Process - Physician - Fraser Health Authority

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Cognition ModuleThe Cognition Module contains a handout that explainsthe basic cognitive-behavioural concepts and severalexercises that begin to shift negative cognitions.It also contains strategies to address worry thoughts,guilt, passivity and anger.This Module has been organized so that material can behanded out to patients sequentially or chosen to matchpatients’ specific needs.As mentioned previously, we recommend givingpatients small amounts rather than overwhelmingthem with too much information.CBIS MANUAL | MAY 2009COGNITION | 4452
The Circle of DepressionCognitive-behavioural treatment strategies for depression are based on the interrelationshipbetween behaviours, thoughts, feelings and body. It is easiest to think of it interms of a circle where each is affected by and in turn affects another. This means thatbehaviours, thoughts, feelings and body all affect each other.How we behave affects what we think and feel. For example, if we make ourselves get up,shower, have breakfast and go for a walk, we’ll probably think we accomplished somethingand feel better physically and emotionally.What we think afects how we feel and behave. For example, if we think things are hopeless,we are likely to feel depressed, withdraw and have very little energy.Our feelings affect how we think and behave. If we feel depressed and have dif cultyconcentrating, we may think people will ndus boring and then we may avoidaccepting invitations.Our body responses affect howwe behave, think and feel.When we experience pain,we may stay in bed, thinkthat there is no futureand feel depressed andworthless.Changing feelingsdirectly is almostimpossible. The bestway to feel better is bychanging depressivebehaviours and thoughts.FEELINGSBODYThe Circleof DepressionBEHAVIOURSince behaviours are easyto identify it’s a good place tobegin when you want to makechanges to your thoughts andfeelings.THOUGHTSCBIS MANUAL | MAY 2009CONTINUED ON NEXT PAGECOGNITION | 4553
Page 1 and 2: SteppedCareLevel 1PSP Mental Health
Page 3 and 4: Fold back this page before administ
Page 5 and 6: CBISCOGNITIVE BEHAVIOURAL INTERPERS
Page 7 and 8: Table of ContentsINTRODUCTION. . .
Page 9 and 10: IntroductionThe following modules h
Page 11 and 12: TipsTeachingSelling Strategies• E
Page 13 and 14: Flow ChartsThis module contains flo
Page 15 and 16: Patient NeedsTryThe Circle of Depre
Page 17 and 18: AnxiousSymptomsTryOverwhelmedChaoti
Page 19 and 20: Assessment ModuleThe Assessment Mod
Page 21 and 22: 5 Energy levela. How would you rate
Page 23 and 24: 15 Phobiasa. Any unrealistic or exc
Page 25 and 26: 21 CAGEHow many drinks might you ha
Page 27 and 28: DIAGNOSTIC SCREENING WORKSHEET (CON
Page 29 and 30: Problem List Action PlanACTIVATIONR
Page 31 and 32: Self-Assessment QuestionnaireName:
Page 33 and 34: Self-Assessment ProfilePleaser: Hig
Page 35 and 36: Self-Assessment ProfileOver-Thinker
Page 37 and 38: Understanding Depression- Frequentl
Page 39 and 40: Depression: System-Wide CrashDepres
Page 41 and 42: Activation ModuleThe Activation Mod
Page 43 and 44: Depression’s Energy BudgetEvery d
Page 45 and 46: Small GoalsThe concentration, fatig
Page 47 and 48: Problem SolvingDepression can make
Page 49 and 50: Chunk the DayStrategies that give p
Page 51: Appreciation Exercise“Good for Me
Page 55 and 56: Common Thinking ErrorsThe situation
Page 57 and 58: THOUGHT CHANGE PROCESS (CONTINUED)T
Page 59 and 60: Thought StoppingDepression often ma
Page 61 and 62: Good Guilt / Bad GuiltA world witho
Page 63 and 64: Setting LimitsMost of us like to be
Page 65 and 66: Is Anger a Problem for You?Tom arri
Page 67 and 68: Stress ResponseIntroduction to Rela
Page 69 and 70: Variation - Box BreathingABDOMINAL
Page 71 and 72: Body ScanPurpose• Body scan is a
Page 73 and 74: Stress BustersPurpose• Shorter te
Page 75 and 76: MindfulnessPurpose• Mindfulness i
Page 77 and 78: BreathMINDFULNESS MEDITATION (CONTI
Page 79 and 80: Healthy Habits for SleepingDepressi
Page 81 and 82: IT’S TRUE: YOU ARE WHAT YOU EAT!
Page 83 and 84: The Wellness WheelPHYSICALGROWTHSEL
Page 85 and 86: CBISCognitive Behavioural Interpers
Page 87 and 88: FLOW CHARTS……………………
Page 89 and 90: PANIC DISORDER• Anxiety “System
Page 91 and 92: The Many Faces of AnxietyPanic Diso
Page 93 and 94: Medical ConsiderationsMost Common M
Page 95 and 96: Anxiety“System-Wide Explosion”A
Page 97 and 98: Resources for Self-HelpOnline Resou
Page 99 and 100: GAD: Self-Assessment QuestionnaireN
Page 101 and 102: GAD: Self-Assessment ProfileHard Dr
Page 103 and 104:
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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Page 129 and 130:
Page 131:
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
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INTRODUCTIONTake a moment now to as
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WHAT IS DEPRESSION?The two most com
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WHAT CAUSES DEPRESSION?People becom
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WHAT CAUSES DEPRESSION?ThoughtsEach
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WHAT CAUSES DEPRESSION?EmotionDepre
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WHAT CAUSES DEPRESSION?ActionDepres
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WHAT CAN YOU DO ABOUT DEPRESSION?MI
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MORE ABOUT MEDICATIONMedication is
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ANTIDEPRESSANT SKILLSIn this sectio
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REACTIVATING YOUR LIFEStep 1: Ident
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REACTIVATING YOUR LIFESmall DutiesE
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REACTIVATING YOUR LIFEStep 2: Choos
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REACTIVATING YOUR LIFEStep 3: Set r
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REACTIVATING YOUR LIFEStep 4: Carry
Page 174 and 175:
THINKING REALISTICALLYNegatively di
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THINKING REALISTICALLYStep 1: Learn
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Page 180 and 181:
Page 182 and 183:
THINKING REALISTICALLYStep 4: Pract
Page 184 and 185:
SOLVING PROBLEMS EFFECTIVELYStep 1:
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Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
REDUCING THE RISK OF RELAPSEPlan ah
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Congratulations! You have now made
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SUGGESTED READINGON DEPRESSION AND
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DIETThe Canada Food GuideGuidelines
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SLEEPStress, anxiety, and depressio
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CAFFEINECaffeine stimulates the sym
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CHALLENGING DEPRESSIVE THOUGHTSSitu
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PROBLEM SOLVINGACTION ADVANTAGES DI
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AnxietyDementiaDementiaBipolar155
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Practice Support ProgramGeneralized
Page 214 and 215:
Montreal Cognitive Assessment(MoCA)
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Serial 7s: Administration: The exam
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Appendix CNAME OF PATIENTStandardiz
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Item 11Scoring WORLD backwards (ins
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Appendix CStandardized Mini Mental
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SCORING THE MOOD DISORDERQUESTIONNA
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FORM 4MENTAL HEALTH ACT[ Sections 2
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CommunityMHSU ReferralFormBounceBac
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REFERRAL FORMMental Health and Subs
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MENTAL HEALTH AFTER HOURSPLEASE LEA
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DOCUMENTATION REQUIRED UPON REFERRA
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Adult Eating Disorders ProgramRefer
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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:
Page 246 and 247:
Fraser South Eating Disorders Progr
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Page 250 and 251:
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
Page 268 and 269:
ADDICTION SERVICESYouth Addictions
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ADDICTION SERVICES6. Long-term Resi
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MENTAL HEALTH SERVICESMental Health
Page 274 and 275:
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: ______________________
Page 288 and 289:
Taking Wellness to Heart! Metabolic
Page 290 and 291:
Mental Health and Substance Use Rev
Page 292 and 293:
Collaborative Care Process Map-Epis
Page 294:
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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