Process - Physician - Fraser Health Authority

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Congratulations! You have now made it to the end of thisguide to managing depression. Of course, just reading the guide isn’tenough. To get the benefits of these well-researched and effectivetechniques, you have to actually put them into action in your life.It’s worth the effort. You’re worth the effort.
THE STORY OF MARGARETHere is the experience of one person whoused these methods effectively.Margaret is a married teacher in her mid-30s who came to her family physician withsymptoms of depression. She had recentlytransferred to an inner city school, attractedto the challenge of the work. But she foundshe could not accomplish what had beennormal for her, although she worked longhours. She began to sleep poorly and toworry almost all the time. She criticizedherself in a harsh manner for not doing aswell as she expected. Her mood began todrop until she felt miserable. This madeit more difficult to perform her job andshe became even more self-criticaland depressed.Antidepressant medication was prescribedby her family physician. This helped hersleep, raised her energy level and greatlyreduced her emotional suffering.When she read through the section onReactivating Your Life, she realized thatshe had been avoiding her friends sinceshe took the job and especially since shebecame depressed. She set the goal of meetinga friend once a week for tea. Later onshe increased this to includeother social activities. After the first month,she added moderate exercise as a goal.When she read through the section onThinking Realistically, she recognized severalcognitive distortions: she had a very selfcriticalway of thinking; she expectedherself to perform perfectly; and sheignored praise from others. She usedquestions from the self-care guide to comeup with more fair and realistic ways ofthinking: What evidence do you have? Shehad received positive evaluations and acolleague told her she was doing as wellas possible in the situation. What wouldyou say to a friend in the same situation?She wrote out the fair and supportive wordsshe would say to a friend, then practicedsaying them to herself. What is a lessextreme way of looking at the situation?She wrote down some more realisticthoughts about the job situation, thenreminded herself of these whenever shenoticed the unrealistic, negative thoughts.The combination of antidepressant medicationand self-care methods led to a gradualimprovement in her depression, a more fairand accepting attitude towards herself,more realistic self-expectations, and moreenjoyment of her life.SELF-CARE DEPRESSION PROGRAM53 ANTIDEPRESSANT SKILLS WORKBOOK
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SteppedCareLevel 1PSP Mental Health
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Fold back this page before administ
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CBISCOGNITIVE BEHAVIOURAL INTERPERS
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Table of ContentsINTRODUCTION. . .
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IntroductionThe following modules h
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TipsTeachingSelling Strategies• E
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Flow ChartsThis module contains flo
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Patient NeedsTryThe Circle of Depre
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AnxiousSymptomsTryOverwhelmedChaoti
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Assessment ModuleThe Assessment Mod
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5 Energy levela. How would you rate
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15 Phobiasa. Any unrealistic or exc
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21 CAGEHow many drinks might you ha
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DIAGNOSTIC SCREENING WORKSHEET (CON
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Problem List Action PlanACTIVATIONR
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Self-Assessment QuestionnaireName:
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Self-Assessment ProfilePleaser: Hig
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Self-Assessment ProfileOver-Thinker
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Understanding Depression- Frequentl
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Depression: System-Wide CrashDepres
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Activation ModuleThe Activation Mod
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Depression’s Energy BudgetEvery d
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Small GoalsThe concentration, fatig
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Problem SolvingDepression can make
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Chunk the DayStrategies that give p
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Appreciation Exercise“Good for Me
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The Circle of DepressionCognitive-b
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Common Thinking ErrorsThe situation
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THOUGHT CHANGE PROCESS (CONTINUED)T
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Thought StoppingDepression often ma
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Good Guilt / Bad GuiltA world witho
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Setting LimitsMost of us like to be
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Is Anger a Problem for You?Tom arri
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Stress ResponseIntroduction to Rela
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Variation - Box BreathingABDOMINAL
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Body ScanPurpose• Body scan is a
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Stress BustersPurpose• Shorter te
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MindfulnessPurpose• Mindfulness i
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BreathMINDFULNESS MEDITATION (CONTI
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Healthy Habits for SleepingDepressi
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IT’S TRUE: YOU ARE WHAT YOU EAT!
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The Wellness WheelPHYSICALGROWTHSEL
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CBISCognitive Behavioural Interpers
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FLOW CHARTS……………………
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PANIC DISORDER• Anxiety “System
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The Many Faces of AnxietyPanic Diso
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Medical ConsiderationsMost Common M
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Anxiety“System-Wide Explosion”A
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Resources for Self-HelpOnline Resou
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GAD: Self-Assessment QuestionnaireN
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GAD: Self-Assessment ProfileHard Dr
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How Anxiety WorksTHOUGHTSBODYFEELIN
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Panic CircleEvent (public speaking)
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Your Emotional Thermometer• Imagi
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Anxiety EquationAnxiety arises out
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2. When something bad happens, I wo
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Coping CardsAnxious people often ma
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Problem SolvingAnxiety is strengthe
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Example: Kelly begins by making a l
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D.E.S.C. ScriptAssertiveness doesn
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Application forPsychiatric Medicati
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APPENDIX 2: WOMEN’S MENTAL HEALTH
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Pharmacotherapy in the Perinatal Pe
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FAMILY PHYSICIAN GUIDE | ADDRESSING
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Olanzapine (Zyprexa)Tablets, wafers
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Consortium forOrganizationalMentalH
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3. Gather details on current andpre
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Task Two: ADVISE1. Provide meaning
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SUPPORTED SELF‐MANAGEMENT FOR DEP
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TABLE OF CONTENTSIntroduction 1What
Page 146 and 147: INTRODUCTIONTake a moment now to as
Page 148 and 149: WHAT IS DEPRESSION?The two most com
Page 150 and 151: WHAT CAUSES DEPRESSION?People becom
Page 152 and 153: WHAT CAUSES DEPRESSION?ThoughtsEach
Page 154 and 155: WHAT CAUSES DEPRESSION?EmotionDepre
Page 156 and 157: WHAT CAUSES DEPRESSION?ActionDepres
Page 158 and 159: WHAT CAN YOU DO ABOUT DEPRESSION?MI
Page 160 and 161: MORE ABOUT MEDICATIONMedication is
Page 162 and 163: ANTIDEPRESSANT SKILLSIn this sectio
Page 164 and 165: REACTIVATING YOUR LIFEStep 1: Ident
Page 166 and 167: REACTIVATING YOUR LIFESmall DutiesE
Page 168 and 169: REACTIVATING YOUR LIFEStep 2: Choos
Page 170 and 171: REACTIVATING YOUR LIFEStep 3: Set r
Page 172 and 173: REACTIVATING YOUR LIFEStep 4: Carry
Page 174 and 175: THINKING REALISTICALLYNegatively di
Page 176 and 177: THINKING REALISTICALLYStep 1: Learn
Page 182 and 183: THINKING REALISTICALLYStep 4: Pract
Page 184 and 185: SOLVING PROBLEMS EFFECTIVELYStep 1:
Page 194 and 195: REDUCING THE RISK OF RELAPSEPlan ah
Page 198 and 199: SUGGESTED READINGON DEPRESSION AND
Page 200 and 201: DIETThe Canada Food GuideGuidelines
Page 202 and 203: SLEEPStress, anxiety, and depressio
Page 204 and 205: CAFFEINECaffeine stimulates the sym
Page 206 and 207: CHALLENGING DEPRESSIVE THOUGHTSSitu
Page 208 and 209: PROBLEM SOLVINGACTION ADVANTAGES DI
Page 210 and 211: AnxietyDementiaDementiaBipolar155
Page 212 and 213: Practice Support ProgramGeneralized
Page 214 and 215: Montreal Cognitive Assessment(MoCA)
Page 216 and 217: Serial 7s: Administration: The exam
Page 218 and 219: Appendix CNAME OF PATIENTStandardiz
Page 220 and 221: Item 11Scoring WORLD backwards (ins
Page 222 and 223: Appendix CStandardized Mini Mental
Page 224 and 225: SCORING THE MOOD DISORDERQUESTIONNA
Page 226 and 227: FORM 4MENTAL HEALTH ACT[ Sections 2
Page 228 and 229: CommunityMHSU ReferralFormBounceBac
Page 230 and 231: REFERRAL FORMMental Health and Subs
Page 232 and 233: MENTAL HEALTH AFTER HOURSPLEASE LEA
Page 234 and 235: DOCUMENTATION REQUIRED UPON REFERRA
Page 236 and 237: Adult Eating Disorders ProgramRefer
Page 238 and 239: Medical History:Medical causes of l
Page 240 and 241: Who Are We?This is a specialized pr
Page 242 and 243: Fraser South Eating Disorders Progr
Page 244 and 245: Medical History:Medical causes of l
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Fraser South Eating Disorders Progr
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Medical History:Medical causes of l
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Fraser East:This program is part of
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Fact SheetPanic Disorder GroupDoes
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Fact SheetGeneralized Anxiety Group
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4 th Floor Sherbrooke Centre Tel (6
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Early Psychosis Intervention Progra
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*Additional Resources*For Informati
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Mental Healthand Addiction… suppo
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Fraser Health Mental Healthand Addi
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ADDICTION SERVICESAddiction Service
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ADDICTION SERVICESYouth Addictions
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ADDICTION SERVICES6. Long-term Resi
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MENTAL HEALTH SERVICESMental Health
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MENTAL HEALTH SERVICESDelta Mental
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MENTAL HEALTH SERVICES4. Community
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MENTAL HEALTH SERVICESMinistry of E
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MENTAL HEALTH SERVICES7. Residentia
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Mental Health & AddictionsHEALTHY L
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Client name: ______________________
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Client name: ______________________
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Taking Wellness to Heart! Metabolic
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Mental Health and Substance Use Rev
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Collaborative Care Process Map-Epis
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Fax the Special Authority Request t
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o o o o o o o • • • o o o o o
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Process - Physician - Fraser Health Authority

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