D-needs (deficiency needs)
The first four levels of need in the Maslow hierarchy
Physiological needs
Safety
Love
Belonging
Esteem
Contemplation stage of change
2 nd stage of change in which people are considering changing behavior in the next 6
months
Precontemplation stage
stage of change in which people are unwilling to change their behavior they don't
acknowledge that there's a problem that needs to be changed
preparation/determination stage
individuals preparing to take action and make a change
Action/Willpower (Stages of Change Model)
Changing behavior
commit to and enact plan
Maintenance
Continued commitment to sustaining the new behavior
Post six months to five years
Relapse
Resumption of old behaviors
Fall from Grace
Treatment Hierarchy
Foundational needs
External resources
Internal resources
Stabilization
Strategies to support resource, develop, and stabilization
, Case management
Provision for safety
Stress management
Management of physiological arousal
Exercise
Cognitive or dialectical behavioral therapy
Role-play
Processing
Involves helping clients explore the meaning of adverse life events
Adapting, memory, cognition, behavior, affect and beliefs, surrounding traumatic events
to achieve positive change
Examples of processing that PMHNP can use
Eye-movement, desensitization and reprocessing (EMDR) to work through trauma, and
develop a lasting positive change
Culture shapes ones
Perceptions, attributions, emotions, and judgments, in ways that are both conscious and
unconscious
What impacts whether a behavior is considered normal/desirable or abnormal?
Cultural and social norms
Outline for cultural formulation, includes an assessment of the following
categories
Cultural identity of the individual
Cultural conceptualizations of distress
Psychosocial, stressors and cultural features of vulnerability and resilience
Cultural features of the relationship between the individual and clinician
Overall cultural assessment
Epi-genetics
the study of environmental influences on gene expression that occur without a DNA
change
Study of how the environment and other factors change the way that gene is expressed