Assessment Review for the NCMHCE Part 3

NCMHCE Assessment Review Part 3

Brought to you by AllCEUs.com Counselor Continuing Education

Unlimited CEUs $59/month or $99/year

Live Webinars as low as $4/hour

Addiction Counselor Certificate Training $149

Assessment

– Categories of information

– Presenting issue

– Mental Status Exam

– Emotional

– Behavioral

– Physical

– Personality

– Coping Skills

– Family of Origin

– Culture

– Social Supports and interpersonal relationships

– Environment live and work

– Developmental stage

– Activities of daily living and ability for independence

– Motivation

Assessment

– Categories of Information

– Emotional Signs and symptoms

– Degree of emotional control

– Ability to feel and express a range of emotions

– Emotional appropriateness

– Emotional issues which may be a focus of clinical attention

– Anger

– Anxiety

– Depression

– Grief

– Guilt

Assessment

– Categories of information

– Psychiatric signs

– Looking for diagnostic criteria for disorders

– Affective, behavioral/physical, cognitive, social indicators of mood disorders

– Changes in thinking behavior associated with cognitive impairments

– Signs of a substance use disorder

– Discussing with client

– Exacerbating factors and triggers

– Mitigating factors and effective interventions

Assessment

– Categories of information

– Medical and Physical Symptoms and Issues

– Consider the possibility that symptoms are caused by a medical condition and refer for an evaluation

– Evaluate current medications and consider medication side effects

– Is the client intoxicated or in withdrawal from a substance

– Vegetative symptoms: Persistent problems with appetite, weight control, sleep, energy, sexual desire and function

Assessment

– Categories of information

– Medical and Physical Symptoms and Issues

– Somatoform Disorders: Physical symptoms with no detectable physiological cause

– Includes pain disorder and body dysmorphic disorder

– When tests and physical exams do not support the patient’s symptoms consider malingering of factitious disorders

Assessment

– Categories of information

– Personality Traits

– Patterns of behavior, thinking and perception that are pervasive can indicate a personality style such as aggressive, addictive, Type A or co-dependent or a personality disorder such as antisocial, histrionic, or borderline

– Ego functioning

– Self regulation/impulse control/frustration tolerance

– Defense mechanisms

– Healthy use limits dysphoric emotions without significantly disrupting a persons life

Assessment

– Categories of information

– Coping skills

– Coping abilities, resources and deficits

– Current coping strategies that are and are not effective

– Ways the client has responded to similar problems in the past (adaptive and maladaptive)

– Specific individual characteristics that impact coping ability such as developmental level, cognitive functioning, locus of control and sense of self-efficacy

– Family of Origin

– Cultural background

– Socioeconomic background

Assessment

– Categories of information

– Interpersonal Relationships and Social Supports

– Type, quality and effectiveness of current relationships

– If isolated, evaluate for voluntary withdrawal, poor social skills, alienation, shyness/social anxiety, substance misuse or compulsive behaviors, low self-esteem, PTSD

– Capacity for healthy interpersonal relationships (boundaries)

Assessment

– Categories of information

– Social Roles and Role Functioning

– Each role holds a set of role expectations

– What roles does the person fulfill (child, parent, spouse, employee, friend…)

– Is there role ambiguity or role