Counselor Toolbox Podcast

419 -13 Useful Brief Interventions Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC CEUs are available at allceus.com/counselortoolbox Objectives ~ Review the benefits of brief interventions ~ Identify the goals of brief interventions ~ Explore 13 brief interventions that can be used with most clients Benefits ~ Reduce no-show ~ Increase treatment engagement ~ Increase compliance […]

Learn about how visible and invisible disabilities can impact PACER: ~ Physical Health ~ Affect ~ Cognitions ~ Environment and Economic Well-being ~ Relationships and Recreation and what you can do to minimize the negative impact.

NCMHCE Review #9: Stages and Theories of Treatment CEUs are available at https://www.allceus.com/CE/course/view.php?id=1421 Dr. Dawn-Elise Snipes Executive Director, AllCEUs.com Podcast Host: NCMHCE Exam Review and Counselor Toolbox Objectives ~ Review the stages of treatment ~ Review theoretical approaches for individual counseling including ~ CBT ~ Behaviorism ~ Humanistic ~ Developmental Stages ~ Immediate Concerns ~ […]

Summary ~ Working with people with cognitive impairment can be frustrating ~ It is important not to confuse chronological age with communicative age ~ KISS ~ Eliminate distractions ~ Don’t expect short-term memory ~ Use pictures, lists, storyboards ~ Spaced retrieval training has shown effectiveness in improving memory in people with cognitive impairments ~ Many people with a FASD will present in mental health practices without a FASD diagnosis. ~ Many clients who misuse alcohol and/or try to self detox can precipitate a cognitive impairment through ~ Thiamine deficiency ~ Stroke ~ Conduct ongoing assessments for cognitive impairments

Objectives - Define MAT - Explore barriers to treatment What is Our Goal - Help people - Reduce symptoms of depression and anxiety - Agitation - Sleep disruption - Anhedonia - Fatigue - Feelings of worthlessness and guilt - Stay alive (not overdose or commit suicide) - Be relatively pain free (bidirectional with depression and anxiety) - Be independent - Improve interpersonal relationships - Be financially secure - Be “productive” members of society to their ability

Summary - Dementia can be permanent or temporary and caused by a variety of factors including - Diabetes - HIV - Stroke/Heart attack - Depression - Thiamine deficiency - CO2 poisoning - Lewy bodies - Genetics - A variety of interventions can be used to assist the person with dementia and their caregivers - Ensure sufficient sleep - Assist with communication - Conduct functional assessments of preferred and problem behaviors

Summary ~ Strengthen the motivation to change throughout the change process. ~ Identify high-risk situations ~ Develop coping strategies and skills to avoid high-risk situations and to deal with them when they are unavoidable. ~ Recognize and implement changes to the environment and lifestyle to minimize the frequency of high-risk situations and to strengthen commitment to change.

- Motivation is dynamic, influenced by multiple types of motivation including emotional, cognitive, social, environmental - Motivational Interviewing increases client’s hope and enhances treatment participation - 3 critical elements of motivation: Ability, willingness and readiness - 5 elements of motivational approaches - The FRAMES approach - Decisional balance exercises - Discrepancies between personal goals and current behavior - Flexible pacing - Personal contact with clients in treatment

NCMHCE Review Human Diversity Dr. Dawn-Elise Snipes, LPC-MHSP, LMHC Executive Director, AllCEUs Counselor Education Host: Counselor Toolbox Podcast, NCMHCE Exam Review Podcast Objectives ~ Explore issues related to the counseling relationships with people who are culturally different ~ Identify approaches to use with culturally diverse clients Explore Cultural Diversity ~ Many of the problems experienced […]

Summary ~ Online therapy is becoming increasingly mainstream ~ There are many advantages such as convenience, cost effectiveness and accessibility ~ Things to consider when choosing an office are your particular skill set, your target population, how tech savvy you are and how much you want to spend ~ Building an online practice is no faster than a face-to-face one, but there are things you can do to speed up the process.

Summary - Conflict is inevitable - Violence prevention involves - Creating an environment that supports open communication and respect - Maintaining self awareness of stressors and our impact on others - Maintaining awareness of other’s reactions, behaviors and stressors - Educating staff and clients regarding effective conflict resolution strategies - Minimizing triggers for conflict - Being willing to learn from conflict

Summary - Trauma impacts the person biopsychosocially - Behavioral interventions can help them prevent and address avoidance and hypervigilance - Cognitive interventions can help them - Understand the function of their symptoms to choose effective ways of dealing with them - Address unhelpful cognitions about the trauma, themselves and the world - Reduce chronic stress to help the HPA-Axis rebalance and recover - Assist in integrating the trauma narrative so it is not a “loose end.”

Objectives - Learn about bariatric surgery - Explore reasons for the surgery and increase in popularity - Identify the psychosocial outcomes of bariatric surgery - Identify common presenting issues in persons seeking bariatric surgery - Explore current recommendations for assessment protocols and presurgical preparation for bariatric surgery - Identify postoperative mental and physical health issues which may occur and need to be addressed Types of Bariatric Surgery - Bariatric surgeries all aim to make the stomach smaller so it can hold less food through removal, banding or bypassing. - Some surgeries also bypass part of the small intestine which inhibits calorie as well as nutrient absorption

Summary - It is imperative for clinicians to be prepared for dealing with clients who may be violent or in abusive situations - Know your ethical imperatives regarding mandatory reporting. - Get additional training on safety practices for working with victims of abuse - If confronted with a call from someone who is in crisis but not your client, it is your responsibility to provide initial triage and assist the individual in getting to safety. Test Taking Tips - Sally is a 25 year old graduate student who was recently raped. She was referred to you by victim services. Her father, a doctor, whom she is estranged from calls your office wondering how Sally is doing - What information do you need to make a diagnosis Test Taking Tips - What are possible diagnoses - GAD, ASD, PTSD, MDD, Adjustment Disorder - What information do you need to make a diagnosis Test Taking Tips - You determine that Sally has Acute Stress Disorder. - Which of the following would be appropriate referrals Test Taking Tips - You determine that Sally has Acute Stress Disorder. - Which of the following would be appropriate to monitor progress-

Summary - Enhancing adolescent development means - Preventing adverse childhood experiences - Ensuring adequate growth and development - Enhancing protective factors in the person, home, school and community - Strategies include - Involving community groups, rec centers, businesses in providing opportunities for youth recreation and leadership - Working with schools to adjust curriculum to teach skills necessary for success including resiliency skills, health literacy and mental health promotion - Ensuring families have access to the resources they need to create a safe and nurturing environment - Involving youth in identifying problems, challenges, gaps in resources and incentives for participation