Process - Physician - Fraser Health Authority

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Relaxation ModuleThe Relaxation Module has been organized so thatmaterials can be handed out sequentially. Moreadvanced skills are built on the preceding foundation.This module includes informational handoutsand instructional exercise handouts on abdominalbreathing, grounding, relaxation, mindfulness,meditation and tension release.These exercises will assist with stress managementand provide a positive benefit to overall physical andmental health.These skills are easy to learn and more effective ifdemonstrated in your office.CBIS MANUAL | MAY 2009RELAXATION | 5866
Stress ResponseIntroduction to Relaxation• Our body has a natural, healthy mechanism for responding to perceived threats(stress), called the Fight, Flight or Freeze response.• Our body responds by releasing chemicals (e.g., adrenaline) that cause variousbody systems to change, including our central nervous system. This produces manysymptoms including increased heart rate, rapid breathing and increased agitation.• Our central nervous system has two parts:1 The Sympathetic nervous system that stimulates the Fight, Flight orFreeze response.2 The Parasympathetic nervous system that triggers the relaxation/calmingresponse.Why Relax?• You can’t be physically relaxed (parasympathetic response) and physically stressed(sympathetic response) at the same time.• Abdominal breathing and relaxation techniques trigger the parasympatheticresponse, calming your body and mind.Orientation to Relaxation Training• Relaxation is a skill that can be learned through repeated practice.• We are aiming to train the relaxation response so that it becomes almost automatic.• Initially, you may not notice any major difference in how you feel.• During a practice session, you may experience some unusual feelings in your body,such as warmth, heaviness or a tingly sensation. These sensations are signs thatyour muscles are loosening and relaxing.• Feel free to move around as much as necessary in order to maintain comfort.• It is best to have your eyes closed during a session in order to block outvisual distractions.• Home practice should be carried out once a day. Try to establish regular times forthe practice sessions. Many people find it useful to do their practice sessions atbedtime as it helps them to get to sleep easily.CBIS MANUAL | MAY 2009RELAXATION | 5967
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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
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 and 52: Appreciation Exercise“Good for Me
Page 53 and 54: The Circle of DepressionCognitive-b
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: Is Anger a Problem for You?Tom arri
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
Page 105 and 106: Panic CircleEvent (public speaking)
Page 107 and 108: Your Emotional Thermometer• Imagi
Page 109 and 110: Anxiety EquationAnxiety arises out
Page 111 and 112: 2. When something bad happens, I wo
Page 113 and 114: Coping CardsAnxious people often ma
Page 115 and 116: 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
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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
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THINKING REALISTICALLYNegatively di
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THINKING REALISTICALLYStep 1: Learn
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THINKING REALISTICALLYStep 4: Pract
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SOLVING PROBLEMS EFFECTIVELYStep 1:
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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
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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
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Who Are We?This is a specialized pr
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Fraser South Eating Disorders Progr
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Fraser South Eating Disorders Progr
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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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