NCMHCE Review Part 2 Screening 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 Screening Questions -- Anxiety ~ Do you worry about a lot of things most of the time? ~ Do you worry about specific things like germs or getting into a car accident a lot? ~ Do you get so worked up that you cannot eat or sleep?

Screening --PTSD ~ Have you been in really bad situations in which you had no control? ~ Have you been in terrifying situations? ~ Do you ever have memories of those situations that disrupt your day? ~ Do you startle really easily? ~ Do you find yourself being irritable and pessimistic? Anger ~ Do you often get angry? ~ When you get angry, do you feel like you are ready to explode? ~ Do you think you are more irritable than other people? Screening Questions -- Depression ~ Do you feel pleasure or happiness on a regular basis? ~ Have your sleep patterns changed? ~ How is your appetite? ~ Do you often feel guilty? ~ How is your energy throughout the day? ADHD ~ Do you have difficulty finishing tasks? ~ Do you have difficulty getting organized? ~ Do you have difficulty if you have to sit still for a long time? ~ Do you have difficulty staying focused and filtering out distractions ~ Do you have difficulty waiting your turn or not interrupting? OCD ~ Do you sometimes have thoughts you cannot get out of your head? ~ How much time do these thoughts take up on average each day? ~ Do you ever feel like you have to do something over and over or something bad is going to happen? ~ How much time do you spend each day doing these things?

Delusions and Hallucinations ~ Have you ever thought that people could read your mind or control your thoughts? ~ Have you ever felt like your mind was playing tricks on you? ~ Do you ever see or hear things that other people cannot see or hear? ~ Do you ever have difficulty knowing if you are awake or dreaming?

Eating Disorders ~ How would you describe your eating habits? ~ Do you have any concerns about your weight? ~ How do you maintain your weight? Impulsivity ~ Do you ever find yourself doing things without really thinking about the consequences first? ~ Do you ever do things you know you shouldn’t but just cannot seem to stop yourself? ~ Do you buy things that you really don’t need just because they are there? Mania ~ Have you ever had so much energy that you couldn’t sit still ~ Have you ever found yourself not needing sleep or needing much less than usual? ~ Do you have times when you talk a lot more than usual and your brain seems to be going really quickly? Substance Misuse ~ Have you been bothered by “using medicines or drugs without a doctor’s prescription, or in greater amounts or longer than prescribed? ~ Have you used more than intended or spent more time engaging in an activity than intended? ~ Have you spend more time planning, engaging in or recovering from the use of the substance or activity? ~ Have you given up or had difficulty in significant areas of your life as a result of use of the substance or engaging in the activity. ~ CAGE ~ Cutting Down ~ Annoyed ~ Guilt ~ Eye Opener

Summary ~ It is important to screen for a variety of issues ~ Know the diagnostic criteria for the most common mental illnesses ~ Many disorders have overlapping symptoms ~ Anxiety, PTSD, ADHD, Bipolar and Depression for example ~ Psychiatry.org has multiple free Cross Cutting Symptom Measures to be aware of ~ Screening just gives you a launch pad to help guide the in-depth biopsychosocial assessment Test Taking Tip ~ First Priority is identifying the diagnoses for everyone in the scenario. ~ Don’t try to be too broad. ~ If the scenario is about someone who recently underwent a traumatic event and the question asks for what to evaluate to support a provisional diagnosis, think about what you would assess for a provisional PTSD/ASD diagnosis, not a blanket evaluation for every comorbid axis 1 condition.