DavidLCPCCSADC

DavidLCPCCSADC

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All Content by DavidLCPCCSADC

  1. Patient Life Stories

    DavidLCPCCSADC replied to SweetLemon's topic in Psychiatric

    Look for a recent movie titled "Canvas"......it seems to be one of the better hollywood treatments on what it's like for the patient and their

  2. why can't we tell them?

    DavidLCPCCSADC replied to MADHAT6's topic in Psychiatric

    Why is it neccessary to make something up? Since they are not a direct threat to self/others, at this point, that's "good" news. Ultimately if they keep drinking and/or drugging there will likely...

  3. Sucker punched. First time I was ever punched by a man.

    DavidLCPCCSADC replied to wonderbee's topic in Psychiatric

    "This is unacceptable. People MUST be held accountable for abusing healthcare workers, and management MUST back up their employees in situations such as you have experienced. You have every right to...

  4. RN wants to become a substance abuse counselor....

    DavidLCPCCSADC replied to KristieRae71's topic in Psychiatric

    You realize that you're likely looking at a huge pay reduction if you make the switch as a BA level counselor. Many substance abuce facilities use RNs and get a chance to do some counseling while...

  5. so many suicides

    DavidLCPCCSADC replied to MADHAT6's topic in Psychiatric

    Sounds like it's time to get a support network in place. This is a good issue for individual and group supervision. Many of us are blessed with a supportive fellowship that is available...

  6. Smoking cessation ideas for in pt psych

    DavidLCPCCSADC replied to IamRN08's topic in Psychiatric

    I went through this early last year with our patients. My review of the research suggested that the patients generally take to it easier than the staff does. Indeed, our staff anticipated issues but...

  7. Teaching Guided Imagery to Patients

    DavidLCPCCSADC replied to stellina615's topic in Psychiatric

    As a general rule, guded imagery relies on the patients internal state to influence the content and "feel" of their imagery experience. For a patient that is in acute distress, this is generally an...

  8. Teaching Guided Imagery to Patients

    DavidLCPCCSADC replied to stellina615's topic in Psychiatric

    Guided imagery is much more appropriate for the nonCMI population. For the patients in need of short-term stabilization it's generally noneffective and can actually elevate the symptoms and stress. A...

  9. benzo withdrawal......advice please

    DavidLCPCCSADC replied to cherilee's topic in Psychiatric

    BTW, just to clarify, when I refer to a "addictionologist" I am referring to an MD who is ASAM Certified. If you have such an MD who is also good at group, 1:1, and in coaching coping skills it sounds...

  10. benzo withdrawal......advice please

    DavidLCPCCSADC replied to cherilee's topic in Psychiatric

    "I just find it sad that so few of these pts ever become free of any of their addictions!" Often working in the field you mostly just see the revolving door patients and frequent relapsers. It's rare...

  11. benzo withdrawal......advice please

    DavidLCPCCSADC replied to cherilee's topic in Psychiatric

    Withdrawals are typically divided into two stages: AAS (acute abstienence syndrome) and PAWS (post acute withdrawal syndrome, AKA: protracted withdrawal). AAS can take a couple of weeks with benzos...

  12. Seeing mental illness everywhere

    DavidLCPCCSADC replied to Jules A's topic in Psychiatric

    My fear is that we may be guilty of "trivializing" real CMI while at the same time discounting the genuine pain & sufferring of many of our patients. Granted there are some valid points here about...

  13. Can a patient refuse code services?

    DavidLCPCCSADC replied to wonderbee's topic in Psychiatric

    Was the attending MD contacted.....what was his/her's

  14. Psych Staff in need of Support post tragedy

    DavidLCPCCSADC replied to thegreenmile's topic in Psychiatric

    My prayers and best wishes go out to you and the staff. Although it's of little help now, the time to have the safety net (support network) in place is before people need it. Many of us are blessed...

  15. Paranoid Schizophrenia

    DavidLCPCCSADC replied to sleepybunny005's topic in Psychiatric

    My first suggestion is to speak with the nurses on the floor and to your clinical instructor. Second, your job is not to "orient her to reality" but assist in her general functioning on the unit....

  16. Psych charting

    DavidLCPCCSADC replied to crystalbrz's topic in Psychiatric

    I'm used to SOAP and DAP but the current hospital I'm with is using APIE: A: Asssessment P: Problem, I: Interventions, E:

  17. Teaching psych, what is most important/valuable?

    DavidLCPCCSADC replied to ruralnurs's topic in Psychiatric

    The movie "Canvas" is excellent and looks at the effect on the family in addition to the thought disorders. "28 Days" is just plain over-the-top silly, "Clean & Sober" is better for CD. "Leaving...

  18. Seeing mental illness everywhere

    DavidLCPCCSADC replied to Jules A's topic in Psychiatric

    With behavioal disorders in general we can entertain a deviance model for abnormal behavior and speak in terms of a continuim of behaviors. However, it's important not to forget that CMIs are actually...

  19. web of manipulation?

    DavidLCPCCSADC replied to piezo-electricite's topic in Psychiatric

    This patient could have easily been abusing bezodiazepines by buying them on the street, taking them recreationally or to medicate withdrawal symptoms, otherwise just serving as his own "doctor" and...

  20. Am I just burning out?

    DavidLCPCCSADC replied to aloevera's topic in Psychiatric

    I don't know if "over-dx" is any worse than what it used to be. Fortunately, over the years it appears that ETOHics and other Addicts are more frequently diagnosed with CD and not mistaken for Bipolar...

  21. Studer in Acute Psychiatric Unit

    DavidLCPCCSADC replied to maxthecat's topic in Psychiatric

    I suspect that what you're dealing with is just a rumour. The Studer principles are good solid principles and there's nothing wrong with the principles. Now, how administration attempts to put them in...

  22. Community Meeting

    DavidLCPCCSADC replied to kthor's topic in Psychiatric

    Commuinity meeting is a good opportunity to check on the patient's therapeutic goal for the day, self-assessment of persisitent symptoms and any symptom management challenges. Also a chance for peer...

  23. A Patient Who DOES NOT Belong in Minimum Security!!

    DavidLCPCCSADC replied to Jerry99's topic in Psychiatric

    While he may be inappropriate at this level of care, his behavior must have some payoff values and current treatment may be reinforcing behaviors rather than modifying them. Can he articulate any...

  24. MHT vs. Mental Health CNA

    DavidLCPCCSADC replied to yuyu75's topic in Psychiatric

    Linda, If you're considering the nursing schools at the local community colleges, you'll find that the entrance requirements to be very competitive. They typiocally have many more applicants than they...

  25. MHT vs. Mental Health CNA

    DavidLCPCCSADC replied to yuyu75's topic in Psychiatric

    Linda, In the Chicago area you can earn a certificate at most of the local community colleges that will qualify you to enter the MHT positions. Some of the Mental Health Worker positions may require a...