Adjustment Related to Physical Loss or Chronic Illness | NCMHCE Exam Review
Section 3 of the #NCMHCE content outline https://nbcc.org/exams/ncmhce Adjustment Related to Physical Loss or Chronic Illness
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Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.
Adjustment Related to Chronic Physical Disability
NCMHCE & Addiction Counselor Exam Review
Dr. Dawn-Elise Snipes
AllCEUs Counselor Education
Objectives
Explore common disabilities
Identify bidirectional PACER impacts and interventions to address them
Introduction
• Approximately one in four adults (25.7%) in the United States, or 61 million people, reports living with at least one disability
• In 2018, 51.8% (129 million) of adults were diagnosed with at least 1 of 10 selected chronic conditions
• 15.9%, or 41 million individuals have autoimmune issues
Types (Not Inclusive)
Autoimmune disorders (Chron’s, lupus, MS, RA, psoriasis)
Lyme disease
Chronic pain (injury, fibromyalgia)
Amputation
Paralysis (injury / stroke )
Diabetes
Dementia (stroke / Alzheimer’s / Weirneke’s Encphalopathy)
Cardiovascular Disease (Heart disease / COPD)
POTS
Osteoarthritis
HIV
Hepatitis C / Cirrhosis
Kidney Failure
Physical: Impacts and Interventions
Circadian rhythms and sleep
Chronic HPA-Axis Activation
Alterations in the gut microbiome
Increased pain (hyperalgesia, allodynia) and inflammation
Medication side effects (documented and client report)
Nutrition (dietary quality and absorption)
Gonadal hormones
Fatigue
Affective / Cognitive: Impacts & Interventions
Low health literacy
Anxiety (health, abandonment/rejection)
Grief / Depression / Anger
Guilt
Concentration
Memory (during the adaptation process)
Hopelessness / Helplessness (disempowerment)
Polarized thinking
Environmental: Impacts & Interventions
Housing Instability (medical bills / job changes / home loss)
Employment changes (STD, LTD, job changes, accommodations)
Ergonomics and Accessibility
Sensory Input
Light
Sound
Smell
Touch / Temperature
Relational
Changes in self-concept, efficacy and esteem
Altered interpersonal activities
Need to connect with others to normalize, destigmatize, validate
SO Reactions
Anxiety
Grief
Difficulty understanding / empathizing
Resentment
Overprotectiveness
Attachment Changes: CRAVES
Spiritual: Impacts & Interventions
Sense of connectedness to others and the world
Sources of hope
Sense of purpose
Ability to find meaning in events
Belief in a higher power or universal energy
Ability to partake in spiritual activities (i.e. church, religious rituals)
Summary
Chronic physical conditions can impact every area of a person’s life
Even though the behavioral health professional focuses on the affective/cognitive/relationship and sometimes spiritual dimensions, it is vital to understand the impact of these issues on the physical functioning of the individual as well as the environment and how that impacts behavioral health.
Pain and Inflammation
Anxiety
Depression
Autoimmune Issues
Thyroid Disease esp. autoimmune thyroiditis
Low Testosterone
Estrogen imbalance
Opioid use
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Dr Dawn Elise Snipes provides training through AllCEUs.com that are helpful for ACA OPD, Counsellor OPD, OPD Points, LPC CEUs LMHC CEUs LCPC CEUs LSW CEUs LCSW CEUs LMFT CEUs CRC CEUs LADC CEUs CADC CEUs MAC CEUs MCAP CEUs NCC CEUS LCDC CEUs CPRS CEUs CTRS CEUs and HPCSA ACA
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