Adjustment Related to Physical Loss or Chronic Illness | NCMHCE Exam Review

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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

AllCEUs provides multimedia counselor education and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5)
Unlimited Counseling CEs for $59
Specialty Certificates starting at $89

AllCEUs courses for counselor continuing education are accepted in most states because we are an approved education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions, the Australian Counselling Association, CRCC, Canadian Counselling and Psychotherapy Association and more.

[julieshenk]

You are such a gift to me. Your expertise, demeanor, tone, and ability pulling it all together in an understandable way has been extremely confirming, affirming and valuable for me and my husband as well. I have a lot going on now and you have given me renewed hope to fight the good fight and finish this race.

[wendygraham]

As a person with two chronic conditions I found this so helpful. I have struggled with many of these adjustments and the grieving process never completely ends for me. My sense of purpose is something I need to work on, I can't go to Church either.

[judygraessle]

Thank you for making your lessons (classes) available. I am interested in self help and psychology/health information to use in working with others also. I appreciate you.

[TristineBarry]

Thank you Doc! My exam date is coming and I appreciate your assistance. I suffer with chronic pain and I agree hope is vital!.

[judithwallace]

Another great video. It's so good to be reminded of the basics.

[denalraab]

Just starting to watch this now, but wanted to let you know that Crohn's is (commonly) spelled incorrectly. I normally wouldn't want to be 'that' person. However, it is the first disease listed on the 'Types (Not Inclusive) slide and this is used for continuing education credit. I was also dx with it over 20 years ago so I'm more inclined to notice.

I appreciate your straightforward approach to getting the info across. I've listened to a few tonight.

[lljl]

Thank you. I love your videos and have learned a lot. 👌 👌

[friarpesel]

As with all your presentations, this was thorough and thought provoking. I also noticed that your arm appears to be in a brace or some kind of device… I hope you’re ok! Thank you 🙏

[elicorbine]

Your trying to see if i can be a trusted person in the community .

[elicorbine]

I'm being it together . im not too g to church at all. The thing is everyone mostly everyone is on my team.

[maggzz]

Gives a presentation on disability but doesn't have captions for the Deaf community to access the video.

[elicorbine]

I'm done with this game I'm staying here. People are really trying ti kill me and get away with it . this is fucking scared and im adapting put of fear .

[shahilagh]

Everytime I watch such videos I feel more hopeless. Because none of these recommendations work for me..

[elicorbine]

You keep giving me 2 people to chews from. At a time the good and the bad .

[elicorbine]

Im not a narsasist . i put clues together the videos were shorter. If you're were shorter I would have been on her first .

[elicorbine]

I know who I am and I can't talk about any of it ever . if I know me then you should be with me.

[elicorbine]

I know the bad from the good for a fact tho . I know exactly who they are up to thhis point .

[elicorbine]

I'm telling on everyone thats killing me and trying tj get away with it . I though about my ex I did not tell on for sleeping with me because she was my councelor . the kid at work ison my team . I trust him to be real .

[elicorbine]

Im not talking to my counselor . she is messing with my mind bad .

[elicorbine]

I'm being manipulated by the good and the bad ones . this when thing is a simulation