.
Change in ActionsChange in Actions
Do something different to try and solve their Do something different to try and solve their problems.problems.
Change in RelatingChange in Relating
Ways to involve other people in personal problem Ways to involve other people in personal problem solving.solving.
Anthony J. Ricci Anthony J. Ricci
Belief that drinking (misconceived Belief that drinking (misconceived as safe) represses inhibitions, as safe) represses inhibitions, strengthens extroversion, and strengthens extroversion, and leased to increased sociabilityleased to increased sociability
Social Lubricant
Anthony J. Ricci Anthony J. Ricci
Behavioral ToleranceBehavioral Tolerance
Compensation for motor Compensation for motor impairments through behavioral impairments through behavioral pattern modification by chronic pattern modification by chronic
alcohol users.alcohol users.
Anthony J. Ricci Anthony J. Ricci
Delirium Tremens (DTs)Delirium Tremens (DTs)
The most severe, even life The most severe, even life threatening form of alcohol threatening form of alcohol
withdrawal, involving withdrawal, involving hallucinations, delirium, and feverhallucinations, delirium, and fever
Anthony J. Ricci Anthony J. Ricci
Blood Alcohol Blood Alcohol Concentration (BCA)Concentration (BCA)Concentration of alcohol found in Concentration of alcohol found in the blood, often expressed as a the blood, often expressed as a
percentage percentage
Anthony J. Ricci Anthony J. Ricci
CodependencyCodependencyBehavior displayed by either Behavior displayed by either
addicted or no addicted family addicted or no addicted family member (codependents) who member (codependents) who
identify with the alcohol addict and identify with the alcohol addict and cover up the excessive drinking cover up the excessive drinking behavior, allowing it to continue behavior, allowing it to continue
and letting it affect the and letting it affect the codependents life codependents life
Anthony J. Ricci Anthony J. Ricci
AutonomyAutonomy
Respect the client's independence Respect the client's independence and self-determinationand self-determination
Anthony J. Ricci Anthony J. Ricci
cognitive behavioral cognitive behavioral therapy (cbt)therapy (cbt)
action therapy in which the goal is action therapy in which the goal is to help clients overcome problems to help clients overcome problems by learning to think more rationally by learning to think more rationally
and logicallyand logically
Anthony J. Ricci Anthony J. Ricci
CAGECAGE
Four questions - yes to one indicates the possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-
opener?
Anthony J. Ricci Anthony J. Ricci
Rational-Emotive Therapy Rational-Emotive Therapy (RET)(RET)
cognitive therapy founded by Albert Ellis; cognitive therapy founded by Albert Ellis; directive therapy; based on the idea that directive therapy; based on the idea that
psychological distress is caused by irrational psychological distress is caused by irrational and self-defeating beliefs; therapy is designed and self-defeating beliefs; therapy is designed
to challenge the dysfunctional thoughts to challenge the dysfunctional thoughts ("stinking thinking") and reinterpret the ("stinking thinking") and reinterpret the
thoughts in a more positive light; therapy is thoughts in a more positive light; therapy is challenging and confrontational; aims to lead challenging and confrontational; aims to lead person to more realistic and flexible ways of person to more realistic and flexible ways of
thinkinthinkingg
Anthony J. Ricci Anthony J. Ricci
HIPAA ?HIPAA ?The Health Insurance Portability The Health Insurance Portability
and Accountability Actand Accountability Act
This federal regulation protects This federal regulation protects client rights by covering all client rights by covering all
personal health information that personal health information that can be used to identify an can be used to identify an
individual.individual.
Anthony J. Ricci Anthony J. Ricci
42 CFR42 CFRThis federal law prohibits This federal law prohibits
counselors from divulging the fact counselors from divulging the fact that someone is in treatment or that someone is in treatment or
any details of their treatment any details of their treatment without the client's written without the client's written
consent, when the client is in a consent, when the client is in a clear state of mind. Applies to clear state of mind. Applies to
former and deceased clients also.former and deceased clients also.
Anthony J. Ricci Anthony J. Ricci
Instances when Instances when confidentiality may be confidentiality may be
brokenbroken
Sharing among staff of a program, reporting Sharing among staff of a program, reporting child abuse or neglect, threatening to harm child abuse or neglect, threatening to harm
another person, threatening suicide, another person, threatening suicide, committing or threatening a crime on program committing or threatening a crime on program
property or against program staff, medical property or against program staff, medical
emergencies, elder abuse and court ordersemergencies, elder abuse and court orders..
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free associationfree association
freudian technique in which a freudian technique in which a patient was encouraged to talk patient was encouraged to talk
about anything that came to mind about anything that came to mind without fear of negative without fear of negative
evaluationsevaluations
Anthony J. Ricci Anthony J. Ricci
EthicsEthics
The rules of conduct recognized in The rules of conduct recognized in a particular profession, the shared a particular profession, the shared
standards of what is good standards of what is good practice.practice.
Anthony J. Ricci Anthony J. Ricci
eclectic therapieseclectic therapies
therapy style that results from therapy style that results from combining elements of several combining elements of several
different therapy techniquesdifferent therapy techniques
Anthony J. Ricci Anthony J. Ricci
RaceRaceA socio-political concept. Not A socio-political concept. Not
biological.biological.
Anthony J. Ricci Anthony J. Ricci
carl rogerscarl rogers
1902-1987. humanist psychologist 1902-1987. humanist psychologist who focused on the role of the who focused on the role of the
self-concept and positive regard self-concept and positive regard on personality developmenton personality development
Anthony J. Ricci Anthony J. Ricci
DetoxificationDetoxification
Detoxification is a process in which the body Detoxification is a process in which the body is allowed to free itself of a drug. is allowed to free itself of a drug.
This period, the symptoms of withdrawal are This period, the symptoms of withdrawal are treated.treated.
Detoxification is the primary step in any drug Detoxification is the primary step in any drug treatment program, and is used as the initial treatment program, and is used as the initial phase in treating alcohol, heroin, inhalant, phase in treating alcohol, heroin, inhalant,
sedative, and hypnotic addictionssedative, and hypnotic addictions..
Anthony J. Ricci Anthony J. Ricci
Informed Consent and Informed Consent and Releases of InformationReleases of Information
Includes, but is not limited to, the Includes, but is not limited to, the purpose of the disclosure, the purpose of the disclosure, the
person to receive the disclosed person to receive the disclosed information, and the date or information, and the date or
condition under which the consent condition under which the consent will expire.will expire.
Anthony J. Ricci Anthony J. Ricci
person-centered therapyperson-centered therapy
a nondirective insight therapy a nondirective insight therapy based on the work of carl rogers based on the work of carl rogers in which the client does all the in which the client does all the talking and the therapist listenstalking and the therapist listens
Anthony J. Ricci Anthony J. Ricci
Duty to warnDuty to warn
This refers to a counselor's This refers to a counselor's responsibility to alert the responsibility to alert the
appropriate authorities of a threat . appropriate authorities of a threat .
Anthony J. Ricci Anthony J. Ricci
Key concept about Key concept about diversitydiversity
Within-group differences are Within-group differences are always greater than between-always greater than between-
group differences.group differences.
Anthony J. Ricci Anthony J. Ricci
MoodMood
A sustained emotion. Changes A sustained emotion. Changes less frequently than affect.less frequently than affect.
Anthony J. Ricci Anthony J. Ricci
Professional DevelopmentProfessional Development
An ongoing responsibility An ongoing responsibility accomplished through engaging in accomplished through engaging in
continuing education, self-continuing education, self-evaluation, supervision and evaluation, supervision and
consultationconsultation
Anthony J. Ricci Anthony J. Ricci
AdvocacyAdvocacy
Any activity designed to obtain a Any activity designed to obtain a service, practical help, support or service, practical help, support or
information for a client.information for a client.
Anthony J. Ricci Anthony J. Ricci
three approaches to three approaches to counselingcounseling
DirectiveDirectiveNon-directiveNon-directiveCombined Combined
Anthony J. Ricci Anthony J. Ricci
humanistic therapyhumanistic therapy
psychotherapy focused on psychotherapy focused on conscious, subjective experiences conscious, subjective experiences of emotion and people's sense of of emotion and people's sense of
selfself
Anthony J. Ricci Anthony J. Ricci
SupervisionSupervision
The purpose of this is to promote the The purpose of this is to promote the counselor's growth, protect the welfare of counselor's growth, protect the welfare of clients, monitor counselor performance clients, monitor counselor performance
and empower the counselor to self-and empower the counselor to self-supervise and carry out responsibilities as supervise and carry out responsibilities as
an independent professional.an independent professional.
Anthony J. Ricci Anthony J. Ricci
transferencetransference
in psychoanalysis, the tendency in psychoanalysis, the tendency for a patient or client to project for a patient or client to project positive or negative feelings for positive or negative feelings for important people from the past important people from the past
onto the therapistonto the therapist
Anthony J. Ricci Anthony J. Ricci
Fetal Alcohol Syndrome Fetal Alcohol Syndrome (FAS)(FAS)
A condition affecting children born to A condition affecting children born to alcohol consuming mothers that is alcohol consuming mothers that is characterized by facial deformities, characterized by facial deformities,
growth deficiency, and mental growth deficiency, and mental retardationretardation
Anthony J. Ricci Anthony J. Ricci
Evidence-Based Evidence-Based PracticesPractices
Interventions that show consistent Interventions that show consistent scientific evidence of being related scientific evidence of being related
to preferred client outcomes.to preferred client outcomes.Most definitions include three components:Most definitions include three components:
Clinical expertiseClinical expertise
Patient preferencesPatient preferences
Research-based informationResearch-based information
Anthony J. Ricci Anthony J. Ricci
therapeutic alliancetherapeutic alliancethe relationship between therapist the relationship between therapist
and client that develops as a and client that develops as a warm, caring, accepting warm, caring, accepting
relationship characterized by relationship characterized by empathy, mutual respect and empathy, mutual respect and
understandingunderstanding
Anthony J. Ricci Anthony J. Ricci
psychoanalysispsychoanalysis
an insight therapy based on the an insight therapy based on the theory of freud, emphasizing the theory of freud, emphasizing the
revealing of unconscious conflictsrevealing of unconscious conflicts
Anthony J. Ricci Anthony J. Ricci
Wernicke-Korsakoff's Wernicke-Korsakoff's SyndromeSyndrome
Psychotic condition connected Psychotic condition connected with heavy alcohol use and with heavy alcohol use and
associated vitamin deficienciesassociated vitamin deficiencies
(wet-brain)(wet-brain)
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contemplation stage contemplation stage
a stage of change in which the a stage of change in which the individual is aware that a problem individual is aware that a problem
exists and is thinking about exists and is thinking about overcoming it but has not yet overcoming it but has not yet made a commitment to take made a commitment to take
action. action.
Anthony J. Ricci Anthony J. Ricci
gestalt therapygestalt therapyform of directive insight therapy in form of directive insight therapy in which the therapist helps the client which the therapist helps the client
to accept all parts of his or her to accept all parts of his or her feelings and subjective feelings and subjective
experiences, using leading experiences, using leading questions and planned questions and planned
experiences such as role-playingexperiences such as role-playing
Anthony J. Ricci Anthony J. Ricci
Goal StatementGoal Statement
Component of a Treatment Plan that Component of a Treatment Plan that should be acceptable to the client and should be acceptable to the client and
answers the question, "What is answers the question, "What is necessary to remedy the problem?" necessary to remedy the problem?"
Should be stated positively - eg. "Client Should be stated positively - eg. "Client will maintain abstinence," rather than, will maintain abstinence," rather than,
"Client will not drink.""Client will not drink."
Anthony J. Ricci Anthony J. Ricci
nondirective therapy nondirective therapy therapy in which the therapist therapy in which the therapist remains relatively neutral and remains relatively neutral and
does not interpret or take direct does not interpret or take direct actions with regard to the client, actions with regard to the client,
instead remaining a calm, instead remaining a calm, nonjudging listener while the client nonjudging listener while the client
talkstalks
Anthony J. Ricci Anthony J. Ricci
Social factorsSocial factors
These include poverty, oppression, poorly developed social skills, and
family dysfunction that may contribute to a client's causes of
substance abuse and dependence.
Anthony J. Ricci Anthony J. Ricci
self-help groups (support self-help groups (support groups)groups)
a group composed of people who a group composed of people who have similar problems and who have similar problems and who
meet together without a therapist meet together without a therapist or counselor for the purpose of or counselor for the purpose of
discussion, problem solving, and discussion, problem solving, and social and emotional supportsocial and emotional support
Anthony J. Ricci Anthony J. Ricci
unconditional positive unconditional positive regardregard
referring to the warmth, respect, referring to the warmth, respect, and accepting atmosphere and accepting atmosphere
created by the therapist for the created by the therapist for the client-centered therapyclient-centered therapy
Anthony J. Ricci Anthony J. Ricci
Four emphases of Four emphases of supervisionsupervision
Administrative, Administrative, Evaluative, Clinical Evaluative, Clinical
and Supportiveand Supportive
Anthony J. Ricci Anthony J. Ricci
ReferralReferralCounselors need to be able to Counselors need to be able to
recognize symptoms in clients that recognize symptoms in clients that require assessment by other require assessment by other
professionals and be familiar with professionals and be familiar with services available.services available.
Anthony J. Ricci Anthony J. Ricci
Axis VAxis VThis axis of the DSM IV -TR is the This axis of the DSM IV -TR is the Global Assessment of Functioning Global Assessment of Functioning
(GAF) scale, which assigns a (GAF) scale, which assigns a number from 1 to 100 to the number from 1 to 100 to the counselor's judgment of the counselor's judgment of the
client's overall level of client's overall level of psychological, social and psychological, social and occupational functioning.occupational functioning.
Anthony J. Ricci Anthony J. Ricci
StrategiesStrategiesComponent of a Treatment Plan that Component of a Treatment Plan that states what the counselor will do to states what the counselor will do to
help meet the client's objectives. help meet the client's objectives. Includes the theoretical model to be Includes the theoretical model to be used, (eg. reality therapy) and the used, (eg. reality therapy) and the
specific techniques to be employed specific techniques to be employed (eg. assertiveness training or refusal (eg. assertiveness training or refusal skills training). These are sometimes skills training). These are sometimes
also called "Interventions".also called "Interventions".
Anthony J. Ricci Anthony J. Ricci
preparation stage preparation stage
A stage of change in which the A stage of change in which the individual seriously considers individual seriously considers taking action to overcome a taking action to overcome a
problem in the next thirty days and problem in the next thirty days and has unsuccessfully taken action has unsuccessfully taken action over the past twelve months. over the past twelve months.
Anthony J. Ricci Anthony J. Ricci
barriers to counseling barriers to counseling
1. personal bias1. personal bias2.race/age2.race/age
3. recovery experience3. recovery experience4.setting 4.setting
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DelusionsDelusions
False beliefs that are maintained False beliefs that are maintained despite proof against their truth.despite proof against their truth.
Anthony J. Ricci Anthony J. Ricci
Action stage Action stage
Action stage of change in which Action stage of change in which the individual actually modifies his the individual actually modifies his or her behavior and environment or her behavior and environment
in order to overcome a problem. n in order to overcome a problem. n stage stage
Anthony J. Ricci Anthony J. Ricci
HomophobiaHomophobia
(Homophobic) The fear and (Homophobic) The fear and hatred of, or discomfort with, hatred of, or discomfort with,
people who love and are attracted people who love and are attracted to members of the same sexto members of the same sex
Anthony J. Ricci Anthony J. Ricci
precontemplation stage precontemplation stage A stage of change in which the A stage of change in which the
individual may wish to change but individual may wish to change but either lacks the serious intention either lacks the serious intention
to undergo change in the to undergo change in the foreseeable future or is unaware foreseeable future or is unaware
of how significant his or her of how significant his or her problem has become. problem has become.
Anthony J. Ricci Anthony J. Ricci
biopsychosocial model biopsychosocial model A perspective on drug-abuse A perspective on drug-abuse treatment that recognizes the treatment that recognizes the biological, psychological, and biological, psychological, and social factors underlying drug-social factors underlying drug-
taking behavior and encourages taking behavior and encourages an integrated approach, based an integrated approach, based
upon these factors, in designing upon these factors, in designing an individual's treatment program. an individual's treatment program.
Anthony J. Ricci Anthony J. Ricci
Biological factorsBiological factors
These include brain chemistry problems, which may be genetic, making some people
particularly vulnerable to addiction to certain drugs once they try them.
Anthony J. Ricci Anthony J. Ricci
maintenance stagemaintenance stage
A stage of change in which the A stage of change in which the individual has become drug free individual has become drug free for a minimum of six months and for a minimum of six months and
has developed new skills and has developed new skills and strategies that reduce the strategies that reduce the
probability of relapse. probability of relapse.
Anthony J. Ricci Anthony J. Ricci
The Person-Centered The Person-Centered ApproachApproach
Assumes that clients can be trusted to select their own therapists, to choose the
frequency and length of their therapy, to talk or to be silent, to decide what needs to be
explored, to achieve their own insights, and to be the architects of their own lives.
Anthony J. Ricci Anthony J. Ricci
DSM-IV-TRDSM-IV-TRDiagnostic and Statistical Manual Diagnostic and Statistical Manual
of Mental Disorders, Fourth of Mental Disorders, Fourth Edition, Text Revision (APA, Edition, Text Revision (APA,
2000).2000).
Anthony J. Ricci Anthony J. Ricci
DSM-V-TR May 2013
Biopsychosocial Biopsychosocial perspectiveperspective
This recognizes that there are biological, psychological and social causes of substance abuse and dependence
Anthony J. Ricci Anthony J. Ricci
Psychological factorsPsychological factors
These include cognitive styles, personality traits, and early
developmental experiences that may contribute to a client's
causes of substance abuse and dependence.
Anthony J. Ricci Anthony J. Ricci
Motivational interviewingMotivational interviewingThis is a style of interacting with clients, used not
only for assessment, but for all phases of treatment, that is particularly helpful for reducing
defensiveness and encouraging therapeutic collaboration between the counselor and client.
Uses the interpersonal process to enhance clients' motivation to change, and encourages clients to
move on to the next stage of readiness for change.
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MASTMAST
Michigan Alcoholism Screening Michigan Alcoholism Screening Test - yes or no to 25 questions.Test - yes or no to 25 questions.
Anthony J. Ricci Anthony J. Ricci
Axis IAxis IContains 16 categories of clinical Contains 16 categories of clinical
disorders, one of which is disorders, one of which is Substance Related Disorders.Substance Related Disorders.
Anthony J. Ricci Anthony J. Ricci
AUDIT (Alcohol Use Disorders AUDIT (Alcohol Use Disorders Identification Test)Identification Test)
The 10 items on this instrument developed by the World Health Organization ask about frequency of drinking, alcohol dependence, and problems caused by alcohol. Scores range from 0 to 40 with a score of 8 or higher indicating the likelihood of harmful alcohol consumption.
Anthony J. Ricci Anthony J. Ricci
Cluster BCluster B
Axis II disorders that often co-occur with Axis II disorders that often co-occur with substance abuse and dependence, and are substance abuse and dependence, and are
characterized by dramatic, emotional, erratic, characterized by dramatic, emotional, erratic, or impulsive behavior, or a reduced capacity or impulsive behavior, or a reduced capacity
for empathy. They include Antisocial for empathy. They include Antisocial Personality Disorder, Borderline Personality Personality Disorder, Borderline Personality Disorder, Histrionic Personality Disorder and Disorder, Histrionic Personality Disorder and
Narcissistic Personality Disorder.Narcissistic Personality Disorder.
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The Client’s Experience in TherapyThe Client’s Experience in Therapy
• 1. Experiencing responsibility.
• 2. Experiencing the therapist.
• 3. Experiencing the process of exploration.
• 4. Experiencing the self.
• 5. Experiencing change.
Anthony J. Ricci Anthony J. Ricci
Substance Related Substance Related DisordersDisorders
This category of clinical disorders This category of clinical disorders in Axis I of the DSM IV-TR in Axis I of the DSM IV-TR
includes both Substance Use includes both Substance Use Disorders and Substance Induced Disorders and Substance Induced
Disorders.Disorders.
Anthony J. Ricci Anthony J. Ricci
Substance Use DisordersSubstance Use Disorders
This sub-category of Substance This sub-category of Substance Related Disorders includes both Related Disorders includes both
Substance Abuse and Substance Substance Abuse and Substance Dependence.Dependence.
Anthony J. Ricci Anthony J. Ricci
Substance Induced DisordersSubstance Induced DisordersThese Axis I disorders are a sub-These Axis I disorders are a sub-category of Substance Related category of Substance Related
Disorders and can include Substance Disorders and can include Substance Intoxication and Substance Intoxication and Substance
Withdrawal, Substance induced Withdrawal, Substance induced delirium, persisting dementia, delirium, persisting dementia,
persisting amnesic disorder, psychotic persisting amnesic disorder, psychotic disorder, mood disorder, anxiety disorder, mood disorder, anxiety
disorder, sexual dysfunction disorder, disorder, sexual dysfunction disorder, and sleep disorder.and sleep disorder.
Anthony J. Ricci Anthony J. Ricci
Axis IIAxis II
This axis of the DSM IV- TR This axis of the DSM IV- TR includes the personality disorders includes the personality disorders
as well as mental retardation.as well as mental retardation.
Anthony J. Ricci Anthony J. Ricci
Borderline Personality Borderline Personality DisorderDisorder
This personality disorder features a pervasive This personality disorder features a pervasive pattern of instability in interpersonal pattern of instability in interpersonal
relationships, self-image, affect, and control relationships, self-image, affect, and control over impulses. Features may include frantic over impulses. Features may include frantic
attempts to avoid real or imagined attempts to avoid real or imagined abandonment, impulsivity in at least two abandonment, impulsivity in at least two
areas that are self-damaging, chronic feelings areas that are self-damaging, chronic feelings of emptiness.of emptiness.
Anthony J. Ricci Anthony J. Ricci
Cluster ACluster A
Axis II disorders that feature odd, Axis II disorders that feature odd, eccentric, isolative, or suspicious eccentric, isolative, or suspicious behavior. They include Paranoid, behavior. They include Paranoid,
Schizoid, and Schizotypal Schizoid, and Schizotypal personality disorders.personality disorders.
Anthony J. Ricci Anthony J. Ricci
Substance DependenceSubstance Dependence
A maladaptive pattern of substance use, leading to A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested clinically significant impairment or distress, as manifested
by 3 or more of the following 7 criteria: tolerance, by 3 or more of the following 7 criteria: tolerance, withdrawal, increased dose or dosing for longer periods of withdrawal, increased dose or dosing for longer periods of
time, attempts to cut down unsuccessfully, time spent time, attempts to cut down unsuccessfully, time spent obtaining, using, recovering from use, important social, obtaining, using, recovering from use, important social,
occupational and recreational activities given up or occupational and recreational activities given up or reduced because of use, physical or psychological reduced because of use, physical or psychological problems caused or exacerbated by continued use.problems caused or exacerbated by continued use.
Anthony J. Ricci Anthony J. Ricci
Person-Centered Goals in TherapyPerson-Centered Goals in Therapy
• Become more self-directed.
• Increase positive self-regard.
• The client chooses the goals.
Anthony J. Ricci Anthony J. Ricci
Antisocial Personality Antisocial Personality DisorderDisorder
This personality disorder features This personality disorder features a pervasive pattern of disregard a pervasive pattern of disregard for and violation of the rights of for and violation of the rights of
others.others.
Anthony J. Ricci Anthony J. Ricci
IllusionsIllusions
Misperceptions of actual sensory Misperceptions of actual sensory input.input.
Anthony J. Ricci Anthony J. Ricci
Axis IVAxis IV
This axis of the DSM IV - TR contains nine This axis of the DSM IV - TR contains nine psychosocial and environmental problems psychosocial and environmental problems
that may affect the client's diagnosis, that may affect the client's diagnosis, treatment and prognosis, including treatment and prognosis, including
primary support group, social primary support group, social environment, educational, occupational, environment, educational, occupational, housing , economic, healthcare access, housing , economic, healthcare access,
legal system/criminal, and other.legal system/criminal, and other.
Anthony J. Ricci Anthony J. Ricci
Physiological Physiological DependenceDependence
Indicated by whether tolerance Indicated by whether tolerance and withdrawal are presentand withdrawal are present
Anthony J. Ricci Anthony J. Ricci
Substance AbuseSubstance Abuse
A maladaptive pattern of substance use leading to A maladaptive pattern of substance use leading to clinically significant impairment or distress, as clinically significant impairment or distress, as
manifested by at least one of the four following criteria manifested by at least one of the four following criteria occurring within a 12- month period: recurrent occurring within a 12- month period: recurrent
substance use resulting in a failure to fulfill major substance use resulting in a failure to fulfill major obligations at home, school or work, recurrent obligations at home, school or work, recurrent
substance use in situations in which it is physically substance use in situations in which it is physically hazardous, recurrent substance use legal problems, hazardous, recurrent substance use legal problems,
and continued substance use despite having persistent and continued substance use despite having persistent or recurring problems caused or exacerbated by the or recurring problems caused or exacerbated by the
effects of the substance.effects of the substance.
Anthony J. Ricci Anthony J. Ricci
ToleranceTolerance
Defined by either a need for Defined by either a need for markedly increased amounts of markedly increased amounts of
the substance to achieve the substance to achieve intoxication or desired effect or intoxication or desired effect or markedly diminished effect with markedly diminished effect with
continued use of the same continued use of the same amount of the substance.amount of the substance.
Anthony J. Ricci Anthony J. Ricci
WithdrawalWithdrawal
Defined by either the Defined by either the characteristic withdrawal characteristic withdrawal
syndrome for the substance or the syndrome for the substance or the same or a closely related same or a closely related
substance being taken to relieve substance being taken to relieve or avoid withdrawal symptoms.or avoid withdrawal symptoms.
Anthony J. Ricci Anthony J. Ricci
Dually-DiagnosedDually-DiagnosedCO-OCCURINGCO-OCCURING
This client has one or more other This client has one or more other psychiatric disorders along with psychiatric disorders along with substance abuse or substance substance abuse or substance dependence. Also known as co-dependence. Also known as co-occurring disorders. All disorders occurring disorders. All disorders should be treated concurrently should be treated concurrently
and aggressivelyand aggressively
Anthony J. Ricci Anthony J. Ricci
SpecifiesSpecifies
Used for Substance Dependence Used for Substance Dependence Diagnosis, these six categories Diagnosis, these six categories are: Early full remission, early are: Early full remission, early partial remission, sustained full partial remission, sustained full
remission, sustained partial remission, sustained partial remission, on agonist therapy, in a remission, on agonist therapy, in a
controlled environment.controlled environment.
Anthony J. Ricci Anthony J. Ricci
Polysubstance Polysubstance DependenceDependence
The proper diagnosis for a client The proper diagnosis for a client who has repeatedly taken at least who has repeatedly taken at least three groups of substances, and three groups of substances, and
who meets criteria for who meets criteria for dependence for the substances as dependence for the substances as
a group, but not for the a group, but not for the substances individuallysubstances individually
Anthony J. Ricci Anthony J. Ricci
HallucinationsHallucinations
Perceiving something in the Perceiving something in the absence of a sensory input. May absence of a sensory input. May
be auditory, visual, olfactory, be auditory, visual, olfactory, gustatory or tactilegustatory or tactile
Anthony J. Ricci Anthony J. Ricci
Problem StatementProblem Statement
Component of a Treatment Plan Component of a Treatment Plan that should be stated in client's that should be stated in client's
words whenever possible. words whenever possible. Answers the question, "Why are Answers the question, "Why are you here?" Include statement of you here?" Include statement of
problem and evidence for it.problem and evidence for it.
Anthony J. Ricci Anthony J. Ricci
TX ObjectivesTX Objectives
Component of a Treatment Plan Component of a Treatment Plan that states specific things the that states specific things the client will do to meet the goal. client will do to meet the goal.
Stated in behavioral terms, and Stated in behavioral terms, and are observable, realistic, time are observable, realistic, time
specific, appropriate to the level of specific, appropriate to the level of treatment and measurable.treatment and measurable.
Anthony J. Ricci Anthony J. Ricci
AffectAffect
The external expression of an The external expression of an internal emotional state.internal emotional state.
Anthony J. Ricci Anthony J. Ricci
FYI: Axis I, IV and VFYI: Axis I, IV and V
CASACs are responsible for these CASACs are responsible for these three axes on the Written three axes on the Written
Assessment Summary. Other Assessment Summary. Other axes can be written up as axes can be written up as
"deferred" or list symptoms eg. "deferred" or list symptoms eg. deferred, reports frequent deferred, reports frequent
headaches.headaches.
Anthony J. Ricci Anthony J. Ricci