Collect baseline data (what client can already do) on clients cognitive, social, spiritual, and psychological behavior and leisure functioning ii.Clients strength and needs b.Plan i.Long term, short term and discharge plans ii.Develop outcome measures iii.Don’t have a lot of time to create plans with no specific counseling iv.With psychiatry it’s hard to measure, how do you make your goals measurable? Subjective to a certain extent 5.Community based programs c.Implementation i.Monitor and document progress d.Evaluation i.Determine client outcomes ii.Revise as needed iii.Develop discharge plan 4.Acute care a.Generally found in hospitals b.More medical model approach focused on acute symptom management and eradication of disease c.Tr’s will co-treat with psychiatrists, art therapist, social workers, case managers, and others a.Generally found in outpatient, day treatment and home health care serviceb.Focus on recovery and overall wellness c.Reinforce clients need for autonomy and independence d.TR’s may work with other disciplines in outpatient settings or they can work with other TR’s in community-based programs Know difference between the settings 1/28/2020Week 3 1.Mood disorders a.Major depressive disorder
b.Bipolar disordersc.Cyclothymic 2.Criteria for major depression a.Five or more of the following symptoms have been present during the same 2-week period and represent a change from previous functioningi.Depressed mood most of the day ii.Loss of interest in activities and loss of pleasure iii.Significant weight loss or gain iv.Insomnia or hypersomnia nearly every day v.Psychomotor agitation or retardation vi.Fatigue of loss of energy b.Medications used to treat depression i.Serotonin reuptake inhibitors 1.Prozac (fluoxetine)2.Celexa (citalopram) 3.Zoloft (sertraline) 4.Paxil (paroxetine) 5.Lexapro (escitalopram)c.Possible side effects of antidepressants i.Drowsiness ii.Low blood pressure iii.Dy mouth iv.Urinary retention v.Weight gain vi.Blurred vision vii.Sweating 3.Bipolar depression a.Episodes of serious mania accompanied by one or more major depressive episode b.Mood disturbance impairs functioning i.Mania 1.Period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1-week 2.Ex: spending sprees ii.3 or more of the following symptoms are present1.Inflated self- esteem 2.Decreased need for sleep 3.Pressured speech or talkative 4.Racing thoughts and/or flight of ideas 5.Distractibility iii.Some medications used to treat bipolar 1.Lithium 2.Depakote 3.Tegretol
4.Lamictal iv.Possible side effects of bipolar medications 1.Weight gain 2.Drowsiness 3.Tremors 4.Weakness or fatigue 5.Excessive thirst 6.Increased urination 4.Bipolar 2 a.Presence or history of major depressionb.Presence or history of at least one hypomanic episode c.There has never been a maniac episode d.Hypomania i.Elevated or irritable mood but less severe than full blown mania 5.Cyclothymic disorder a.
- Fall '19
- Schizophrenia, Major depressive disorder, c.